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I PERMIT NO.
PERUIT EXPIRES
l �
OWNER GARY VATNF
t CONTR.
`t
fi: 9
iASSESSOR PARCEL 72-17-169
LO ,TION 1768 S& -des Flat Rd, Bangor
ti
• � a �- � .mss
OFFICE COPY {
Address
JOB FINALED (Date)
j Go
Slgnaluve
GAS �_-S
Meter By Dat 6
ELECTRIC
Meter By Date
OFFICE COPY
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`
Address
pate
� 3v t
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p
E`ECTRtC
?
Meter Ov
Temp. Poara
C®tiod
My Date
ELECTRIC
Temp. Elocl
V1
Meter By DaY
L--
-
Collod PGBE -
T omp. Gas Sorvl
co —
Called PG&E __
JOB FINALED (Date)
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Slgnaluve
Gary Vaine
P.O. Box 119
Bangor, CA 95914
BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
C April 5, 1990
RONALD D. McELROY
Deputy Director
RE: Building Permit No. 1366-89
Expiration Date 4-12-90
(A.P.'No: 28-17-169 )
With reference to the above subject, our records indicate that your Building
Permiton the above date. Building permits are valid for
one year and should construction be started but not completed by the expiration
date of the permit, the permit shall be renewed for 2 the original Building
Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the
Building Permit for an additional year from the original expiration date.
Should you not renew your permit within thirty days of the expiration date,
it cannot be renewed and all work must cease until a new building permit is
issued.
If your construction is completed or should you have any questions concerning
this matter, please contact the orev3l_le office.
For your convenience, we are enclosing a renewal application form and owner -
builder form to be completed and signed by you where indicated and returned
to this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
JFG:aam
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Yours very truly,
William Cheff
Director of Public Works
F. Glander
ief Building Inspector
Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./872-6307
- 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
r V Al WE _ 2
OWNER v ✓—PZRMIT 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 cor ction of work is completed. If you have any question pertaining to this
miter or need additional explanation, please contact this office immediately.
6l2,
A)A Fo
i� eA
K
Date Inspector
41I
I�
6�- ' _, _, � 'r=1il.w 'fit'` ..a,Cq'a ,,. � X vq=' ..y`;<... i.r_a••=Ka.-....:.7�.ri:a..-r:rWrj7.-"+�-�xv�`
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 89.1-2751
7 County Center Drive, Orovi Ile — 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 a the above address and should be corrected. Please notify this office
when orrection of work is completed. If you have any question pertaining to this
ma or need additional explanation, please contact this office immediately.
I
WA
"fit alm�UR, , . -
Mi7ir/l► - -F1i
[11
Inspectorj2A:� Date L/9-70
'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
ER PERMIT
A routine inspection Indicate's 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.
f Selo .,
S
i
Inspector Date.
i
a Not ApOICable MOBILEHOMES
p c Not Ready
MISCELLANEOUS
Date
WOBILEHOME UTILITIES (Plans) OK except s's
Date
DECKS. COVERS. CARPORTS. ETC. IPlanol OK oxcept s e
1. Zoning Requiremonts-Sslbocko-Easements
_
1. Zoning Roqulrements-Botbecks-Eaeomenio
2. Footings; Size -Depth -Spacing -Connectors
3 Decks: Girdors and/at Joists-Docking-Bracing-Sloirs-Rads
2. Soils: Special MH Support -blotch
3. Sewer: Local Ion -Test -Fall -C/0 -Concrete
4. Water; Location-Test-Easamenl Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rllrs.-ConneC.-Shlhg.-Rlg.-Bracing
S. Electricity; Location-Ctearencoo-Grnd.-/ / Amp-Concreto
S. Alum. Awn.; Columna-Connections-Sploco-Decal-Enclo3ures
6. Gas: Local Ion- Tost-Wmp:/ /'•L"Il./ P'Nat.or/ /'•L"fl./ /' LPG
8. Corporls: Windows -Doors
7. Utility Clearanco
7. Eloc. -- —
Card -81
Date Card -81 Date /
Card -81
Date Card -81 Date A
Card -81
Date :Card -81 Dale
Card -81
_
Date_ Card -BI Date
Data
1AOBILEHOUR INSTALLATION (Plans) OK except p's i
Da to
POOLS (Plans) OK except p's
1. Zoning Requirements-Setbacks-Eosements
1. Setbacks -Easements
2. Footings: Sizo-Spacing-Marriage Line
2. Soils: Compaction-Structuro Stability
3. Gas: Mil Test-Demand-Valvo-Coraeeclor
3. Pool Structure: Steel-Connections-Thickness-Doad Men -Lining
4. Electricity; MH Test-Crossovers-&wkara-Ctearencea
4. Else.; Receptacles erb Lighting; Diotames-GFI
S. Drain: MH Test-Fall-Flox Connector
S. Elec.; Pool Lighting: 15 volts-GFI
8. Water: MH Teat -Regulator -Connector
8. Eloc.; Enclosures; Conduit Entrios-Torminale-Listed --
7. Water and Sewer Connected -C/0 to Grade -HD Approval r
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gee and Electricity Tagged
8. Elec.; Grounding: Equip. w/5' -Circulating Equip. -Pool Lghtg. --
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; 1nsp.-Skotch
10. Cert. of Occup=y
9. Healin Department Approval
10. Plumb; Cir. Tost-Rater Supply Test
Card B -I
Date Card -81 Date
Card -81
Date Card -BI Date
Card B -I
Date Card -81 Date
Card -BI
Date Card -81 Date
• . rq
•- Nil Aplil,l.rhlr
a Nm Re.+Jy
RESIDENTIAL (Single and Duplex(
O.IIn UNDERFLOOR (I'lans)OKcxcepto'e
L Zoning recurremains-_Satb_aiks-Emsert+aits
c� y/ 2. Ftp•. Main: SOII&-Slool-Elec. nd.- / /" Ft -
c�- Fi`�- - - —' -- ---- ----- _-oDepth
t?Ftp., Garegc: Soles -Is- / /"_Flq. aptn — -- - - "—
,�i, Flq„ Porches 8 Uecko: Soils-Sleei- / /" Fig. Depth
J 5. Stomwans, _k4ain; Steel-Bloc_kouts-W_rappod_Sleb
6. S, 11113. Garage: _Sto_al-Blockoul&-*tugged-Slab
7, Piers-Faeplaco FtQ, Steel —'
7i 8. V.: Fall-F,Itings_Test-2 way ger. Test ----
Pipe: Size -Anchors ----
-_ _- Water Pipe. Toot-Anchors-Requlata-Sorvico Test
EIscuic. Urdergro_urod --
12. Plenums 8 Ducts; Clearance-Material-SUD rt -Ins '
_ _- d�Guders-Sills-Anchor tidies-JoCI4-Vo s-Cn es
CardDate ---- Card -01 /I Date 7 i
Card -al
C", vuioS Card -BI tJ Date
Uato lat0 (Permit) OK except u's
Yalor H1.: onI- cceSs-Combustion Air
Water Pipe: Test d Anchors -Nail Protection
t O.CY.V.
-
est- ttngs 8 Anchors -Nall Protection
• _
rst Floor -Tub Access
_b-6�,A_ow_er-2nd Flocr-Tub Access
Gas Piper Size A Anchor*
Card -01 a=te Dat _ & _Caro -81 Oete
Card-BI �, Date-
Cara -BI Date
Date
Cara 8
C,vd B
vale
ELE ICAL (Permit) OK except a•s
Ve- F"lure 8 Transformer Clearance -Ins. protection
t. Elec. Receptacles Spacing -Lights 8 Switches at Doors
y2:�Suc Boxes a No. of Co_nduct_ors-Stapled
23 omex Instilled CfosotoEd otasteStucis 8 C. J.
D. Ground made uD _ koc ners-Bond Gas a Water
2 Appliance C rcuits in KuConductor Size
26. Sublecc nae Size i. / qa. Cu a AI -A-6- Wire Size i r ga. Cu or AI
27. Range Crrc. r / ga. Cu or AI -Oven C., C-. 7-1 qa. Cu or Al. _
Insulated Neutral Yes ,No
28. Service -Riser Conductors 8 Ground_leain Disconnect _
29. quip. Clearances: Panels -Motors_-ktech• Equip. '-
lathes Closet Ligrt-Shower Log hi - - - -
1 Dateai �j -� l] Card -BI _ _ Date .. .._.-...
-I Date Card -Bl -- Date•----
MEg,HANiCAL (Permit) OK except a's
'SI. A.C. Ducts Insulation 6 Support
32. Vent Fan. Exhaust above Insulation -
33. Conccnsate Drain 8 Overflow. Size 8 Grade
34. Frnnace-Vent Access -Comb. Air -Return Air Vent -115V outlet
15• Attic Access 8 Platlorm 11 Fu•nacu in Attic --
Card•DI D.uo/-� Q"7 Ca,d-BI Date -
C.ud-DI D,,Ir card -RI Datc -
!? ill` FR4 NG01I.ura, OK v,Cenl P*,-;
d1�II>. 1'ruoor M.rtr•r r,Il b Anthorb
1�G�/�y..rIlt. $lud•:-N.rrlrnV, SpdC rq•1 A l3r.tC rny-1'Ltlr•�-1;nuntl
(/,ra1/'Ijr• uin.{ ;r 1111, Hurl Gudt•r., & rlUnr N.Irlim
JjfG, .ill tilup rn IY.rll'. (r,ll (n ual)
��aCjrr tii`gr {'wn•J(erlr i (:It,IGP•.-luh
s•�Q + •.rrt�•r h lir.un $i: r 14r .. y
ii! ii.vap•• .1'. r.l t„nt. - Ani lup Ciunrl Nva
ln.i, ,1,� •.I IIID 1 1'.0 lit-- Hunl Il.,ri. ••Tin•.•: �.I,Uvrq,-Rrr,+.
�p / /.1(t�T1 ��.pl i, r 1 n 1r. Pr .1 illi -F urge r:r I Iui.0
-^ - \I� AI A, , r •,• a Il......•. I•r il., I...... lup- I�r•.. Il.0 u,•
1 I��i, 1•r.�i•1. �.1 1�� ( •rl il•f 1+.11 1r 11 rl�l, A t+rnn'rr\rl.r1 `
n
Data _Fjl•A'yINt3 {Conlmuawl)
_ 48. P4 ow Linw F_uewall_i U
- Oe�i�a .
lE]Lt. Door& -One 3 =CMck Garege_kd sten -
Starr.&: width -Headroom_ Y. 2 exits
_ Rise-pan-Lt„dl��Fve_Protection
-` -- - -
- - Ptywocd on Rool Uvemunp_ ARIc Vants_Raftor O ri
t_SYSldrrp-NNathnq-V_onner QQers- _
___ •-•+naerllr=`ass
Glazing Area -Glass Protection-s�Skylights_Pl_
estic
s_Ir--•,,,. --
Card -BI r Date
Card -BI tato
Card -BI Date
Date (Plain,
t. tet
Smoke Or
umaca;
I Card -81 Dale .
Card -81 Oato
Card -81 Dale
Mt e•s
Sidelight Protection.Landirn,.
In Garage: Above Flop,
JWto*m Exiting
G.F.I. 8 Bath Fixtures
ec. Trim 8 Subpanel:
tairs 8 Rails
+-evr-�ItCO>ace or Stove: Ctears Aces -Hearth
yHec. Outlets at Wood Panel: Int. 6 Ext.
tX. it, Fixt. 8 Appliance: Grnd.-Air Gap -cooking Clearance
1lC. Outlets 8 Receptacles at Kit Counter
_ erage Fire Door: Swing -Landing -Closer
uct in Garage -Damper
it. Htr,: Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Gar e: Above Floor -Meeh. Protection
Plb.. Elec. 8 Mach. Equip. Listed for Location
�iec. R facies in Garage: (G.F.t.)-R x Protec.
Ins ion -Foam -Looked in Attic C.Kes
_ard Rails 6 Deck Construction -Post Caps
en, Vents 8 Crawl Nola -Door -Drainage 8 Wood -Earth Clearance
Looked under Floor IL�.QS
t-►t71lowing inslld.: Drive (_: Yes [ No: Walks [_, Yes [ No:
Planners r_: Yes _; No
co: Brown -Finish
-r A, nit. Discan note t-Clrnces-Brkr. 8 Cord. Size -115V Outlet
_ encs Above Root. PIDg,-Appliance-Firept.-Clearance to Opngs.
V er Well. Disconnect. Electrical, Plumbing
a Exterior Elec. Trim G.F.I. Receptacle -Underground
jProoughoul Mouse
T►�C-,-Ss ss —Protection ion _
- -- --- C tions from Previous Inspections
Test_Meter Tagged: Gas_
-Electric
:-r 8 Sewer Connected -C/O to Grade -HO Approval
as. E gy Co1rpIlancC Certiticate-Other Certificates
card•0 i!c _ card -131 - _—Dile
Card•8
Cain Vale - ----Caul-Pt - Date
A
u7 ^cceas
Itor-
ion
Comn-n!< it Final
1492-87
957-88B, E
PERMIT NO.
PERMIT EXPIRES
`
OWNER
GARY VAINE
CONTR.
owner
.,'
t
ASSESSOR PARCEL
28-17-169
LOCATION 1768
Swedes Flat Rd, Bangor.
}
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S.:
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ye
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
= OK
0 = Not OK
= Not Readyable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2, Soils; Special MH Support -Sketch
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 -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.;, Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /"L"ft./ P'LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
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 -
Dead Men -Lining
8. Gas and Electricity Tagged .
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.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 ' Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval ,
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
= OK
0 = Not OK
- = Not Applicable
= Not Ready
Date UNDEI
RESIDENTIAL (Single and Duplex)
Plans) OK except #'s
Ct'Zo Vng requirements -Setbacks -Easements
ta-Vig., Main; Soils-Steel-Ele . rnd.-// " Ftg. D
)0. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ft orches & Decks; Soils -Steel-/ /"Ftg. Di
A-Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Tes
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service e
12. Electric; Underground
13. Plenums & Ducts; Clearance -Mater" u rt n,
14. Girders -Sills -Anchor Bolts-,Ioists-fentCUpplesBolts-Joists-fent
15. Insulation
Card -B1 65o`> Dater-,4�} and -B/ / / Date
Card -61 Date/Card-W---l'Date
Date PLQMBINGAPerr6i4+-®K except #'s
16. ter l ent Access -Combustion Air
11. V a i ; 'est & Anchors -Nail Prot t'
1 . D W. a Fttngs & Anchors -Nail ec
1 . o r n; Test, First Floor -Tu Acc s
2 . ft Jub & Shower, 2nd F!go Access
GIs Pipe; Size & Anchors /
WE�MNMM►�lout � «�v�
Date EAEC1ifiICAL (Permitl Q"k6pt #'s ' // N-1
Ix & Tra r Clearance -Ins. Protect(on
2 E . Re p Spacing -Lights & Switches at Doors
24. Size B xes !,&. of Conductors -Stapled
25. Romex nst d Close to Edge of Studs & C.J.
26. Equip. Gr6ujod Nde up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Ci its in Kitchen & Conductor Size
28. 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
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Liaht-Spa Liaht
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
33. A.C. Ducts Insulation & Support
34. Vent Fan; Exhaust above insulation
35. Condensate Drain & Overflow; Size & Grade
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
37. Attic Access & Platform if Furnace in Attic
Card -61 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
Date FRAMING (Continued)
44. Hangers -Post Caps -Anchors -Connectors
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
46. Fireplace Ties or Type A Flue -Fireplace Throat
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
49. Garage Fire Protection Framing
50. Property Line Firewall & Openings
51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
54. Siding -Nailing Veneer
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
56. Glazing Area -Glass Protection -Skylights -Plastic
57. Shear Walls; Nailing -Bolts
58. Insulation-Walls-Clg.
59. Infiltration -Wal Is-Wndws
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
Steps -Door & Sidelight Protection -Landings
ST2ke Detector
Vents -Clearance -Comb. Air -Connector-
); Above Floor-Ducts-Mech. Protection
Dm Exiting
& Bath Fixtures & Tub
Yim &
& Rails
Breaker Sizes -Labels
or Stove; Clearances -Hearth
:lets at Wood Panel; Int. & Ext.
& Appliance; Grnd. -Air Gap -Cooking Clearance
:lets & Receptacles at Kit. Counter
:ire Door; Swing -Landing -Closer
Q?..Afnyct in Garage -Damper
7 Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In
ir-Connector-P.R.V:In Garage; Above Floor-Mech. Protection
b eElec. & Mech. Equip. Listed for Location
lec. ceptacles in Garage; (G.F.I.)-Romex Protec.
)IS -Foam -Looked in Attic O Yes
Guard Rails & Deck Construction -Post Caps
78. ants & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
79. Following instld.; Drive 0 Yes fiiiR Walks 0 Yes ,
Planters 0 Yes
. tucco; Brown -Finish
' 81. A C. Mit; Disconnect, Electrical, Plumbing
-,$2�ients Above Roof; Plbg.-Appliance-Firepl.-Clearance to
_Openings.
3. Water Well; Disconnect, Electrical, Plumbing
LA4-Ekferior Elec. Trim; G.F.I. Receptacle -Underground
t85 ntilation throughout House
`AT Corrections from Previous Inpections
as T t -Meters Tagged; Gas -Electric
ater & Sewer Connected -C/O to Grade -HD Approval
0. Energy Compliance Certificate -Other Certificates
C rd -131 Date
Card -81 Date Card -B1 Date
Card -131 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovIIIR; Calif c�nIa 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASS:ARC NUMB R
ZONING
r
BUILDING PERMIT
ERT o
SO. FT. OCC. BUILDING VALUATION
M ILING R S
r
CO RA S NA OR'TELE HON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee 'ON$
10.00
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
P RcOE MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duplex❑ Mobilehome❑ Other %�
OSPECIFY
Building sewer
5.00
Mobile Home S G W
In.00ea
TYPE OF WORK
New ❑ Addition ❑/ Remodpt Utilities Insla/�'I ti n h
Permit Fee
$
Describe work:[C
Contractor
j
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. / DWELLING OCCUP.N
ACDNS. \
, /20sgft
I declare under penalty of perjury check one):
P Y P 1 Y( )
OR ACC. SLOGS.
NEW CONSTR. MULTI -OUTLET
2.50 ea
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS
NO N.RESID .BRA CH CIRC S
POWER APPARATUS e\
d Pfessions Code and my license is In full force and effect.
(SINGLE OUTLET CIR. /
;'C95sreNo. Classification
Ex. Occu OR FIXTURES
Ex.p�OUXED
1.20@50t
eAL030
I, as the owner, or my employees with wages as their sole compen-
A
Ex. Occup. OUTLETS P(RESID.)LNS REA.)
1 2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, the licensed
Mobile Home Facilities
15.00
as owner, am exclusively contracting with contract-
ors. (Sec. 7044)
Misc. Wiring
9
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ I hav placed on file with the County of Butte Building Department
a ertificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
Coolin 9
I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement,should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
1 also agree to ave, indemnify and keep harmless the County of Butte against
OCCUP, CONST.TYP! SCHOOL FLOOD PARCEL P40-1Is9u
all liabilities judgments, cos , anckexpenses which may in a y w y accrue
against s ounty in cgf�e ce o the granting of this per
This permit is hereby Issued under
the applicable provi-
sions of the Butte County Code and/or resolutions to do
Sign Vtuef Appi ant — Owner ElContractor ElAgent
work indicated above for which
fees have been paid.
An ermit is required for excavations over 5'0" deep and demolition or construct-
DIRECTOR U
IC WORKS
ion of structures over 3 stories in height.
Receipt No.
Date
WHIT!-D.P.W.. YELLOW-A9et:990R. PIN! -INSPECTOR, GOLDENROD -APPLICANT
PERMIT EXPIRES Alite
1%'� .. -1_. .... . .. ., ,i:...n-...'ry.r•1_•.-•\";�'-•. r. h�. r.�,fr., .f r� .-r•a7:.r-'•:.;I'..... 'i -• _ r
COUNTY OF BUTTE - DEPARTMENTNOF.PUBL' IC WORKS - BUILDING DIVISION
t �r —1 0"
e 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. n'
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. 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 .....................................................
12. School District fees paid .................
13. Sanitation approval from 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: ......... +
17. Improvements may be required.
18. Driveway permit (constructionapproval required prior to occupancy) ...
Bi"pinrequest to Pre -Inspection for required ...... �d;sgspeo
(Datej'
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ...
23.,,Recorded copy of Agricultural Acknowledgment Statement ............
_,291. Letter of signaire autho ization ......... . ..... e --i ...... ......
14 25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for 'ckup at office. Deliver w/inspector.
Other
r
Applicant ,�,✓1 �\ Date 3
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mal I counter by date
Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date
Plans checked by ' Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Departben.t.of. Public Works
7 County Center Drive; Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property.Owner:
An 'owner -builder" building.permit has been applied for in your name and bearing
your. signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the maabor and a e is for .construction of
the pro osed property i pr'ov/ement yes no
2. I have ave not) l/ signed an application for a building permit
e proposed w k.
3. I have contracted with the following person (firm) to provide the proposed
constructi6n.'�—
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: 4
0—
Property Owner
Social S cu't Num e > _
Date
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.
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKSPE IT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 LO
i
APPLICATPbN 'A6 PERMIT t
ASSESSO' PtRC$ UM J R
'U( .� I
ZONING'
BUILDING PERMIT
OWNERC( r� n
rL4 VIOWNE
T LE HONE
—(
SQ. FT. OCC. BUILDING VALUATION
M. LI ADDRE
S n
(t
CONT CTOR�'S N/AME
Ie
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee f L
$ S
AR�W OA ENGINEER
LICENSE NO.
1
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSI � �� S��Aes / �
C^
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARUL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT#RJE
SFADuplex❑ Mobilehome❑ Other '�f `CI
SPEC[-
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Uti 'ties ❑ 19tal,ation❑ Other i
Describe work: �e e mt
Pernit.Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 700 OR LESS
00 AMP OR LESS
10.00
Main service EA. ADO'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.
icense No. Classification
1211, -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. OR AODNS. ACC, BLDGS. ( DWELLING OCCUP.N) 1/zQsgft
NEW CONSTR I -OUTLET
NON-RESID .BRA CH CIRC ITS 2.50 ea
�PowER APPARATUS el
SINGLE OUTLET CIR, /
EX. QCCUp OUTLETS OR FIXTURES eAL030
SALO30
LNS OR
EX. QCCUp. OUTLETS FIXED P(RESID ) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a ertificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against saidunty in consegu�nce ce-the granting of this permit.
X `�� Date I �°' d iC
— Owner Signature..f.IContractor El rVIZ
plica Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 1
511�d
occuP.
CONST.TYPEJ
SCHOOL
PLOoo
PARCEL
PO
ND
Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work ind11 icated above for which
OF P
B
PaMlEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
ate
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
1 ,
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has-been applied for in your name and bearing
your signature. ,
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the ma' labor and erials for construction of
the proposed property improvemen yes or no)
2. IChave ave not) signed an application for a building permit
fo 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 l�'�-�►-��'
Social Security Nuhn ger -
Date <_— 2+-. U
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT Nf).
7 County Center Drive - Oroville, t�alifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSO PARCEL NUMB
_
ZONING
d
BUILDING PERMIT
oWNI
r
T/F'-/>SP�°�r'Fj—
TIN o�
SQ. FT. 0 BUILDING VALUATION
OWNAI ADDR S /20 Aononr/
COVA(fCCTOR'SNAME
TELEPHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
J, noo
CONSTRUCTION LENDER
UNKNOW
Total Valuation $
Filing Fee'
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH TELT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDR s Q
Permit fee
$ cAq, M22
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 .00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PAR EL MAP
Water piping
5.00
Each qas water heater or vent
5.00 , on
USE OF STRUCTURE
SF'VI Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 15
Building sewer
5.00
Mobile Home S I G W
0.00 ea
TYPE OF WORK
New W Addition ❑ Remodel il' 'es ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 S
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check•One):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING O'/z�sgft
1
OR ADDNS. ACC. BLDGS.NEW
CONSTR MIJTI.OUTL T 2,50 ea j
NON•RESID BRANCH CIRC ITS
POWERAPPARATUS el
SINGLE OUTLET CIR.
Ex. Occu 20 0 30C
p�O TS OR FIXTURES 5AL030
FIXED
Ex. Occup. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00 /0
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
ZIf Consent to Self-Insure.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 shal l be deemed revoked.
MECHANICA PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00 0
Ventilation
�--'
permit Fee
$ lyn
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s County in consequence of the granting of this permit.
�� r
X Date
Signor r of Applicant — Owner ❑ Contractor ❑ Agent ❑
ion of structures over 3 atoiies in he g t.
An OS A permit is required for ex cav tions over 5'0" deep and demolition otud %
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE, $ ,
OCCUP.
CONST.TYPE
vLoo
PARC
PD
ND
Su
3ft
This permit is hereby issued under
sions of the Butte County. Code and/or
work n icated a ve .for which
RE TOR OF PUBLIC
By
EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r
Date 2f� 4^47
MA%WNITE-D.P.W., 1
Receipt No. ' 1
YELLOW-A3eE330 . I K -INSPECTOR• COLDENROO-APPLICANTPERMIT
COUNTY OF BUTTE - DEPARTMENj_-P
,CFUH;IC'WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET --`-
Perm it'No. V
OWNER i /P.
Proposed Building Use ( � Z4EBuilding Inspector Date 4
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . .
Letter of signature authoriza
Sanitation approval from �� t% / Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑,• Mail to owner ❑ ),
—15. Improvements may be required. . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre- Inspec.
re -Inspection for Required. Building In
r.Driveway
ecorded copy of Agricultural Acknowledgment Statement.
Permit.
Plot plan approval from ci hof
Wh\rr/you issue the
Telephone
Other O r
1
1
✓,i -,I,
t, roces as follows: Mai 1-to�'v �ne�r.,, 6 Mail to contractor.
- and hold for pickup atfice, Deliver w/inspector.
Ck,oV k9
pA
Applicant 1-1``"Date �"-7—�
Copy of plans sent? ._Q , Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance (Circle new item not checked above).
1: Index permit for above items No.
2. Additional items required: -
Contractor, idesigner, caner s advised of above required data by_phone ail counter by date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
ff q/ s-_ 6
Plans checked by Date lans approved by Date
Sets o6plaris on hold inXFile cabinet AP folder
Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Section
RE : 'Diiueway, 'CIearance
owner location
Z 8-17-ldf
AP #
Driveway permit /vane q 1,el has been issued for the above property.
num
signat6re date
TO Buildina Department T a g Ilo
FROM: Environmental Health
SUBJECT: Sanitation Clearance
AC)
Owner Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
Clearance for _ bedroom mobil hom Other
NOTE **�
Sanitarian
Water Supply O -e!/
Water Supply
Water Supply
Date '
COUNTY OF BUTTE - Department of Public Works
7 County�Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ;
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide thelabor and.materials for construction of
the proposed property improvemen (yes or no)
2. C(ha
/have not) signed an application for a building permit
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 umb - -
Date
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.
RECORDING i1L;1::LS1E1� H�
Robert Strassner
i
Gary R. Vaine
3~
^�^u P.O. Box 106
L Bangor, CA 95914
8T-02108 -... , 87-06156
iRECORDED 6UTTE COUNTY ; `RECORDED BUTTE COUNTY
' I OFFICIAL RECOPDS BY OFFICIAL RECORDS BY
1981 JAN I6 PM I: 25 1981 FEB 13 PN 3; 36
CANDACE J. GRUBBS CANDACE J. GRUBBeS�
CLERK -RECORDER FEE CLERK -RECORDER FEE
87- 2108 j 8'7-• .6156 -
-J Fad
SPACE ABOVE THIS UNE FoR RECORDEH S USE
Deed of Gift
I
This Deed, made the .................T Jed.f.t.b......................................... day of
i I ..December .................... .one thousand nine hundred and .... >rzght.y.. S ix .................
Between......... Robe r.t..C....S.tKass.n.er..and.Ruth_K..Str.assne.r.,..husband.......
and .w.ife..as..jain.t.. tenant s ................lr.�.�.o....W,sow!v..As...$.u�.c1.!!n,.Y.RvV�.
6.e.6... /. n1.. l.Y ? < ........................ Grantor
�Iand ......... Garr..R...Maine....a.singl.e..man. as..hi.s..sale. and..s.epar.ate...........
ropert
p y ...................... I ...............................
............ Grantee
;I..............................................................................
i I Witnesseth: That the Grantor, for and in consideration of the love and affection w is . o th .
they ...... ha .ve .. for the Grantee, do ....... by these presents gift, give, and grant unto the
Grantee, and to .....his.... heirs and assigns forever, all.................................................
........................................I..........
I th a t ... 4 lk idt ....... , piece
o s' ....... , dMif{#Btge1 .......:.................... of land situate in the .west ..:.15.:.. .
€-•Secton.....Iy...Townsh.ip..-}g .No�rth)...Rang .i
e..S..8ast1.•M-:D:M...�..unncor.p.-
- -orated- - a r pa.,.. County of ....Butte ......................... State of ...Ca l i f nr. n i a ............
�I I and bou=nded and described as follows:
See
Exhibit "A" attached hereto and made a part hereof.
�3Ren
I Together with the tenements, hereditaments, and appurtenances thereunto belonging
or appertaining, and the reversion and re I+ersions, remainder and remainders, rents, issues an
; profits thereof.
To have and to hold the said premises, together with the appurtenances, unto
the Grantee, and to ...his...... heirs and assigns forever.
II..Oo[✓.. aI, , V��Y b.Ifl'..,W ORP b w n,wP.IrOd� �tl n o M m o
..r.Y0O t1 M.rMYbM.rw.[.d M.IbM, IN T^�Oon
e .w w w..r., wr....vw. o np.e r o .. 4' ••ery d .n ra.c� o nl .rt..n a w.r en.. n nq oma•[ .,..ave
_."Cpwdery's From No. 4tl0 — DEED OP OLrr —snort corm — 'Rey- ►IH3+
j
87 -06 156
7
-02 108
In Witness Whereofthe Grantor, ha ...5.......... hereunto set ....... th 9 i.r ................
hand .$.... the day and year first above written.
Signed and Delivered in the Presence of
V
E
Rutn M. bLrabbilul it
I
Or this... ............. in the year
STATE OF CAIAFO ... d
!�,NIA 88, 7 before me,
A
COUNTY OF ..... e ............ N public, State of California..
duly commissioned and sworn. ally,, appe-- ... ... N ..........
-n t ......
personally known to me for proved to me on the basis of satisfactory evidences to be
the person ...'7i ..... whose name ..r............ ......
subaribed to this instrument, and acknowledged that ...... .... executed it.
II IN WITNESS WHEREOF I have hereunto set rn hand and affixed my official;
sealinthe.-i .......... .... .............. County of
....... on the d ite set forth above
f in this certificate.
"Y
A K Notary bhc. Stnte of California
My commission expire:
87-06 156 87102 J 08_� 3
EXHIBIT "I."
STRASSNER TO VAINE
Beginning at the Southeast corner of that certain parcel of
land desc.r-ibed—kn—a—deed from Robert Clark and Bettina Clark
to Robert C. Strassner and Ruth M. Vaine recorded November 1,
1974 in Book _8—at—Pace 4477, Official Records, Butte County
Record Office; thence North 000 16' 19" East along the
North/=South—centerline of said Section 1,466.00 feet; thence
leaving said centerline, North 890 43' 41" West, 466.00 feet;
thence South 000 16' 19" West, 470.74 feet to the South line
of said parcel recorded in said Book 1948 at Page 47; thence
along said South line North 89° 41' 21" East, 466.02 feet to
the point of beginning and the end of this description.
Containing 5.01 acres more or less.
Together with and reserving therefrom a 60 foot right of
way for road and public utilities purposes lying westerly of,
perpendicular and adjacent to, and running parallel with
the East line of said parcel recorded in said Book 1948 at
Page 47 from the North line of the herein described parcel
of land to Swedes Flat Road.
The sidelines of said right of way shall be lengthened or
shortened as necessary so as to intersect the North line of the
herein described parcel of land and Swedes Flat Road.
This right of way is for the benefit of and is appurtenant to
the herein described parcel of land and shall inure to the
benefit of said Gary R. Vaine, his heirs, successors or assignees.
The Basis of Bearings for this description is the North/South
centerline of said Section 1, taken as North 000 16' 19" East.
A Fortion of the West one-half of Section 1, Township 16 North,
v / Range 5 East, M.D.3.M., Butte County Colifornin, more particu-
larly described as follows:
1
Beginning at the West Quarter Corner of said Section 1 and
running on and along the East-West Mid -Section line of said
tSection 1, North 89' 33' 16" East, 131:9.51 feet to the True
a'
�
r
' Palat of Beginning of this Description; thence, continuing on
and along said East-West Midsection line, North 89' 33' 16" East,
+
I
327 .56 feet; thence, leaving said East-West Mideecti,in line,
t
! the following courses:
- South 63' 05' 34" East, 633.49 feet;
North 19' 57' 54" East, 654.97 feet;
t
South 89' 43' 41" East, 204.90 feet;
to a point on the North-South Midsection line of said Section 1;
t
thence,on and along said North-South Midsection line, South
0. 16' 19" West, 1649.93 feet; thence, leaving said North-South
Aideection line, the following courses:
South 89' 41' 21" West, 1324.25 feet;
North 0' 28' 41" East, 1326.64 feet;
I
' to the True Point of Beginning of this Description. This parcel
1 tl~•.,
conte ins 40.00 acres.
f, RunvuG TArREPRClt a right of way for rood and p ublie utility
,
-"purposes over the Rest *60 feet of the heroin described property
s lytnlf Southerly of owed*$ Flet Road.
• ENO OF QDCUMEW
c:
.•`nils+.+.wr++,...•.+.:MM���r.-,w.o+,..:.w...••.flY7ye+,we�•win....w•.ly.t"!,..,.rM'.^y"'.�r.,'!,•"""',"...w..w;�r..s..:.w.+..q+.•..—.—.—.,t„r.,r. :..w,. r,.wr�*!M•�Mr1w"�
of
"• i _ A r, a T S✓ 1't 1 Z 2� ! - I J ti
ti, -a F •t { .w•
Rd*urn .to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEIIEnECORDED BUTTE COUNTY
FOR RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BY
!Section 26-8.1 of the Butte County Code requires this acknowledgement &
be recorded prior to issuance of a building permit. 8i-16892 1981 MAY -- PH 2: 30
The .property described herein is adjacent to land or included ANDACE J.GREJBB$
within an area zoned for agricultural purposes, and residents of thi�
property may be subject to inconveniences or discomfort arising fr(CeERK-RECORDER FEE
�Z p
the use of agricultural chemicals, including, but not limited to herbicides, pesticides, a_9e,
and fertilizers; and from the pursuit of agricultural operations including, -but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
NOT COMPARED WITH
+ ORIGINAL DOCUMENT
Exhibit "A" Attached
Date: s L7 r J T PROPERTY OWNERS:
1 / 9
I
State,of California ) 'Ori this the 8 d (y of May 19 87 ,before
1
Butte ) SS. me,the undersigned Notary Public, personally appeared
'County of Gary R.
Ewan onowanamnaa®®neswocaeIg
o ROSA LEE COBBLER B ,'°m NOTARY PUBLIC -CALIFORNIA 19
® .�T.. Butte County D
My Commission Expires August 31, 1987 i
®ooeaao®000taa®ea®oeeon®®®®®
/ Personally known to me. LX/..Proved to me on the basis
-of satisfactory evidence.
to be the person(s) whose name(s) ;'s subscribed to
the within instrument and acknowledged that hi -
executed
Pexecuted the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
Present A.P. No.
•Y �
7A
EXHIBIT "A"
STRASSNER TO VAINE
Beginning at the Southeast corner of that certain parcel of
land described in a deed from Robert Clark and Bettina Clark
to Robert C. Strassner and Ruth M. Vaine recorded November 1,
1974 in Book 194.8.at Page 47, Official Records, Butte County
Recorders Office; thence -,North 000.16' 19" East alonq the
North/South centerline of said Section 1, 466.00 feet; thence
leaving said centerline,. North 890 43' 41" West, 466.00 feet;
thence South 000 16' 19" West, 470.74 feet to the South line
of said parcel recorded in said Book 1948 at Page 47; thence
along said South line North 89° 41',21" East, 466.02 feet to
the point of beginning and the end of this description.
Containing 5.01 acres more or less.
Together with and reserving therefrom a 60 foot right. of
way for road and public utilities purposes lying westerly of,
perpendicular and adjacent to•;.and running parallel with
the East line of said parcel r4corded in said Book.. '.948 Zlt
Page 47 from the North line of:t'he.tierein described parcel
of _land to Swedes Flat Road..,:;.,.
The sidelines of said'righ� of way shall be lengthened or
shortened as necessary so as'to intersect the -North line of the
herein described parcel of land and Swedes Flat Road.
This right of way is for the benefit of and is appurtenant to
the herein described parcel of land and shall nur(2 to the
benefit of said Gary R. VR4_ne�, his heirs, successors or assignees.
The Basis -of Bearings for this description is t".e North/South
centerline of said Section 1, taken as North 00° 16' 19" last.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _
7 County Center Drive,-Oroville, CA 95965 PHONE:(916)538=7541'-
Gary `laine
P.O. Box 119
Bangor, CA 95914
With reference to the above subject:
" Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
/XX We need the following information:
DATE A4jc 11 QQR7
RE:Building Permit Application #1492-87
A.P. # 28-17-169
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
XX Recorded copy of deed showing parcel legally created.
Recorded copy of agricultural acknowledgement statement.
" OTHER
Should you have any questions concerning the above, please contact this office.
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
7/85
s, Bldg. Permit #
OWNER 4 /�� 7/ A11V 4 -. A.P. #
GENERAL
ing requirements: (sideyards and number of permitted living units).
Valuation.
Plans signed by designer.
�tnergy Design and Compliance.
xisting violations on property.
PLOT PLAN
1.. Complete parcel size and dimensions. P.414e c.. �r�ri0�
R
backs, sideyards, easements, etc.
er buildings or structures.
/ Grading, fills, drainage.
�! Flood hazard.
6. Special conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
quired windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
`�'"Skylights (Chapter 34 & Secs:. 5207) .
.5-.�Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
1e---G'F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
might fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment..
motions of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
arage firewall, door size, and closer (Sec. 503(d)(3)).
1 3'0" exterior exi oor (Sec. 3304(e)).
and. wood ove location.
160'Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS 41../
Foundation plan complete enough -;.-.to construct building.
oor construction details complete enough:to construct building.
vations and wall construction details complete enough to construct building.
�P! Roof construction details complete enough to construct building..
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
� I
Exp�o_sure I plywood on exposed locations and overhangs.
stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
ardrail details (Sec. 1711 & 3306(j))..
4"—Brick or stone veneer (Chapter 30).
'9' E&Lerior plaster - weep screeds (Sec. 4706).
6,s, -'Pi roof pitch for roof covering (Chapter 32).
2v -""Rafter ties or bearing ridge beam.
RESIDENTIAL TIAN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
rage door or porch header sizes.
Adequate bracing.
4-0-- ing area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
luetic access and ventilation (Sec. 3205).
11/Tnderfloor access and ventilation (Sec. 2516).
ood stoves, clearances, alcoves & 1 -hour shafts..
11w-'ombustion air for fuel burning appliances.
–IRMe requirements on duplexes.
7 dulue soils - special foundation design.
1B. Ree ining walls requiring design.
191.—M seal shape, size or split level house requiring lateral design.
V
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CAfornia 95965 - Telephone: 916/538-7541
APPLICATrON -PERMIT
4 NO
6V771/� 6 e9
A SESSOR PARCEL NUMBER
z
N
BUILDING PERMIT
NVE R
rJ
TELEP oNE
-7
SQ. FT. OCC. BUILDING V LUATION
'S
A ING AD RESS
O RAG OR'S MAME
TELEPHONE
ONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSPermit
fee
,$
•10.00
PLUMBING PERMIT
Filing Fee
Each Trap
2.00
ha J111k
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
ARCEL MAP
Water piping'
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 o s
5.00
Building sewer
5.00
Mobile Hom S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition] Remodel ❑ Utilities ❑ Installation[:] Other ❑
Describe work' /
It Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00:
Main service 1101 oR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.11)I
OR ADDNS. ACC. BLDGS. /20$gft
NEW CONSTR. -OUTLET2,50 ea
NON-RESID BRANCH CIRCUITS)
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. QCCUp(OUTLETS OR FIXTURES S1AL&0053300
FIXED AP
EX. Occup. OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee S
q.
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
gf Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilatio
Pe ee
=
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
against said County in consequence of the granting of this permit.
f
X Date H -1 - �9
Signature Q1f Ap icant - 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 $ III -
occ".
CO . YPc
SCNOOL
r—
F
PA P
e uE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abo a for which
E /T0_AF PUBLIC
BYe�71
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Z
Receipt No. /302
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
ME
COUNTY OF
Department of
7 County Cen
Oroville, Ca
GRADING PE
Plan -Checking Fees:
50 cubic yards or less ---------------
1 51 to 100 cubic yards ----------------
b 101 to 1000 cubic yards --------------
1001 to 10,000 cubic yards -----------
10,001 to 100,000 cubic yards ----- $2
$10.00 for each additional 10,00C
100,001 to 200,000 cubic yards ---- $1
plus $6.00 for each additional 1(
200,001 cubic yards or more ------- $
plus $3.00 for each additional ?'
IVA
COUNTY OF BUTTE - DEPARTMENT' OF•-.QUBLIC WORKS - BUILDING DIVISION
• 7 COUNTY CENTER DRIVE - OROVILLE, ErLIFORNIA 99965 -TELEPHONE: 916/536-7541
PERMITAPPLICATION DATA SHEET
(
Permit No
OWNERQVal , � A. P. No. V
l i
Proposed Building Use •-�• l Building Inspector Date <
At time of permit application, I was advise the following data must be submitted prior to permit processing
and/or issuance: - DATE RECEIVED APPROVED
1. All items.have be s bmitted. . . . . . . . . .
2. Plot plans in d'W -p- —te, signed by preparer of plans .
+ 3. Complete plans in , 11- -oto.-A ticate, signed by preparer of s. T ��
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
. 'L.e ter of signature authorization. l .
f * Sanitation approval from C� 1/ I I ' : Health Dept.. `�"f -�g �
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) '
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
Pre-Inspec.request to (Dote)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
ti
When you issue the permit, process as follows: Mail to owner, Mail to contractor. -'
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
0G
Applicant `>�'"`� Date Q
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pri pe t i uance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone --nail—counter by date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter b date
Plans checked by V Date �ans approved by Date
Sets of plans on hold iny File cabinet AP folder
Copy—DPW
TO Buildinv. Depar,.tmer}t
FROM: Environmental Health
SUBJECT: Sanitation Clearance
V i N _ J �-�
Owner Location r AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Final clearance O.K. for:
Clearance for bedr-o-c
NOTE ***'
Water Supply,
Water Supply
1 _--
saniLari.an Date
COUNTY OF BUTTE - Depax tmenf'of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1.' I personally plan to provide the m labor and materials for construction of
the proposed property improvement yes or no) Vie S
2. %�ave/have not)Lsigned an application for a building permit
ro osed work.
P P
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 Numbe
Date q / 0?
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.
I9
V-,*"
>� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P IT NO
7 County Center Drive - Oroviller Ciliforri3 95965 - Telephone: 916/536-7541) �X
APPLICATION ANO'PERMIT UU
ARC UMB RJ
ASSE O 1/r
ZONING
BUILDING PERMIT
O R Cl�
E HONE
SQ. FT. OCC. BUILDING VALUATION
OW R' AI NG DDRESS
r l
CO RACT R'S NAME
TELEPHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking F
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /Ws�
/ r
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
a no OC
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PA L MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Re odel Utilities ❑ In tallatio Other g
Describe work:_�T -Ar- LC)Q
j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
_
Main service eOOV OR LESS
100 AMP OR 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.
nse No.Classification
�1,*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.y\ ,�Z�Sgft
OR ADDNS. 1 ACG. BLDGS. //
NEW CONSTR. TI -OUTLET 2,50 ea
NO N.RESID .BRA CH CIRCUITS)
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex, Occu ZoeSoe
p OUTLETS OR FIXTURES 9AL030FIXED
APPLNS. ORs
Ex. Occup. OUTLETS (RESID.) EA.? 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
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
f 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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Coolin g
Hood
0
3.00
Ventilation
Permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities 'udgments, costs, and expenses which may in any way accrue
against s my in o equence of the granting of this permi
%� Date'il—slsions
Signat of App cant — Owner ❑ Contractor ❑ Agent ❑
An 0 A permit is required for excavations over 5'Q" dee d�1Rol'ti n or construct-
ion of structures over 3 stories in height. JJ
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ /1S
OCCUP.
CONST.TYPE
71-1
FLOOD
PARCEL
PD
NO
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
work ica d above or which
IREC PUBLI
y
PilIf EXPIRES Date
the applicable provi-
resolutions to do
f s ave been paid.
a R�/73/9?
_l_ (� op
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330 , PINK'INSPECTOR. G D N L C
J
1
I
`t .
COUNTY OF BUTTE - Depari%ent of Public.Works
7 County Center Drive, Oroville; CA 95965 Phone: 916-538-7541 '
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been.applied for in your name and bearing
your signature.
Please complete and return this information.at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be 'issued until this verification is received.
1. I personally plan to provide the maj.��abor a,r� at als for construction of
the proposed property impr ement yCe or no) !c�C
j.
2.Lhav
ave not) signed an application for a building permit
e 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
1
Signed:
Property Owner %ILA,�
Social a uri umber
Date
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.
M
NAMF.
jo
PLAN FLFV. LOAD
D.4Tr h� --MCA-1-T--:7]
NorCal Lumber Company, Inc
❑ 4601 Bernice Avenue
❑ 1933 Arnold Industrial Hwy.
Olivehurst, CA 95961
P.O. Box 6245
(916) 742.1804
Concord, CA 94520
P.O. Box 1762
(415) 687.6370
Marysville, CA 95901
(2)
ampuTrus Inc. F'OH GABLE EMUS UNDER 6'-8'• IN HEIGHT
C
_.�Y..... �•��_ 'My I[)I'MUM"GAITliE"STCD-GRADE 2x4"STAYJDA'RD--GRADE-HEM=F
GABLE END
/ —
FILE tdQ :Ai+LE E1:C
JA-,: Gi;iN4
HFA :5-JS.iO�$ C1'* Si:
A'r 16'-0`'0.,. OR AT
E. ATTACH-WITH-1-6d'�
WN IN ( ).
C -2.5x4.3
,mwa
J, xort `
dj
� Y.•Yll�
s
N'rl `7 ;fir
6?o esx I 19
bP4g*(.. ow
2x4 STUDS •Y
CUTOUT FOR 4x2
OUTLOOKER
J
OFF STUD
C -1x2.6 Typical
C -2.5x4.3
C -2.5x4.3 (Spl) VARI S
of 3e
• CENTER VERTICALS VARY AS REQUIRED
BY VENT SIZE OR OUTLOOKER
CUTOUT FOR 4x: OUT!.'!OKER
I
1x4 ADD-ON. ATTACH _) O`: Fii S7i4i
WITH 8d NAILS AT 9'o4.c. /
4x2 OUTLOOKER DETAL_S� •q 7�-
13U`T TE COUNTY
BUILDING ®
®EIaAI�TMEN�'
A P,, P R 30 E
Auk
L R 1. ()U. I 1q. .
AIER, N1. RAC I I's
CoimpuTrus Inc. (u-'-) 1 a r v r a I Brace 1: v q i i i rid I o t 1 1,* pa n s
z
2 cons c rtlC L ion
2,41 Sta-lat-d t.,r Stud to 3("-4'
3I 2x6
2y.4
3
12
4
Zx4 BLOCK
5 !, I:T C.E ALTERNATE SPLICE (B-2)
C -5.5x14.5 to 43'-9" CN -5.5xI4.5 to 43'-9"
C -5.5t,11.9 to 39'-6" CN18-3x13.6 to 40'-9"
C -5.5X9.4 to 32'-5" C: -3xI0.2 to 30'-7"
JU111CAL ABOUT CENTERLINE
FILE NO SCI 44 - 43-513-33- rHORD
c
SI -7E
;-P :5-! 1",:,z By SIC HORD
() U)-_)$tA? lot' .%C-1EASj,' 1 .25
cPACED7-
` n
()A,Nt:
1 L Of (-?1 7(p• (;"Olso 13 1
ITT I'll 150TTOY C-10110 IU .";
()Aj) 33 11V
I A -Z C:'.
tlu r-Onn -A.�L �.7PLS% 0II,
REACTION 1208
MA)i1.M!J1).q TRUSS MEMBER F ORCES
T-; : -5770 B-1 : 5490 .'-I107
T- -3968 P-1 5490
FOR TF-:: SF ANS NOTED GFILMV. LUMBER SHALL BE Or THE MINIMUM GRADE ANL? SPECH
ALLI�t.. A -_ICr-:'_
-2m 7 L C 43 V. 0
1.51,
!ixb. 42 -0'* 2
(2x6) L11 43'_0..
t- -xi, In 3'1:_1:, 4.0" 1
(2x6) C -4x". .3 to :I b,
to 32'-3"
(.'.x4) C -2.5X6.0 to 32'_,"
`0
(2x4) C-1 .5x4.3 L11 1O' -(I"
3I 2x6
2y.4
3
12
4
Zx4 BLOCK
5 !, I:T C.E ALTERNATE SPLICE (B-2)
C -5.5x14.5 to 43'-9" CN -5.5xI4.5 to 43'-9"
C -5.5t,11.9 to 39'-6" CN18-3x13.6 to 40'-9"
C -5.5X9.4 to 32'-5" C: -3xI0.2 to 30'-7"
JU111CAL ABOUT CENTERLINE
FILE NO SCI 44 - 43-513-33- rHORD
c
SI -7E
;-P :5-! 1",:,z By SIC HORD
() U)-_)$tA? lot' .%C-1EASj,' 1 .25
cPACED7-
` n
()A,Nt:
1 L Of (-?1 7(p• (;"Olso 13 1
ITT I'll 150TTOY C-10110 IU .";
()Aj) 33 11V
I A -Z C:'.
tlu r-Onn -A.�L �.7PLS% 0II,
REACTION 1208
MA)i1.M!J1).q TRUSS MEMBER F ORCES
T-; : -5770 B-1 : 5490 .'-I107
T- -3968 P-1 5490
C-2.5x6.(,to 43'-9"
C -2.5m4.3 '.n 36'-8"
4 ECUAIL. PANELS TOP CHORD
1X4 Q 4 EQUAL PANELS Br"-.!-))ACoil
-No Sill.;..'E. .
C-I.5mZ.b
SPLICK
CN -5.5m14.5 to 4
C - :,% I I . '! ro 4 2.-J..
SPAN 70 43'-
• 2S -1 7
,,4 -ley /,, 41A
M06m6-Uh1o77-otheintrime rholild:
Vr6;7-9 - 10 -um-.1 Ina d. a7 shown. Al Is 1W at forte 1. so O&V a is this N if
a PC It - a a J a MW a ryrf no- pohmsnenf' br a CWIo_blf_&v46*d -arid
provided
2. 0i,
. n aZ,Zs
t��
6-sigsthe lop and bollomchoirds tope Lai
0' 0 c and at,'
3 oi,ret c 6oacingoetis.1s. see "Brat ing Wood 7tus -
ess. 13WT
76' s Plwe-lnsfkee.
weial web bating where shown
btacwV recor-henced where
nho.n
6. InstAilahon oJ it, % is The responsibility of the respective contractor.
7. Oes,gn assume-. trusses are to be used in a non -corrosive envue,h_
them a" Ate lV 'Ory rondk,cin- of use.
_ nb ecc'a
1'
0 Plate. s:. rip P-aled on bnfh faces of Puss and placed so their
center 1 -nes ca, C -Oe -th jimint center lines.
11. Digits s:. e of plate 0 inches.
12. For basic tt,3h -Alues of the Comoutfus Plate. norcritted by the pieta
"C" ' Sfe'1701') R'A 4211
13. Th. Con.r"'il'.]. ".I Soction Pleft a tindicarld bF the prft -CN -. this
Mrarprsun (t 61 +Idrr�7aa 10 pa wimuteri mMothrahmistri,200.
C:t Pone; Splice Note:
:;t -of Voinj Air, Inical,-0 at 1/5 Thu
"o"Sur'l,
.0 -0 UM -,., .&AtC".1".
DOUG. FI P.
r ITL
SWIT L
C -3x 11 .9
C.- 3X9. 4 to Oi,
C -2. ),:7. 7VI".
C -2.5x6.0
1-1- F 11:
C -3xit.9 to 3'-0*' erten J
tree
C -3x9.;. :n
C-347.7
C -2.5x7.7 t
C to 41 -9 bu I I E COUNTY
BUILDING DEPARTMENT
APPROVED
FOR TF-:: SF ANS NOTED GFILMV. LUMBER SHALL BE Or THE MINIMUM GRADE ANL? SPECH
(2x5) C -5x6.0
to 13'-9"
1.51,
( 2x6) C -5x5.!
to 36'-8"
1.5"
(2x41 C -,x5.1
to 32'-3"
1.5"
`0
C-2.5x6.(,to 43'-9"
C -2.5m4.3 '.n 36'-8"
4 ECUAIL. PANELS TOP CHORD
1X4 Q 4 EQUAL PANELS Br"-.!-))ACoil
-No Sill.;..'E. .
C-I.5mZ.b
SPLICK
CN -5.5m14.5 to 4
C - :,% I I . '! ro 4 2.-J..
SPAN 70 43'-
• 2S -1 7
,,4 -ley /,, 41A
M06m6-Uh1o77-otheintrime rholild:
Vr6;7-9 - 10 -um-.1 Ina d. a7 shown. Al Is 1W at forte 1. so O&V a is this N if
a PC It - a a J a MW a ryrf no- pohmsnenf' br a CWIo_blf_&v46*d -arid
provided
2. 0i,
. n aZ,Zs
t��
6-sigsthe lop and bollomchoirds tope Lai
0' 0 c and at,'
3 oi,ret c 6oacingoetis.1s. see "Brat ing Wood 7tus -
ess. 13WT
76' s Plwe-lnsfkee.
weial web bating where shown
btacwV recor-henced where
nho.n
6. InstAilahon oJ it, % is The responsibility of the respective contractor.
7. Oes,gn assume-. trusses are to be used in a non -corrosive envue,h_
them a" Ate lV 'Ory rondk,cin- of use.
_ nb ecc'a
1'
0 Plate. s:. rip P-aled on bnfh faces of Puss and placed so their
center 1 -nes ca, C -Oe -th jimint center lines.
11. Digits s:. e of plate 0 inches.
12. For basic tt,3h -Alues of the Comoutfus Plate. norcritted by the pieta
"C" ' Sfe'1701') R'A 4211
13. Th. Con.r"'il'.]. ".I Soction Pleft a tindicarld bF the prft -CN -. this
Mrarprsun (t 61 +Idrr�7aa 10 pa wimuteri mMothrahmistri,200.
C:t Pone; Splice Note:
:;t -of Voinj Air, Inical,-0 at 1/5 Thu
"o"Sur'l,
.0 -0 UM -,., .&AtC".1".
DOUG. FI P.
r ITL
SWIT L
C -3x 11 .9
C.- 3X9. 4 to Oi,
C -2. ),:7. 7VI".
C -2.5x6.0
1-1- F 11:
C -3xit.9 to 3'-0*' erten J
tree
C -3x9.;. :n
C-347.7
C -2.5x7.7 t
C to 41 -9 bu I I E COUNTY
BUILDING DEPARTMENT
APPROVED
FOR TF-:: SF ANS NOTED GFILMV. LUMBER SHALL BE Or THE MINIMUM GRADE ANL? SPECH
-.01CATED
2 5 Q, F SS DF D." -S S F i F -1 -`1 0 156 i- 11 800 1: 1650 F
43'-9" 431-51, 1 40'-"' 143' 41 3S,
:19•-F.1
3" 31 3n '?'-I0' 10" :ti' -10' -7--Ir, -H*,
25'-.•
?91-9" 36 - -W- 141'-9" 1 .17 '-8-
-,IjAj)j_fjF -1 -
. �.! . F t I' , :' .3 V.- � I ['!� 1 . i: m () R 2&!� " f
"I HF
Aft
0
TR r'S SPAN 24'- .00"
LOAD DURATION INCREASE - 1.25
SPACED 24.0' O.C.
LOADING
LL + OL 014 TOP CHORD - 23.0 PSF
01- ON BOTTOM CHORD - 30.0 PSF-
TOTAL LOAD - 33.0 PSF*
M5 PSF REDUCTION TAKEN ON
BOTTOM CHDRD, AXIAL STRESS ONLY.
2-0-00 12-00-00
C -4x4.3
d2.5J0
:a le: 1/4'
'ILC NO.: SC -24-5/2.5-33+1
)ATE: 10/ 11/69
IEF.: 25-1 DES. BY: AM
iEG.:
Ver4.i
1. Read all General NOW and Warnings belme c~ruetlon 01 trusses.
LUMBER , SPEC IF CATIDNS
SIZE
SPECIE GRADE
MEMBER 1S)
3
TDP CHORDS:
2x 4
OF ll1
1- 4
'
BOTTOM CHORDS:
f.
2x 4
OF #1
1- 4
LEFT 672 RIGHT
WEBS:
2x 4
HF STAND
1- 5
Aft
0
TR r'S SPAN 24'- .00"
LOAD DURATION INCREASE - 1.25
SPACED 24.0' O.C.
LOADING
LL + OL 014 TOP CHORD - 23.0 PSF
01- ON BOTTOM CHORD - 30.0 PSF-
TOTAL LOAD - 33.0 PSF*
M5 PSF REDUCTION TAKEN ON
BOTTOM CHDRD, AXIAL STRESS ONLY.
2-0-00 12-00-00
C -4x4.3
d2.5J0
:a le: 1/4'
'ILC NO.: SC -24-5/2.5-33+1
)ATE: 10/ 11/69
IEF.: 25-1 DES. BY: AM
iEG.:
Ver4.i
1. Read all General NOW and Warnings belme c~ruetlon 01 trusses.
1-
2 Bulkier and erection contractor should be adtrsed of all Gantbral
M 1- 60
Notes and Warnings bolora eonshv ellotl commences.
3
.3. 1 x3 _compression vreb breoing must be Installed nhoro Shawn r-.
0. All4,Ipe1 torte reslsdng elements such as lemporerj and permanent
,14.
bracing, mull be doslgnad end preAded by daslgrser el complela
'
structure. Compuims esaumes no rospon0blllte for such bracing.
f.
S. No load should bo applied to any component unlll aper all bracing and
y
leslenens are cornplete, and at no time should any loads gmator then
LEFT 672 RIGHT
design loads be epplled to any compononi.
e, Conqulms has no comrol ora, and nosurn" no reeponalblllly for 111*
9,
fabrication, handling, oblpmont endInaellellon of oomponontl .
1:9
7. This design is 1urn Ishod subject lolls 4lmUotlone on truss designs set
fonhbylAeTrus, Plato Inetllube In"Or aclmg Wood Trusses. SVVI
1.66 HF
a copy of which .111 be furnished by Computvus upon request.
L,DU
12
Dr
SINGLE MEMBER FORCES OH
T 1- -2546 B 1= 2400
M 1- 60
T 2- -1670 B 2- 2400
N 2- -023
T 3- -1670 B 3- 2400
M 3- ID89
T 4n, -2545 B 4- 2400
M 4- -SRI
M 5- 60
LEFT 672 RIGHT
572
BEARING AREA REOUIRED
(SO. IN)
JOINT 1 1.06 OF /
1.66 NF
JOINT 5 1.08 OF /
1.66 HF
I'oX 2" =0-"—overhang–attach
ifri1 2-xn-.1Nd-1 1D&l Piz' -1dEi=On1 o�
one face..with 16d nails_stagcjere.d
a
1 E COUNTY
WILDING DEPARTMENT
k P P R 0 V E®
TO
�YY'. I oacfi end , l\
1D hC U5.0 •r A. fraR07fIU9'ro P.nVlflfITC11,
1f up.
al All srppars stv3vin: SNjn or xcdge 1 -
IAirA'io rs prows
gh Imes of Irl .s, non psrccU sa Ifu it car0a
r Ines.
1 n'tn;S.
is Co•Ilaulnr. Rase, tudcalm by :hQ plrflx
'Tulp. �. Ir[llratod by ihn fxe`ix "CN" IN.
gn. T.r 10iOl is tAPX. All dhprS a'e 26 Da.
No. zpa7 a
3g���l �
T�
OF CA����
_ CflmpuT�-us Ic�c.
/usw�tlunn;•leVr.i3:Naa •QaIWJtEa,nrikrr9
m
m
I1:
(r
Cr
IL
1
Q
F
C
H
T�
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM 0
y
,Owner �74 1 'VA I MC Climate Zone Permit No . , 4
Floor Area !2-0 D-
Compliance path: Package ❑ A ❑ B ❑ C ❑+Point System ❑ Budget ❑ Other 3 ,
QDNR-VALUE DESCRIPTION
RE
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling -
Wa l l R_ 1
Slab Floor Perimeter
-� Raised Floor.I
(2) INFILTRATION•
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑ (D) Continuous infiltration barrier
❑ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area G zOg Uloor Area Single Double Triple
Total Bldg.� 7i41 6
North 2►10
East fe O S� O
South _� 8_ `•
West
Skylights --
(B) Shading
Shading
Coefficient Description
East
South K //
West It V
Skylights y
(C) South Overhang
Length of projection _ft. Description 6I/GIZ H AN(r
❑ (D) Moveable insulation: Area ftZ Description ,
(E) Thermal mass
❑ Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft. HC= R=
MC= Location
❑ Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft.Z HC= R=
MC= Location
❑ Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft.z HC= R=
MC= Location
7/83
FORM
(4)
MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5)
HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A). ".Heating f
Central Gas Furnace -PAY 6- -- s�qh /
(brand and model number) SE
r
�D Coo Btu/hr /4pv
(heating capacity)
❑
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar
(type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope ��� n
Other To Ver
(describe)
*1
(B) Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 950F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
Other _ � r//'� P , Coo (.a- OIL_
(describe)
❑
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
j
fan type, central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and -fill out the
following:
Heating: Winter design tempe Vture 3� °, elevation 01L1ZOD ', heating load60'BTU
ele ation factor l� x heating load = maximum outlet capacity gas furnace
�1 o BTU
Cooling: Summer design temperature4MABE
', cooling loadQ_BTU•
(USE ONLY AS A SIZING GUIDE, COOLING INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
n
ra
-�
SIGNATURE r
BU LDING DESIGNER OR APPLICANT
3
FORM t
(6)
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) .(solar fraction)
ft
-(backup heater type, brand and model number) .(collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall -be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7)
LIGHTING
(A) Lamps used in luminaries for general lighting'in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and -fill out the
following:
Heating: Winter design tempe Vture 3� °, elevation 01L1ZOD ', heating load60'BTU
ele ation factor l� x heating load = maximum outlet capacity gas furnace
�1 o BTU
Cooling: Summer design temperature4MABE
', cooling loadQ_BTU•
(USE ONLY AS A SIZING GUIDE, COOLING INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
n
ra
-�
SIGNATURE r
BU LDING DESIGNER OR APPLICANT
3
r
nlr i.ur��1lUoNng DELUXE DOWNFLOW Model 399A
CONDENSING Sizes 040 thru 100
IntlianapoliS, IN
FURNACE Series A
. ,
City or Industry, CA
PRELIMINARY PRODUCT DATA
NOTE: Use the information in this publication
for preliminary reference only.
• � � `�,� {f H. YYupL�,
Model 399AO36060
Using advanced technology and craftsmanship, BDP has
reached Its goal of developing a downflow gas-flred condensing
furnace second to none In the market place.
The Model 399A Deluxe Downflow Condensing Furnace Is the
result of an extensive, systematic, research and development
project to build an affordable condensing furnace that exceeds a
rating of 90% AFUE (Annual Fuel Utilization Efficiency). It is
designed for reliability, high efficiency, and quiet operation. Its
unique arrangement of gas controls, sealed combustion system,
and direct venting, make this furnace an Industry pacesetter.
FEATURES
SEALED COMBUSTION (DIRECT VENT) SYSTEM—Enclosed
burner assembly Isolates operating noise without the expense of
sound deadening devices. With the sealed combustion (direct
vent) system, outdoor air Is brought directly Into the combustion
chamber. This cuts cold air Infiltration Into the structure and
reduces heat loss. As an added benefit, the sealed combustion
(direct vent) system protects the furnace from corrosive chloride
fumes given off by laundry products and other household chemi-
cals inside the structure.
F-1
MONOPORT INSHOT BURNERS—produce precise,air.to•gas
mixture which gives a clean burn.
The large monoport on the inshot (or Injection -type) burners sel-
dom, if ever, needs cleaning.
FOUR -PASS HEAT EXCHANGERS—This design accelerates
heat transfer and extracts heat that conventional heat exchang-
ers waste up the flue. The heat exchanger is aluminized•steel for
corrosion resistance. 20 -year Limited Warranty.
The condensing heat exchanger is also a four -pass design. It is
positioned in the furnace to extract additional Btu's of heat from
the combustion products as they move through Its four passes.
This heat exchanger Is high-grade stainless steel for corrosion
resistance, 20 -year Limited Warranty.
COMBUSTION AIR AND VENTILATION—The 399A design Is
so advanced that Schedule 40 PVC, PVC-DWV, SDR -21 PVC,
SDR -26 PVC, or ABS-DWV pipe can be used to bring outdoor air
Into the furnace for combustion. The heat extracted lowers the
temperature of the combustion products (typically below 115°F)
to a point that PVC pipe can also be used for venting combus-
tion products outside the structure. The combustion air and vent
pipes can terminate through a side wall or through the roof when
using our approved vent termination kit.
SAFETY—The 399A has two exclusive safety control features:
(1) a self -checking draft control circuit that must reset before
another burner cycle can begin, (2) a negative pressure conden-
sate trap system that prevents combustion products from enter -
Ing the drain system when the trap Is not primed.
SOLID-STATE BLOWER CONTROL OFF -TIMING ADJUST-
ABLE—Timed blower operation stops annoying recycling ther-
mally activated blower controls. The off timing can be adjusted
by turning a knob.
PRINTED -CIRCUIT CONTROL CENTER—The printed -circuit
board and all Internal wiring are factory Installed. Low -voltage
terminals permit quick -connecting a humidifier, an air cleaner,
and air conditioning control circuits.
FULLY INSULATED CASING—Foil-faced insulation In the heat
exchanger section cuts the heat loss and double-density Insula-
tion in the blower section reduces noise levels. The casing also
has the required openings for left- or right -side connection of
gas, electric, drain, and vent connections.
OLD FURNACE REPLACEMENT—The 46 -3/16 -Inch casing
height makes the Model 399A Furnace Ideal for replacement
applications.
CERTIFICATIONS—The 399A units are A.G.A. design certified
for use with natural and LP (propane) gases. The efficiency is
GAMA efficiency rating certified. The Model 399A exceeds Cali-
fornia minimum seasonal efficiency requirements by a wide mar-
gin, and meets the oxides of nitrogen (NOJ emission levels •set
by,South Coast and Bay Area Air Quality Management Districts
In California.
Form No. PDS 399A.40.1 P
SPECIFICATIONS
SIZE
RATINGS AND PERFORMANCE
036040
M.' 036060 1
048080
060100
Input Btuh•
44,000
T66T000T -' IF 1
88,000
110,000
Output Ca acit tt
TBD
611000
81,000
101 000
AFUE%t#
TBD
91"0 "" '
91.0
91.0
California Seasonal Efficiencies (CSE)tt (CSE)t
TBD
84:0
84.0
84.0
Certified Temperature Rise Range OF
TBD
40=70
40-70
35-65
Certifed External Static Pressure Heating
Cooling
0.10
0.50
0.12-
0.50
0.15
0.50
0.20
0.50
Airflow Cfm Heating
ELECTRICAL Cooling
TBD
TBD'r'_418185
1330
'p 1
1615
1570
2000
2065
Unit Volts—Hertz—Phase
115-60-1
Minimum Wire Size
14
Maximum Fuse Size
15
Transformer (24-V)
40VA
External Control Heating
Power Available Cooling
21VA
37VA
A/C Blower Relay
CONTROLS
Standard
Limit Control
SPST
Secondary Limit Control
Manual Reset
Heating Blower Control
Solid -State Time Operation
Burners Mono ort)
2
3 1
4
6
Gas Connection Size
GAS CONTROLS
112 -Inch NPT
Gas Valve (Redundant)
Minimum Inlet Pressure
Maximum Inlet Pressure
White Ro ers Model 36E
4.5 inches we
13.6 Inches we
Pilot Safety Non -100% Shutoff
BLOWER
Mocle1740A
Direct -Drive Motor HP—Type
1/3—PSC
1/3—PSC r
1/2—PSC
3/4—PSC
Motor Full Load Ams
6.6
6.6
7,9
11.1
RPM (Nominal)— Seeds
1075-4
1075-4
1075-4
1075-4
Blower Wheel Diameter x Width
10 x 7
10 x 7 I
10 x 8
11 x 10
Filter Size—Permanent Washable
OPTIONS
(2 116 x 20 x 1
Combustible Floor Base
305301.701
-uas Input ratings are cenmea Tor elevations to zuUO Teat, reduce ratings 4% for each 1000 feet above sea level.
tCapacity In accordance with U.S. Government DOE test procedures. California Seasonal Efficiencies based on California -specified procedures.
$Tentative ratings.
TBD—Data to be determined.
DIA VENT COI
DIA COMB
AIR CONN
DIA GAS COI
IA COND
(RAIN CONN
Payne
Air Conditioning
Indianapolis, IN
Cdy of Industry, CA
A87297
DIMENSIONS (in Inches)
Approx
SIZE A I D E Shipping
Weight
040
17-1/2
15-7/8
16
179
060
17.112
15-7/8
16
187
080
21
19.3/8
19-112
202
100
1 24.112
22-7/8
1 23 1241
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE
UNIT MUST BE INSTALLED IN ACCORDANCE
WITH INSTALLATION INSTRUCTIONS
OF -14 PRINTED IN U.S.A. 7187
FORM
.'�i. "`
RESIDENTIAL ENERGY,. fAN CHECK/INSPECTION SUMMARY
Owner�,
_�I�17i�
%r
�Climate Zone Permit No.
Floor Area
Compliance
path:
Package ❑ A ❑ B ❑ C N Point System []Budget N Other
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1) INSULATION:
®
Roof./Ceiling � O
Wall KJ
❑
Slab Floor Perimeter
_
®
Raised Floor
(2) INFILTRATION:
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
®
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D) Continuous infiltration barrier
❑
(E) Electrical outlet plate gasket
❑
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
It
Total Bldg Mob /oi.,9�a X
�
North .Z W 01.0
®
East too S.O
*
South _ t.0
®
_9
West yam_
❑
Skylights
(B) Shading
Shading
Coefficient Description
®
EastL �7•�— oLl*f—
®
South '• b
West • (p� •• �.
❑
Skylights
(C) South Overhang
Length of projection ft. Description QtJ/�i�fi�
❑
(D) Moveable insulation: Area ft2 Description
(E) Thermal mass
❑
Type - Area Ft.2 HC= R=
MC= Location
_
❑
Type - Area Ft.2 HC= R=
MC= ` Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area HC= R=
-Ft.Z
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area -Ft. HC= R=
MC= Location
7/83
FORM
❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable.metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A). Heating
❑ Central Gas Furnace %
(brand and model number)" SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector.brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope ,,
Other (�c�
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
® Other �t//�i� ec'aoLA,^--
(describe)
❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
® (D) AN.AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
IN (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be.sealed with pressure.sensitive tape.or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
IF (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency, standards and shall
be certified to the Energy Commission.
(7) LIGHTING
60 (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or.other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature ,3D °, elevation /��', hea ing oad BTU
elevation factor x heating load = maximum out ca cit furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MA BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
I
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
11 r\
SIGNATU OF UILDING DESIGNER OR APPLICANT
3
FORK 1
(6)
DOMESTIC WATER SYSTEM
fj
(A) Gas Only Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
®
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outsidelconditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
IF (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency, standards and shall
be certified to the Energy Commission.
(7) LIGHTING
60 (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or.other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature ,3D °, elevation /��', hea ing oad BTU
elevation factor x heating load = maximum out ca cit furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MA BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
I
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
11 r\
SIGNATU OF UILDING DESIGNER OR APPLICANT
3
Sable 3-7. South-Facin Glazin Pta Table 3-10 Sh d! C f[i !
I I Glazing Type 1
1 • Total I I
( Z of I Sngl, Dbl, Trpl,
I Floor ' I (U - 1 (U - I (U - I
1 Area ; 11.10) 10.65) 1 0.41)1
1 I olnts I tints I ointsl
0 +s +8 •3
l u to 1. +2 1 +2 1 +2 1
I 3.6 I -1 1 10` ! 0 l
I 3.7- 5.2 1 -4 I -2 I -2
1 5.3- 6.5 I -6 I -4 I -3 I
i 6.6- 7.7 I -9 I -6 ! =S I
I 7.8- 8.9 I -11 I -8 I -7 1
1 9.0-10.0 1 -13 I -10 .1 -9 I
110.1-11.5 I -17 1 -13 1 -11 I
111.6-13.0 I -21 1 =16 I -14
113.1-14.5 1 -25 1 -19 I -16 (.
114.6-16.0 I -28 1 -22 I -19 I
Table 3-8. West-FacingGlazfn Pts.
I I ' Glazing Type I
I Total I I
1 Z of I Sngl, Dbl, Trpl,
I Floor i (U - I (U - I (U - I
I Area 11.10) 10.65) 1 0.41)1
I I olnts 1 oints I ointsl
0 •i •6 +6
I up to 1.3 I +5 I +6 1 +6 I
1 1.4- 2.2 I +3 I +4 I +5 I
1 2.1- 2.8 I 0 1 +2 I +3 I
I 2.9- 3.6 I -3 1 0 1 +1 I
I 3.7- 4.2 I -5 I -2 I 0 1
I 4.3- 5.0 1 -8 I 4 1 -2
I - 5.6 -10 I � 1 -4
I 5.7- 6.2 1 -13 1 -8 I -6 I
I 6.3- 6.9 I -15 1 -10 1 -7 1
7.0- 7.6 I -18 t -12 I -9
I 7.7- 8.2 I -20 I -14 I -11
I 8.3- 8.8 i -22 I -16 I -13 1
1 8.9- 9.5 I -25 I -18 I -15 I
1 9.6-i0.1 I -27 ! -20 1 -16 1
110.2-11.0 1 -29 I -23 I -17 1
1 11.1-11.8 I -35 I -26 I -21
1 11.9-12.7 I -38 I -29 I -24' I
112.8-13.5 I -42 i -32 i -21 I
113.6-14.3 i -46 1 -35 1 -29 I
114.4-15.2 I -50 I -38 1 -32 I
a e
I SC by
ZONE 11
I Orien-
I : Floor Area
Cation
/��/►
OWNER f�f` 4,
POINTS
I I 3.2 1
Table 3-3a. Ceiling Insulacton
Points
PERMIT
NO.
ASSIGNED
ACTUAL
R -Value of Insulation i
Points
1.
SLAB - INSULATION
?able 3-1.
T
i
.83 up
i 0 i -1 i -2
( South
1 0 13.2 16.4 18.'0 ( 9.6
I
I to I to I to I to I up
I (U -
2.
RAISED FLOOR - R-19
R.rr
I .19-.42
I 19 I
-4
3.
CEILING - R-30
ln2 3o
�`
I �.Q I
o
i 4.
WALL - R-19
Rut
�_
i 49 i
+4
5.
NORTH GLAZING
- 2.44-3.6% .?-o
58-.e2
I -1 1 -3 1 -6 I -12 I -15
up
6.
EAST GLAZING
- 2.5-3.6% 5-0
`
I .1 I .6 1 1.6 13.2 14.6
I ointsl
7.
SOUTH GLAZING
- 1.6-3.6% /.fl
J�_
Table 3-4a. Wall Insulation Points
s.
WEST GLAZING
- 2.9-3.6% �
/
I R -value of Insulation 1
I I
Pointe
9.
SKYLIGHT
- 0-1.3% �-
I Depth, T
I up to 1.3
1 +3 1 +4
10.
SHADING (Exclude Overhang)
1 -3
I 24 I
+2
EAST
- .66 =. f's�
�-
i 30 ;
+3
SOUTH
- . 19-.42
1 +1 . 1 +2
I +2
1 1 2.3- 2.8
I
WEST
- .13-.36 • �p�
Table 3-12. Movable Insulation
Table 3-5. North-Facin Glazing Pro
(
.SKYLIGHT
- .37-.57
I
T---��
I Glazing Type
-12
11.
HORIZO14TAL SOUTH OVERHANG 2' (
-`"
i total ! Sngl, Dbl,
Trpl, l
12.
MOVABLE INSULATION
- NONE �-�
.�
I Floor I U - I U - I U - I
! Atea 10.66 ! 0.42- 10.41 I
13.
INFILTRATION (Standard=0)(Tight=+12)
tS
�-
I ! 1
0 1.10 0.65
• , a ,
down
1 !
+4
1 1 3.7- 4.6
1 -5 ( -2
1 -1
1 I 3.7- 4.2
I 0.1- 1.2 I +4 ! +4
I -8 I
14.
THERMAL MASS
SF - -
71-76%
1 0 - IL I
I 1.3- 2.3 t +1 I +2
I S I -2 I o!
I +i I
+1 I
15.
GAS FURNACE (SE)
1 5 - 7 I
-6
I 3.7- 4.8 I -4 ( -2
I -1 I
16.
HEAT PU11P (EER)
7.5-7.9%
!• -10 i
I 4.9- 6.1 1 -7 1 -4
6.2- 7.3 ! -9 I -6
-3 I
I -5 I
I
112 - IS I-
1
-3 I
7.4- 8.2 1 -12 1 -8
! -7 I
17.
DUAL PACK (SE, SEER)
8.0-8.3/71-76%
1 -10 1 �
I 8.3- 9.7 1 -14 1 -10
i -8 I
1 -12 1
WOOD STOVE
I Area, t of Floor I
Into
I 9.8-10.8 1 -17 1 -12
10.9-12.0 I -19 1 -14
I -10 1
I -12 I
-2 (
WATER
HEATER
'S
( 12.1-13.2 ! -22 1 -16
113.3-14.5 1 -24 1 -18
I -13
I -15 I
1 -13 1 -8
1 -7 1
1 S.7- 6.
-19
14.6-15.3 i -27 -ZO
-17
I
ATTIC 901"
I 20
i
i
+1 I
OTHER
0
1 1 7.8- 8.7
1 -15 1 -10
1 -E 1
1 6.3- .,y
I -21
I -16 1
-13 I
I I
1
TOTAL POINTS =
(
bis 3-6. E Glazing Pts.
I (
1 1 8.8- 9.7
1 -17 1 -12
Tast-Facing
Glazing Type I
Sable 3-7. South-Facin Glazin Pta Table 3-10 Sh d! C f[i !
I I Glazing Type 1
1 • Total I I
( Z of I Sngl, Dbl, Trpl,
I Floor ' I (U - 1 (U - I (U - I
1 Area ; 11.10) 10.65) 1 0.41)1
1 I olnts I tints I ointsl
0 +s +8 •3
l u to 1. +2 1 +2 1 +2 1
I 3.6 I -1 1 10` ! 0 l
I 3.7- 5.2 1 -4 I -2 I -2
1 5.3- 6.5 I -6 I -4 I -3 I
i 6.6- 7.7 I -9 I -6 ! =S I
I 7.8- 8.9 I -11 I -8 I -7 1
1 9.0-10.0 1 -13 I -10 .1 -9 I
110.1-11.5 I -17 1 -13 1 -11 I
111.6-13.0 I -21 1 =16 I -14
113.1-14.5 1 -25 1 -19 I -16 (.
114.6-16.0 I -28 1 -22 I -19 I
Table 3-8. West-FacingGlazfn Pts.
I I ' Glazing Type I
I Total I I
1 Z of I Sngl, Dbl, Trpl,
I Floor i (U - I (U - I (U - I
I Area 11.10) 10.65) 1 0.41)1
I I olnts 1 oints I ointsl
0 •i •6 +6
I up to 1.3 I +5 I +6 1 +6 I
1 1.4- 2.2 I +3 I +4 I +5 I
1 2.1- 2.8 I 0 1 +2 I +3 I
I 2.9- 3.6 I -3 1 0 1 +1 I
I 3.7- 4.2 I -5 I -2 I 0 1
I 4.3- 5.0 1 -8 I 4 1 -2
I - 5.6 -10 I � 1 -4
I 5.7- 6.2 1 -13 1 -8 I -6 I
I 6.3- 6.9 I -15 1 -10 1 -7 1
7.0- 7.6 I -18 t -12 I -9
I 7.7- 8.2 I -20 I -14 I -11
I 8.3- 8.8 i -22 I -16 I -13 1
1 8.9- 9.5 I -25 I -18 I -15 I
1 9.6-i0.1 I -27 ! -20 1 -16 1
110.2-11.0 1 -29 I -23 I -17 1
1 11.1-11.8 I -35 I -26 I -21
1 11.9-12.7 I -38 I -29 I -24' I
112.8-13.5 I -42 i -32 i -21 I
113.6-14.3 i -46 1 -35 1 -29 I
114.4-15.2 I -50 I -38 1 -32 I
a e
I SC by
a ng oe C en. Poln,s
I
I Orien-
I : Floor Area
Cation
I Last
I I 3.2 1
I
I Sngl, I Dbl,
i 0-3.1 to6.4 up
I
( 3
i I I
I 0 -.19
1 0 I +1 I +2
I .20-.36
1 0 1 0 I it
F Trpl,
?able 3-1.
I .3�
I 0 I -6` I -1
.83 up
i 0 i -1 i -2
( South
1 0 13.2 16.4 18.'0 ( 9.6
I
I to I to I to I to I up
I (U -
13.1 16.3 17.9 19.5 I
( 0 -.18
1 0 1 +1 1 +2 I +2 I +3
I .19-.42
1 0 1 0 1 0 1 0 1 0
-
:43
1 0 -2 I -4 I -4 1 -6
West
1 .1 1 1.6 1 3.2 16.4 1 3.0
i to I to I to I to I up
1 Area
1.5 1 3.1 1 6.3 1 7.9 ,1
0-.12
i 0 1 +1 1 +3 ! +6 1 +7
.13-.36
I 0 1 0 1 0 1 0 1 0
.37-.57
I 0 1 -1 i -3 I =6 1 -7
58-.e2
I -1 1 -3 1 -6 I -12 I -15
up
I -2 1 -4 t 8 I -16 i -20
I 1 -Value of i
I 1 1 I r l
Skylight
I .1 I .6 1 1.6 13.2 14.6
I ointsl
i to I to I to (. to I to
I1 71_5 13.1 ( 3.9 1 5.2
0-•12
1 0 1 +1 I +3 1 +6 ( +7
.13-.36
1 0 1 0 1 0 1 0 1 0
.37-.57
1 0 1 -1 I -3 t -6
.58-.82'.1
-1 1 -3 1 -6 1 -12 1 -a
.83 up
1 -2 1 -4 1 -8 I -16 1 -20
I i I I I
I I I I I Table 3-11. Horizontal South
Overhane Point!
Table 3-9. Skylight Points I South Glazing
Length Out I Area, I of Floor I
I Glazing Type I I from Wall I I
I Total I I I ft T-
L.Zs
I Total
I Z of
I
I Sngl, I Dbl,
I I Z of
I Floor
Sngl,
I U-
Dbl, /I
I U I
Trpl, 1
U- I
0-6.3
I I
1 6.4 up I
i ' I
F Trpl,
?able 3-1.
Slab
Floor
Points
Table 3-2. Raised F
I Floor
I (U - I (U -
I (U -
I I Area
10.66-
1 0., '2- 1
0.41 I
0 - 0.3 1 -2
-
1 Area
1 1.10) 1 0.65).1
0.41)1
1
1 1.10
1 ''•65 1
down 1
1 0.6 - 1.0 I 2
I -7 I
I ln�uls- I
R -Value of
Insulation I
I 1 -Value of i
I I
IlPtints I oints
I ointsl
1 1.1 - 1.9 1 �-
1 -2 1
+4
I tiun 1 I 1 Insulation I Points 1 •7 •.4
I up to 1.3
1 -1
0 I
0 I
I 2.0 up I 0
1 0 I
I Depth, T
I up to 1.3
1 +3 1 +4
I +4
1 1 1.4- 2.2
1 -3
1 -2 I
-1
I inches 1.0-2 13-4
1
1'
7+ (
1 1.4- 2.4
1 +1 . 1 +2
I +2
1 1 2.3- 2.8
I
1 -4 I
-3 (
Table 3-12. Movable Insulation
I I
(
1
I
1 below 3 1
-12
1 1 2.5- 3.6
1 -2 I O I
0
1 I 2.9- 3.6
I 9
1 -6 I
-5 (
Points
I 3- 4 1
-8
1 1 3.7- 4.6
1 -5 ( -2
1 -1
1 I 3.7- 4.2
1 11
I -8 I
-6 I
1 0 - IL I
-5
-5 I
-5 I
-5 I
1 5 - 7 I
-6
( I 4.7- S.6
I -8 ( -4
I -7
i I 4.3- 5.0
I� -14
!• -10 i
-8 (
! Moveable Insulation]
I
112 - IS I-
1
-3 I
-2 1
-1 I
I 8- 12 I
I 1 i� 7- 6-
1 -10 1 �
1 -S I
1 5.1- 5.6 -16
1 -12 1
-10 I
I Area, t of Floor I
Into
1 162; 19
-5 1
-2 (
-1 I
0 I
I iT--rr- 1
-4
I 1 6.8- 7.7
1 -13 1 -8
1 -7 1
1 S.7- 6.
-19
1 -14 !
-12 I
I
I
I 20
-1 1
0 1
+1 I
I •19+ 1
0
1 1 7.8- 8.7
1 -15 1 -10
1 -E 1
1 6.3- .,y
I -21
I -16 1
-13 I
I I
1
I
(
I
I (
1 1 8.8- 9.7
1 -17 1 -12
1 -10
1 1 7.0 3
I -24
1 -13 1
-15 1
I 0- 5.S/ 1
0 i
I 9.8-11.2
I -21 ( .-1S
I -13
I 7. 8.2
1 -26
I -20 I
-17 I
I 5.6 - 11.5 I
+2 I
111.3-12.7
I -25 I -18
I -13
I 1 a- 8.8
1 -28
I -22 (
-19 I
I 11.6 - 17.5 1
+4 I
7/;/
3
112.8-14.0
I -28 i -21
I -18
I ( .9- 9.5
1 -31
I -24 I
-21 1
I 17.6 - 23.3 I
+6 I
14.1-15.3
1 -32 1 -24
I -20 I
I 9.6-10.1
1 -33
I -26
-22 I
.
I _23.6+ I
+8 I
-----1----.
�.
I-
r
Table 3-13. lafiltcation Control
Features Points
r-- --
I Control Features I Pointe I
1- 1 r
1 �tagdacd r 0 1
I 1 ..--�_
19.9 air changes per hr I I
I I I
T-
I Tight I +12 I
I 1 r
f0.6 aiT changes per hr
Table 3-15. Gas Furnace Withouc
Refrigeration Cool!r. Points
IrSeasonal Efficiency I Polats I
I (SE), .L I
71 - 76 1 0 1
77 - 82 1 +2 1
83 - 1 +4 1
up
Table & 16. Peat Pumv Points
I
I Eoergv Efficiency I Ports
I Ratio (EER) ( 1
I 7.5 - 7.9
I +3 i
I 3.0 - 8.3
I +6 I
I 8.4 - 8.7
I +9 I
1 8.8 - 9.
I +12 I
I 9.2 - .61
+13 I
I 9.1 - 0.2
1 +18 I
I 10,] 10.8
I +21
I 10 - 11.5
I +24 I
I.6 - 12.3
I +27 I
I 12.4 - 13.2
I
r +30 I
I I
Table 3-17. Cas Furnace With
Refriveration Cooling Points
;Refrigeracionl Gas
I Cooling I S
I 1761 21
I 8.0 - 8.3 01 +21 +41 +61 +8 1
1 8.4 - 8. +21 +41 +61 +91+10 1
1 9.8 - .2 I +4) +61 +CI+101+12 I
9.7 1 +61 +81+101+121+14 1
10.3 1 +31}101+121+141+16 1
110 - 10.9 I+1G;+120+1.1+16;+18 1
( -0 - 11.6 1+121+11+1614.1814211 1
7/7/83
ZONE 11
TAELE 3-14 (ADApTEO) INTERIOR THERMAL MASS POINTS e
MASS DWELLING ARFA SgUARE FOOT _
AREA 1,000 I 1,500 I 2,000I 2,500 I 3,000 I 3,500 1,000 •I I,SGO S,000 1
SQ. FT. 1 A B C D A 8 C D A B C D A B C D A B C 0 1 A B C O. A 8 C D 1 A B C 0 1 A" 8 -C-7 I
50
2
2
2
2
2
2
2
0 1
2
2
2
0
1 0
0
0
0
0
0
0
0
0
0
0
0'
0
0
0
O 0
0
0
0'
0.
0
6
0
100.
4
4
4
2
2
2
2
2
2
2
2
2
2
2
2
0
2
2
2
0
2
2
0
0
2
2
0
0 2
2
0
0�
0.
0
0
0
ISO
6
6
6
1
4
4
4
2
2
'2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
0 2
2
2
0
2
2
2
0
200
8
8
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
.2
2
2
.2
2
2
2
2
2
2 2
2
2
2
2
-
2
0
250
10
10
8
6
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2-
2
2
2
2
2 2
2
2
2
2
2
2
:'
300
12
12
106
8
8
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
7. 2
2
2
2'
2.2
2
2
350
14
14
12
8
10
10
a
6
6
6
6
4
6
6
6
2
6
4
/
2
4
4
,4
.2
4
4
2
2 4
4
2
7
2
2
7
2
400
14
14
12
8
10
10
8
6
8
B
6
4
6
6
4
4
6•
6
4
2
4
4
t
2
4
4
1
2I 4
4
I
2
7
4
2
2
507
IS
18
16
10
12
12
10
6
10
10
8
5
R
8
6
4
6
6
6
4
6
6
6
2
6
6
4
4
4
4
2
1
1
4
I
600
22
20
18
12
14
14
12
8
12
12
10
6
10
10
8
6
8
6
6
4
8
C
6
4
6
6
6
4 I 6
6,
4
2'
6
6
1
2 1
700
24
24
20
11
18
16
14
10
14
11
12
8
10
10
10
6
10
10
B
66
B
4
B
6.
6
4
I
I
230
26
21
22
16
TO
16
16
X10
11
14
12
8
12
10
10
6
10
10
8
6
1B 0
R
8
/
!
6
6
4 8
6
6
II
6
6
C.
:
i
500
28
28
74
16
22
20
lb
12
16
16
14
10
14
11
12
b
12
12
10
6
10
10
3
6
0
B
'B
/ 8
B
6
11
E
B
6
/• 1
1,000
30
70
26
IB
22
I24
20
YO
14
18
18
16
10
14
14
12
8
12
17
10
6
12
10
10
.6
I10
)0
8
6 B
8
6
41
3
8
C
4 i
1,;OU
32
37.
28
20
24
22
14
20
20
18
10
16
16
14
8
14
I14
14
12
8
12
12
10
6
10
10
10
6 In
10
8
FI
!0
e
f
11200
34
32
30
22
26
26
22
16
22
20
18
12
18
18
14
10
14
12
8
14
12
12
8 '12
(12
12
10
6 10
I12
10
8
6
10
In
8
6
1.'300
34
34
32
22
28
26
24
16
22
22
20
12
18
18
16
10
13
14
14
8
14
12
12
6
12
10
6
10
10
6
10
!0
E
e
1,400
34
34
32
24
28
28
26
18
24
24
20
14
20
20
18
12
18
16
14
10
14
14
12
8
14
14
12
8 12
1'
.0
'
E;
10
10
it
■
1,000 136
34
34
24
30
30
26
iB
2J
24
22
11
22
20
18
12
18
18
16
10
16
16
14
8
14
14
12
8 17
12
10
r.
;2
12
I-
1
6 1
2,000
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14 120
20
18
12
18
18
16
10 16
16
14
LI
14
14
12
S 1
2,50'9 I
34
34
30
22
30
30
26
18
26
26
24
16
24
24
22.
14
22
22
18
12 20
20
18
i.•
19
13
16
'0
9,000
34
32
30
22
30
70
26
18
28
26
21
16 I21
24
t2
11 2t
22
20
i4!
:2
29
1=
Ii
3,500
32
32
30
20
30
30
26
ld �2d
2B
24
16 26
Z4
22
14 1
!4
Z4
20
14 '
4,000
I
12
72
70
ZO
30
26
is i 28
28
24
lE
..5
Z:i
2:
if
1,509
130
32
32
28
20 130
30
26
li' j
ie
2-
;t :
5_00=
�,
32
1T _
2e
- -
20j
-----
la
26
t=
A) 1. 3's` Concrete Slab: HC•8.93; R-.29; Factor -7.3
2. 3 3/4` Thick Common Brick: IIC-7.125; R•.13; Factor -7.3
8) 1. Spy' Concrete Slab: HC -14.106; i-.458; F4ctor-7.1 ,
C1 8` Solid Filled Block•: HC -20.63; R-1.93; Factor -6.1
2. 8` Solid Filled Elock With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: HC■10.164; R-.960; Factor -6.1
0) 1` Thick Concrete/Tile: HC-2.SS; R-.083; Factor -3.7
Table 3-19. tonally Controlled
Electric Resistance
Space Heatlnq Points
I Points fat Chia eeasurc vSll I Table 3-2n. Solar Water Heatinz With Cas Backun Points
1 be completed after the CEC I
I has approved an Alternative I
1 Component Package for Resistance •I
I Heat. I
Table 3-18. Active Solar Spnee
Heath¢ witn ;as Points
(
Net Solar Fraction
I (NSF), z
�d--stt)y %1? p-inrefnn back up)
Casablanca fan + l.point
Multifamil (per unitpoints)
i
I 7 - 14
I +2 i
I 15 - 23
I +4 i
1 24 - 30
r +6 I
I 31 - 39
I +8 I
I 40 - 47
I : +10 I
I 48 - 55
( 4-12 I
I 56 - 63
I +14 I
I 64 - 71
I +18 I
r 72 up
I • +20 I
�d--stt)y %1? p-inrefnn back up)
Casablanca fan + l.point
Multifamil (per unitpoints)
i
Table 3-21. Other Water
Heating Pts.
T
I System Type 1
Floor Area
( 1
I
Net Solar Fraction (NSF). Z
r0• -
per unit,
0 I
I
I
1 Solar with Electric r
( Resistance Backup 1
1
I Meeting the Require- i
r
it 2.
0 i
I
I Electric leststance I
I
1 0: ly
-40 ;
0.9
iir-ii
2v-27
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+2
+4
+6
+8
+10
+12
+14
1.500-1,999
0
+l
+3
+4
+6
+7
+8
+10
2 090 and up
0
+1
+2
+4
+5
+6
+7
+9
All others (pe
building
points)
e, 99
0
+5
+10
+14
+lam
+24
+19 +34
900-999
0
+4
+9
+13
+17
+il
+26 +30
1.000--1.199
0
+4
.1-7
+11,
+15
0.19
+22 +26
1,20fr1,499
0
+3
+6
+9
+12
+i5
+18 +21
1,500-1,999
0
+2
+5
+7
1
+9
+12
+14 +16
2,900-_',999
42
+3
+5
+7
+8`
+10 +Il
3,060 i,.d uv
-0
0
+1
+3
+S
+5
+7
+9 +10
i
Table 3-21. Other Water
Heating Pts.
T
I System Type 1
Points i
( 1
I
r0• -
I Neat Pomp I
I
0 I
I
I
1 Solar with Electric r
( Resistance Backup 1
1
I Meeting the Require- i
r
i ments to Pact 2 1
I I
0 i
I
I Electric leststance I
I
1 0: ly
-40 ;
,�,,••=ic•�. - fir,-v��.
Suite couftfq
LAND OF NATURAL V\/EALTH AND BEAUTY
-,% DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNtA-45965
Telephone: (916) 538-7266
RONALD D. McELROY
Deputy Director
September 27, 1989
Gary R. Vaine RE: AP 28-17-169
P. 0. Box 119 Certificate of Complliance
Bangor, CA 95914
Dear Mr. Vaine:
Enclosed please find the Certificate of Compliance which was recorded
by 'the Butte County Department of Public Works in the office of the
Butte County Recorder on September 15,.1989. The Recorder's Serial
Number is: 89-.35364.
If.you have any questions regarding this matter, please contact this
office.
Very truly yours,
William Cheff
Director of Public Works
J n Mendonsa
Assistant Director
JM/ds
attachment
cc: Building Departmen
Environmental Health Department
15
RETURN TO:
Public Works
Land Development Section
E3970,3 53b4 �c Fee .00
Total .00
..Recorded
•f
Official Records';
County of ; AGENCY SHOWN
Butte ;
Candace J. Grubbs
Recorder
li;56am 15 -Sep -89 RB 2
d
CERTIFICATE OF COMPLIANCE
.Issued to: Gary .R. Vaine,.,
P. 0. Box 119
I -Bangor, CA 95914
This Certificate of. Compliance is hereby issued by the County of Butte to
certify that the land division which created. the parcel of property
identified below complies with the applicable provisions of the Subdivision
Map Act and of Chapter 20 of the Butte County Code.
1. Property location: on the southerly side of Swedes
Flat Road approx. 4000.ft. east of
Hurleton-Swedes.Flat Road. East
Oroville area.
2. Assessor's Parcel Number: SAP 28-17-169
Description : All that certain property located in the County of Butte, State
of California, more particularly described as follows:
Beginning at the Southeast corner of that certain parcel of land described in
a deed from Robert Clark and Bettina Clark to Robert C. Strassner and Ruth M.
Vaine recorded November 1, 1974 in Book 1948 at Page 47, Official Records,
Butte County Recorders Office; thence North 00° 16' 19" East along the
North/South centerline of said Section 1, 466.00 feet; thence leaving said
centerline, North 89° 43' 41" West, 466.00 feet; thence South 00° 16' 19"
West, 470.74 feet to the South line of said parcel recorded in said Book
1948 at Page 47; thence along said South line North 89° ,41' 21" East, 466.02
feet to the to the point of beginning and the end of this description.
Containing 5.01 acres more or less.,' I.
Together with and reserving therefrom a 60 foot right of way for road and public
utilities purposes lying westerly of; perpendicular and adjacent to, and running
parallel with the East line of said parcel recorded in said Book 1948 at Page
47 from the North line of the herein described parcel of land to Swedes Flat
Road. ,
i
The sidelines of said right of way shall be lengthened or.shortened as
necessary so as to intersect the North line, of the herein.'described parcel of
land and Swedes Flat Road.
This right of way is for the benefit of and' is appurtenant to the herein
described parcel of land and shall inure to the benefit of said Gary R. Vaine,
his heirs, successors or assigne-es.
The Basis of Bearings for this description is!
the North/South centerline of
said Section 1, taken as North 00° 16' 19" East. I
A
(continued on next page)
CERTIFICATE OF COMPLIANCE
AP 28-17-169
Gary R. Vaine
89-35364
PAGE 2
Issuance of this Certificate is conditional upon the following conditions
which have been imposed pursuant to the Butte County Code Chapter 20-166 and
Government Code, Section 66499.35 (b), to protect the public health and public
safety:
NONE
County of Butte
Subdivision Violation Committee
COUNTY OF BUTTE= DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PAq CEL NUMBER 28
OWNER
ZONING
BUILDINGPERMIT
Gary VA3nc�
TELEP
X79-•
SQ. FT. OCC. BUILDING ALUATION
Y
OWNER'S MAILING ADDRESS<.4ir4A
P.0. Box '119 Bangor 95914
i
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESS
Filing Fee
S j.0.00
Permit Fee iy
$ • •
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
<S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
1768 Swedes r1at ted.
Permit fee
.
.rrkv
$ ••-
PLUMBING PERMIT
Filing Fee 10.00
Bnnrtor
LOT NO. SUBDIVISION NAME PARCEL MAP
Each Trap
2,00
Solar or heat pump water heater
Water piping
20.00
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other ,garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile HomeS G W
0.00 eal
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: Ind RF-WTVAT, OF 00957-88
Is renemal-•BY61366-89
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service loo AMP ORV OR LESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
❑ provisions of Cha t. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification
0 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
fo: 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
NEW CONST.(DWELLING OCCUP.p
OR ADONS. ACC. BLDGS.
122SQft
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e\
SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20050e
e Aye 30c
FIXED T''R . OR
EX. OCCUp. OUTLETS IRESID.1 EA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
s
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1The 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.
❑ 1shall 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
FilirrFee 10.00
Heating
Cooling
Hood
300
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.
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
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee g
occ
CONST TYPE
TOTAL FEE S 47.25
HA Z
CUA I PARK
SCHL
FLO
PAR
I PD
HD
ISSUE
This permit is nereby issued unser
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
the appiicable provi-
resolutions to do
have been paid.
WORKS
a*
Receipt No.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
Pia"i` lyl Vain
SO. FT. OCC. -�j B�Q„1169�jtp VALUATION
@A.UR'bb*ILJJ19AOORESS Bangor a3
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TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESS
Filing Fee a
$ 141•50-oo
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
Penalty
$1.51.50
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
�^�Qi
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
SFIN Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is G W
10.006
TYPE OF WORK
New ❑ Additi n ❑ el nn li 'Einstallation❑ Other]
rd �i�+iJs, `�FY f i4�Q �3
Describe work:
2nd renewal -1365-89 let renewal -1619-88
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service io°°V OR o AMP ORLESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLOGS.
2,/20sgft
NEW CONSTFL r ULTI-OUTLET
NON -R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR .
Ex. Occup( OR FIXTURES
2 0050
9AL&30t
\
Ex. Occup. OUTLETS PIRESID IREA.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.
❑ 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
FiIingFee 10.00
Heating
Cooling
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
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
f51.5A
occ
CONST TYPE
TOTAL FEE $
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PARK
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HD ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR -OF PUBLIC WORKS
1
By 5`26—, to
PIERk1!T CVQIDCC n:=f7
Receipt No.
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