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HomeMy WebLinkAbout031-244-009r.y 09 31-244-09 92-1193 BPEM ROPEZA, Manuel D31 2.4 0 0�� 1 - - _ _------- - -- 555 Yol�o Ave, Oroville 2' new sf X031-244-009 00-15 AG _ �'' GILLEY, -DAVID M. ' 555 POLO AVE., OROVILLE 031-24-4-009 93-1076+ B, P, E- AGRICULTURAL EXEMPT PERMIT GILLEY, DAVID 555. YOLO AVE, OROVILLE STORAGE OF -FEED, HAY & EQUIP CONTR: PERFECTIONPOOLS FIBERGLASS POOL q 031-244-009 01-014' GILLEY, DAVE 555 YOLO., OROVILLE 3/Q CONTR: DAN D. ELECTRIC ELECTRIC SERVICE PANEL UP GRADE 031-244-009 1 hA (J 01-0848 h GILLEY, DAVE 555 YOLO AVE., OROVILLE CONTR: OWNER T' CONY AGG BLDG TO GARAGE ' B08-2138 031-244-009' MISCELLANEOUS Re -Roof REROOF COMP 30 SQ.'S ?'>f 555 YOLO AVE GILLEY DAVID M, i 0 �������C-���= -� 7 Y " 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 i Site Address: 555 YOLO AVE Owner: Permit NO: B08-2138 APN: 031-244-009 ' GILLEY DAVID M, Issued Date: 10/20/2008 By TMP Permit type: MISCELLANEOUS 555 YOLO AVE t Subtype: Re -Roof OROVILLE, CA. 95965. ' . Expiration Date: 10/20/2009 Description: REROOF COMP 30 SQ.rS. (530) 534-0270' Occupancy: Zoning: Contractor Applicant:. Square Footage: GILLEY DAVID. M; _ Building Garage Remdl/Addn y 555 YOLO AVE , OROVILLE, CA 95965 Other Porch/Patio Total (530)534-0270 .FEE INFORMATION t DBMSC Re -Roofing', $176.00 Total Charged: $176.00' Fees Paid: $176.00 Balance Due: $0.00 Receipt No:. B8896 n+ u LICENSED CONTRACTOR'S DECLARATION, ..._. - _. *OWNER / BUIL-DER DECLARAT_IO_N _ Contractor (Name) State Contractors License No. /Class /Expires' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Seca 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 force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil not more than five hundred dollars 10/20/2008 penalty of [$500j; Plea check one of the following: / Contractor s Signature Date + — , 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 _ _ I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: s HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILUMAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, 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. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section need not a completed if the permit is or one hundred dollars ($100) or less.) + Z ❑ I AME EMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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 , 10/20/20081,1 compensation provisions of Section 3700 of the, Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/20/2008 I hereby certify that l have read this application and Ate that the above information is correct. l agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 'Signature Date WARNING: FAILURE 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 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS'PROVIDED FOR INSECTION 3706 OF THE LABOR CODE,'INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to'enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 4 `'F CONSTRUCTION LENDING AGENCY _ _ . _ .. .. .. 10/20/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name ofermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) r Owner Contractor OR. Agent for Owner Agent for Contractor 3 FILE COPY { Lender's Address .-City. State a Zip a ; w Ir BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 1�001J o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds wtA PLEASE PRINT CLEARLY 11 su ortin material becomes subject to the California Public Records Act. All PERMIT NO. 13g Z GI When filed, this app ica on an a pp g related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name First Mailing Address Jf Q City N State Zip 5� ` Phone ' i Fax E-mail APPLICANT.INFORMATION CONTRACTOR Name Type Const. Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT.INFORMATION ARCHITECTIENGINEER Name Type Const. Address City State Zip Phone Fax E-mail State License Number APPLICANT.INFORMATION Zoning Flood Zone J SRA I Yes INo Name ' Type Const. Address567 0 City Statt,- A �✓ Zi Phone �(�[� Fax E-mail HIM WAIVA WA IF MANOw" BIN # PROJECT LOCATION AN p Property Address �°3 - O (� City O ✓ WORKER'S COMPENSATION . I Policy Number Carrier if hiring anyone other than license contractors, a certificate of worker's I compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTIO OR SCOPE OF54VOW ev o© r Sq FT- Living Gara Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone J SRA I Yes INo Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORMAS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLYAN O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YES OR NO) t 2. ' I (HAVEMAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3 1 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: REROOF COMP 30 SQ.'S Reference Number: B08-2138 Applicant Name: GILLEY DAVID M, Owner's Name: GILLEY D VID M, , AP # : 031-244-009 Signature of Property Owner: Date: _ �� Q. NOTES :c. r RESIDENTIAL 031-244-009 01-0848 GILLEY, DAVE 555 YOLO AVE.; OROVILLE CONTR: OWNER I CONY AGG BLDG TO GARAGE t SPECIAL CONDITIONS CHECKED I BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. . SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER / l I X50' ? JOB FINALED (Date) Signature - f - V_� OK 0 = Not OKE = Not Applicable = Not Ready t ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #`s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ . /Amp -Concrete 5. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect 7. 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date Light Niche Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line y Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HO Approval. 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6 MISCELLANEOUS ;Date DECKS, COVE ; CARPORTf GARA CIESIPlans) OK except #'s ing Requirements -Setbacks -Easements . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. r Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Con nectors Shthg.-Frg-Bracing , 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Pdctric 9. 10. 11. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -Landings 12. Braced Wall Panels 5. Elec.; Pool Lighting; 15 Volts-GFI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability_' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI ti 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 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date ; Card B-1 y Date Card B-1 Date Card B-1 ./= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral U Yes U No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower -Spa Light 34. -Light Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Cei(ings-Stairs-Chasers-Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 82. Following Instld./Drive J Yes J No/Walks ] Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �!'h'^�1„+1w.Vs+++ic.,,.: yv'ti'.w-�..:�•-1M-r,:/„r'Aa�''="P�-S`,p17�'.+fi...� f �,,,,........-.-....�- -------"sa.-,.r... j _ -r -�•. .. ....y.�+.,r. ,,-,F..- r...rv..... ..... _. , OUNTY OF. BUTTE - DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION k 7 County Ceriter Drive • Oroville, California 95965 • Telephone (530) 538-7541 i PERMIT NO. D/ - O ' APPLICATION AND PERMIT„ „ , , , 9 I�ie� 1'2%/915) 1 - ASSESSOR PARCEL NUMBER-,yi+Ay,, 031-244-0M ZONING AR - BUILDINGPERMIT OWNER GITTEY DAVE TELEPHONE - SQ. FT. OCC. BUILDING VALUATION 43 200.00 . OWNERS MAILING ADDRESS' 555 YOTA AVE. O• LE CA 9 CONTRACTORS NAME t/YyL�fd.\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total valuation $ 43,2W.00 ARCHITECT OR ENGINEER I 5 LICENSE NO. Filln Fee $ 20.00 Permit Feb $ 375.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ n¢ BUILDING ADDRESS [7 ' 0 T T F.C, Energy Plan Checking Fee - $ VCA PERMIT FEE $ 639*55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 141.00 Solar or heat pump water heater 23.00 Water piping 15.00 T r, Each aas water heater or vent 15.00 TYPE OF WORK New p; Addition`'❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ p Describe Work: AG 8iJI1DING TO GARAGE Gas piping system t - 5 outlets -K 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 94.00 t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20OA OR LESS 23.00 r LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter •9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ..❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for,,by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. ` - My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � , 1 , ❑ 1 certify that in the performance of the work for which this,permit'is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I ihould become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply witK those provisions. t.. -f ,� r �� " X' �' - /' ! -� Date _ i / _ Signature of Applicant - ❑ Owner 'O'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 20GA TO 1000A46.00 NEW CONST. DWEwNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50,. 84.00 Np 1191pT MULTI-OUTLE TS @7,50 POWER APPARATUS &SINGLE OUTLET CIR. Ex. Occu OUTLET ORFO(TURES 20°'.00 BAL @ .SO Ex. Occup.OFun LIEDs as , 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1t.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc If CONS,. Yf� TYPE TOTAL FEE $ 837.55 HAZ . IMAP FLYD CDF " rC0. f0 j� HAD 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 )'�P Date /• J / PERMIT EXPIRES ON W ale Receipt No.1574/837.5 WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - IVolla aac', orz)014e .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERo. (Rev. 12/96) APPLICATION AND PERMIT_Q1 " oK � MIT ASSESSOR PARCEL NUMBER 031-244-009 ZONING AR - BUILDING PERMIT OWNER GI= DAVE534-0270 TELEPHONE SO. FT. OCC. BUILDING VALUATION U 43,200.00 . OWNER'S MAKING ADDRESS 555 YOLO AVE. OROVILLE, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 43 200.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 555 Y010 ANTE- OROVILLE, CA- 95965 Energy Plan Checking Fee $ $ PERMIT FEE S63 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AG BUILDING TO GARAGE Gas piping system 1 - 5 outlets 15.00 on Building sewer 15.00 00 Mobile Home IS I GI W Ca20.00 ' PERMIT FEE t 94.00 ELECTRICAL PERMIT Fling Fee 20.00 800OR UE Main Service WDA VOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service WDA TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 84.00 3.5,so =R9IDMULTI.OUCUI TS @7.50 POWER APPARATUS & SINGLE OUTLET CIA. Ex. Occu OUTLET OR FIXTURES ZD 0'00 .SO BAL QED Ex. Occup.Dors R�D.DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 104.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the pr, ars' compensate n Tovisions of section 3700 of the Labor Code, I shall OrthWith comply wi s rovi ions. X ( Date r ^ Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ U CONST. TYPE VN TOTAL FEE $ 837.55 HAZ. D. FEES IMP ,�+- A FLOOD C F pApCEL X X 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 6ate -316 PERMIT EXPIRES ON Date Receipt No. 31574/837.55 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive e Oroville, California 9,5965 • Telephone (530) 538-7541 PERMIT NO. APPLICATInN eNn DCORAIT 0E-109 9 C - Ole VQ CONTRACTORS MAILING ADDRESS OCONSTRUCTION Filing Fee $ LENDER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADORES Permit Fee S (� LENDERS MNUNG ADDRESS Main Service xuV 00R. =S ARCHITECT OR ENGINEER *�TEE BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION 2000, 1 o Total Valuation Is *PERMIT FEE PAIb SRA SHERIFF OTHER AMOVNT RECEIVEC *RECEIPT NVMSER * TO BE PVT INTO COMPVTER PERMIT FEE ! Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADORES Permit Fee S (� Plan Checkin Fee S L• Energy Plan Checking Fee E Main Service xuV 00R. =S S PERMIT FEE $ LOT NO. SUBDNDix)NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 1 W—CO Solar or heat pump water heater 23.00 Water piping 15.00 6.03 TYPE OF WORK New Cf Addition ❑ Remodel ❑ Utilities ❑ Installation (3 Other ❑ Dese0be Work: 62 -- o �Ca cdr Each as water heater or vent 15.00 CV Gas piping system 1- 5 outlets 15.00 o Building sewer 15.00 G Mobile Home S I G I W §20.00 POWER APPARATUS 8 SWOLE OUTLET CIR. *PERMIT FEE PAIb SRA SHERIFF OTHER AMOVNT RECEIVEC *RECEIPT NVMSER * TO BE PVT INTO COMPVTER PERMIT FEE 1 $ 4)7.11701 MECHANICAL PERMIT I Fling Feel 20.00 6.50 PERMIT FE $ Mobile Home Installation Fee S Energy Inspection Fee S 1 D CONS T AL FEE A. HA2. D. FEES IM FLOOD COFp C HD ESUE 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 PERMIT FEE ! ELECTRICAL PERMIT Fling Feel 20.00 Main Service xuV 00R. =S 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. ( OR ADONS. ONaEL11NGSUP. 3.52Fr. �. N O MULTI.OUTLET NON•RESID. §7.50 POWER APPARATUS 8 SWOLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 ® 1.00 BAL .30 ! i Ex. OCCU FUCED APPINS. OR OUTI£TS .ESLD. EA 5.00 I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE 1 $ 4)7.11701 MECHANICAL PERMIT I Fling Feel 20.00 6.50 PERMIT FE $ Mobile Home Installation Fee S Energy Inspection Fee S 1 D CONS T AL FEE A. HA2. D. FEES IM FLOOD COFp C HD ESUE 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: L I-+—* ASSESSORPARCELL 03 / — Q Proposed Building Use: uilding Inspector: Date: G At time of permit application, I Vias advised t e following data must be submitted prior to pe it p essing and/or issuance: ❑ All items have been submitted. Plot plans, 3/4 sets, signed by the preparer of plans. ,g 1 Complete plans, 3/4 sets, signed by the preparer of plans. / �►/ 'ec d �i 101-41 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 119. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. M�- Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). 020. Pre -inspection for required. ❑21. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124. Letter of signature authorization. ❑ copy al Acknowledgment ent. 6. Letter of intent on bui � anufactured ce. \ ❑28. Existing violations and/or expired permits. ❑29. ❑433 A, ❑Gr Deed, ❑ M.H. Title, ❑ Check to H. .4� VIA 30. Other: S (( 4. When you issue the permit, process as follows ❑ Mail too er, ❑Mail to r actor. Telephone 6 'hold for pickup at office. 11 Deliver with inspector. SMS-r�12� �. IRApplicant: Date: EXPATION OF APPLICATION Applications for t has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant CI 0, ilz1 3 /24 0 1 k6, ny 04,e +ra�vs Fe! /io Ja! 23 f%. 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 _. r . unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received: - 1. I personally plan to provide the major abor and materials for. construction :of .the proposed pr perty improvement : YES' ] NO[ ]. . 2. I HAVE ] HAVE NOT[ ] signed an application for a budding permit for the proposed work. . 3. I have contracted with the following person (firm) to 'provide.. .the proposed construction: NAME: ADDRESS: CITY' PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have. hired the following person` to coordinate, su rvise, and pr vide major work NAME: f ADDRESS: . G- 0 CITY: 4 6, PHONE: �Z 1 CONTE ACTO 'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: NAME ADDRESS PHONE TYPE 'OF WORK ' NOTE: This owner -Builder Verification is required by Section 19831 anU .. ' 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your. benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including. materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations; `and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division'of Industrial Accidents. 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�"ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to 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. ly, Mic el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California. Health and Safety Code. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE- _DETACHED ACCESSORY BUILDING PN: fi. ONE: BUILDING PMT. # OWNER: �/ G r l% PHONE: �/— 0:2 MAIL ADDRESS: SITE ADDRESS: 15 � � b PROPOSED USE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM: (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: " 1. Is there a primary dwelling on the property? 4 Yes: No: ' 2. Is the structure already built, under construction, or under notice of code violation? Yes: No:, • 3. Will items produced in this building be offered for sale? Yes: No: ` 4. . Will the public have access to this building?.' . Yes: No: -_ 5.. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes:` No:= 7. Will this building be occupied at anytime as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: ' 9. Will this building be occupied at any time as a living area? , , Yes: No: SITE CONDITIONS: +Is 10. the structure foundation within 5' of septic tank or leach lines?. Yes: No: 11 Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 1.2. Do you plan to add a driveway or modify existing access to a county maintained road? Yes`. - No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: - 14. Will this building have insulated floor, walls, or ceiling?` w Yes:" No: 15. Will this building be heated or cooled?, Yes: No: 16. Will this building have a water closet/toilet? Yes: No: 1T. Will this building have a sink? Yes: No: 18. 19. Will this building have a water heater? What Q Yes: No: type of floor covering will the building. have? _ 20. What type of wall covering will the building have? A-1 0,/7 ADD AL INFORMATION: / l 0 vSQ 1' '0 o tLi E' q �7 d,p L7 wg�4 ZZ -7 7-4 I "a permits `7 u der penalty of perjury tho above infromalion is true and correct. I understand that any changes to the use, or character of use, of this building will req ' e t m the permitti uthori I u erstand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNS S SIGNATURE DATE OWNER'S SIGNATURE . DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: Uti A"M.WUZ -- 07/17/1998 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538=7541 RE: A. P. # With reference to the above subject: Attached is: Application for permit Building Plans . Engineered Calculations owner -Builder Verification Fm DATE: AUGUST 23, 2001 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes, Enforced We need the following information prior to permit processing. and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M:A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or.engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit., Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. X Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: PLEASE PROVIDE A DETAILED LETTER OF. INTENT AS THERE IS A COMPLAINT ON THIS Should you have any questions concerning the above, please contact Linda Simpson of this office. very t , Mit el U.J vieira, C.B.O. MCV:ahb Man ger, uilding Inspection COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENTF O USE- D,ETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # ` •OWNER: PHONE:'�-• MAIL ADDRESS: �� Y O C7 . '�rl 'C l� t`/ l 111,19 SITE ADDRESS: PROPOSED USE: �D A : ) PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a rima dwelling on the roe primary 9 property? rtY• Yes:. No: 2. - Is the structure already built, under construction, or X under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied.at any time as an eating area?" Yes: No: J( - 8. - Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is, the structure foundation within 5' of. septic tank or leach lines? r Yes: No: .11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Doyou plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have ins ulated'floor,'walls, or ceiling? Yes: No:. 15. Will this building be heated or cooled? Yes: 11C No:' 16. Will this building have a water closet/toilet? Yes: No: 17.' Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: ' No: 19. What type of floor covering will the building have? 1, 20. What type of wall covering will the building have? L� ADDITIONAL INFORMATION: II I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: 07/17/1998 Water closet clearances (Uniform Plumbing Code 408:5).; /16 .Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). -+q" Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). UCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, `'- registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerestory requiring balloon framing and/or engineering. 4 ' Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C). Floor construction details complete enough to construct building. . .6' Elevations and wall construction details complete enough to construct building. 70'r. Roof construction details complete enough to construct building. I-Fireplace construction details and calculations if necessary. arage door header size(s).orch header size(s). ypical header size(s).tud heights. High expansive soil - special foundation design required. Retaining walls requiring design ; 15—Gypsurn wallboard nailing inspection required. . If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no. more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. i Building must be designed and anchored to prevent floatation, collapse or lateral movement.. Construction sign requirements must be shown on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be i designed and/or located so as to prevent water from entering or accumulating with the components during r' conditions of flooding. MISCELLANEOUS ITEMS: E tairway details - landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). uardrails (Uniform Building Code section 509). rick or stone veneer (Uniform Building Code section 1403). xterior plaster - weep screeds (Uniform Building Code section 2506.5). oof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Foam insulation - protection. _--3'-,736" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2.306.3 & 2306.7). ttic access and ventilation (Uniform, Building Code section 1505). . Sound requirements. nergy design•compliarice and supporting documentation. CDF responsible area requirements. , BWMDING PERMIT REQUIREMENTS: I. ❑ SRA. 2. ❑ Flood elevation certificate. '3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub-Standard Housing letter. Page 2 of 2 RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner: Building Permit Number: C/ —0-dPAP Plans Examiner:�S �� A. P. Number: GENERAL: Zoning requirements – (number of permitted living units). X17- Plans signed by the designer. Proper description of work on the application. Existing violations on the property. –5- ecorded notice of violation. 4 -Building permit valuation. PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage. 5 Flood hazard. 6 Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLAN: ' Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). M Wood stove location - Alcove – UMC section 205 confined space & 223 unconfined space & 304.2). . Smoke detectors (Uniform Building Code section -310.9.1). Pagel of 2 z Z MICHAEL MOONEY CIVIL ENGINEER ` RCE 20647 Job Number 101-08 -151 Page I Job Name Dave Gilley Date 8/08/01 Analysis UBC 1997 Dead Loads Live loads Roof Comp roof . 6.0 :. 1/2" plywood 1.5 Trusses 4 Insulation 1 1/2" /2" Gyp 2.5 15 psf.. 16 psf. Wall Plywood 1.5 Framing 1.5 1/2 gyp 2.5 Insulation 1.0 8.psf. Floor , Slab . 50.0 f 40.0 Wind Loads P = Ce Cq q I where . Exposure B Ce = 0.-62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof . q = 14.5 psf @ 75 mph 0.67 @ 20 feet . 0.7 out leeward roof I = I 0.72- @ 25 feet .0.8 in windward wall 0.76 @ 30 feet 0.5.out leeward wall Seismic V=2.5CaIW/1.4R Ca=0.36, I'= 1,R=5.5/4.5 Soil Bearing 1500 pounds per square foot , Friction '= 0.35 t _ Lateral bearing = 250 psf/ft. �F /vii Or P OV tell 7/0 ! • / 4 QC 1 A) �r1lt Lctr� 1t�nti� vu ��s0 Q UA - Eo ,'A1 0 rr-- CY�\ -2 2 6&57/1- IvA2,ok� 4-- 6,71-2-2Po) ��2v UPI 2� C' �) � ,� 2,5, ol(o V,. I � 0././701 D �� pro �_'� �2 i2� �� " �- ��- � �� �- , 0)9 zq� Lnl C�1 ��z � e 4o`'m�as� To .6 Lk��L- Lom C2C�fi 2 I �t I�> Z3 ��s (a D -L, + -2,05 Lk' aq c2) X14 MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5A MADRONE AVE OROVILLE, CA 95966 530-533-2131 GENERAL TIMBER BEAM DESIGN Date: 08/09/01 Page: V4.4C1 (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 BEAM DATA SPAN DATA Timber Section End Fixity Pin:Pin Center Span = 16.25 ft Beam Width = 4.875 in Elastic Modulus = 1800000 psi Left Cantilever = 0.00 ft Beam Depth = 11.88 in Beam Density _ 35.0 pcf Right Cantilever = 0.00 ft Lamination Thickness - 0.00 in Load Duration Factor = 1.15 UNBRACED LENGTHS .Fb - Bending = 2400 psi Beam Wt. is Added to Loads Le : Center Span = 2.00 ft Fv - Shear = 165 psi End Shear Calc'd at Support Le : Left Cant. = 0.00 ft Fc - Bearing = 650 psi Le : Right Cant. = 0.00 ft ' APPLIED LOADS Uniform Load @ Center Span: OL = 330.0 plf LL = 308.0 plf SUMMARY USING 4.875 x 11.875 Beam, Bending =, 74.25%, 'Shear = 72.35°x6 Max. Pos Mom @, 8.12 ft= 21.52 k -ft Shear: Max. @ Left = 5.30 k Reactions... DL Maximum Max. Neg Mom @ 0.00 ft= 0.00 k -ft ....used for dsgn = 7.95 k Left = 2.80 k 5.30 k Max @ Left = 0.00 k -ft ....Area Req'd = 41.88 int Right = 2.80 k 5.30 k Max *@ Right = 0.00 k -ft. Max. @ Right _ 5.30 k Max. Allow Moment = 28.99 k -ft ....used for dsgn 7.95 k Deflections... fb : Max. Actual = 2254.2_psi ....Area Req'd = 41.88 in2 Center = -0.44 in -0.84 in Fb : Allowable = 3036.0 psi fv : Max.' Actual 137.28 psi ....Dist = 8.12 ft 8.125 ft Fv : Allowable _ , 189.8 psi ...L/Deft = 442 233 Ck = .811(E/Fb)'.5 = 20.71 Left = 0.00 in 0.000 in Cs = (LeD/B'2)-.5 = 5.03 Bearing Req'd @ Left = 1.67 in ...L/Dell = 0 .0 'Cv per UBC 2312.4.5 = 1.10 Bearing Req'd @ Right . _ , 1.67 in Right = 0.00 in 0.000 in ununnnnnunnnnnnnnninunnnnnnnnnnunimiinnniiiiiiinnnnnnn Illlllllillllllllll 111 111111 111111111II IIIIIIIIIJIIII111111111111I11111111111111111111111111111111 ...L/Deft = _..-_, 0 ��....� 0 ` -' 1 I V.CJ 1 4 ' V4.4C1 (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 CBl ��•� �,a�2. � 2&' cfinu ��. d L�Lu Gg- C(�L . VI 4-280 . Ab( -2-) MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5A MADRONE AVE OROVILLE, CA 95966 530-�33-2131 GENERAL TIMBER BEAM DESIGN Date: 08/09/01 Page:'`-' unnnnnnnnnnnnnunnnnnnnnnunnnrnnniiiiimm�nnnnnnnunun� ____________- 1111111111111111111111111111111111111111111111III111111IIIIIIIIIIIIIIIII11111111111111111111111111 6 ` .e _ le 017 OU LJ V4.4C1. (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 BEAM. DATA SPAN DATA Timber Section End Fixity - Pin:Pin Center Span = 16.25 ft Beam Width 3.125 in Elastic Modulus = 1800000 psi. Left Cantilever = 0.00 ft Beam Depth = 12.00 in Beam Density = 35.0 pcf Right Cantilever = 0.00 ft Lamination Thickness = 1.50 in Load Duration Factor =. 1.15 UNBRACED LENGTHS Fb - Bending 2400 psi Beam Wt. is Added to Loads Le : Center Span = 2.00 ft Fv - Shear . = 165 psi End Shear Calc'd at Support Le : Left Cant. = 0.00 ft Fc - Bearing = 650 psi _ Le : Right Cant. = 0.00 ft APPLIED LOADS Uniform Load @ Center Span: DL = 240.0 plf LL = 224.0 plf SUMMARY USING 3.125 x 12.000 Beam, Bending = 90.53%, Shear = 81.03% . Max. Pos Mom @ 8.12 ft = 15.62 k -ft Shear: Max. @ Left = 3.84 k Reactions... DL Maximum Max. Neg Mom @ 0.00 ft= 0.00 k -ft ....used for dsgn = 5.77 k Left = 2.02 k 3.84 k Max @ Left = 0.00 k -ft ....Area Req'd = 30.39 in2 Right = 2.02 k 3.84 k Max @ Right = 0.00 k -ft Max. @ Right = 3.84 k Max. Allow Moment = 17.25 k -ft ....used for dsgn = 5.77 k Deflections... fb : Max. Actual = 2498.6 psi ....Area Req'd = 30.39 in2 Center _ -0.48 in -0.92 in Fb : Allowable = 2760.0 psi fv : Max. Actual = 153.76 psi ....Dist = 8.12 ft 8.125 ft Fv : Allowable = 189.8 psi ...L/Def] = 404 213 Ck = .811(E/Fb)-.5 = 20.71 Left. = 0.00 in 0.000 in Cs = (LeD/B'2)-.5 = 7.92 Bearing Req'd @ Left = 1.89 in ...L/Deft = 0 0 Cv per UBC 2312.4.5 - = 1.00 Bearing Req'd @Right = 1.89 in Right = 0.00 in 0.000 in ...L/Def] _ 0 0 unnnnnnnnnnnnnunnnnnnnnnunnnrnnniiiiimm�nnnnnnnunun� ____________- 1111111111111111111111111111111111111111111111III111111IIIIIIIIIIIIIIIII11111111111111111111111111 6 ` .e _ le 017 OU LJ V4.4C1. (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5A MADRONE AVE OROVILLE, CA 95966 530-k33-2131 GENERAL TIMBER BEAM DESIGN Date: 08/08/01 Page: unnnnnnnnnnnuunnnnnunnnunnniiinnninnnnnlnnnnunnnnnnl 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 ' a a 4 � 1 1 1 1 1 1 i 1 1-3 72 - 1 1 I f.JJ I V4.4C1 (c) 1983-96 ENERCALC ...L/Deft = 0 0 MICHAEL MOONEY, KW -060.1576 BEAM DATA SPAN DATA Timber Section End.Fixity Pin:Pin Center Span _, 17.33 ft Beam Width = 3.500 in . Elastic Modulus = 2000000 psi Left Cantilever = 0.00 ft Beam Depth _ 11.88 in Beam Density = 35.0 pcf . Right Cantilever = 0.00 ft Lamination Thickness = 0:00 in Load Duration Factor = 1.15 UNBRACED LENGTHS Fb. - Bending = 2950 psi Beam Wt. is Added to Loads Le : Center Spar i = 2.00 ft Fv - Shear = 285 psi End Shear Calc'd.at Support Le : Left Cant. = 0.00 ft Fc - Bearing = 750 psi Le : Right Cant. = 0.00 ft APPLIED LOADS Uniform Load @ Center Span: DL = 240.0 plf : LL = 224.0 plf SUMMARY USING 3.500 x 11.875 Beam, Bending = 69.58%, Shear = 45.24% Max. Pos Mom @ 8.66 ft= 17.80 k -ft Shear: Max. @ Left - 4.11 k Reactions... DL Maximum Max. Neg Mom @ 17.33 ft= 0.00 k -ft ....used for dsgn 6.16 k Left 2.17 k 4:11 k Max @ Left = 0.00 k -ft ...Area Req'd = 18.80 in2 Right = 2.17 k 4.11 k Max @ Right = 0.00 k -ft Max. @ Right = 4.11 k Max. Allow Moment = 25.58 k -ft ....used for dsgn = . 6.16 k Deflections... fb : Max. Actual = 2596.4 psi ....Area Req'd = 18.80 in2 Center = -0.52 in -0.98 in Fb : Allowable = 3731.8 psi fv : Max. Actual = 148.26 psi ....Dist = 8.66 ft 8.665 ft Fv : Allowable = 327.8 psi ...L/Defy = 400- 211 Ck = .811(E/Fb)'.5 = 19.69 Left = 0.00 in 0.000 in Cs = (LeD/B"2)-.5 = 7.01 Bearing Req'd @ Left = 1.56 in ...L/Defl = 0 0 Cv per UBC 2312.4.5 = 1.10 Bearing Req'd @ Right = 1.56 in Right q= 0.00 in 0.000 in unnnnnnnnnnnuunnnnnunnnunnniiinnninnnnnlnnnnunnnnnnl 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 ' a a 4 � 1 1 1 1 1 1 i 1 1-3 72 - 1 1 I f.JJ I V4.4C1 (c) 1983-96 ENERCALC ...L/Deft = 0 0 MICHAEL MOONEY, KW -060.1576 3o1us_aAve —Yolo_Ave - , ` iay PLAN REVIEW RESPONSE FORM In order to e.rredite the review of your plans, please complete the following information and return this form kith your re-submitLa, this form is not complete, as to all con-ec ion items, we will not be able to accept your re -submittal for miew. 'There must by a response to every item requested in our plan correction letter. "By others" is not considered a valid response. please indic:_re y; resporse to each item and the location where the information can befound on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAM RMEW LETTER AND R MRN W TH REVISED AND 0RIGINA.LpLrVjS. O'r`lNERS NAME' DATE: l Wil. LL 8 (cam C ASSESSORS PARCEL NUMBER PERMIT NUMBER 031- (I 0fl RESPONSE FOR PLA CHECK LETTER DATED: CH PLAN CHECK ITEM # ' RESPONSE BY: �1 � uUta �`ruu -j LOCATION ON PLANS/CALCS: — S lei I • COUMENTS: • 20 c��v7 � --- t_�..5 16z1u. OC -'9. 4 PLAN CHECK ITEM # l RESPONSE BY: din u�t..csry-aswc LOCATION ON PLANS/CALCS: COPM.MENTS: PLAN CHECK ITEM !� C COMMENTS: ) Z 1 L, -s PLAN CHECK ITEM# (.' 4, / 1 C0".1:1ENTS: / PLAN CHECK ITEM # CO?r1.`�!cNTS: S RESPONSE BY: LOCATION ON PLANS/CALCS: RESPONSE BY::A LOCATION ON PLANS/CALCS: RESPONSE BY: LOCATION 79/CALCS: �J L J f•. ` T/ April 23, 2001 Dave Gilley 355 Yolo Ave. Oroville, CA 95965 %'epa-rtment of Develo >ent Services p Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 031-244-009 Building Permit Number: 0 1 -0848 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are -listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project., • PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: , NON-STRUCTURAL COMAMNTS: 1. The front of the building and the interior do not meet the bracing requirements of the UBC. Please provide a lateral analysis of the building by an architect or engineer. Have him put all requirements on the plans, 'and stamp and sign two sets. 2. Please provide a truss layout from the truss manufacturer. I do not know where the 28 -foot trusses go, or why. 3. Your garage door headers are not adequate in size to support the roof load. Please provide calculations for these headers. 4. Your plans appear to show 6x12 girders, yet your section shows a slab floor. Please clarify. 5. Plan check has not been done pending the above items. STRUCTURAL COMMENTS: None yet PART - U The items identified below.must be submitted'prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. Provide 3 sets of California licensed architect or registered engineer -designed plans. Please be sure to include on the resubmittal the designer's "wet" stamp, signature, 1 of 2 registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 2. Provide engineered truss layout in duplicate (required prior to plan review) Please do not fax! If you wish to discuss any non-structural requirements in PART'- I; you may contact the Plans Examiner at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Structural questions should be directed to the Plan Check Engineer. The attached PLAN REVIEW RESPONSE FORM must accompany corrected items. Sincerely, Plans examiner's name Plans Examiner 7 • r f w..k..,'1_�s�..�.._.,�,rn—.r.,,.,xr �;•. „�C .4" .-,.�--w:....y�...�.�,�t=,-r ��?4"S;c-u.;._`�'.-.w.�'v.�v�-.-? _^;.a,,...,��:� :� ._;-r..... -« �.,�,; ., ,.. ... r..,� ;�.,.r iw 1� _ } s jr� • ��! . _ � 5 . ` c.• . • A': COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. �%S (Rev. 12/96) APPLICATION AND PERMIT el+ ASSESSOR PARCEL NUMBER 031-244-009 ZONING BUILDING PERMIT OWNER MLLEY, CAME TELEPHONE 534-0270 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 555 YOLO.. ORWIT-12. CA 95965 CONTRACTOR'S NAME DAN D. ELECTRIC TELEPHONE 534-3844 CONTRACTORS MAILING ADDRESS 2778 ORO OUINCY MY CA 95%6 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I,rrJc5 YOLD OROVILU, (. 95965 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CLECTBIC SERVICE UP GRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 A OR LESS 23.00 7 Q nn LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section.7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class /'' Lip. No. 7 'T � r - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sow TO 46. NEW CONST. DWELLING OCCUP. SO CCU SO OR ADONS. & ADD, BUDS. 3.5¢Fr: NON-REOSINEW D.' MULTI -OUTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTTURES 2L ®I'0° SA.SO Ex. Occup. DF" IUT ED A.a.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre—insp. 23.0D PERMIT FEE $ (ji) WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation Insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number (The above sections need not be completed K the permit is for work of a valuation of one hundred dollars ($100) or less.) - � . . , � 0 1 certify that in tNe`perfor� mance 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 rforthwith comply with those provisions. ' r i�' I I / E I X C ' J Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.---"^�-,By Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL,.FEE $ 66.00 HAL D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. / �hh _ Date PERMIT EXPIRES ON I ' 1 121 o i /07/ ate 1 Receipt No. -5 1 44Y 61 PW(A! WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECjrOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ISION 7 County Center Drive Oroville, California 95965 • Telephone (5 538-7641 PERMIT NO. (Rev. 12/96) APPLICATION AN DPERMIT ASSESSOR PARCEL NUMBER 031-244-009 ZONING BUILDING PERMIT OWNER GI=, DAVE TELEPHONE 534-0270 SQ. FT. OCC. BUILDING VALUATION . OWNEWS MAIUNG ADDRESS 555 YOLD, DROVIIJE CA 99965 CONTRACTOR'S NAME DAN D. ELECTRIC TELEPHONE 534-3844 CONTRACTORS "UNG ADDRESS 2778 ORO QUINCY HWY CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 555 YOLO OROVITI.E. CA 95969PERMIT Energy Plan Checking Fee $ FEE _ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC SERVICE UP GRADE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SG W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 AOR 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 �- / n Lic. No. �n / / � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1:91"1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers'HAZ, compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall �orthwith comply with th e provisions. — 1 O ( X Date Signature of Applicant - wn Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei t�� Main Service TO 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. 3.SQF°, ( ACC. BLLSET ORw cors • M NON•RESID. @7.50 POWER APPARATUS a swG.OUTLET CIR. SAL o .so EX. OCCU OUTLET OR FIXTURES 20 ®ED ' Ex. Occu . o. AP NS °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -0'��7_4 ! s7. 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 I D. FEES I IMP I FLOOD I CDF PARCEL I Po HD ISSUE is permit is hereby Issued under of Bu a unty Code and/or indicate ab for Ihich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been pal . D to I 7, Da7e Receipt No. � ( q ''— WHITE-D.D.S.-B.D. CANARY -A SSOR PINK-INSPE TOR GOLDENROD -APPLICANT ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller CAlifornia 95965 • Telephone (530) 538-7541. PERMIT NO. o/-D� • APPLICATION AND PERMIT POW01 APPARATUAI asox" O cot A..ENoRP, /�� _ o 1 BUILDINGPERMIT —,VV— Sa. FT. OCC. BUILDING VALUATION Temporary Service 23.00 owras rar�a 'VOID Q D 20.00 iT. ww[ E - z 00— t i l— 137' J _23.00 CONGTI XTmt mak . 20.00 Fireplace umo0"" AooRas Total valuation _ AR NOTUT OR gomm ucr�+cE NO FIin Fee E 20.00 8.50 Permit Fee = ARCMKCT OR Da"MR-3 UiALM ADOREa. _ Plan .Checkin Fee .yaD.lOADOREss �-- / Energy Plan Checking Fee = Mobile Home Installation Fee $ PERMIT FEE _ �T .usavacasw�re F"Ma PLUMBING PERMIT Filing Fee 20.00 CONST' TMP` TOTAL FEES Each Trap 7.00 USEOFSTRUCTURE23.00 Solar or heat um venter heeler FSFO Duplex O Mobilehome O Other Water piping 15.00 15.00 t°m'ry Each gas water heater or vent TYPE OF WORK Gas piping systern 1 - 5 outlets 15.00 Na Addition O Rem O LNMO Installation Q'' O \ / In/7 , /D B \ // A / )T Al n Building .ewer 15.00 Mobile Home I S I G I W 1 @20.001 1 *PERMIT FEE PAID �' J SRA SHERIFF OTHER $ 3 AMOUNT RECEIVED $ * 44�q. RECEIPT NUMBER �_J * TO BE PUT INTO COMPUTER PERMIT FEE I S ELECTRICAL PERMIT utas ' Mein Service aooA oaOR v<ss Win Sarvica i eow2OOA TO 1000A Feel 20.00 23.00 7,5 AA M WW oOWT. OWEUM OCCUP. OR ADD". a ACC. eUDO. 1NEW 3.5tR. _L com T. MULTwvntr @7:50NOWMID. POW01 APPARATUAI asox" O cot Ex. Occup. OUTLET OR R(TWE7 t.Ub ML ae Ex. Occup. ovn�;s 0io.1EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 -444g.-Wiring, _ _23.00 PER IT FEE- -S= —MECHANICAL PERMIT FilinjTeo 20.00 Heating Coolie Hood 8.50 Ventilation PERMIT FEU: t Mobile Home Installation Fee $ Energy Inspection Fee $ We CONST' TMP` TOTAL FEES �- K&L 1 D. FEES -F I rLOOo CDP MRCCL I ro I No I put 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 REQUEST F IN PECTION P�� No.n- L) I Location: Co Tact Owne, �orTt: Complaint: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE- NSPECTIO Form Frame/Underfloor Rough Top Out Rough Temp. Service Corrections Final Job Status Stucco Lath Gas Piping/Test Temp. Gas Service Underground Permit Renewal Stucco Brown Fireplace' Sewer Pi in P 9 Well Circuit ­ Verify Utilities Bond Beam Water Piping i ht Niche—, 9 THER insulation Sho �P Nailing Corrections Corrections Final Corrections Filial READY FOR A M• Final INSPE,. ON P.M. Date: Time: Note: � OWNER: LOCATION: CONTRACTOR: PRE-INSPETION FOR:_ DATE TO INSPECTOR: ?"u -INSPECTION', -IMPORT -zy A.P. A.031 Zy4 PERMITHLSTORY:( ) NONE '- (''SAS FOLLOWS: BUILDING INSPECTOR'S REPORT. { r Building Description:, = Commercial/Usage: ` Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes . No Electric currently On Off ' Condition of Electiic - Natural Propane None Currently On Off Obvious Problems: 7 Sanitation: Plumbing Working ' 'Well Working Pctable. Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR, Inspector: Date Sketch buildings on reverse and indicate location on pro ert P Y ra�r� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, CAlifornia 95965 a Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT me„ _ /� 0-0 BUILDING; PERMIT M V ; *.. ,"a Z �\ SC. FT. OCC. BUILDING VALUATION P soorrta Q G '2!� y V AW.MT= OR & MUR's W1LAA LOTwa sueowei°nstwe USEOFSTRUCTURE SFO Duplex O Mobitehome O Other TYPE OF WORK I PERMIT FEE _ ELECTRICAL PERMIT Fiting Fee 20.0( Main Service =Z; mi 23.00 Z_; Main Service tom► To IOWA 411.00 liaw c°'s • VWEU-04 occvv. 3.Sirt OR A°°Rs. Fireplace Total Valuation = 07.50 Filing Fee = 20.00 Permit Fee = Plan Checkino Fee = Energy Plan Checking Fee = *PERMIT FEE PAID :' Heating PERMIT FEE _ PLUMBING PERMIT Filing Fee 20.00 Each Trap Hood a.50 7.00 Solar or heat pump water heater $ 23.00 Water piping OTHER 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets PERMIT FEt tt 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 I PERMIT FEE _ ELECTRICAL PERMIT Fiting Fee 20.0( Main Service =Z; mi 23.00 Z_; Main Service tom► To IOWA 411.00 liaw c°'s • VWEU-04 occvv. 3.Sirt OR A°°Rs. i ACC. eiDs. MuuwuneT 1 07.50 I Ex. Occup. ou m OR F WWO Ex. Occup. oOnes�o a Temporary Service Mobile Home Facilities Wiring j tFo"e PER IT FEEMECHANICAL PERMIT *PERMIT FEE PAID :' Heating SRA Cooling Hood a.50 SHERIFF $ ventilation OTHER $ PERMIT FEt tt Mobile Home Installation Fee $ Energy Inspection Fee = oce CONST. TTK TOTAL FEES .p AMOUNT RECEIVED $ ""Z °.'E6 "'°°° ""`� This permit is hereby issued under the applicable Provisic of the Butte County Code and/or ResolutJons to do w( 44(�j Indicated above for which fees have been paid. RECEIPT NUMBER * TO BE PUT INTO COMPUTER By Date _----- PERMIT EXPIRES ON — I BUILDING DIVISION 171 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.� v ®®q ZONING OWNER /" PHONE NO�Jo `5�g,1— 0 d OWNER'S ADDRESS .J•�JJ� 0 J09 tAm vi �. LA. 5' 6s LOCATION OF BUILDING USE OF BUILDING � J 2/ iA/ SIZE OF STRUCTURE �Q0 X � ' _ `��� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —,)—( STEEL CONCRETE OTHER (Specify) TYPE OF SIDING —5:�'G4CG.O ROOF COVERING C o /" FLOOR TYPE I C COST OF CONnRUCTION @ESTIMATED AG Bull dingsshall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:1 �� hl"— d FRONT SIDES REAR AG Buildings shall be a. minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will con ct the Building Division and obtain any necessary permits, inspections, and approvals to co p y ith the requirements i fec hat ti a and before occupancy. Date 2 1 ��%'y00 Signature of Owner U Permit Fee - $60.00 Receipt No.q:��77 9 rhe above described AG Building is xemptJrom a bu"Iding permit. FL PARC L I P. R(VNG I ISS Manager Building Division G"—t— 1II. By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant V=OK , O = Not OK = Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Nat. or/ 7 L" ft./ ` P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector Date/Initials OOLS Plans OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances' _ Setbacks -Easements 5. Drain; MH Test -Fell -Flex Connector . oils; Compaction -Structure Stability 6. Water; MH Teat -Regulator -Connector _�ool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval =( mead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.'-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI ' 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed iMec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 /y6 8.•Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -En losures-Panelboards-Ins. to Mein in Conduit Department Approval lumb.; Cir. Test -Water Supply Test MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plana)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 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 -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: +-i-.._ -`-�+a.,:�'�--'.j'4�.�.+-'�.C. 3 "`- I a'�^ `",`a"cc:'�1rYi,-"--�7.Y',. y"`'"+.va•ti�',.i,.. COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-275.1 7 County Center Drive, Oroville, CA - (916) 538-7541 • / 747 Elliott Road, Paradise, CA - (916) 872-6307 . CORRECTION NOTICE ovM f PrIMIT NO. A routine inspection in ates that the following violations of Butte County 0,.....dnces exist at the above address d should be corrected. Please notify this office when corre,;ticn of work is coirpletplf B have any questions pertaining to this matter, or need additional explanation, please costa is office immediately. Date < Inspector REV 10192 COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WOR PERMIT NO.— 7 County Center Drive - Orovifle, California 95965 - Telephone: 916.' 8 5 1 0 APPLICATION AND PERMIT 1 i ASSESSOR PARCEL NUMBER 031-244-009 ZON G /e BUILDING PERMIT °"FAVID GILLEY TEtYV58120 SQ. FT. OCC. BUILDING VALUATION CONTR ESF 16,975 OWNER'S MAILING ADDRESS 555 YOLO OROVILLE 95965 CONTRACTOR'S NAME PERFECTION POOLS TELEPHONE 895-0437 CONTRACTOR'S MAILING ADDRESS 897 E 20TH ST CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 150.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee § 20.00 Energy Plan Checking Fee E. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 555 YOLO OROVILLE Permit fee § ZRX 185.0 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other ROOT, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewLX Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: FIBERGLASS SWIMMING POOL MASTER 509-91 Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare der 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. 56 6�Y Classification C — S 3 L_f I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP OR ADONS. ( .& ACC. BLOGS. 3.64sq.ft. NEW CONSTR ULTI.OUTLE •RESIDT NON BRANCH CIRCITS @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APLNS. Ex. QCCUp. OUTLETS IPRESID .)OR EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee § 30 00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑�y/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 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee § Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C my in copse ence of the granting of this pe61Zrmit. %� Date T /���'93 signarure of rant - - owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 237,00 rlAz DFEES IMPFLOOD OF PARCEL PD HD E This permit is hereby issued under the sions of the Butte County Code and/or work indi ted . boy for which fees D C OF PUBLIC BY _ PE MIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS r DateJ�_ , Receipt No. 136092 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT yam, nw�--•-•- •� ,F�j�{'J/'/����o.t,: r...�,p.•�. ;y„ ..e• �n d r . 11 COUNTY OFBUTTE - DEPARTMENT @'4316E1°VELOPMEN, TSERVICE� ILDINGDIVISION 7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 . _ PERMIT APPLICATION DATA SHEET OWNER �o� t (T ! { A. P. No. 03) - Z4'4 - GUI Proposed Building Use Building InspectorZj.Date �22 / 9� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. :`...................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approvE jFjjR, Health Department . ............ 15. City of Chico plumbing permit. ....... -y- ............................. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . . Preanspection reque- 20. Pre -inspection for required. . co Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of., recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........ ............................... . 28. Mobilehome utility clearance . ...................... .................. . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation� %2 /9-3 Acreage Applicant % Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. ; Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: issuance: (Circle new item not checked above). Con actor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date - GZ Contractor, designser, was advised of above required data by _ phone _ mail Counter lb! _ Date Plans checked by Date Plans approved by Date Sets of plans on holA in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • `r PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone: 91P),'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUE' �O ZONING BUILDING PERMIT OWNER TELEPHONE 53Y—SOL� SO. FT. OCC. BUILDING VALUATION •V� OWNER'S MAILING AOORESS9_1 5 5 5 YQ /o CONTRACTOR'SNAME TELEPHONE T2s-oy3� CONTRACTOR'S MAILING ACORESS rC,d 6 `75M Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation $ q 4 Filing Fee $ 15..00 LENDER'S MAILING AOORESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADORESS - Penalty $ Bu1LDINc Aooaess SSS Y, Permit fee $ r - PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 , Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G W 615.00 TYPE OF WORK New Addition❑ Remodel❑ utilities[] installation[:] Other Describe work: F� 14e.— 9 /�aS Swi - ." I=.y fflaLl , 102 I i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS ESS 18.50 Main service 200A TO 1o00A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): J-11 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �6G�S License No. `i Classification el ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed -contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a) 3.6C sq.ft.l OR ADONS. 1 ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS5.00 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup�OUTLETS OR FIXTURES 20 76d EX. Occup. OUTLETS RESIO IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 $, Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F2_ --r �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 PE MIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against0611 all liabilities, judgments, costs, and expenses which may in any way accrue against said Co4yty in consequen of the granting of this permit. X to �3 Signeture of App cnr _ Owner ❑ Contractor Agent ❑ An OSHA permit is required For excavations over S'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ coNSTTVPE TOTAL FEE $�39, HAz 1 0FEES I IMP FLOOD I COF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do y work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 6 wNITL.O. P. w., YELLOW-A9e C370R, PINx-IN9PCCTOR, GOLa CNR00-APPLICANT THERMALITO IRRIGATION 'DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 e CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: rt?ta:UV C +.;_ t�Q Date: Address: ..� 3. _� ., •. ��, a tt �,, %.�-f'/ Acct. No: A. P. No.:`- Phone: No. Units: .� . Applicant/Agent: Agents Proof: Address: Fees: Phone: Application Arrearage Preliminary Review By: Date: CSA 26 Remarks: t.c_ . nt.:c ,. ` c'r :+ { +� X 1 R,' i1t t� t'2►t.1 : <: rpt tl'l; SC -0 R 1.1 0J. CC1:1:.. -k) SIA L. +�,�i .L twi:.:(i., .IX :.r C. 1st mo. S.C. �. _ Y•.' L `r3 �L' C;' a.r. uU _:C;':t a1 x R}3L jl J +�J • Other Total Fees �'�' �'U Collected By: .r t`%• r,: ..� Date: Field Review By: s- c1o44 o, 4-!f%fi''�t.. Date: G -a —,4- Remarks: -, -Remarks: Ll � � / ,�"! �' I r .�• /Y /'a • l.I' � �i�l �� (,., .�'",/.� r-/,l�" t� / ,c,./,t' /� ill="/�•7/ it C 41 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 ti �A �A GAS p� MBy Dateeter Meter By —Date r � Address IGAS — Meter BY__�—' pates tY ELECTRIC 9 Meter BY JOB FINALED (Date) E — Signature V=OK O = Not OK Not Applic = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ' 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH.Test-Fall-Flex Connector , r 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval f 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch - - 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 - T . n MISCELLANEOUS Date -DECKS, COVERS, CARPORTS, GARAGES, (Plans,OK except #'s 1''Zoning Requirements -Setbacks -Easements �l 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors - 7. Electric S:;Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg--Roofing 11. Ext.; Steps-Doors_Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ` +` 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining r 4. Elec.; Receptacles and Lighting, Distances-GFI 5. -Elec.; Pool Lighting; 15 volts-GFI -_j 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. r . Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Healtti•Department'Approval , 10. Plumb.; Cir. Test -Water Supply Test/7 Date , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 v ....• til r .f J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' =� Date U D6fi LOOK (Plans) OK except if's 1 Zoning -Setbacks -Easements -Flood -Slope 7rTe 2. Ftg., Main; Soils-Elec. Grnd.-/ tg. Depth (/.'Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped S - ,,l /0_ S o7 p 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation - Date g� f j Card B-1 0r-� Date Card B-1 Date Card B-1 Date Card B-1 Date 2.16UMBING (Permit).OK except ft's 1 Water Htr.: Vent -Access -Combustion Air -Baffle 17 ater Pipe: Test & Anchor -Nail Protection -------------- ----- ----------------- D.W.V.: Test -Fittings & Anchor -Nail Protection -------------------- -- ------------------ 9. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------• ------------------- - ------Q- - ----- Date 2 Card B- DateO C and B-1 Date rd B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------- ------------------------------------------ r3 tlec. Receptacles Spacing -Lights & Switches at Doors ------------------------- - ---------------------------------------------- 2a ze Boxes & No. of Conductors -Stapled --- -- -- mex Installed Close to Edge of Studs_& C.J. - --- 8. quip. Ground made up w/Meeh. Fastners-Bond Gas & Water ------- - -- ------------------------------------------------------------- 27i2'Appliance Circuts in Kitchen &_Conductor Size!GFI --------------------.. 28. Subfeed Wire Size ! r ga Cu or AI-A.C. Wire Size ! ! ga. Cu or AI -------------------- ------------------------- ---- 29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. In ulated Neutral O Yes 0 No Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------- E uip. Clearances Panels -Motors -Meth. Equip. ------ ---- - --- ------------------------------------- ---- --- - - Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------------------- -- -- 33�oke Detector ---- -- -_ -- - ---- - - ---- --------------------------- -- -- Date /z Card B Date - Card B-1 ---- -- C-- ---- - --------------ard B-- ---------- Dat -%-6, /�}-Card B-1 ate Card B-1 Date MECHANICAL (Permit) OK except fr's 34 C. Ducts Insulation & Support ----V--- n-------------------------------------------------------- - ent Fan: Exhaust above insulation ---------- �Con_densate Drain & Overflow_Size-& Grade- -- - - 3� Fu ante -Vent: Access -Comb Air Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic ----- - - -- -- - ---------- -- - - Dal Card B-1 Date Card B-1 ------ - ----- -- - Date .%-,9j2Card B-1 Date Card B-1 DateFRAMING (Plans) OK except a's l Proper Material & Anchors ------ -- -- ----------------------------------------- ------------- Ils Studs -Nailing. Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 42 Dr Stop in Walls (rat proof) - ---- - - ----------- ------------ ------------ ------------ ----------- 4 Fir tops: Furred Ceilings -Stairs -Chases -Tub - -------------------------------------------- 4 Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) ---_d_ b!f�angers-Post;Caps-Anchors-Connectors Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Ring. -- -- 4:���iype A Flue -Fireplace Throat clearance --- - 4e3!Attic ccess; Size & Romex Protection -Draft Stop -Ins. Baffles -------mrBd m. Windows or Exiting Doors -Sill Hgt. & Dimensions ed -Garage Fire Protection Framing Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 56. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 64.plywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights-Plastic --------------- 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. -Infiltration -Walls -Windows ?Card Dat rd B-1 Date Card B-1 Date (Plans) OK except ft's t. Steps -Door & Sidelight Protection -Landings ---ke Detector nate: Vents -Clearance -Comb. Air -Connector - n Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting - --- �. G.F.I & Bath Fixtures & Tub Access -Spa �/(iU�Elec. Trim & Subpanel: Breaker Sizes & Labels Stairs & Rails 6r3 -fireplace or Stove: Clearances -Hearth .--'-6t Iec. Outlets at Wood Panel: Int. & Ext. ✓70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance e tlets & Receptacles at Kit. Counter - ---age_Fire-Door: Swing -Landing -Closer - - ��3 P Duct in Garage -Damper JL�4. Wtr. Hlr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --- - Ib. Elec�,Mech. Equip. Listed for Location Elec. Receptaclesin Garage: (G.F.I.)-Romex Protection ------ ---- ---------- ------------------------ - �nsulation-Foam-Looked in Attic RI -yes ------ 7R-riwd Rails & Deck Construction -Post Caps _Z9_E44;-Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes ma0- ollowing instld.: Drive 0 NCIH -Walks 11 Yes o: Planters 0 Yes No --------------- -----o Brown -Finish ----- - JUnit: Disconnect_ Electrical, Plumbing - Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - --- r---84 -Wfa4er Well: Disconnect, Electrical, Plumbing - 85. Exterior Elec. Trim: G.F.I. Receptacle- Underground Ventilation Throughout House -- lass Protection n --- Previous Inspections ^- ------------ 4/Fi9.stMeters T8@gbd: Gas -EI - _- --- --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - w -- Energy Compliance Certificate: Other Certificates_-- - Date rd B-1 Date ® L Card B-1 Date ) -/� and B-1 _ Date _Card B-1 Dafe rd B-1 to Card B-1 Comments at Final: OWNER ' 'PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r' the above address and'should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conte this office immediately. z COUNTY OF BUTTE : DEPARTMENT OF PUBLIC WORKS° w 1469 Humboldt Road, Chido, CA - (916) 891-2751 o v 7 County Center Drive, Oroville, CA (916) 538-7541 -� 747 Elliott Road, Paradise, CA - (916) 872-6307 � CORRECTION NOTICE OWNER ' 'PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r' the above address and'should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conte this office immediately. z J-�- JZA o v � c;H 5 Gu�iz c �� a4 5 r Inspector ' { REV 11/91 Jk �. � �..� ti —. - .. s. .:.fir � � •,lK A:.. yt ,�., �s'Y�-�♦ �'�l. .. ✓.. , n :�{.•.r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or ne additional explana ' n, please contact this office immediately. 19 L REVS 11191 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. i �. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If y _ ave any questions pertaining to this matter, or need additional explanation, plea co tac is office immediately. D xe4 A, k G� 6-1..,l dc c� may- �- Z-. ue- Poe SZ A ��- .7-. Pe'c"47t i Date – 7, —94 Inspector REV 11/91 S C COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-75413 747 Elliott Road, Paradise, CA - (916) 872-6307 f CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a, 1 ' '.J �x a. Jl =•3 Date 4— Inspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NER PERMIT NCI. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 6&y'l Joe L'7��1Z� �/ �i .� i (', C- .4 1 c - V\' c ir-f L L � T1 r rzi r c j� �--- Ir— Date 2 — / -� L -Inspector REV 11/91 i t JUN 15 '00.09.40 PGL LD,. PROD, SAC. = ,� P.2/3 IV MI, Imp Certificateof Conformance Certificate N® 8800 w91 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural woad products identified below and marked with a collective mark of American Wood Systerns (AWS) were man- ufactured in accordance with the specifications indicated below. 13 ANSI+Standard A190.1.1983, for Structural Glued Laminated Timber W f Job Name , PALMtR G, LEWIS & CJ Job Location Customer's Ortlar No, 0 Camp3ny A058ORO LUMBER CO. Date _4-6_92 Mifgr'a _ Title QUALITY CONTROL Address. SPAINGFIEL0, OREGON Date 5-21-92 _ IT IS HERESY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glularn construction and the adequacy of glue bond, vice "Ile i SEAL v Michael R. ('Halloran s Executive Vice president ... ...,�,,... �.�n...+c..>+r..., oc. �-..n��n-w.�•.,,nr..e.ra.�..�!.�.....nn ICC/Y•�A1i/.AI 1:]I�iX)I:::I�(`r(3!<I'•Il':)I,JI._I:::1)(:;1=I'Il:::l�{'i" ` MTBE sunkork ROSBORO LUMBER COMPANY-:, P.O. Box 20 9 Springfield,,OR 97477 PHONE: (503),746-8411 o FAX: (503) 726-8919 1ti03L`IW(] 1 L15:>'LUmc�l' I'II:::F: (3.. L_I:::I)J:Cf:; C;CIf'll'(11�I1' ':I:II('; �:�hi:i.l:, "fr) iarA (::F*,t^il,lf::a I I I:1 CIn r� 5E3 k`}•)f,:n.Y,Yr,:l(:n?F,IC.ti<:;t„<.:n:,,.til:•,<3,.4•.:k:X?X;.};l/„ ,?Tt( AX '11' :f,:r:?F., •.: ,:};;k;r,:F.?}:>I;;}r.;: i :7O:I. ;.'.:1.'::;11. (::L.14..'l'. ..1(:b # ..... Vi'. -'X II';l.l(.;I< 1't(:,t.t-Lc... F�cwisj.un0 Tr. ...• .. I" I"(•:':I.(:Il�i'(: (.,.I"ICI`:i �`�f. (:j..(.I..11::.1":::; 2% .10 tEEEEYEE$EEEBEEEEEEEEEEEEEEEE;EEEEEEEEEEEEEEEEEEEEEEEEEYEEEEEEEEEEEEEEEEEEEEYEEEEEEEEE$EEEEEtE$EEEEEEI$EEiEEYEEE. APPEARANCE PROT SPC ST BEAM PROFIL LINEAL 1,R1: OTY HIDTH DEPTH FEET IN FRACT RADIUS GRADE MODIFY -ECT FN CIE GR COMB. SECT L R FEET /I -3126 14 03-1/2 X 12 16 09 •3136 eLT=03=1/?X-13-1'j�T 1'6R0� 510 4 0571/B X,10-1/2 60 02 512 8. 05-1/8 X 12 60 02 513 4 05-1/B X 1371/2 60 0.2. 515 `4 05-1/8 X 15 60 02 515 2 06-3/4 X 15 6(I (12 616 .` 2 06-3/4 X 16-1/2 69 02 619 2 06-3/4°X 19-1/2 60 02 5128 4 05-1/0 X 12 44 02 513R 4 05-1/8 X 13-1/2 .44 02 515151 4 ,05-1/8 X 15 ' ' 44 02 2000 Arch. I S W EW A l N 5 .1 224 ; 2000 Arch. 1 5 4W EW A l W S 112 : 2000 Arch. I S D V4 240OF A l W S 240 ; 2000 Arch. } I 5 D .,V4 +240OF A l W S' 400 2000 Arch. , . I' s S D . V4 240OF 'A , 1 W S 240 1 2000 Arch. E, I S D V4 240OF A l W 5 241) 2000 Arch. 4 I. S D V4 240OF A l W S 120 2000 Arch. I - S D V4 240OF A l W S 120 2000 Arch; I, S D V4 2400F A. I W S 120 5 2000, Arch. I S D V4 240OF A l W S 176 4 2000. Arch. I S D V4 2400F A l W S 176 4 2000 Arch. S D V4 240UF A l W 5 176 -ER ACKNOWLEDGMENT I INVOICE TERMS AND CONDITIONS iitOsBo)<t® 1 plooso support all freight deductions with original freight bills. Assoclailon mics to apply on cialms of grade, tally 6 manufacture. CUSTOMER'S ORDER R SUBJECT Past duo eweounis will be aasossed o service charge of 11/2% per month (18% per. annum)., TO ALL OF.THE TERMS AND Customer egroos to Indemnity Rosboro Lumber Company for all expenses Incurred In connection,. CONDITIONS STATED HEREIN. with the collodion of amounts duo hereunder, Including all court costs and attorney's toes Incur} d, ' {+: at the Irlol twat and on any appeal.,': r ` All Iilipatlon concerning this order will lako place In Lane County, Oregon. Should Inraneislnncles In terms be found botwoon this acknowledgment and customer purchase. -)rdoGthls ecknowlodgmonl lakeo precedence In all cases. , i BUILDERS SUP, LY DIVISION OF COLLINS PINE COMPANY S �� r 0 BARTHOLOMEW CONST, L 2321 FOOTHILLRill 1y {; OROV I LLE. CAX> s• ,s;f I '> �T T DATE ORDERED 959165 x ; 10 0305 06/03/.92 06/03/92 QUANTITY ITEM NUMBER UNIT DESCRLRTION, LOADED: DEL: - TIME: DATF- MUM UM DATE INVOICE NO. 06/03/92 "P 089392 BART 47 CUSTOMER NO. SALESMAN CUSTOMER ORDER NO. DATE ORDERED DATE DELIVERED DELIVERY ADDRESS 10 0305 06/03/.92 06/03/92 QUANTITY ITEM NUMBER UNIT DESCRLRTION, PRICE AMOUNT 14 PC44=`16 EA 4X41 POST. CAP.-(�10 :,CTN) 6.728 26.91 4 EPC44-16 EA 4X4 •i END =(POST'' CAP,- (10 CTN) 6.728 26.91 1*%2X17 ' "`'89:7000`' '4X12X14 89.00 1 9241214 BF DF 2B S4S 156.00BF @ 492.00/MBF 27.55 1 9241218 BF DF 2B 4X12X18-S4S } =-72.00BF @ 492.00/MBF 35.42 1 9241212 BFB DF 2B 4X12X12 S48-, 48.00BF @ 492.00/MBF 23.62 1 9241220 BF DF 2B 4X12X220 S4S 80.00BF @ 492.00/MBF 39.36 *CONTINUED* 0 NON -TAX MDSE. TAXABLE MDSE. SALES TAX MISC: CHARGE MISC: CREDIT GRAND TOTAL CASH RECD. ACTION MAY INSTITUTED FOR COLLECTION. A LATE CHARGE OF 11-t 'l I" IFIL: MONTH FOLLOWING DATE CW PURCHASE. 5% WILL BErIMPOSED EACH AND EVERY MONTH ON ALL PASTEDUE BALANCES. THIS LATE CHARGE IS LIQUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD PLUS ADMINIS- - TRATIVE COSTS RELATED TO COLLECTION AND ACCOUNTING FOR A LATEPAYMENT. SINCE IT WOULD BE IMPRACTICAL IN EACH INSTANCE OF. DEFAULT TO ESTABLISH THE ACTUAL DAMAGES BY ACCOUNTING PROCEDURES, BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN' ADVANCE IV-% ALL MERCHANDISE RTURNED FOR CRE01i ACCO PAN EDTBY HE ORIGINALT INVOICE. NO EXCEPTIONS. RETTUR SIS A FAIR COMPENSATION FORT WILLYBE SUBJECT TO A MINIMUM S 5% RESTOCKING CHARGE. NO ACCEPTED AND RETURNS ALLOWED AFTER 30 DAYS. _ - GDODS RECEIVED BY i enNIJ: Nt I UASFI. NU UIS000N- .. ('s!rm it `!u. O w n e r c. ol ROOF . THICK"`S THER`l\L'RES. EXTERIOR WALL BRAND -.4 AM E' CERT.AIYTEED. i(aTEPI.\L. FIB"c2GL:1SS THICKTHERi N Es �. CEILI.N[GCERTAINTEED ...BATT.OR.GLAVKET TP E-Fibe.r,las9RAND NATE. THICK,lESS d THER;I�_L '.RES. LOOSE FILLTYP I`tSUL-S:.\FF IIIBRAND N:\`IE. CE.YTAINTEED.. THICKNESS -- THERMAL RES. � n FLOOR,ELEVATED MATERIAL. FIBERGLASS BRAND NAH CERTAINTEED THERMAL'RES'.- THICKNESS 'FLOOR, SLABBRAND NAME ` MATERIAL ° THICKNESS -- THERY1AL­ RES,. w WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS.THERMAL RES. ' I HEREBY CERTIFY THAT THE;,ABO.VE,INSULATIO�! WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE' WITH 'THE' STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. F • #62.2184 F N1f YAi`l JNE STATE CO.NTR. LICENSE NO. .. I hereby ertify the above insulation and `all, required items.as shown on the Building Depart.;approved .plans and attachments have been installed ? as required by the State of California. Energy Requirements. All equipment, devices and materials are of th-e quality prescribed or are specifically approved; by the State of Calif. ' --------------------- FIRM NAME/ (PLEASE PRINT) STATE CONTRACTOR'S LICENSE'NO. SIGNATURE OF GENERAL_CONTRACTOR OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the. building. •. JANUARY 1984 vr3 COUNTY OF,,�UTTE DEPARTMENT OF PUBLIC WORKS a 7•County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 APPLICATION AND PERMIT PERMIT NO. 92-1193 ASSESSOR PARCEL NUMBER 031-244-009 PORT ZONING AR BUILDING PERMIT OWNER MANUEL OROPEZA TELEPHONE .534-3505 SQ. FT. OCC. BUILDING VALUATION 1671 R 90 234 OWNER'S MAILING ADDRESS 660 HIGH ST., OROVILLE CA 95965 410 M 7,380 CONTRACTOR'S NAME 014NER TELEPHONE 392 C 5,096 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is 102,710 Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 608.00 ANONERCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 304.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 555 YOLO AVE. OROVILLE Permit fee $ 947.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 8 5.00 40,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME THERMALITO 4&6 PARCEL MAP 117-97 Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New a Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 3BR Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 20CATO1oo0A1 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ElI 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. _37.50 3.64 sq.ft. 72,85 NEW CONSTR. ULTI-OUTLET NO N•RESID• BRANCH CIRCUITS @ 5.00 POWER APPARATUS 1, -SINGLE OUTLET cIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20 760 Ex. OCCUp. O UTLETS FIXED P(RESID,)REAJ I 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. I shall not 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 FiIirig Fee 15.00 Heating 9.00 Cooling 9.00 Hood 6.50 6.50 Ventilation 4.50 Permit Fee $ 44.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c nsequence of the granting of this permit. X - Date / 2, Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'11" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEES 1,241.35 I HAz I DFE IMP ✓ FLOOD CDF PARC PD Flo Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica WRfor which fees have been paid. OF PUBLIC WORKS ByDate PEFfMIY EXPIRES Date s 115644-384.00 115790-857.35 Receipt No. �� �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I ® r 1z C "')) (6r l_//lr ) COUNTY OF,�B-UTTE - DEPARTMENT OF PUBLIC WORKS 7� 7 County CAnter Drive - Orovllle, California 85885 - Telephone. 916 '536-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (jl /V) `��06 ^ Z NIN n_IZ BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION ((a,1 V Z3 OWNER'S MAILING ADDRESS ('966 I -N l y/D M 380 CONTRACTOR'S NAME - aG<WA1eif__ TELEPHONE ?A 2- J 1 t r 5.o2 6 CONTRACTOR'S MAILING ADDROSS Fireplace e� CONSTRUCTION LENDER UNKNOWN Total Valuation is 0 2'7 J 0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 6 • 6) ARCHITECTORENGINEER LICENSE NO. Plan Checking Fee $ 3 d . 6 0 Energy Plan Checking Fee $ a 0 -01L ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � } Permit fee $ 7,,) 0 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 %J - 0 0 Solar or heat pump water heater1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP � � Water piping '7, Op Each qas water heater or vent A7.00 ,p0 USE OF STRUCTURE SF/N. Duplex❑ Mobilehome❑ Other v SPECIFY Gas piping system 1 - 5 outletsE Building sewer 1 15.00 /,', 4�xj Mobile Home S I G I W @ 15.00 TYPE OF WORK Ne Addition _ Remodel❑' Utilities ❑ Installation❑ Other ❑ Describe work: ``3 �� Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 ,6>, b Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 J 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OC UP. OR ADONS. ACC. BLDGS. 031ek ) 3.56 sq.tt. 7,85 NEW CONSTR 1AULTI.OUTLET NON•RESID•, BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR. t} Ex, Occup(OUTLETS OR FIXTURES 20 7" FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIOA EA.) I 3.00 Temporary service 15.00 r5r00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not 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 such0,6 provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating a Cooling �•�() Hood 6.50 ,fib Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ate y— / Signature of Applicant — Owner ❑ Co avctor Agent ❑ An OSHA qp ion of structures toverr3 stories oin heightti . 5'0' d e and demol' i r co :tract- Mobile Home Installation Fee S Energy Inspectio Fee t $ q6 Ao - o ' TTV E '�` L FEE o2 y� 3�i HAz DFEES MP I I� FLOOD �� CDF RC L PD HD ISSUE This permit is hereby ' sued under t sions of the Butte County Code and/or - work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date plicable provi- resolutions to do have been paid. WORKS Date _ '� S Receipt No. !07 �� WHITE -D. .W., YELLOW -ASSESSOR. PINK•INSPECTOR. 6O Dc Rea-APPI 1-T COUNTY OF BUTTE-- U-EPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r PERMIT APPLICATION DATA SHEET Permit No. OWNERG'� A. P. No. -3 Proposed Building Used 3 Building Inspector Date y T1 Z_ 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 duplicate4Lr •�cat�� signed by preparer of plans ........ 797 -� 3. Complete plans in duplicate/trirJlii c� a---te�signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions zve=0. Fees of $ d / ............................................ -1L,�92— 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .......................................... —3. 5*C .#/, 6,11 '+ S ho I District fees paid .............. 14. Sanitation approval: from �%O Health Department Z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: - (B) Parking: /�11i�8. Improvements may be required. Contact Land Development Section DPW -W /0/^ 411CAe Sc' 9. Driveway permit (construction approval required prior to occupancy) 2 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate qf.. Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) .. _ 24. Recorded copy Qf Agricultural Acknowledgment Statement ......... 25. Letter of signature authorizatio ... . -J 26. Shef ee C sp'' /l5796� ate-- S /2c'T 27. ,& S 0 f Z T When you issue the permit, process as follows: Mail to owl. Mail to contractor. ✓Telephone s 84/t ? a-5and hold for pickup at 0 office. Deliver w/inspector. Other P2A-C-"VJ e Copy of ! laz-Mat form sent Health Dept. Fire Dept. air Pollution Date r Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri 1. Index permit for above items No. 2, Additional items required: Fit it (Circle new item n�checked above). Contractor, designer -o ne ,was advised of above required data byvphone�nail—counter by,::",— Contractor, designer, advised of above required data by—phone—mail—counter by date Plans checked Plans approved by .Sets of plans on hold in File cabinet AP folder Copy—DPW Date SJo` TO: Building Department , 1 _ / COUNTY OF BUTTE FROM: Encroachment. Permit Section BUILDING DEPT RE: Driveway Clearance r APR2 1 1992 4 PI Pte/ Sao y owner location AP # Dr"ivewaY..p ermit �Zd Gi�/I C has been issued for the above property. ' date " s i ature -�� r Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 3 L.- 17 S=8 FOR. RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded _ prior to issuance of a building permit. 92-017468, The property described herein is adjacent to land or included within an area zoned I for - agricultural purposes, and residents , Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder 1 of agricultural operations including, 8:01am 23 -Apr -92 I Rec Fee Cash PUBL CD 5.00 5.00 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally. generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .:property. 'situate in the County of Butte, State of California, described as follows_-__.____ _ PARCEL 1'1 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED -IN. -THE -- - OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARYi28, 1990, IN BOOK 117 OF MAPS, AT PAGES) 97 -AND 98. Date: RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON SAID MAP. TOGETHER WITH ALL THAT PORTION OF 6TH STREET AND YOLO AVE., -LYING NORTHERLY OF AND ADJACENT TO THE NORTHERLY LINE OF THE HEREIN DESCRIBED PROPERTY AND WESTERLY OF AND ADJACENT TO THE WESTERLY LINE OF THE HEREIN DESCRIBED PROPERTY, AS FURTHER SET FORTH IN THE RESOLUTION OF ABANDONMENT, RECORDED MAY 25; 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-21525. - z Z ''j Z PROPERTY OWNERS : ^ State of SS County of 6117k • ) � ®®■®■®®a®®eoa®o■oo®oo■■o 20 DANIEL F. HUNT ® NOTARY PUBLIC -CALIFORNIA Butte County ■ My Commission Expires Oct, 1, 1994 ® .. On this theoP)aday of _ undersigned Notary Public, personally appeared R Personally known to me. [Z Proved to me on of satisfactory to be the person(s) whose name(s). AS subscribed to the within instrument and acknow executed the same for the purposes th� ein co WHEREOF, I hereunto set my hand and )=FicialX Present A.P. No. the basis evidence. EMD OF DOCUMENT . C\1 r Mc L RESIDENTIAL PLAN CHECKING -`'GUIDE y' $/91 (S.F., DUPLEX _& MISC. ONLY). L'ldg. ' Pe<mit # OWNER �fQ� A.P. #_ -� 3 / CA/ Plan Checker GENERAL t6.Zoning requirements: (sideyards and number,of permitted living units). Valuation. ' Plans signed by designer. Proper description of work on application. Existing violations on.property. , Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN , Complete parcel size and dimensions. ' Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard.' Special conditions -on creation map, (noise, CDF, fire-sprinklers;'non-comb- ustible, and foundations). ` Fr FAU & FAS road setback. ' Building or utilities across lot lines.(Record form).' FLOOR PLAN t �! Complete to scale plan with dimensions. { 'Regliired. windows for' light -'and ve`ntilation-(.Sec. '1205). ;':. kRequired windows for second exit (Sec) 1204). , ylights.(Chapter 34 & Sec.5207)'.Aman impact glass (Sec. 5406).4'- quired room sizes, ceiling heights (Seca120,7).;CIs in baths, garage, kitchen, and exterioroutlets-,(Art%ie_210-8).,ght fixtures, switches, receptacles, and extrerior,receptacles for main- - Nenance. of mechanical:equipment. Locations of water heater, heating and cooling equipment, other electrical- rGarage as equipment. 1-1 firewall, door size, and.closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f).place and wood.stove location, alcoves, -and clearance.. e detectors (Sec.1210). bing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS' ' Standard bracing or engineered design (Table 25V) _ Unusual shape, size, or split level house requiring lateral design. clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct :building Roof construction details complete enough to construct building. Fireplace construction details and calcs'if necessary. . Rafter -ties or bearing ridge beam. , Garage door or porch header sizes. -42---Stud heights. . Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. a 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR !Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). jBrick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). 10_oper roof pitch for roof convering (Chapter 32). . Roof covering type - (fire hazard). Foam insulation - protection. X36" halls and stairways. -'Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo- exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. ergy design. .gashing at all exterior openings. r CDF responsible area requirements. ,:.. •i .�n+v i, ya., _ �.., .._.:: ..;a,. . ..«.•vrrr....rtsa .f, . ..t s• •- «•. N «., .. .. .; v.r . . Y .. i THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE ' OR OVILLE,.CALIF.ORNIA 95965. - TELEPHONE 5.33-0740 - CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT. • Service Address:>��=}'7�I_:T',C'�• �.'•��� V Owner's Name: x�t.l�w N t "cent,;,� ... Y ,,�GDate: Address: ' U i." G' :r >r L `•AGct. No: or C;N1 IPA No M. Phone: f� rtw3'sr, :No.. 'Units: 4 Applicant/Agent:, Agents Proof: Address: ' Fees: ; Phone: "Application $ I -Arrearage Preliminary,Review,By: Dater CSA 26 l , Remarks: J. L'I; L , isr'r 1.t;t.: J, 1 ry3t-35, t.(': 7t .I t' SC -0 R rc, .:.hs wc'c' . K o ;,.("JA;I ..1st mo. S.C.. . :'�,C1.t•.Qu�,t Up. /i� tit ter:;, G��c!+i3'Y, ;. � � •��� • ,��;^ Other . r v, Total Fees Collected By: ' s 4,,• A/X 4,g" o-* /.fid :-- Date: .�_ Field Review By: Date: - .Remarks: �. . MONTHLY, SERVICE. CHARGES. WILL COMMENCE -'AUTOMATICALLY UPO.N': 0 •y., bate of TID approval building sewer (early connection). .30 days after date aboveor on,date of D.P.W. approvab of,comp.leted building sewer, which ever comes' , first'.("ezisting construction"; pi�ior,to Mar. 5-1974). , Q , 180 daysafter date above, or on date of D.P.W. approval;of•completed building sewer,,which ever comes first C'nevv construction,',`after Mar. 5, 1974), ,• DISTRIBUTION: WHITE,- TID, YELLOW = APPLICANT: - PINK ; DPW, GOLDENROD'- DPW to TID. , `O^'"`k�+ y'�'."".,.'�,g •t!!"",y �,�„"„�„ .,,;�y,_.'_"�'•'�i` � .'.��'" '�vr:v^f-•..^__wrrr•.'nre{�Y-'u•A'�'�yvR�:�-w...¢.vi,•,e-t�+r; 'sr� �3i any -v 10� v� : BUTTE COUNTY SCH.00L!,,DEVELOPMENT FEE CERTIFICATION FORM C,(.O ie- Form per. Building) A . Number, �.3I" ��%�� i%04:� Building' Department No. School District -City .�. Count Jurisdiction Property Owner /N/,411,11/r/ [/lowe Z/*I— 4 Project , Location/Address_, Subdivision Lot Number � Residential Development,,.' Sq. .Footage (!J l << # of iving MHI Addition 4 (Group R) units:'. Commercial/Industrial: O ..M Sq. •Footage New Addition•(Including Exterior Roofed Areas) s /npz . BuilWing Departinen Representative ate, v (FloorPlans reviewed by School District. Personnel). ,]District Id .No 1. School District-certifies'that. , AX (Applicant ame'' (Phone Number) ` (.Street Address) 1022ua t. 9391 64::�7 .(Cit.y t (State). (Zip Code) has;? complied with the requirements of Resolution No. by the; payment of $,�,�,1� to representingsquare feet.- _'S'ch,00l7 District Representative Date PAID BY CHECK NO. JREMARKS.: BANK NO Sado, PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 1 O� O's C�g�v3 This set of plans argil specifications MUST be (Opt on the job at all times and it is unlawful to !{ = n ake any changes or alterations on same withoUt NOTE:—All Materials 8 Workmanahlp Shall Be in w "tlen permission from the Department of Public ' Accordance with Recognized Good Practices and rks, County of Butte. _ of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and ' ( the National Electrical Code. b ALL STRUCTURES -AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. , 3� A SET BACK OF 7 FT FROM THE SIDE AND ' N STr, /-(- ,) .S� FT. FROM THE REAR PROPERTY 'LINES AND = ` FT FROM THE ROAD CENTERLINE SHALL BE • Liy1 i g flecr F, &e-. .c ss lS • S I . f'� CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT, RIO 1 FOR A 2 FT. EAVE OVERHANG. to, w Ls See mmur Piga on file for g UMdJng Pte•, zy56 f- 72 er+cc y i i P. / o -S55 yac.v, CONTRRC T'o& .. POOL PLOT PLAu AP ,*v o 3 ) 2'/4 10�� PE R FEC J iota ' t OOH s r: - FOR , S`t 7 it zo7�. sr M R pAV ID G-ILLEy SCA�r l = 20 ,C H /C o CA C1 5q 29 _ _ s5 s .YO LO -t_# L .40- C 53 5646 sq ' O R M Ll: E CA 45 BUILDING oEPa, v E I D AP�'RO 1 11 Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF-1R Project Title ^ l �a ' �� l� NOTE: I.owrise residential buildings subject to the Standard: must contain Own measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance regwrements listed l/j] mac/ BuildinyA Permit # ;74 on the Certificate of compliance. When Utes checklist is incorporated into the permit documents. the fi uures noted shall by all bindingam. specifications for Uk mandatory meuurss minimum lon �chad,I Project Address s-� ons( lyormance thisnt h etthherdered they am shown elsewhere in the documents or4e ' Checked By / Date Documentation Author Telephone Ettoroanent Agency Use Only DFSCR1PIlON DESIGNER FNFORCFh1FM Building Envelope Measures BUILDING DATA / Glass Area % Glass North — - — • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled ii-Value. • Minimum insulation in framed R•11 weighted average (does not apply w Conditioned Floor Area Number of Stories East r !/ : wall walls 42.5exterior erior mass walls. sed Floor Number of .Units ?4-Tingle South • 612 West g • A S 0,5 §2.5352(k): Slab edge insulation -water absorption rate no greater than 0396, water vapor transmission rate no greater than 2.0 perm/inch. Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building Skylight D D §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standa[ Indicate type and roan. (MF) [ ] Existin -Plus-Addition ] Multi-Familyg Total ge, ' �9 � • J" §2-5352((): Vapor barriers mandatory in Climate 2'ata 14 and 16 only. -5352 f): §2.5317: Infiltration/Exfiltration Controls ' a. Doo�dwindows between conditioned and unconditioned spaces designed to limit air B UII,DING SHELL INSULATION Component Insulation Lo=af on/Comrnents b. Doors and windows certified. c. Doors and windows waUKrstripped: all joints and penetrations caulked and sealed. Type R-Value (atttie, to garage, Npia01, etc.) §2.5352(c): Special infdtmtion barrier installed to comply with §2.5351 mews CEC quality standards. Wall .............. §2-5352(d): Installation of Fireplaces Wall .............. 1. Masonry and factory-built fireplaces have: It Tight letting, closable metal glass door Roof r exr . Outside air intake with damper and ntrol It. ............. w� Roof... .......... e. Flue camper and control 2. No continuous bunting gas pilots allowed. —j Floor ............. HVAC and Plumbing System Measures _.a.�— - Floor ............. - §2-5352(8) and 2-5303. Space conditioning equipment siring: attach calculations. —§2-5352(h) Slab Edge ..... and 2-5315: Setback thennosm on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. GLAZING Shading Device$ 112-5316(b): Exhaust systems have damper controls. Glaring Area Glass Type Interior Exterior Overhang Framing Type §2-5314(c): Gas-fired space hating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water haters, showerheads and faucets certified by the CEC. Orientation s sin double oUer blind. etc. (sltadescreett, etc) Cyahw) meta Ood ) §2-5352(1): Water heater insulation blanker (R-12 or greater) or combined interior/exterior North \ )� insulation (R-16 or greater). fust 5 feu of pipes closest to tank insulated (R-3 or grater). 62.53I2(Exee ption p: Pipe insulation on steam and team condensate return &recirculating North ( ) piping. East ( ) �, 5 �r - re. §2-5318(d): Swimming Pool Hating 1. System has: East ( ) a. On/off switch on hater. SouCh ( ) .Z �/ r h. weatherproof instruction plate on hater. e. Plumbed to allow for solar. South ` r percenteralcfficiency. ` West ' �� ,/ 3. Po over�m 4. Time clock. West ( ) 5. Diroctional water inlet. Skylight....... �/ Lighting and Appliance Measures . 62-5352(i): Lighting . 25 lumens/watt or grater for general lighting in kitchens and bathrooms. THERMAL MASS 12.5314(c): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area Thickness §2-5314(a): Refrigerators, refrigerator-freezers, freezers and fluorescent lamp ballasts certified (slab/exposed, tile, etc.2— (SO (inches) Location/DCSCrktion (kitchen• bath, etc.) by the CEC. Indicate make and model number. � k7 , I� /I �/ll COMPLIANCE STATEMENT This certificate of compliance lists tit-, ceding featim acid performance specifications needed to comply with - Title 24. Chapter 2-53 and Title 20, Cit kT2, SnbChapter4. Article 1 of the California Administrative code. -This certificate has been signed by the individual with overall design responsibility and the building owner. who'shall HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the certificate to any subsequent pur Baser of the building. Type (furnace, air Efficiency.' Location Duct Output Manufacturer/ Model # conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R-Value tuh _ or approved equal Designer Building Owner r/ f 7 b Name: Na Address: Address: Telephone: Tekphone: Maximum Furnace Heating Output: Btuh t.ic. 4: 2 � HOT WATER SYSTEMS • Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) (:i6n. ) (date) (sibnattim) (date) r� Documentation Author Enforcement Agency SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Narne: Name: r um Agency: Address: Telephone. 1. Ceiling Insulation U -value 0.50 -176 Number of stories -54 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 Number of stories Number of stories Single- Single - Two Three Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 0.50 -120 -58 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation lin Floor Controlled Ventilation Crawlspace -4 Number of stories Number of stories R -value One Two Three R-0 -17 -8 .5 R-11 -3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation 4 40 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 -3 -1 Number of stories -1 'R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 4 40 - Number of Stories -26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total Single- Slab Floor Eff(penentt Mass U -value glass X so Percent Mass Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Single- Slab Floor Eff(penentt Mass Effective Pa ca It Glass glass X so Multi Mass Stories (percent Blast x SC) /CFA Effective Two %Gress Nodi East %Glass North East South :West Skylight 18 5 1 4 1 na 16- 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0- 1 0 3 1 -1 -1 .1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -1 -9 1 1B. Shading (Shade Closed) Single- Slab Floor Eff(penentt Mass Family glass X so Multi Mass Stories Attached /CFA One Two %Gress Nodi East Sotto West Sitylght 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not allowed 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 .1 .1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 14 Wall Family Family Multi Mass Detected Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (assumes ducts In aeric) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3• 2 2 12. Cooling Syst,m SEER (assume; ducts In aide) Sim of 7-10 -25 or -24 to P-14 lo .4 b Sum of 14 16 or SEER less •15 .6 25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 17 14 12 Effective SE or HSPF 6 3 (SE or HSPF x duct efficiency) WSB Effective -25 or -24 to -14 to .4 to +6 l0 16 or SE HSPF less 45 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3• 2 2 12. Cooling Syst,m SEER (assume; ducts In aide) Sim of 7-10 No Cooling System Installed )--Stories -25 or -24 to P-14 lo .4 b +6 to 16 or SEER less •15 .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 �- 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 3 5% t WSB 5 3 3 2 Effetfrve SEER 45% 50% POU (SEER xduct efficiency) 4 3 3 Sc:n of 7-10 SE None Effective -25 or -24 to •14 b -410 +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 ! 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 ! Zonal Coatrol Adjustment -5 -4 -3 f 10 8 7 6 4 3 No Cooling System Installed )--Stories Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. One -5 -4 -4 -3 -2 -2 Two + 3 3 ., 2 2 2 1 Single -Family Detached and Attached e. Skylight 8. Shading (Shade Closed) Unit Size isQ Water ;i99 12M 1700 2200 2700 Heater Uedit or -i to to to -or Type Type less. 11699 2199 2699 more SG None 0 0 0. 0 0 Duct Efficiency [0.74] or Solar 12 ' ` 8 6 5 4 Credit [none] HP -HWR 8 5 4 3 3 5% 10% WSB 5 3 3 2 2 45% 50% POU 8 5 4 3 3 85Y. SE None -37 -24 -18 -15 -12 0.6 0.8 Solar -1 -1 -1 0 0 23 HWR -18 -12 -9- -7 -6 3.8 WSB.. -25 -16 -12 -10' -8 _ POU -18 =12 -9 -7 -6 IG None '-5 -3 -2 -2 -2 2.7 Solar 7 5 •4 3 2 4.2 POU .3 _ 2 -1 1 1 IE None -28 -19 -14 -11 -9 1.6 Solar 8 5 4 3 3 3.1 POU -10 -6 -5 -4 -3 4.5 Muld-Family 5 (individual units) 56 30% 0.5 0.7 Unit Size (sp 1.1 1.4 Water 1.8 699 700 1200 1700 2200 Heater Credrt or io to 10 or TYPO TYPO less 1199 1699 2199 more SG None 0.- 0 0 0 0 or Solar 14 7 -5 4 3 HP HWR 9 5 3 2 2 4.9 WSB 9 4 3 2 2 0.9 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3.8 Solar 2 1 1 0 0- 5.3 HWR -23 -12 -8 -6 '-5 1.1 WSB -25 -13 -8 -6 -5 2.6 PQU___23 3 -12 -8__ -6 39 IG None -8 -4 -3 -2 _-5 -2 -- Solar 6 3 2 1 1 1 1.4 POU 1 ' 0 - 0 0 0_ IE None - -30 -15 -10 -8 :6 4.2 Solar 18 9 6 4 4 5.6 POU ; -8 -4 .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Interior Mass/CFA = a. North b. East = c. South d. West . TYPE 2 MISS e. Skylight 8. Shading (Shade Closed) __ $ COND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass ND. L OR AREA . 7.11 X 3 - SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] (1.7.Yi11C-4. x) Iet.d .lab) c.� X r 6 ,_Z SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] t TYPE I MASS (UIMC + 4.2. le: exposed slab) -�-- Type ISG] Credit [none] 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 69$. 70% 75% 80% 85Y. 90% 95% 100% 105% 110Y. 115% 120% 125` 0Y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 ' 2.9 3.2 3.A 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5 3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1A 1.6 1.9 2.1 23 25 2.7 2.9 3.1 3.3 3.`5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5,9 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 Z3 23 27 3 32 3.4 3.6 3.8 4. 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 211 3 32 3.5 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 .60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 6.2 64 66 85%1.4 1.7 1.9 2.1 2.3 2S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 5.2 54 5.6 5.9 6.1 63 6S 67 90%' 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 IDS% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 110% 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 5.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 M% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) = a. North b. East = c. South d. West TYPE 1 MASS AREA e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures or R -sal a [38] U -value [0.030] �3 or R -value [ 11] U -value [0.098] or R-value[19) U -value [0.037] or R -value [O] F2 factor [0.77] Type [double] U -value [0.65] % Total 01fiss [ 16] %Tass X 1S7% - Eff. Gess X = (%� X =g 3L 111) X = E %Glass SC- Eff. %ass X D 0 X = -- X = i7 TYPE 1 MASS AREA InteriorNnss/CFA __ $ COND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass ND. L OR AREA . 7.11 X 3 - SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF (0.56/5.15] X r 6 ,_Z SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] Type ISG] Credit [none] Point Scores 7 2/ 0 Cf Sum lb 0 Point Total: V_�5�