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HomeMy WebLinkAbout027-220-128ADMINISTRATIVE PERMIT TEMPORARY MOBILE HOME #98-02, A.P.#027=220-128 27--128 02.7. 2 V MANUEL SAHAGUN 127 Ross lane, Oroville 3( ! J ' f ContR: Ron Holland � PErmit#4063-88B,P,E,M(new sing e family �1 _ ....,e 2' Y 2=128 " " s 977-90B SAHAGUN; Manuel. &,,Helen 127 Ross •Lane,' Oro_ville •; 7/ %� (cony sf to guest house) ([[[ 027-220-128 • PERMIT#95-2823 SAHAGUN, Manuel & Helen ' 127 Ross Ln., OroviIle�" Cont;'AMRE �I , Vinyl Siding/SF. 027-220-128 PERMIT#97-1822' SAHAGUN, Helen 127 .Ross Ln.; Oroville Conv'Guest Hou to Stg Bldg 027-220-128 PERMIT#97-1817 SAHAGUN; Helen .129 Ross•Ln., Oroville Cont: Broderick Const. l gll9� MH Util-2nd Dwelling w. ELECTRIC. Wd 441 GAS LINE 40' L P6 COMPACTION TEST REQ SUPPORT STRUCT4R!EQ . ;/iA© PI 027-220-128 PERMIT#97-1818 r SAHAGUN-',,Helen ' 129 Ross Ln.-,t''Oroville+,, Cont: Broderick Const.* MHI-2nd Dwelling r G 027-220-128 01-1525 SAHAGUN, ROB 127 ROSS LN. OROVILLE CONT: R R RE ROOF R. 027-220-128 02-1712 SAHAGUN, ROB 00-r 127 ROSS LN., OROVILLE . — S> U� CONT: PERFECTION POOLS POOL ` /2-9 O O Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile G May 20, 2004 Perfection Pools 897 East 201h Street Chico, CA 95928 AP#027-220-128 (Owner: Sahagun) BP#02-1712 Our records indicate that your building. permit application has expired and was never issued. If you would like to retain the plans you submitted, you must pick them up at our office prior to June 4, 2004 or they will be destroyed (plans will not be mailed). Our office is located at 7 County Center Drive, Oroville. Our office hours are 8 a.m. to 4 p.m. Monday through Friday. If you have any questions concerning this matter, please contact Alice Mefford or Michael Vieira of this office at 538-7541. .�/ti 9Z.o40*;,� (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PER N: APPLICATION AND PERMIT &— ASSESSOR PARCEL NUMBER 07_-7-_2'Z0— 12.&— /`(/, Jt N0 / 20NI✓! �J BUILDING PERMIT OWNER 'MU9446N j s S SO. FT. OCC. BUILDING VALUATION OWNERS NO ADDRESS/7 O �s / Or d O 0 CONTRACT HONE CONTRACT9"� D O k ` , ^ Z "/] ef CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 1 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MIUUNG ADDRESS Permit Fee $ Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEc":r Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Lltil" ❑ sta-t-t n ❑ Other O Describe Work: �t� V ( G `f J "� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service aDOV OR Liss 2ooA OR LESS 23.00 ' SRA sMay- i O 4+%e,Yp- I Nt�.1M �+ e1�4Q Main Service 200A TO 1000A 46.00 NEW CONST: ( OWELLYxi OCCUP. so OR ADDNs. b „�. gig_ 3.5¢x7. N CONST. MULTI -OUTLET NON-..... @7.50 POWER APPARATUS 6 SINGLE OUTLET `R. Ex. Occup. OUTLET OR FDMAES p ® 1.00 SAL .SO Ex. OOCuFIXED APPINS. OR OUTLETS RESID.I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 2000.Misc: Wiring 23.00 _ ` ii1L J� PERMIT FEE S U MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee I $ OCC TOTAL FEES CONST]FEES 01 ` IMP FL O COF PARCEL PD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON (Date) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 a PERMIT APPLICATION DATA SHEET OWNER:SA V N ASSESSOR PARCEL NUMBER `V �O r 1 *� Rjovo_� Proposed Building Use: Counter Technician: Date: .1 D Z Iteemss required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to appl . V 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ Complete plans, 3 or 4 sets, signed by the preparer of the plans. E91"3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. 16. ❑ 17. ❑ 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ...................................... Statement of Intent for Non -heated and A/C Buildings ............................. ......... Sanitation and plot plan approval from the Environmental Health Departmen i (�►'b�l City of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑'M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: ` _ When issued Telephone and hold for pickup. I have been in ormed f the abov rems and requirements for obtaining a building permit. U .e Applicant: ;,- . Date: 6(2--glo Z { 1. Index permit application for the above items numbered: 2. Additional items -.required / (' Contracto designer, owner, was advised of the above data by ❑ phone, El mail, ❑ counter, by Contractor, designer, owne was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: 7--25�—Q L Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: Date: Date:_ Date: • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� I o• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-220-128 ZONING BUILDING PERMIT OWNER SAHAGUN, ROB TELEPHONE 534-5495 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 127 ROSS LN., OROVILLE, CA 95965 CONTRACTOR'S NAME PERFECTION POOLS TELEPHONE CONTRACTORS 897 E. 20TH ST., CHICO, CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 127 ROSS LN. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. S UBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL MASTER #514-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2001 OR UES: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.,r License Class �. Lic. No. 617 6 _5 4a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages astheir 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 I 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 -psoormance of the work for which this permit is issued. I 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' comp sation insurance carrier and policy number are: Carrier 43 Policy Number _ , -0-2- (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' pensatiOn laws of California, and agree that if 1 should become subject to the wor Irs' compensation provisions of section 3700 of the Labor Code, I shall Jort,hWith c • ,ply with those ns. 1 X A / Date Sig atu a of App (cant - ❑ Own ❑ Contractor ❑ Agent An OS A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 10001 46.00 WEL200A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. BLOS. 3.50F.. NON-RENEW °E,SID. MULTI- OUTLET 9a 7.50 POWER APPARATUS SINGLE OUrLET CIR. 20 O 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 AFIXLNS °E1 5.00 Ex. Occup. ouTEiAPP Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Data Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 027-220-128 01-1525 SAHAGUN, ROB 127 ROSS LN. ORGVILLE CONT: R R R ` RE ROOF �a— v I . � E� J ' . i 1 . F s - K � , 4 I t v I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �) / -/,5a�;- ASSESSOR PARCEL NUMBER 027- � n _ 1 e'� V ! ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS % ` og'.JL /e C,# �1 (�� A [l_ CONTRACTOR'S KAME & ' TELEPHONE7/ 6Y( CONTRACTORS MAILING ADDRESS / r•.r !/ GLJ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS • Total Valuation $ L ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS L Energy Plan Checking Fee $ V 1 $ PERMIT FEE $ —" LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other/ Describe Work: �.L,t� d Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W (920.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 000 R LESS Main Service To OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. ( !i C, ( I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TOGA TO 1000A 46,00NEW CONST. DWEWNG OCCUP. SO OR ADONS. ( a ACC. BLDS. 3.5QFT. tNJON gEOSIp. MULTI.NCHOUTLETITS 97,50 POWER APPARATUS &.INGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20®''00 BAL O .SO Ex. Occup. DFUXTLEEDTS REQS DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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'—Cooling 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 VIL- LArNitiA 1 N L A N(E� Policy Number i./Vt. it —i- ti V,7r-,..,n (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 employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X _;' lii C✓ �/ ! Z::. Date G'V% /,1- U J 0 i Signature of Applicant-' - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 Ventilation . r`µ+ PERMIT F&W Vit, Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSjTYPdE❑ TOTALFEE$not HAZ. _ IMP FLOOD CDF PARCEL PD HD ISSUE 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. r By "'Date PERMIT EXPIRES ON 1 /� Deto Receipt No. 12 1 7r'i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Cf • � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER U°Z7- aa - 0 —/,a ZONING BUILDINGPERMIT e54Hu TELEPHONE SO. FT. OCC. BUILDING VALUATION 'y-� OWNERSMLNGADORESS 105sL.J 04---k,�/e CO `04C COMRACTO'�/ TELEHONE -3'Y.5- �16ye c Z coNrA nwuNG ADD s7143/- CONSTRUCTIONLENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1A 2o ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �ro�u Lei Energy Plan Checking Fee $ $ $ V t / PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: P-9 !tom G� Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V LES Main Service .0,A OR IES: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,p°�Ip and my license is in full force and effect. 2 License Class (i �'f7 Lic. No. ��" %�� OWNWILDERDECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST. DWELUNG OCCUP. So OR ADDNS. ( a ACc. BLns. 3.5¢FT; MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIS. Ex. Occup. OUTLET OR FIXTURES 20@100 BAL Q .SO P Ex. Occup.OFD(�EEDTSAP� ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: '- Carrier I I Olt Policy Number I'-- rry (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �/% ��, Signliture of Applic - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height. JBy MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. at/e / PERMIT EXPIRES ON a Receipt No. y,77- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-NSPECTOR GOLDENROD -APPLICANT / 027-220-128 PERMIT#97-1822 SAHAGUN, Helen 127 Ross Ln-., Orovill.e Conv Guest.,House to Stg Bldg . _ k7 r 027-220-128 PERMIT#97-1822 SAHAGUN, Helen 127 Ross Ln-., Orovill.e Conv Guest.,House to Stg Bldg . _ k7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION � 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- ,541 _ 8PEYMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �pJJ� ASSESSOR PARCEL NUMBER 027-220-128 ZONING BU DING PERMIT OWNER HELEN SAIJAGUN TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 127 ROSS LANE OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER t HONE Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER ;VdNEPermit LICENSE NO. —FilingFee $ 20.00 Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 127 ROSS LANE. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE t LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE BLDG SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: COs. GUEST SOUSE TO STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V LESS Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. SO 3.50FT. NE NON.REB"DS. MUITI.OU UTS P7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL O I. 0 FIXED Ex. Occup. OUTLETSPPLNRES D.DEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation / of one hundred dollars ($100) or less.) yj I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply jth those provisions. r 1 X- !-�'t^_�. ' -" '�`�— Date 111r_ rs S � 7 f O13Signature of Applicant --wner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated*above for which fees hav ( By /'L 1l PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 8/25/97 Date 3/25/98 Dale ReceiptNo. z241bi - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION or 7 County Center Drive - OrovNle, California 95965 - Telephone (916) 538- 41�� _ PERMIT O• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-220-128 ZONING BU DING PERMIT OWNER HELEN SAEJAGUN TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 127 ROSS LANE OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Fee $ 20•00 —Filing Permit Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 127 ROSS LANE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE BLDG SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 151 Describe Work: CONV. GUEST HOUSE TO STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonOR LE . 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: '6 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLG OUP. INCC OR ADDNS. ( 8 ACC. B.S. s0 3.50FT. NON-RESIDT MUCTHCIRCUITS 97,50 a SINGLER AOUTLET CI R. Ex. Occup. OUTLET OR FIXTURES .00 BAL @ ,. 0 FIXED Ex. Occup. OUTLETSPPUNRESID.GEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the rkers' compens tion provisions of section 3700 of the Labor Code, I shall f with comply h those provisions. Date �� S- _ Si ature of Applicant --<l-Own [IContractor [3Agent OSHA permit is required for ex vations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD H012 This permit is hereby issued under of the Butte County Code and/or indic bove for which fees "avolbeen B PERMIT EXPIRES ON i the applicable provisions Resolutions to do work paid. Date 8/25/97 8/25/98 Date Receipt No. 224320 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. •1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES` - _ 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: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: 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 it, 0.B.- 1. OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or. subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees,,without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!qrs 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. r rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 198. 0 of the California Health and Safety Code OVER (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovilia?, Callornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR p OELNUMBEp 0111) ,OW ZONING BUILDING PERMIT NE /Id� Q u U N TELEPHONE S FT. OCC. BUILDING VALUATION O OWNERS MAID ADDRE S h 01^D V CONE R'S NAME 1� TELEPHONE ' CONTRACTORS MAULING ADDRESS CONSTRUCTI LENDER b Q Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHrrECJ Op ENGINEER ©S e LICENSE NO. Filing Fee $ 20.00 Permit Fee $ % O ARCHITECT OR ENGINEERMAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �L, %% h Energy Plan Checking Fee $ Ori© 4/ e $ PERMIT FEE $ ,S` D LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTUR % SF ❑ Duplex ❑ Mobilehome ❑ Other ! SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15-00 TYPE OF WORK New ❑ Addition ❑ Remodel '❑ Utilities •❑ Installation ❑ Other Describe Work: 00 h t/ 90 Ids D V'a Q e Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with .licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEILNG OCCUP. SO OR ADDNS. ( a ACC. BLD S. CONS MULTI -OUTLET Np @7,50 POWER APPARATUS a swGLE ounET clR Ex. Occup. OUTLET OR FIXTURES BA2L x'.00 L .SO Ex. Occup. ouTLFis Ra D.DEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEB $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ . CONST. TYPE TOTAL FEE $ 11S.00 HA2. D. FEES IMP I. FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 0 V 7 7 757 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 027-220-1.28•PERMIT#95-'2823 SAHAGUN, Manuel & Helen 127 Ross Ln.', Oroville Cont; AMRE! Vinyl Siding/SF A �ii>"�•. `' � ��� q .d i :: v' �, , Z'+1r �.—� �,I .: �'♦P" 2 . A, '� � I. �.. ;jy`� ..y'�;� :r., e yF,,..l.� ; p.1;,Y. I � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cgifornia, 95965 - Telephone (916) 5�2!" /1 IT N APPLICATION AMD PERMIT "] ASSESSOR PARCEL NUMBER 27-22--128 ZONING A-5 B DING PERMIT OWNER TWW1, &HELEN SAHAGUN TELEPHONEC )37 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 127 ROSS LN OROVILLE, 95965 NT 10 951.00 CONTRACTOR'S NAME WRE REMODELING TELEWIONE CONTRACTOR'S MAIUNG ADORE %585 N. STP IMONS FREEWAY SUITE 102 �j Fireplace CONSTRUCTION LENDER DALLAS, TX 75247 UNMOWN Total Valuation is 10 951.00 LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 127 R SS- f ANTE 7 PERMITFEE $ OROVILLE 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 C9 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas I In system 1- 5 outlets P piping Y 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E36 Other ❑ Describe Work: VINYL SIDING — Mobile Home ISI GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirmrunder 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 m license is in full force and effect. � Y �� l y� License Class - / Lic. No. C OWNER-BUILDER CLARATI DEON I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCC UP. OR ADDNS. ( 8 ACC. BLDS. ) SD. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE ourLEr cIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL so Ex. Occup. ( OUITLETSXED (RESD.° EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ 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 Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) ,l/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ������ j� "t - ` -'� }�- 1. , r_Y—Date (' � Signature of Applicant - ❑ Owner Rl Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY P=' ` PERMITEXPIRESONi ! I applicable provisions Resolutions to do work been paid. Date p / Cf - 7 l'7 (Daae) Receipt No. 190328 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7PERMIT NO. APPLICATIONANDPERMIT ASSESSOR PARCEL NUMBER 27-22-128 ZONING A-5 B LDING PERMIT OWNER MANUEL & HELEN SAHAGUN TELEPHONE 53 -9537 SQ. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 127 ROSS LN OROVILL•E, 95965 CONT 10 951.00 CONTRACTOR'S NAME AMRE REMODELING TELEPHONE CONTRACTORS MAILING ADDRES9585 N. STEMMONS FREEWAY SUITE 102 Fireplace CONSTRUCTION LENDER DALLAS, TX 75247 6i I__OWN Total Valuation $ 10 951.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 127 �' S PERMITFEE $ ' OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF 6 Duplex ❑ Mobilehome O 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 O Remodel ❑ Utilities ❑ Installation 11X Other ❑ Describe Work: VINYL SIDING Mobile Home IS I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 2 0:0 0 Main Serviceeoov OR LE ( zooA oR LEssSS ) 23.00 Main Service ( 200A TO +000A ) 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 full force and effect. r License Class C — (� / Lic. No. q ��� OWNER-BUILDER�ARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. - 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 PSINWGOER APPARATUS ) LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BAL +;� Ex. Occup, OUTLETS PPLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ef one hundred dollars ($100) or less.) certity that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i X _ 'I� ___ Date �____ Sign ture of A plica t - ❑ Owner JO Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 146.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRE I SOIV applicable provisions Resolutions to do work been paid. Date (pate) Receipt No. 1 ()0328 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEJARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Talifbrn`rra 95965 Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27_22_128 ZONING A5 BUILDING PERMIT OWNER MANM & HlEt SMA TELEPHONE 532-9537 SQ. FT. OCC. BUILDING VALUATION Fut $1 wo OWNER'S MAILING ADDRESS 127 Ross Ln., Oroville CA 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy g ee Ener Plan Checking F $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 127 Rossv Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 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 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [A Describe work: Convert S/F to Guest House _ (Remove kitchen facilities) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OV OR R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract— ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNST DWEACCLLIN GOCCUP h)S. 2Y22sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea (POWER APPARATUS I:) \SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20@50t eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. � I shall not employan person in an manner so as to become subject Y Y 1 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date z:� - Ya Signature of Applicant — Owner % Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 27.50 HAz I CUA I PARK SCHL FLD I PAR JPDJHDJ IS This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees IR OR F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ii ate (Receipt No. L' . f':.— WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR4MENT OF PUBLIC WORKS 7 County Center Drive - Oroville; Californlas5965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO. c)r -7:z ASSESSOR PARCEL NUMBER 27_22_128 ZONING A5 BUILDING PERMIT OWNER MANUEL & HELEN SAHAGUN TELEPHONE 532-9537 .SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 127 Ross Ln., Oroville CA 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER One UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS LE N Permit Fee $ 17.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 127 Ross Lanp, Orovillp Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 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 USE OF STRUCTURE SFFC] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other® Describe work: Convert S/F to Guest House (Remove kitchen facilities) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LE LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE License No. Classification 1, as the owner, Or my employees With wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.!!✓ OR ADONIS. ACC. BLDGS. , ft 2/zQsga NEW RESI.,CONSTRANCH TLETCIRCUITS NON-RESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zA 00 eAL03030 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmepts, costs, and expenses which may in any way accrue aQsaid County i lconsequence of the granting of this permit. Date _ �o Signature of Applicant — O, er 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 $ occ CONST TYPE TOTAL FEE $ 27.50 AL E HAZ CUA PARK PAR Po HD Issu This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees 1 OR FPUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS ylgl90 ate Receipt No. lz,3! eT:5:— WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Depa:rtment 'of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - 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 property improvement (yes or-ao� -e 2. I (have%.have-fie) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired'the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number, �— Date -- !Z -O NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and.Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Helen Sahagun FROM: Tom Parilo, Director of Development Services FILE: 98-02 DATE: August 4, 1997 PURPOSE: Administrative Permit on AP#027-220-128 for a temporary second dwelling to be located at 127 Ross Lane, Oroville, in the A-5 (Agricultural, 5 acre minimum) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Helen Sahagun. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. dential 4. The siting of the mobile home shall be exemptountmthe lte requiremnts Chapter 24eand�he Butf the teCounty zoning district, except as required by Butte y Code Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, rpers temporary moto the ile primary unit, and shall not be placed on a permanent foundation. home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term or the epermitcion i t exceeding one year for each extension, may be granted if the application o filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty d(a20)the Countyafter shalaremovtion fthe Permit. e said mobile home and store it is not it at within the one hundred twenty (120) days, Y owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. s/ Permittee Signature Date Craig Sanders, Senior Planner Date APPROVED Development Plan k r OATE AIIA 3 4- 19W USE PERMIT ..w,,,,,wVARI .w..... MINOR UA, eawAOMARIWIT S . R ANNING COMMISS. DIRECTOR O DEVELOPMENT SERVICES 1.6 d� U Sp�M% ,,rpS V -f �<<' � L� kXi51�r� �ou$•ti t-1,:11 6'wrti��. 1,71 & , -05 Ap/Y oa7 -dao-ra8 �-`"' Ali rot To To 9c1r A Dr�V'Cw� y S Q,Ca' 4p b : r IN Q(t�`eob 2 T Ffr57in9 S�r�IG�l INX u � 71 v� \v ❑ 1 � 0 reit C I 11'301 3�, � i51i SS �Iw e.4a yeti 7 Planning Division JUL 2 3 1997 "`f" , f.�'-�^�y� •jA;sft} �iYs""At , ff„*�sf`',t3i r • wr+>' +Gtr` ylrnr �'j"cn. s�"r�.s.rc�x�, i r "4 r�.-.. ..fin •�ti •r:w-'_ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:ol�? 7 "' /c�k PERMIT NO.. 7 f Owners: Name: `J2�Y1 Owners: Address: Mobilehome Year of ��� Manufacturer Manufacture: � // Serial numberst0�� �ri 41_3 C Insignia or (� or V.I.N. / V 1 / (� (,(/ HUD number. Official approving installation: Date:IN If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. {{` 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor \ 1, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1/7 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-220-128 ZONING A5 BUILDING PERMIT OWNER HELEN SAHAGUN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 127 ROSS LN OROVILLE CONTRACTOR'S NAME BRODERICK y��e�t� NE TEZS / /-6432 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 129 ROSS IN Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ` ] Other SPECIFY Each Trap7.00 Solar or heat`pum water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilities 0 Installation Other ❑ Describe Work: 2&/�/ -/��yy— ld ,( Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G 7W I @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu rce and effect. ty/ 2 License Class Lic. NO. 3 4 O ` J � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BLAS. SO 3.50FT. NEW ST. NON•RESrID. MM Lc I-OUTCLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 �' 50 BAL .50 Ex. Occup.IxuTLEETS REFS �.°REw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling ` Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers'HAZ. 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 rthwith comp Ith those provisions. --/I X.�_. ,�—__ Date Z _/ Signature of Applicant - ❑ Owner O C—oniractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition r construction of of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPEU1 TOTALFEE$ 143. 0 [. D. FEES IMP OD E CD P C P H Is This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By at I PERMIT EXPIRES ON ate Receipt No. 22 315 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT kil .r>y,"dt•"'V�t... �"'�. ,�Y w{' 'ti,u-a.0 ,_ �..-�`^4 "�.�, °3-r,i. ; �� .4i:.,�, � �� .,... ,,. COUNTY OF BUTTE OP NT DEPARTMENT OF DEVEL .,JJIE SERVICES -BUILDING DIVISION rr'� 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 t PERMIT APPLICATIONDATA SHEET 0 OWNER: ASSESSOR PARC ER: Proposed Building Use: Building Inspector. Date: Ila S At time of permit application, I was advised the following data must be submitted prior to permit prossing and/or issuance: Date Received By ❑ 1. All items have been submitted .-----------------------------------------------=------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ r F ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- e�08. dous N.4aterial Form. ------------------------------------------------------------------------------------------ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ ees of $ -----------------------------------------------------l--------------------------------- f7t- Impact fees as shown on the attached schedule. --- --- �5-- `-1--7-----u ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1113. -------------------------------------------------------- ❑13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ' ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. ---------------------------❑20. Pre -inspection for required. Request to Building Inspector ori' (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.--------------------------------------------------------------------------------' ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------- ------------------ ❑2 Letter of intent on building use.--------------------------------------------------------------------------------- = �. 7. Manufactured Home utility clearance.--------------------------------------------------------------------------- - U— 9r. 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------------- 030. -------------❑30. Other: ------- you issue the permit, rocess as follows C3 Mail to owner, ❑Mail tQ c actor. "UTelephone ��3� and hold for pickup at O� office. ElDeliver with inspector. Applicant: Z Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ollution Date:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: D By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division c unfer,-by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di�visio�counter, by Date: Plans reviewed by: Date: Plans approved by: ^ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (91.6) 338-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - ` Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES DmtJ, �-' (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00. _ $ Units Commercial (sq.ft.)... x $0.03 $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) .Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # 7 c?PD-1W DATE REC # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT / —•�.,/ DATE /� V ,/ Original -Owner Copy -Building Div. (Rev. 12/96) '.t �L► +i�VS '.s. 4 '38C^.^^^^r�"' +.^."K, r i"�'+—.M't'"'"4��'" ^„'.f'�4'1 .,SM'iltl �`"`r"1: v---��� , _ . School District A.P. Number Property Owner Property Location/� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Q(nu k ll/ (�RBuilding Department No. nci% — PPD— OV ^ Jurisdiction: F-1 City ' F�/ County Subdivision Lot No. i Residential Development d No of Living Mobile Home Addition Units Installation Commercial/Industrial Department Representative Identification No.—) A (Floor Pla(3 eviev 1800'22 (Street Addre ' (City) has complied with the requiremens . f R solu representing School District Representative Paid by Check # District New Addition i Personnel) Sq. Footage U G (Group R) Sq. Footage 1111uluulllly. CALtmul Ro fed Areas) Date (Phone Number) �, (State) (Zip Code) tion No. O "" by payment of $ square fe JFB2B926 $ ULL MITIGATION $ Date w Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm COUNTY OF BUTTE BUILDINGEMIMN gN. DEPARTMENT OF DEVELOPMENT SERVICES . a 411 Main Street, Chico, CA (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 F. CORRECTION -NOTICE _/ CT /O PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected gjease notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, w: please contact this office immediately. ZE I.4,4 1,-d: it l .J� _ .. ✓ J�is/ a e4 �'y1a�,u•� l S 9� ' Dat q* I Inspector �( REV 10/92 RESIDENTIAL 027-220-128 PERMIT#97-1817 _ - i, SAHAGUN, Helen 129 Ross Ln., Oroville Cont: Broderick Const. PERMIT NO. MH Util-2nd Dwelling PERMIT EXPIRES~1 �Qy w--- OWNER 6 CONTR. ASSESSOR PARCEL LOCATION a OFFICE COPY Address GAS Meter By �� [1 Da ELECTRIC �tej Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED a tQ Signature •J V=OK O = Not OK Not = Not Applicable ble ReMOBILE HOMES Date MOBI OME UTIUTIES lana OK except #'s Llefopirrg'pequirements - Setbacks - Easements Special MH Support Sketch Sp k , Location -Test -Fall -00 -Concrete tkoWa5r,Location-Test-Easement Needed (Sk tch) tricity; Location -Clearances pConcrete 6. Gas; Location -Test -Wrap; / If_'ft / /Nat. orV 'L`ft&LPG f7 Wem eearance 8 Dificonnect LAw<51ity Clearance DateCard B Data Card B-1 Date Card B-1 Date Card B-1 Date MOBIJX HOME INSTALLATION(Plans) OK except #'s JV2oning Requirements- Setbacks Easements 2. Footinas: Sina•SDacina-Marrlaoe Line L�G3st'KIH Test -Demand -Valve -Connector locity; MH Test-Crossovers-BreakersClearences raWMH Test -Fall -Flex Connector C�ater and Sewer Connected -CIO to Grade -HD Approval 8. Ga5AKd- Electricity Tagged Q,ofre OVins-Type-Installation Cert. TI—Cert of Occupancy 2. Permanent Foundation Only: License Decal Dat /- _, and B-1 Date Card 13-1 Date ' Card B-1 Date Card B-1 MISCELLANEOUS Date :DECKS, CQVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SodsSW DsptMSpecing-Connecbrs-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beame-Rftrs.-Contactors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; NailingVenewShicco-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced WaILPanels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS' -(Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure, Stability " 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =No O = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s - 1. ZoningSetbacks-Easments-FloodSlope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ / Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ / Ftg. Depth 49. 4. Ftg. Porches & Decks; SoilsSteel-/ / Ftg. Depth 50. 5. Stemwalls, Main; Steel-BlockoutsVUrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 7. Slab, Steel0rapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _ ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 78. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 79. Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / /ga. Cu or Al-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 85. 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House Card B-1 Date Card B-1 Date Glass Protection MECHANICAL (Permit) OK except #'s 90. 35. A.C. Ducts Insulation & Support 91. 36. Vent Fan, Exhaust above insulation 92. Water & Sewer Connected -C/O to Grade -HD Approval 37. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Comments at Final: Cana B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) - 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist Rftr Ties-Purlin-roff Brac: Truss.Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance _ 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,??,_ gERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-220-128 ZONING 1 A5 BUILDING PERMIT OWNER HELEN SAHAGUN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 127 ROSS LN OROVILLE CONTRACTOR'S NAME BRODERICK TELEPHONE ' 877-6432 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 129 ROSS LN Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE / SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I SA9 920.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos °o. mss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fui orce and effect.POWER License Class Lic. No. Z�6 �3 2,8 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. B.S. so 3.50 so NDAESEW ".T. MULCTI-cUTCET UITS @7.50 APPARATUS SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 o I. 00 BA.SO50 Ex. Occup. OFIxUTs R pOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 00 20. 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 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 Heating CoolingV Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ja",1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith coXplith those ovisigns. / . > X _ l%/y_ __ Date __ Z. J _ Signa ure of Applicant - ❑ Owner Contractor ❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or onstruction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FE $ 166.0 HAZ. D. FEES I O CDF P PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 0 �j Date Oate ReceiptNo. 224315 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '^''Ts.+r�.k�.'�Yf`F.7'.'r'1.'^"7.,1.,,r.. u. ,.y•I%i7r'*r"+.! .tt,r.�'i�?.4'w�iT'�'t^eTTnMr�Yy�F COUNTY OF BUTTE DEPARTMENT OP I:it OPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATffl�V DATA SHEET OWNER: ASSESSOR PARC ER: Proposed Building Use: Building Inspector. Date: At time of permit applicaii n'j was advised the following data must be submitted prior to permit roces mg6d/or issuance: Date Received By ❑ 1. All items have been submitted .----------------------------------- ❑2. Plot plans, 3/4 sets, signed,by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (requires prior to plan review) No faxes!---------------- 06. --------------❑6. Energy Design Compliance and supporting documentation. ------------------------------------=-=-=== =- ----- "`- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---------------------------------------------------------------`- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- r ❑ 13 . Flood elevation certificate. ---------------= --- ---- ----------------------------------------------------------- Sanitation and plot plan approval �ealth Department. ------------------------------------------- Q Q Q- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from .the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- _----------- 1118. __________❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------- ---------- 026. Letter of intent on building use. ------- -- =: --------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -= """'- ------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 030. Other: _______ Wh you issue the ermit, process as follows ❑ Mail to owner, ❑Mail to cqtractor. 2lephone 9T1- (043G"' and hold for pickup at CMV t I office. eliver with ' ector. Applicant: Date: 2 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollut' Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by Die: Plans reviewed by: Date: Plans approved by: �: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. -3 APPROVED AUG I IMM P11M This set of plass and specifloations MUST be DATE bent on the job at all times and it is unlawful to a4y changes or alterations on same without USE PERA"amomVA11"ASM wr4tten permission from the Department of Publio Works. County of Butte. 4•.,nrr AOM.�EAMIr;w,,.,. .. PLANNING COMMISS. •..... DIRECTOR Of DEVELOPMENT SERVICES rV /1,7y 4e r'r.s \OTE: All Materials & Workmanship Shall Be to cordance with Recognized Good Practices and Quality Prescribed for the 8peci$ed use :..a aie Uniform Building', PlumbW & Meulzauica (lodes and the Neuti r l ffieotrloal Code. P°r 1 H /_PiOecszcl C% 1� e \ JPY'5'7in9 S•�il(�iiNx Punning Division /( Od7 -'P-do-1a9� -0(,0 JUL 23 1997 Q�a��• /I.P ��, y s-5 � s� E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D.,ft TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal z� Water Supply: Public Private Well Clearance for 61welling. Other Hold final for: Final clearance O.K. for: NOTE: uo-) / Environmental Health Specialist 8/96 P- 7 % Date A. APPROVE 0 Ah DATE AUG l irl", "t Pian E USE PERMiT,.,,,,,,,.VAR &VX a..... MtNOA U.P,.�.,�.AONI.►E'AMI'r.�.... .�•...... MANNING a)MM S. �.rl.�... DIRECTOR Of DEVELOPMENT SERVICES G•�ur�. T R05-5 �,j n --e— Od7 -,,ao-/aFr —0c,0 AppRpVED Butte County HHea'lttb Environmer t) --- -Signature in Planning Division ,4�7/�c,ss J U L 2 3 1997 Orou /* //110 e4,S- � � `SF,,ti 1 Ei�s-r r � � r-�—•- To 9c.,f� tib"b '1 PcOy�S:t�i b1,e I in Planning Division ,4�7/�c,ss J U L 2 3 1997 Orou /* //110 e4,S- PppROCovn�`I th �'.�' •._ wfJ.\ •F�.`G,.: ._�� w _ .'Y.fry.st.. .. _ t�: '�M1S`� - �9�'.w_`• t t PERMIT NO. 3-88B P E M IgoPERMIT EXPIRES OWNER MANUEL SAHAGUN CONTR. Ron Holland ASSESSOR PARCEL 27-92-198 LOCATION 1277 Ross f,ane, DRovi l l e f r . •A�t . '1 A' s t E` Temp. Power Pole Called PG&E Temp. Elec. Service 07_ Called PG&E Temp. Gas Service Called PG&E j . JOB FINALED (Date) , Signature �� ROOF 1lntera.a 1. (.lichen) N y A 1 - Fla t F?. r UI I. 1)(, 1 . co a s ss 0-11che'n C r I II tI 1 (11 I)nl:t or. 111""Itt!t '1:3've Fiberyl.aSS 'I'll ic kno. q ( tilch or; ) 1. 1- t 'Yy 1, n I i. b (--� r a — Loome rss— If .a2 Aren a ss ;T. `:!.All tlnterl.rtl. Wth I.Tlclw�l F(-)l1Ill)AT1.m,j WALI, 1laler liche A.P. flu. Brnnd Nime (it VnImv.) 11 rn I I(] ti sime Cf�.v La i I cre e (.1 e n I I n e n j -n t n—t —(V- -njl'i, Ornild fint"o Cel. -Lal 111,eeo Therinnt Ite.S.I.Stntic.e(It PrIllid Name C,(:!rLa.h)Teo(-I I'lumber of 1 g_ wr Imp 2' Thermal Brmid t1nme.- Thermal I (Fin -,I*,"* -,t -;I -1 -1(,. -(,,-(it vil hle)- Bralld fIrtme 11mcillitt 111,111141 11how! winOw ni WILI, I:Ilt,. crf cnIfforil - In Fliercy 379407 MA? I'l 41;�, (Im I I I'l (:A'.I*OR S'1:A'I hr C DATE 1. herr.,j)), '""JVY 1-110 nli(ive J-11MIIJIt'l.mi mid n1l. v - 11 ter 1111,1,,nq nlim.111 Oil 1:110 r 4 11 It 1"v (I by 11114 tiCtnel"1101it" linvf, wr C'111 11*m:IIj.n All. 'if , Id IIIIII-cl. #Ito qj F prenv' "PVC I.f-.Ic;l I 1-Y 1111111.'tived by the ribed Or 111:f! Ojem!'m 8 TM coFaRACTUR r, 11U. S. G I IA A I., olillux rill ul.-M . I " I.FWAT17 Ill., I UIJ FILE AITROVAI TAICtTir!I'l, PlUjil( IIAL A141) A (:()fly SHIALL Ill', ros-13.10 W1111J.14 , J. . HE Ilutum-lo -1:11111ary COUNTY OF BUTTE DEPgRTMENT OF PUBLIC WORKS BUILDING INSPECTION DIVISION AUTHORIZATION TO CONNECT Address JQ 7 Qz C- 9 f GAS Meter By Date EIC Mefer,ffy Date DETACHFORSERVING UTILITY Address 1A /�/ QoSS e`a. oma_ GAS Meter By elin Date ELECTRIC Meter By Date Es M-6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. " A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �� / Date /1 ire r1� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751+ y 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CO R -R -ECT I O N -hl T n'J J �10_-) �( PERMIT N v A routine inspection indicates that the following violations of)County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r InspectorDate COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT 90. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or n ed additional explanation, please contact this office Immediately. ( )/ - n A -s-- -! 1- -+-n --J, `a tV- 1 " �i Inspector t v Date -4— = OK t 0 =--Not OK- ' MOBILE HOMES ' ° MISCELLANEOUS = Not Readyable ,, Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements j 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ! �r 2..Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists=Decking-Bracing-Stairs-Rai ls 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -81 Date Card -81 Date Boxes-Enclosures-Panel board s -Ins. to Main in Conduit Card -131 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -131 Date Card -61 Date - � r , ti � =OK 0 = NotOK RESIDENTIAL.(Single and Duplex) - =Not Applicable _• Not Ready , z Date •U RFLOOR (Plans) OK except #'s Zoning -Setbacks; -Easements -Flood -Slope Ftg., Main; Soils-Steel-Elec. Grnd.-/,/0`/" Ftg. De _ tg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei Stemwalls, Main; Steel-Blockouts-Wrapped temwalls, Garage; Steel- Blockouts-Wrapped d. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel , :W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test (t . Gas Pipe; Size -Anchors s r ' �1' -11"Water Pioe: Test-Anchors- Rea ulator-Service Test 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 14"Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Dat Card -131 Dated Card -131 Dat Card -B1 Date Date L GING (Permit) QX except #'s L,1115,4ater Ht. V - ccess-Combustion Air -Baffle 7._Water Pipe; Test & Anchors -Nail Protection 8. .V.; Test-Fttngs & Anchors -Nail Protection First Floor -Tub Access 20 wer, 2nd Floor -Tub Access 1. Gas Pipe; Size & Anchors Card -131 Date4e,/and-B1 Date I Card -B1 Date 2",&9Card-B1 Date Date \FJLECTRICAL (Permit) OK except #'s I 22.,Flxture & Transformer Clearance -Ins. Protection t43.-Elec. Receptacles Spacing -Lights & Switches at Doors 4/2-4,.Size Boxes & No. of Conductors -Stapled I 5. Romex Installed Close to Edge of Studs & C.J. -126. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Waterl 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. t128 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 0. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 2. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Card -61(°j7:) Dat _/J, Card -B1 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 4. A.C. Ducts Insulation & Support . Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 7. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet e8-AR+&-Aeeess & Platform if Furnace in Attic Card -B Dat ,JkC Card -B1 Date Card -B1 Date nY,AK and-B1 Date Date AMING (Plans) OK except #'s 9. Sills, Proper Material & Anchors 0. Walls Studs -Nailing, Spacing & Bracing—Plates-Sound !✓ 1• B ring Walls over Girders & Floor Nailing ret Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 4• Header & Beam -Size & Bearing Date FOAMING (Continued) angers -Post Caps-Ancho- onnectors 46. Cing. Joist-Rftr. Ties- Purl in -Roo FRF`c Truss-Shthng. -Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Mdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing k-51. Property Line Firewall & Openings 52. kt. Doors -One 3' -Check Garage -3rd story, s t4,X1 3. tairs; Width-Headroom-Rise-Run-Landin ire Protectio. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers --55. Siding -Nailing Veneer -Drip Screed -Fd. Vents-Underflr. Access 57 qlazipq -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -81 ' Date//, Card -B1 Date Card -81 Date y _I/_Mard-81 Date Date F AL (.Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings moke Detector rnace; Vents -Clearance -Comb. Air -Connector - In QArage; Above Floor-Ducts-Mech. Protection F,I. &Bath Fixtures &Tub Access -Spa Triubpanel; Breaker Sizes -Labels or Stove; Clearances -Hearth Q9!Elec utlets at Wood Panel; Int. & Ext. 7�0 ,fjxt. & Appliance; Grnd. -Air Gap -Cooking Clearance le . utlets & Receptacles at Kit. Counter 6!4a e Fire Door; Swing-Landin � C ct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In rage; Above Floor-Mech. Protection Ib. ec. & Mech. Equip. Listed for Location 7 . Receptacles in Garage; (G.F.I.)-Romex Protec. Ins ation-Foam-Looked in Attic ❑ Yes IfWuar Rails &Deck Construction -Post Caps n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Ye 80. Following instld.; Drive ❑ Yes o; Walks ❑ Yes o; Planters ❑ Yes ❑ No o; Brown -Finish A. nit; Disconnect, Electrical, Plumbing aa -'Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to L)ppnings. pter'well; Disconnect, Electrical, Plumbing E for Elec. Trim; G.F.I. Receptacle -Underground . Venl+tation throuahout House ;tion from Previous I 89. G es Meters Tagged; Gtr Electric & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 92. Roofing Certifi to Card -13 Date Card -61 Date Card -B1 Dat ,� Card -131 Date Card -B1 Date Card -131 Date Comments (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 1�)�e NO. .3- Y ASSES O -PARCEL NUMBER ZONING BUILDING PERMIT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN R'S AI L174VAPDRESr •`� ^ C0 J AC 0R'S NA TE HONE v CONY A TORS IL N A ESS Fireplace / CON T CTIO LENDER UNKNOWN Total Valuation LEN ER'S AILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARC T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ ` Penalty $ BUILDING ADDRESS Permit tee t' PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or ve 5,00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 out a 5.00 Q Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New x Addition ❑ Remodel Dti li 'es ❑ Installation ❑ Other ❑ Describe work: _ • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0OV OR LESS. 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and ProfessionsCode and my license is in full force and effect. License No. SZ -V12-0— Classification ` ❑FIXED 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 oR ADDNST AELING LBLDGOC CC.L CONSTR. MUI TI -OUTLET NON-RESID .BRANCH CIRCU ITS 2.50 ea /POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES EAL090 APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 1 2.00 Temporary service 10.00 ---� Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r_1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PE MIT Filing Fee 10.00 Heating Cooling ya Hood 300 Ventilation permit Fee11-162 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again ,,,,,,I__d--C X -ry—ounty in consequencee granting of this permit. L_ Date %.i - �.i� -- $$ �_ Signature of Applicant — Owner❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S" r oceu P, R� CONST.TYPc SCHOOL PLoo PAReeI O MD 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -P2 7- JPO ' Receipt No. 11 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • COUNTY OF BUTTE - DEPARTMENT `,OF PUBLIC WORKS - BUILDING 7 COUNTY CENTER DRIVE - OROVILLE, Cjk6IF0'.A A 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET DIVISION Permit No. J OWNER 4 146 Ap 0 44 A. P. No. - Proposed Building Use - Building Inspector Date _6/;��� At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. r, Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 2. S ool Distrj9t fees paid ................. Sanitation approval from Mzi IM Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 1.7. Improvements may be required. 18.f i(YrIeway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred .. , , Pre-Insperequest to p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 7,22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ -ate,:,,, Recorded copy of Agricultural Acknowledgment Statement ............ I- J?- g�J 24. Lett: of signa re authoriz 'on ..... .......... ... .... .... ...... — / r A VI n When you issue the permit, process as cllows: —Mai l to owner.Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant J o Date '� O Copy okplans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to peamiLLssuance, (Cir le neZ not checked above). 1. Index permit for above items No. 2. Additional items required: r16 J A MW Contractor, designer, owner, was advised of above required data by Vh e�nail_co ontract designer, owner, was advised of above required data by hone _mall Plans checked by Copy—DPW Plans approved by of plans on hold in File cabinet &V'6&F`folder bydate fa - 2 ;P— frY by date -/ —_,V47 Date TO Buildino,Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ^ WaterSupply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for 7 bedroom mobile home. Other NOTE *** Sanitarian , Date et m to_DPW _ :_A. ULTURAE'STATEMENT -OF- _ACKNOWL-EDCFMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County, Code' requires this .acknowledgement be recorded. NOTCOMPAREDWfTH prior to issuance of a building permit. ORIGINAL DOCUMENT The property described herein is adjacent ' to land or included within an area zoned b_ for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, 89-000133 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 establ .i shed ogr i C11 I Lural zones which have as a priority use for productive agricultural purposes, rind resident: within sa i.d zones and on adjacent property should be prepared to accept such i nc „iivc•ii i c iwv or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, Stat.e of California, described ;ice follows: S e e Q t✓h� Date: 42 - .2•3 -- 8 -k - State of CA ) On this the 23rd day of December , 19 88 , before me, ) SS. the undersigned Notary Public, personally appeared County of Sutter ) Helen Sahagun and Manuel Carlos Sahagun Personally known to me. � Proved to me on the basis SEAL of satisfactory ev.iBence. W70FFICIAL 5 J•Oh;!•gto be the erson s whose nameGi ' �;FORNIA P ) s) are:;,1!A4TY subscribed to the within instrument and acknowledged that „i IRES APRIL 121991Contained. executed the same for* the purposes therein I N W ITN I?tiff WHEREOF, I hereunto set my hand and official sea.l.. Present A.P. No. �- Vy - f ` Butte ,O000 rARCEh..1 State of CaGfomia, described - That portion of the Southwest quarter of Section 301 Township 18 North, Range 4 East, M.D.B., described as follows: BEGINNING at the Southwest corner of -said ~Section 30; thence North 87a� 56' East, 1410.67 feet to the point of beginning; thence con- tinuing North -87°56' East, 350.23 feet'to-the Southwest corner -of the parcel of land described in the Deed from Jack Flatt et al to Herman A. Byerrum et ux, recorded February 5; 1952 in Book 617 of Official Records of Butte County, at.page 537; thence North along the West line of said Byerrum parcel, 1241.3 feet; - thence South 880 58' West, 350.06 feet to the Northeast corner of the parcel of land described in that certain Deed of Trusty Herbert H. Flatt et ux, to Corporation of America, Trustee, recorded June 29, 1954 in Book 725 of Dfficia1 Records of Butte.County, at page 363; thence South along the LaSC line UL i.iiC Pbt'CC'L vi aeui tie3C',la:cil :ra 3fii3 Deed of Trust and its extension, Southerly, 1247.62 feet, more or less, to the point of beginning. EXCEPTING THEREFROM any portion thereof lying within' boundaries of'the North 80 acres of the Southwest quarter of said Section 30; said Southwest quarter of Section 30, according to the Government survey thereof contains 145:15 acres and is described as the East half and Lots and 4 of the Southwest quarter of Section 309 Township 18 North, Range" 4 .East,- M.D.B . .D.B. & M. PARCEL 2: COMMENCING. at the Southwest cornerof North 87°o5630East,nship 18 1405.6i feet Range 4 East, M.D.B. & M., thence to the true point of beginning for the parcel of land herein des- cribed; thence continuing North 870 56' East, a•distance of 5.0 feet; thence North 1247.62 feet to the Southerly boundary line of the parcel of land described in Deed from C. E. Harman et al, to Violet Rutsell, dated July 9, 1937 and recorded July 22, 1937-in- Book 937 inBook 190 of Official Records, at page 22; thence Southwesterly in a direct line .to the point of beginning. V Name (Typed or Printed) 4 7 RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) , a�Aaee. door r p - izes. 9. JAdequate racing. 1 Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. -14-t"-'Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). j,?o-.�"­Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). �`od stoves, clearances, alcoves - ur shafts. Combustion air for fuel burning appliances. k% --Noise requirements on duplexes. ?"-'Adobe soils - special foundation design. -j,& -Retaining walls requiring design. 41�/Unusual shape, size or split level house requiring lateral design. _1.1 L4WWQi . � sawo-, /—S•*j 16:36 4' &/./ Q4.00pT oAAD ,� 3 • s�or-NJ 270 Pc.6L p J&.*., S F14'O RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # yOb 3 J'0 OWNER ,II1*010,V. Sr4�FA 4Ni�/ A.P. # A 7 - A L -'o ? A GENERAL ��Pians Zoning requirements: (sideyards and number of permitted living units). luation. signed by designer.. b� uergy Design and Compliance. Existing violations on property. PLOT PLAN ��omplete parcel size and dimensions. �etbacks, sideyards, easements, etc. �ther buildings or structures. ading, fills, drainage. Flood hazard. 6. Special conditions on creation map or compliance document. 7/85 FLOOR PLAN Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). —4-.—Uylights (Chapter 34 &.Sec. 5207). 6/Human impact glass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). &#--*'t_ight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. H�Locations of water heater, heating and cooling equipment, other -electrical or gas equipment, and plumbing fixtures. 10000.,, -Garage firewall, door size, and closer (Sec. 503(d)(3)). lY - 3'0" exterior exit door (Sec. 3304(e)). �e and wood stove location. 13. Smoke detectors (Sec. 1210). 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. •Z/�Roof construction details complete enough to construct building. �"F' eplace construction details and calcs if necessary. :. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. airway details: landings, rise and run, head clearance, handrails (Sec. 3306). 8! Guardrail details (Sec. 1711 & 3306(j)). —'Brick or stone veneer (Chapter 30). `�,Fxterior plaster - weep screeds (Sec. 4706). b/�oper roof pitch for roof covering (Chapter 32). a/ Rafter ties or bearing ridge beam. LATIDMARK EMGIMEERING Q DESIGN g�0 %'�9 1• P.O. Box 870 Oroville, CA 95965 Ph (916) 532-9457 11",4,<- 7-12 STQUGTCd/Z,dG CIJLCUC�TIOrL/S /` 7 �' �~^e .� %XC.G' C•.-/l,�• '� -& %'� �'�`' a :./ �:� r'�' f�.L.Ci'!� Via/ ��~�:��-�' `,�``•'�'$•�r�`.%9,��" � �'aa'�i�j� _ . SSC -770, C it 077/4�7Z-,T (�:;P/ 15-: 7- e-1, 2iz.4� R2 ss V 44= 37. o9 %3 �/, 3) _CJS • 2/ �F'i�E�CF� 'G ") G'��1,B/�(lE/� LOAD FU2 all -� fo ° 22• o� ,5--q 0, 3Q f2 7, 3 8. ?5 �RpF ESS/0/d �cV��C.• � �" V O ��F ••F� Aj • /'10-9 �"Z No 37359 0 S• '•. G I v IL .••• �@. qlF Of CA1.�F��� = X90. 3 4 t= =;0 A/OTZ-7: 4 67Z C M10"6V7- W496)1- /D 1,3E C ES Oel g 7D Sul:�/OpizrGID /-p2 rq 20,0E 370. 7Z ?:�/ - , /v8 � , 20 = . 88 G/, O aL /%_ �'`l��at't't;1�(619•(�'.g4';..;p�hi Y%: rl �ji%J7;,15A;, BUTTE COUNTY BUILDING DEPARTMENT PPROVED LANDMARK ENGINEERING & Ult- r' P.O. Box 870 Oroville, CA 9596: Ph: (91.6) G-94.57 f t 2A/r�Fu2 2F. ,I GJTz = �flHo -7 I: i a Xe X17 S, D 2869d0 00) i x/3/2 "61e , 2.a ?= �-_... Certificate of Compliance: Residential Climate Zone 11 /MAl1/f.IS4A(A&aw �r Project Title 7 Project Address o Documentation Author Telephone BUILDING DATA Condi ' Area .Z tt0 Slot Ap [etingle Family Detached (SFD) (] Single Family Attached (SFA) (j Multi-Family(MF) Bu ermtt N • /-.sem Oie&ed By / Date Enforcement Agency Use Only BUILDING SHELL INSULATION 'Component Insulation . Location/Comments TVr%_ R -Value (attic. to raraRe. typical. Shading Devices Glazing _ Area Glass Type Interior Exterior Overhang Framing Type Glass Area % Glass North ( ) / i North 117 Number of Stories Z- Number of _Units �_ East South i► ®�A _ [ ] Addition Alone West a ��" [ ] Existing Building y ght West [ ] Existing -Plus -Addition Total -427_ BUILDING SHELL INSULATION 'Component Insulation . Location/Comments TVr%_ R -Value (attic. to raraRe. typical. Shading Devices Glazing _ Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind. etc.) (shadesc em etc.) (yeshto) (metallwood) North ( ) / i 'lii�•� ; North ( ) East ( )_ �♦ East < ) South SOU th ( ) West West Skylight....... -0- -� THERMAL MASS Type/Covering F Area Thickness (slab/ezposed.•tile, etc) (sf) (inches) Location/Description (kitchenu bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) WtAti:fs F . 72— NWAL Manufacturer / Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc) Capacity (or approved equal) Special Feature(s) I fAr tli. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) IN Mandatory Measures Checklists Residential MF -1R NOTE: t.owrise msidtntW buildings subject to the Standards must contain these measures regarcess-of the compliance approach used. Ivens marked with an asterisk (•) may be superseded by more stringent c�npliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measure whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (dues not apply to exterior mass walls). 62-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. 12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltretion Controls deli to limit av a. Doors and windows between conditioned and unconditioned spans designed leakage. b. Doors and windows certified. e. Doors and windows weatherstripped: all joints and penetrations caulked and sealed 12.5352(e): Special infiltration barrier installed to comply with 12.5351 meets CEC quality standards. . §2.5352(d): Installation of F'ucplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has inttrminent ignition devices. 62-5314: HVAC equipment. water heaters. showenccads and faucets certified by the CEC. §2.5352(i): Water heave insulation blanket (R-12or greater) or combined interW/exterior . insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return tit recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures e 02.5352(1): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter2. Subc hapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: ' Title/F'um: Addras: Telephone: f Lie. M: (signature) (date) Documentation Author Name: Title/Firm: Address: Building Owner Narnc TitWFum- Address - Telephone: (signature) (date) Enforcement Agency Name: Agewy: Telephone: 1. Ceiling Insulation 5. Infiltration (Air Leakage) Specification Number of stories Raised Floor R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 v U -value .51 to .41 to j 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8-- 0.08 -18 -9 -6. . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11. 5 3 -13 -4 4 12 2. Wall Insulation -58 , -12 Single- Single - 12 28 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -7 0 7 0.80 453 -114 -76 0.50 -91 -68 46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -29 -4 Insulation in Floor 6 11 16 Number of stories -26 R -value One Two Three R-0 t -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 1 6 10 - 0.60. -144 i -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 ` 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 2 12 Number of stories 16 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation Effective - None Number of Stories -4 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 5 1 na 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) 9. Interior Thermal Mass Interior Specification - Raised Floor Points Family Stories Standard Mass - _ 0 /CFA 6. Glass Heat Loss Two Three One Total Three 0:0 -8 -5 U -value -2 Percent -1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 y 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 •-17 1 6 10 14 17 -14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 HWR -23 -12 -8 -6 -5 4.7 7. Shading (Shade Open) -13 -8 -6 Effective Percent Glass SOY. _POU -23 -12 (percent Blast x SC) _ -6 Effective ' None -8 -4 -3 -2 %Glass North East South West Skylight 18 5 1 1 4 1 na 16 4 2 55% 5 1 na 14 4 2 _0 _ -8 5 1 na 12 3 3 4 5 2 na 11 3 3 -2 5 2 na 10 2 3 1 5 2 1 9 2 3 2.5 5 2 2 8 2 3 4 5 2 2 7 1 3 5.4 4 2 2 6 1 3 1.3 4 2 3 5 1 2 2.8 4 2 3 4 0 2 4.3 3 1 3 3 0 1 5.7 2 1 3 2 0 0 1.6 1 0 3 1 -1 -1 3.1 -1 -1 2 0 -1 -2 4.6 -4 -2 0 na = not allowed 5.6 58 6 6.2 64 i6. Shading (Shade Closed) 1.3 1.5 1.7 Effective Pes c It GIs= 21 23 25 (Percent glass X SC) 3 3.2 3.4 3.6 3.8 4 4.2 %Gins Norlt East South West Skylight 18 -14 -48 5.9 -69 -64 na 16 -12 -42 1.8 -59 -55 na 14 -10 -35 3.3 -50 -46 na 12 -8 -29 4.7 -40 -37 na 11 -7 -26 6.2 -36 -33 na 10 -6 -23 2.1 -31 -29 -74 9 -5 -20 3.5 -27 -25 -65 8 -5 -17 5 -23 -21. -56 7 -4 -14 65 -19 -18 -47 6 3 -11 2.4 -15 -14 -38 5 -2 -9 3.8 -11 -10 -30 4 -1 -6 53 -8 -7 -23 3 0 -4 68 -5 -4 -16 2 1 -1 27 -2 -1 -9 1 1 1 4.1 1 1 -4 0 2 3 5.6 4 3 0 9. Interior Thermal Mass Interior Single- . Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0:0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 . 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 it 13 14 14 8.5 7 10 12 13 . 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Singie- Unit Size (sQ Wall Family Family Multi Mass Detached Attached Famlly 0.00 0.20 0 3 0 2 0 1 0.40 0.60 5 8 4 6 3 4 0.80 1.00 10 13 8 10 5 7 1.20 1.40 13 12 12 13 8 9 1.60 1.80 10 10 13 12 11. 12. 200--_- 10 - 11 13 11. Heating System SCORE CARD b. Unit Size (sQ c. Water SE or HSPF 1199 1200 t 2200 (assumes ducts In attic) in atdc) or b to Sum of 1-6 or Type Type -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 . +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 - 15 13 11 8 2 Effective SE or HSPF 10.5 7 (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 b -4 to +6 to 16 or SE HSPF less 45 -5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 9 Zonal Control Adjustment 4 3 System Type 14 12 9 7 5 Resistance 10 9 7 6 4 3 Other . 6 5 4 3 2 2 12. Cooling System SCORE CARD b. Unit Size (sQ c. Water SEER 1199 1200 1700 2200 2700 (assumes ducts in atdc) or b to Sum of 7-10 or Type Type leas -25 or -24 to -14 to -4 b +6 to 16 or SEER lest -15 -6 +5 +15 more 8.0 '714 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 - 17 14 12 __ _ 9-- 6 _-12 -9 Effective SEER -6 IG None (SEER x dud errlclency) - -2 -2 Sum of 7-10 1.3 Solar Effective -25 or -24 to -14 to -4 to +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 -4 j 6.6 -5 4 -4 3 -2 -2 1 7.0 0 0 0 0 0 O 8.0 9 € 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 25 22 18 14 9 13.0 33 29 24 20 15 10 or Zonal Control Adjustment 14 i 10 1 7 6 4 3 i 9. No Cooling System Installed j i Stories 2 2.8 WSB 9 4 One -5 •4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single-Famlly Detached and Attached Interior Mass/CFA TTP9 I PASS SCORE CARD b. Unit Size (sQ c. Water d. 1199 1200 1700 2200 2700 Heater Credit or b to to or Type Type leas 1699 2199 2699 more SG None 0 0 0.. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB E 3 3 2 2 POU 8 5 4 3 3 SE None .17 -24 -18 -15 -12 Solar -1 -1 -1 0 0 0% HWR -18 -12 -9 -7 -6 35% WSB -25 -16 -12 -10' -8 70% POU -1.8 _-12 -9 .__71 -6 IG None -5 -3 -2 -2 -2 1.3 Solar 7 5 ~4 3 2 2.7 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 0.2 Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.1 Multi -Family (Individual units) 3.7 4 4.2 4.4 Unit Size (sQ 4.8 Water 5.2 6'i9 700 1200 1700 2200 Heater Credit or b to to or Type Typl- lets 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9. 5 3 2 2 2.8 WSB 9 4 3 2 2 4.3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1.7 Solar 2 1 1 0 0 3.2 HWR -23 -12 -8 -6 -5 4.7 WSB -25 -13 -8 -6 -5 SOY. _POU -23 -12 -8 _ -6 -5 IG None -8 -4 -3 -2 t -2 j 3.6 Solar 6 3 2 1 1 5.1 POU .1_0 5.7 0 0 55% IE None -30 -15 -10 _ -8 _0 _ -8 24 Solar 18 9 6 4 4 3.9 POU -8 -4 -3 -2 -2 Interior Mass/CFA TTP9 I PASS SCORE CARD b. East c. Measures d. 1. Ceiling Insulation 30 or Skylight , R -value [38] U -value [0.0301 2. Wall Insulation / 9 or c. - South _ R -value [11] U -value [0.098] 3. Raised Floor Insulation �_ or 9. Interior Thermal Mass 10. Exterior Wall Mass . R -value 1191 U -value [0.037] 4. Slab Edge Insulation ftai- or ti.pmsa6I. .:� R-value (0] F2 factor [0.77] S. Infiltration Standard - 0 tYPb 11IASS (UIBC a 4.2, ie: exposed slab) 0% 5% 10% 15% 20Y. 25% 30% 35% 40% 4S% 50% 55% 60% 6St 70% 75% 80% 8575 90% 95% 100% 105% 110Y. 1159: 1207: 125` 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 9.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 101/6 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 S2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4' 1.6 1.8 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 8.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 21 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 90% 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 1101/. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 2S 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 . SCORE CARD b. East c. Measures d. 1. Ceiling Insulation 30 or Skylight 8. Shading (Shade Closed) R -value [38] U -value [0.0301 2. Wall Insulation / 9 or c. - South _ R -value [11] U -value [0.098] 3. Raised Floor Insulation �_ or 9. Interior Thermal Mass 10. Exterior Wall Mass . R -value 1191 U -value [0.037] 4. Slab Edge Insulation ftai- or �'- R-value (0] F2 factor [0.77] S. Infiltration Standard 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. - South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass . 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Door Bt�E. �• Type [double] U -value [0.65] % Total Glass (16] % Glass SC Eff. % Glass X .%% = s sip Q X = _�M- % Glass C Eff. % Glass 5./ X - X • _ .: fD. X '=X AL _.3/Sr X _ TYPE 1 MASS AREA = 8 interiorIv'nss/CFA COND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass ND. 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