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HomeMy WebLinkAbout030-360-058JOHN JOHN MILNER TUTTLE, Elwin M� Akl,?1,96 3716B 1276 MARJORY ST., R 0 V I L L E PERMIT #490-76P(INST. BLDG. SEW) S/F 0-36' 030-360-057 03-3765 1276 Marjory St. (Lot 15, Ghianda ]Hts-, Oro!, DELGADILLO, DONNA CONTR: Lee Deranso, P.O. Box 902, Chico 1266 MARJORY ST, OROVILLE (patio cover), Cont: OWNER FILED withr-Permit. ?sure,undp-rTobn V n n r- h fpz. 'pz CQ! REMODEL BDRM ADD BfH 030-360-058 06-0666-1 VOORHEES, S. John 2889B 371-68* MILNER, GERRY H.Vent-2516P -2325P 1276 MARJORY ST, OROVILLE CONT: GALLAGHER'S HVAC C/O C30 -36-U5 Lot 15, Ghianda Heights #2, Thermalito gl family) *Patio covers' (new, sin e f B08-2329 030-360-058 MISCELLANEOUS Water Heater C/O WATER HEATER CHANGE OUT 371,6- 1276 MARJORY ST MILNER, GERALDINE LIVING TRU 0 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1276 MARJORY ST Owner: Permit NO: B08-2329 APN: 030-360-058 MILNER, GERALDINE LIVING Issued Date: 11/19/2008 By TMP Permit type: MISCELLANEOUS 2651 CHAISE DR Subtype: Water Heater C/O OROVILLE, CA 95966 Expiration Date: 11/19/2009 Description: WATER HEATER CHANGE OUT (530) 534-6261 Occupancy: Zoning: AR Contractor Applicant: Square Footage: RISSE & SONS INC RISSE & SONS INC Building Garage Remdl/Addn PO BOX 67 PO BOX 67 RIO LINDA, CA 95673 RIO LINDA, CA 95673 Other Porch/Patio Total '(916)992-0875 (916)992-0875 FEE INFORMATION DBP Water Heater (qty) $59.00 Total Charged: .$59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B9145 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RISSE 8r SONS INC 264815 / C36 C20 C34 C42 C4 C2 / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full fo and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/19/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: ontraCt Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 11I are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). �7 I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1( ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Dept of Industrial Rrpolicy Number:4505-056 Exp, Date:t t/30/2009 Contractor's License Law.). (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 11/19/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/19/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sigtfature Date WARNING:ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHA& SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. ?Countyo enter the above mentioned property for inspection purposes. I hereby certify that I am the owner or am authori to act o the property owner's behalf. 1/19/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Ne ffnmi ee IGN] - , G Date the performance of the work for which this permit is issued. (3097 :iv. code) m C9� Ft /J`^ Owner nj C,arttFactor OR. FlAgent for Owner Agent for Contractor w� FILE COPY Lenders Address City State Zip Ii• BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o A FEE WILL BE REQUIRED AT TIME OF APPLICA TION �C_koili N'�y website: www.buttecounty.net/dds PLEASE PRINT CLEARLY '�d1`hcrt fite�this application and all supporting material becomes subject to the California Public Records Act. All pu related to this application is subject to public inspection and will be posted on the County's website for electronic access. r OWNER INF01WAT/ON Last Name H t Name fir r ie Mailing Address—, .1 City l Sta A Zipns �"1I Phone 3o-.c�g4-uuif Fax E-mail CONTRACTOR Name Name Address 12"Sttate�, City City Zip -7 P La 2 -C&-7 S Phone FaxCl I Le 9 C1- 300 E-mail E-mail Lic. # a� /� �I State License Number Class C 3(Q APPLICANT INFORMATION ARCHITECT/ENGINEER Name Ci Address Zi City State Zip Phone `e Fax E-mail State License Number APPLICANT INFORMATION Name Address a •ems Ci State Zi P j� F `e E-mail , APPLICANT MNATURE PERMIT NO.. $0g, -,)S2, PROJECT LOCATION AP# O 16. jry�X Property Address 127 ,7 City G BIN # WORKER'S COMPENSATION Policy Number O a Carrier If hiring anyone other than license contractors, a cesrti'rrcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open _ Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Z I SRA Yes INo Occ. Type Const. sC///, CIO BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060666 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 03/24/2006 APN: 030-360-058-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ( �7 -7 License lass : V 20 License Number: I I IM U Site Address: 1276 MARJORY ST ORO Date-' � Contractor: 11 ,A, Map Index: Description: CHANGE OUT HVAC OWNER -BUILDER DECLARATION I hereby affirm .under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MILNER GERRY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2651 CHAISE DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GALLAGHER'S HEATING & AIR Code: The Contractors' State License Law does not apply to an PO BOX 35 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for LOS MOLINAS, CA 96055 sale. If however, the building or improvements are sold within one 800-892-3556 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: GALLAGHER'S HEATING & AIR not apply to an owner of property who builds or improves thereon, PO BOX 35 and who contracts for such projects with a contractor(s) licensed > > pursuant to the Contractors' State License Law.). ❑ LOS MOLINAS, CA 96055 1 am Exempt under Article 3 of the Business and Professions Code 800-892-3556 Date: Owner: License #: 777334 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S+a+e -(—U, n6t Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: D 13• o0 13'9 ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith croomply wpse provisions. Date: �/ 06 Applicant: 61 V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. (� 4 CONSTRUCTION LENDING AGENCY This permit is hereby 'sued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do o indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 7 Name: By: Date: i VLJ / d� `T Address: PERMIT EXPIRES N: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or do ument of Butte County. I hereby authorize representatives of ButteCounty to enter upon the above mentioned property for inspection pu S. J er) h / 4f—,o- Print Name: Signature: Date: Z 2po (p ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERIMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS G(o (Q 24 HOUR INSPECTION#: OROWLLE: (530) 536-7636 - C HICO: (530) 841-2834 BP OFFICE #: (S30) 538-7541 A FEE PPILL BE REO liIRED,4T TlAfE OFAPPLICATION BIN Website: www.buttecounty.uet/dds "PLEASE PRINT CLEARLY— OWNER Last Name Mdner irst Ne Address 2651 tesla/s-, D1" City Oro Vl 116 State CA z`1Wq((o `` (o Phone 1 �D ! / 7 Fax E-mail APPLICANT SIGNATURE X _ For office use only- n -Zoning CONTRACTOR Name II er s /4va6 Address T b 35 City , � M vs State C�! Zi %C?S Phone.39 - , � L/ Fax E-mailLic. Date Approved: # �1 7. 3 Class 0 APPLICANT SIGNATURE X _ For office use only- n -Zoning ARCHITECT/ENGINEER Name er s /4va6 Address City D s State • Zp Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X _ For office use only- n -Zoning APPLICANT NAME Name G I t C Cil, er s /4va6 Address City' D s State Zp Phone 32 q Lot # Fax E -snail Date Approved: APPLICANT SIGNATURE X _ For office use only- n -Zoning AP# Q-aJ x a . U 5 Zoning Flood Zone SRA I Yes No Occ. Type Const. bc�vision Name rPla Carrier S+d+e Map Books Page Lot # nner Date Approved: LOCATION AP# Q-aJ x a . U 5 Property Address to Y 76 n7gx� ,1 �I-o l✓L 1 �� Cross Street / WORKER'S COMPENSATION Policy Number 113 13 U6 l 3 8 S S Carrier S+d+e It hiring anyone other than license contactors, a cer0cate of worker's compensation must be shown at the time of permit Issuance, LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O Stucture Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire nae year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fes. The request must be made prior to the expiration of the permit and no construction work has been done. Filing foes, plan check fees for work plan cbecked and other department costs are not refundable. 1 I Received by: Amount: Bldg —11 SPA Receipt #: Sheriff SHIP Date: Other COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03' 37(0.5 ASSESSOR PARCEL NUMBER 030-360-057 ZONING BUILDING PERMIT OWNER D=ADI11,011 DONNA TELEPHONE Sp, FT. OCC. BUILDING VALUATION .OWNER'S MAIUNG ADDRESS ' 1266 MARJORY STREET OROVI= ^n CO NT 20,000.00 CONTRACTOR'S NAME Q W LVL,1.\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $20.000.00 ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 134.55 BUILDING ADDRESS 1266 MARJORY STREET OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 384.55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 35.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REMOD . B EIRM- ADD BATH _ NFW HVAC Gas piping system t - 5 outlets 15.00 15-00 Building sewer 15.00 15100 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0" I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [a' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comp) ', h those provisions. X Date 1 Si ature of Appli ❑-' wt7 neP l7 Contractor ❑ Agent An OSHA permit is required for excavati ns over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. SO OR ADDNS. ( ,%N ACC. BLDS. 3.5¢FT. =R ID MULTI -OUTLET @7,50 ITS OWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 @ I:00 Ex. Occup. Dura Aa101 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $43.00reason MECHANICAL PERMIT Filing Fee 20.00 Heating 1 15.00 Cooling 20.00 Hood 6.50 Ventilation Ear DUCTS 2 5.0 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $46.00 Occ CONST. TYPE TOTAL FEE $ 658.55 HAZ. IMP I FLOOD CDF I PAar.Fi I p0 I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By An��a;wDatp PERMIT EXPIRES ONITE-D.D.S.-B. 9D applicable provisions to been paid. e do work rReceiptNo. D. CANARY -ABBE SOR PINK -INSPECTOR GOLDENROD -APPLICANT 8-'- iy- _...:y.. »``�"^. 9'r`•r'11,. ,. ,r•`+ r J' -:i. 'rt=. +'4`kr�TT'.i+'i 7'�' cr+ A�` �., 7 k;�.,..;:.r;,,.v;iri�:;L'y�.S,:.�;,.T 't`,f ..,�•:: COUNTY 0F,1 BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 959615 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATIONDATA SHEET QWNERi `�ELGA��t-�'��o�NA ASSESSqRPAR'ELNUMBER j r A rte'`- Proposed Building Use: �C-°''(O D E'L._.. Co fer- Technician: Date: I s required in order to apply for a permit. All boxes MUST be checked 6R marked NA in order to apply. 1. Site plans, 3 or 4 sets,''signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets: with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ l 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for.Non-heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes:,(A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. Ij ❑ 9. Metal bldgs: (A) Metal,, �Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory"Building Form filled out by the owner ❑ 14. 'Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers........!................................................................................... ❑ 18. Agricultural Buffer clr' and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23 California no nrtment of Forestr Ian a royal ❑ aid Sent b " ❑ 24. P Y PP P y. Planning approval (A) User ( (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. ...................................... ... NPDES Form......... l ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for 11 required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 4 30. 311. Compensation Carrier and Policy Number .......................................... Owner -Builder Verification (✓6iven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction.... 11 ...... ............... ....... ....... ................ :............................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: j ❑ 39. Other: jl When issued Telephone 53 Wit- • 8 80 - 34-2 • 5675 and hold for pickup. I have been inf med of the above items and requirements for obtaining a building permit. Applicant: B''" �! Date: 1. Index permit application for the above items`fiumbered: Plan Check Letter 2. Additional items required +) Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: l Date: Plans approved by: Date Structural reviewed by: l Date: Structural approved by: Date: Note transfer by: !i Date: ! Yellow: Building Division i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive A• Orovilllle, California 95965 • Telephone (530) 538-7541 37 WE— ESERMIT NO. te. 6) APPLICATION AND PERMIT ZONING BUILDING PERMIT R PARCEL NUMBER A _ � TELEPHONESO. FT. OCC. BUILDING VALUATION MAILING ADDRESSTELEPHONE roas NOME 534 ,8804 OW►..tE2 - NTRACTOR•S MAILING ADDRESS FENDERS MAILING ADDRESS ARCHITECT OR ENGINEER UI ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS I .Z- &0 l , A-p—J Qizv IDT NO. I SUBDIJISIDNS NAME / USEOFSTRUCTURE SF l( Duplex ❑ Mobilehome ❑ Other sem" TYPE OF WORK New [3Addition 13-/ Remodel D" Udr&.s ❑ lnsfellation ❑ Other ❑ Describe Work:-26±100EL- /e sey 4,oc> SA'"r-;4 1Jew WVAC,• CI . D-rr� : Y 0 7 Gi O C .PERMIT FEE PAID SRA SHERIFF OTHER $ AMOUNT RECEIVED $ DATE RECEIVED DCrCIDT ±E 3'1+12s Fireplace SAL — .so Ex. Occup. Imtna 1EssD)APPLNS Total Valuation Is 20 ocr-) Filing Fee $ 20.00 Permit Fee $ 2'4:' Plan Checkin Fee $ 134. 55 Energy Plan Checking Fee $ 23 $ PERMIT FEE s 384.55 PLUMBING PERMIT Fling Feel 20.00 Each Trap 5 7.00 35- Solar or heat pump water heater 23.00 Water piping 15.00 I S r Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 Mobile Home I S G I W @20.00 PERMIT FEE S 100 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".0.v OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCxUP. OR ADDNS. A ACC. OLDS. 3.5QFT: Ex. OCCU . OUTLET OR FKTURES SAL — .so Ex. Occup. Imtna 1EssD)APPLNS 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Wisc. Wiring 23.00 :23.- 1 PERMIT FEE $ 4-3. ein MECHANICAL PERMIT Fling Fee 20.00 Heating 115 Cooling2D Hood 6.50 Ventilation EX -r. pLJ. CTS 2- PERMIT FEI= Moblle Home Installation Fee $ Energy Inspe4on Fee $ r ^c T TYPE TO AL FEE $ BA cDE CEL NO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON O.B. -1 OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1�! personally plan to provide the jor labor and materials for construction of the proposed property imp vement : YES NO El2�. I HAVE HAVE NOT ❑ signed an application for a buildingpermit p for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: V, DATE:_ ) 9 I !S"/0 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification mast be completed and returned to our offu:e before we are permitted to issue the permit. OVER O.B.-1 I OWNER BUILDER INFORMATION -� Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner-Builderinformadon is required by Section 19830 of the California Health and Safety Code. OVER u Ca-qjl�-?& W emovrN� 7a w __ --- _ __ . _ . ,,.._...:,...... j2ElN -F•O- r ,..,,, ul_c9-L.? � G_c2% �i�.,.5<A?J �� � �A..�7.J�_.._4' en�.�,�j�C.l1 l..C�E +�.. _cW.1 �2�-�>/.,,t/- - - - �.--�- b_�th�oo - -i m 9-57`e r _ bAd,r,ao _W & ,�- w l<L i � 0 ? �f2 .._ � .��..�a... cow --DEC—f-5 1003 SERVZCNT 4 S y r � i a s 1 a � � 3 - r i TITLE 24 REPORT Title 24 Report for: Donna Delgadillo 1266 Marjory Street Thermolito, CA Project Designer: Report Prepared By: Max Ramirez Golden Sun Designs 1033 Park Avenue Chico, CA 95928 (530) 894-8236 Job Number: 121103-A BUTTE COUNTY BUILDING DIVISION Date: APPROVED 12/11/2003 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft - Job Number. 121103-A User Number: 5733 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Checklist 5 Form C -2R Computer Method Summary 7 EnergyPro 3.1 By EnergySoft Job Number. 121103-A User Number. 5733 Certificate of Comaliance: Residential (Part 1 of 2) CF -1 R Donna Delgadillo 12/11/2003 Project Title Date 1266 Marjory Street Thermolito Project Address Building Permit # Golden Sun Designs (530) 894-8236 Plan Check / Date Documentation Author Telephone Computer Performance 11 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 221 ft2 Average Ceiling Height: 8.0 ft Total Conditioned Slab Area: 221 ft2 Building Type: (check one or more) ❑ Single Family Detached ® Addition © Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front orientation: All Four Orientations Number of Dwelling Units: 0.12 Number -of Stories: 1 Component Floor Construction Type: ® Slab Floor ❑ Raised Floor Const. Frame Assembly Location/Comments Type U -Value (attic, garage, typical, el Slab On Grade n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation R-15 Wall (W.152416) Wood 0.081 bderior Wall R30 Roof(R.30.2x424) Wood 0.031 Exterior Roof FENESTRATION Shadino Devices Type Orientation Area Fenestration Exterior Overhang Side Fins S U -Factor S GC Shading Yes / No Yes / No Front 23.3 0.34 0.34 Bug Screen ❑ x❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1:1 1:1 El 1:1 ❑❑ EJ El F1 El F-1 El ❑ ❑ ❑ ❑ El F1 El El s EJ El EJ 1:1 Run Initiation Time: 12/11/03 16:33:33 Run Code: 1071185613 EnergyPro 3.1 By ErtergySoft User Number. 5733 Job Number 121103-A Pa e:3 of 9 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Donna Delgadillo 12/11/2003 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location/ pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, evap. cooling) (SEER) (attic, etc.) Duct Thermostat Location/ R -Value Tvpe Comments WATER HEATING SYSTEMS Rated 1 Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS t„VlyirIL ANUr-, I A I tMt_N I This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: ,DoNN/g&nName: Max Ramirez Title/Firm: Title/Firm: Golden Sun Designs Address: 12fp G rnfi �TrA K Address: 1033 Park Avenue hUUll �; (rR-QSr1lo 5 Chico, CA 95928 Telephone: k,3 o) 53 - 8 oy Telephone: (530) &94..&236 Lic. #:nO (sign& ure (date) (si na e) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: IEnergyPro 3.1 By EnergySoft User Number: 5733 Job Number 121103-A PageA of 9 1 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures ❑X 4150(a): Minimum R-19 ceiling insulation. ® §150(b): Loose rill insulation manufacturers labeled R -Value. A50(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). FV__1'§150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. ❑§ 150Q): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specked or installed meets insulation quality standards. Indicate type and form. ® §116-17: Fenestration Products, Exterior Doors and In iltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certfcation. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. a§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ' § 150(Q: Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. §150(.): Setback thermostat on all applicable heating and/or cooling systems. §150Q): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be extemalty wrapped with insulation having an installed themral resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySofl User Number: 5733 Job Number: 121103-A Page -.5 of 9 'Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter WA if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) a4150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, ' 603, 604 and Standard "; ducts insulated to a minimum installed level of R4.2 or enclosed entirety in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181 A, or UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. dravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between fitter and heater for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. ❑6115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Nonelectrical cooking appliance with pilot < 150 Btu/hr) ❑6118 (f): Cool Roof material meet specified criteria Lighting Measures ❑ §150(k)l : Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 IumensNwatt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. ® §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumenslwatt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergyScft User Number: 5733 Job Number: 121103-A Page:6 OJ—9-71 Computer -Method Summary (Part 1 of 3) C -2R Donna Delgadillo 12/11/2003 Project Title Date 1266 Marjory Street Thermolito Project Address Building Permit # Golden Sun Designs (530) 894-8236 Plan Check/Date Documentation Author Telephone Computer Performance 11 Field Check/Date Compliance Method (Package or Computer) Cimate Zone Source Energy Standard Use (kBtu/sf-yr) Design Space Heating 7.99 Facing North Margin Facing East Margin Roof_ 991 n-n�1 d _nFI Facing South Margin ❑❑ Facing West Margin 6.98 1.01 5.81 2.17 3.81 4.17 5.49 2.50 Space Cooling 8.05 3.97 4.08 ❑ 7.53 0.52 8.13 -0.08 10.49 -2.44 Domestic Hot Water 0.00 1 0.00 0.00 0.00 0.00 0.00 0.001 0.00 0.00 1 10.95 5.091 13.34 2.69 1 11.95 4.091 15.98 0.06 Totals 16.04 ❑❑ ❑❑ This C-211 describes the front facing North occurrence of a four cardinal orientation analysis. Features are identical in all orientations. Total Conditioned Floor Area: 221 ft 2 Building Type: Single Fam Attached Floor Construction Type: ❑ Raised Floor ❑X Slab Floor Building Front Orientation: All Four Orientations Total Fenestration Area: 10.5% Number of Dwelling Units: 0.12 Total Conditioned Volume: 1,768 ft 3 Number of Stories: 1 Total Conditioned Slab Area: 221 ft 2 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area OPAQUE SURFACESSolar Act Gains Type Area U -Val. Azm. - Tilt Y / N Form 3 Reference Location / Comments Wall 69 0-081 a _90 - - ------------ R-15 Wall (M 15 N4 1 F) 1 st Flnnr Roof_ 991 n-n�1 d _nFI ❑❑ R_-. 40Roog- Ist Floor ❑ ❑❑ ❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ ❑❑ Run Initiation Ti • 12111103 15.33:33 Run Code 07 185613 3.1 By EnergySoft User Number: 5733 121103-A Page:7 of 9 Computer Method Summary (Part 2 of 3) C-2R Donna Delgadillo 12/11/2003 Project Title Date 1FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments -1— Window Front (North) 233 0 340 0_34 O M Double NonMtl I ow F 1st Floor INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA. REA. Dist. Len. Hgt Dist Len Hgt 1 Bug Screen 0.76 } EnergyPro 3.1 By EnergySoft User Number: 5733 Job Number: 121103-A Paae:8 of 9 Comauter Method Summary (Part 3 of 3) C -2R Donna Delgadillo 12/11/2003 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location/ pump, etc.) (AFUE/HSPFXducts/attic, etc.) R -Value Type Comments For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Run Initiation Time: 12/11/03 15:33:33 Run Code: 1071186613 EnergyPro 3.1 By EnergySoft User Number: 5733 Job Number. 121103-A Page:9 of 9 Insul. Pipe Hydronic Piping pipe System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency LocationDuct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Energy Fact! Tank Insul. Rated' Tank WATER HEATING SYSTEMS Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) _(gal) Efficiency Loss (%) Ext. For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Run Initiation Time: 12/11/03 15:33:33 Run Code: 1071186613 EnergyPro 3.1 By EnergySoft User Number: 5733 Job Number. 121103-A Page:9 of 9 - i. t r7 I PERMIT NO. 490-76P i P E { M MH UTIL. PERMIT NO. 1 r PERMIT EXPIRES 2/2Z77 OWNER JOHN M I LNER I CONTR. OWNER LOCATION (A.P. 30--36-58 ) 1276 MARJORY ST., OROVILLE I Temp. Power Pole Called PG&E Temp. Elec: Serv. Calle PG&E Temp. as Serv. C lied PG&E J B INALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS_ THERMALITO IRRIGATION DISTRICT I 410 GRAND AVENUE 122 OROVILLE. CALIFORNIA 95965 TELEPHONE 533.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: I Z%6 NSA JK 1�)Z�-) '.ST" Owner's Name: W) I I -M Z=l%? Date: Address: M Ae n eQ :ST Acct. No: A.P. No.: 30"'?J�,.. S Phone:�J.3'-T'-' C7194'rz-./ No. Units: Applicant/Agent: %A Agents Proof: 1�SIA Address: Phone: Fees: r / Application $ Arrearage Preliminary Review By' Date: 1 ''r 7/ CSA 26 Remarks: SC -0 R j / 1st mo. S.C. N Other Total Fees Collected By: Da . Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE- TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 v/� ��� Telephone: 534-4541 APPLICATION AND PERMIT 1VF1VQV11Lar VeS 01 ule tciunty oI butte to enter upon the above-mentioned property for inspection purposes. X*Receiptz�578 Date ofPermi ee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated\ above for which fees have been paid. I 'CTOR 0 PUBLIC WORKS B Date permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing )6/dress Telepho� o. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. U �o ^S�� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe . Sanl on Fire Dept. Fire Zone Use Permit Building sewer 5.00 S--001 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 B Parcel Approva` Plans Approval Permit Fee $ — $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 tm Ae/-2Main V OR LES service 1000 AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELLING OR ADDNST I. ACC. BLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2,50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex, Occup(OUTLETS OR FIXTURES)50 @2' 109 FIXED APLNS. Ex. Occup. (OUTLETS P(RESID )REA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 '® I'am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner soas to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 1VF1VQV11Lar VeS 01 ule tciunty oI butte to enter upon the above-mentioned property for inspection purposes. X*Receiptz�578 Date ofPermi ee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated\ above for which fees have been paid. I 'CTOR 0 PUBLIC WORKS B Date permit expires Date . . . . . . . .. . . CIL Cl Will -(W - w r 91 ' 4 POO +.! � co- 111 a. fQA ;.. 3 �. ^_ AL1 ,., 9 , CSI �-- . d ® ` .. { Z �® SW - o P�j =7r -- -- -- -- -- __ ---_ -e2 q ' --- - =- -- . . . . . . . . . . . S . . . ; thv y� LA -1 04� _v G /Soli L -57 X . �. ........... ... .... b I�"� �� V DOLGA Du I�� .moo . COAJtJA . a6 6 . MAPS .03o -360. 037. -on es C <RAO .� LN CC) r • O, . vJ 6 6 --,c- --Clo o _ 2 FA BUT $ UNi'1(_ o. R PA � DIVISION BUILDING APPROVES C M:AS-t-r: a- �eD R�Ac111j - X P Ste. 3ld.q� G.B.C, BED RM ri�c _ P(y'ga -1 ti , 3'Q v _. _ -p-