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HomeMy WebLinkAbout031-251-028GRADING WITHOUT PERMIT 7/27/90' 31 -251 -28 - JOHN & ANITA JOHNSON 1710 .12th St, ORoville Permit#2539-88P,E(ut•1, ) (� ELEC . GAS -SUPPORT STRUCTURE RE . /Af .�1 0 COMPACTION'TEST -REQ. • 1 154-90B,P,E,M+ 31-25.1 28-.-- .� - �-. _ _ ,I 'JOHNSON, John 17.10, 12th St, Oreo (NEW -'SF) 031-251-028 04-1489 FERNANDES, RAY �� t 1710 12TH ST, OROVILLE Cont: OWNER b NSF,GARAGE,COV PORCH/O { K .E .K IN NOTES RESIDENTIAL ` V 1 !PERMIT NO. 041489 j i FERNANDES, RAY •^� 1710 12TH ST, OROVILLE } Cont: OWNER r I NSF,GARAGE,COV PORCH I r � r 1 i r 1 { s{ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY i Address i GAS Dates !, Meter By ELECTRIC pate q4 --:-q Meter By JOB FINALED (Date) /2.- Signature Afl Al— J 1. ,1 4. # r� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY i Address i GAS Dates !, Meter By ELECTRIC pate q4 --:-q Meter By JOB FINALED (Date) /2.- Signature Afl Al— J=OK 0 = Not OK . = 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 7. Well Clearance & Disconnect 1. 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 1. 11. Cert. of Occupancy 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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-Linina 4. Elec.; Receptacles and Lighting, Distance-GFI 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNWFLOOR (Plans) OK except #'s Zonina-Setbac ks- Easements- Flood-Slooe tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth #407tg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth _ Stpjawalls, Main; Steel- Bloc kouts-Wrapped Downs and Special Anchors 7. Slab, .B!D.W..; Fall -Fitting -Test -2 Way C/O -Sewer Test 110. KGas Pipe; Size Anchors -Yard Gas Piping; Size Test / _ 1 . Water Pioe: Test-Anchors-Reaulator-Service Test / -_'Q 12. Electric Underground Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM ING (Permit) OK except #'s Prq paky Line Firewall & Openings ater Htr.; Vent -Access -Combustion Air Baffle 18. ter Pipe; Test & Anchor -Nail Protection 417 V; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access KI-Ifest,Tub & Shower, Second Floor -Tub Access t. 3. s Pipe; Sixe & Anchors Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT ICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 25. c. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled 27. mex Installed Close to Edge of Studs & C.J. .dip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 1. Range Circle/ /ga Cu or AI -Oven Circ. / ' /ga Cu or Al I ulated Neutral O Yes O No Service -Riser Conductors & Ground Main Disconnect 33. ui . Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA CAL (Permit) OK except #'s 200"A -.C. Ducts Insulation & Support 37. nt Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade 3 urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet y40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM NG (Permit) OK except #'s 1117 Sills roper Materials & Anchors 42. alls Studs -Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing 4. Draft Stop in Walls (rat proof) 45. F' tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA (Continued) . Hapgers-Post Caps -Anchors -Connectors lin . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. %t-'Fj-SaWace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. fir. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Prq paky Line Firewall & Openings 5 xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs'`(Nidth- Head room -Rise -Run- Land inq-Fire Protection _58-Plvwood on Roof Overhana-Attic Vents -Rafter Outridaers. 57. Sidi ng-Nailin er �[ ,_j 56. Stucco -Drip Screed -Fd. Vents-Underflr. Access %-rte 59. Glazinq Area -;Glass Protection-Skyliqhts-Plastic Wall -Panels ' 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL tans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings Pr moke Detector mace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting B&IGIF I. & Bath Fixtures & Tub Access -Spa 69-Tlec im & Subpanel, Breaker Sizes & Labels fairs & Rails arance-Hearth 7 rec. Outlets at Wood Panel, Int. & Ext. 3. ixt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter L C' Garage Fire Door; Swing -Landing -Closure .C. Duct in Garage -Damper 7 . Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection b.; Elec. & Mech. Equip. Listed for Location c. Receptacles in Garage (F.F.I.)-Romex Protection 0.ati n -Foam -Looked in Attic and Rails & Deck Construction -Post Caps rawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./ O No/WalksLXie-O No/ an s , No 84. Stucco n -Finish /o- (p - @5_oA:C;-Unit Disconnect, Electrical -Plumbing idents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings nnect, Electrical, Plumbing &ae-ff'xTerior Elec. Trim, G.F.I. Receptacle -Underground B9 entilation Throuahout House pt.-<brrptions,Kom Previous Inspections 92LOs T - eters Tagged, Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Posted 96. Fire r Date ' Card B-1 964: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: •''$1¢'iJi�;�7-i�:rZ'sVu'�'bay.:.ccs.Fw'1t"^4+f�,=�a,,:.tf:+)a�..-.�tlk#7:..�;•'..-'�:'?""�.+::.va. s„3:�ta�u+i�,,,+i1%+�s.-�.+v-+o.f�.c—+a�+i a COUNTY OF BUTTE BU.LDING DIVISION 'DEPARTMENT GF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7.541 CORRECTION NOTICE ER 41 — / L MIT NO. A routine inspection indicates that the following violations of bulte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions perl3ining to this matter, or need additional explanation, /please ontact this office immediately. 4 !dhr/�^/ 4�,}►rte r/4��*'ii cyan + ! �c� it ��. Date Inspector REV 10/gg v INSULATION CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATION CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS 1710 12TH ST OROVILLE CA NUMBER CITY STATE CEILINGS: BLOW: MANUFACTURER GREEN FIBER THICKNESS 10.3" R/VALUE 38 BATTS: MANUFACTURER KNAUF THICKNESS 13" 38 KNAUF EXTERIOR WALLS: MANUFACTURER KNAUF KNAUF FLOOR INSULATION: MANUFACTURER KNAUF KNAUF AIR INFILTRATION: (TITLE 24) YES XXX OTHER: NO THICKNESS 3.5" RNALUE 13 THICKNESS N/A RNALUE N/A 7uz� f/4- O,i �f' O ci' GENERAL CONTRACTOR: BRIAN MERRIL LICENSE # BY TITLE 1 /D--�— DATE INSULATION CONTRACTOR: WESTERN INSULATION LP LICENSE # 794484 BY:ITLE AUTH. AGENT DATE 10/8/04 BECKY GUTM % BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041489 LICENSED CONTRACTORS 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 ISSued Date: APN: 031-251-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1710 12TH ST ORO Date: Contractor: Map Index: Description: NSF 1564 GAR(440)COV(82) p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FERNANDES, RAY to its issuance, also requires the applicant for such permit to file a 7413 LEONARD AVE signed statement that he or she is licensed pursuant to the provisions of CITRUS HEIGHTS CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95610 she is exempt therefrom and the basis for the alleged exemption. Any 916-715-1522 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: FERNANDES, RAY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: 131 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:—' Total Square Ft: 2086 S. F. Policy#: Valuation: $113,532.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e_ (/ — 0 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one, �p Z �/Y1GV��/ �r G ��p % hundred thousand dollars ($100,000), in addition to the cost of eC (', compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - ffzaw� _ . 4-, 2 CONSTRUCTION LENDING AGENCY This permit is hereby issued un er the ap licable provisions of the Bette County Coda ?nritor I hereby affirm that there is a construction lending agency for the Resolutions to doork indicated abov or hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: QQ PERMIT EXPIRES ON: U < Q Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized a e owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official r umen f Butte County. I hereby authorize represe tives of Butte Qpunty to enter upon the avve mentioned property for inspection purposes. Print Name: R (YL C��Signature: cew —0y Date: lewner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor y;�•.. y.�-•wr..._t¢.,ns"" n- .r�•.�+ s-r..,�r. ten. mac.. ,.-y. �..Y. „�,� ...�� t ..,, _ ... ... � .., COUNTY OF BUT -E -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Cer_ter Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 j PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NU R 0,31-2 ) I �Ozf Proposed Building Use: Counter Technici t/ Date: t ms required in order to apply for a permit. All boxes MUST be checked. OR marked in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data Sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bidgs: (A) Metal Bldg Plars, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, we -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residental buildings ❑ 13. Detached Accessory Building Form filled out by the owner 4❑ .Hazardous Material Form ��� � � 9 15. Sanitation and site plan approval from the Environmental Health Department in ICA Oroville, as applicable.+ ❑ 16. Other Remaining items needed to issue the perrrtt. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers........................................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......., ❑ 20. Erosion Control Plan Required........................................................................ ....... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ' 22. City of Chico Plumbing permit..._................................................................... 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: 6 K-(B)Parking: (C) Parcel Check: / 25. Contact Land Development about _ Improvements, _ Drainage ......................... �- 26. NPDES Form ......................... _.......................................... ....................... ❑ 27. Encroachment Permit for drivewF-y from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. iNumber, Name Style, Classification) ................... 30. Worker's Compensation Carrier End Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑„ 32. Letter of Signature authorization ........................... ^� 33. Recorded copy of Agricultural Ackgowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑35. Existing violations and/or expired permits......................................................... 36. De,ed Restriction......................................................................................... ' 37. 46,5rant Deed H Title/Stat of F ct Letter rom LeMOr,0Ch c t D. ❑ 38. ❑ 39. Other: When issued Teleph yt' _ ( and hold for pickup. I have been inforr,vd of ttP' 0001,1 em requirements for obtaining a building permit. Applicant: V%04_�9011 -Date: S - W64) 1. Index permit a ation for the above items numbe Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above Jata by O phone, mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: _Date: Plans approved by GZ Date Structural review§L4 Date Structural approved bDate:Z/ Note transfer by: Date. %JV If Yellow: Building Division C� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHE . ULE OF RECEIPT OF FEES OWNER A.P. # 2-9 PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 0 1. BUILDING PERMIT FEES p� J� ---Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check). 3. SHERIFF FEES (paid at Building Division) .:11A.i1� Residential............ X $360.00'=$ Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. I00� ' (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK EE $(paid at Building Division) ,( s) , q 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. cial ( ftg.) ......... X = $ + Sq. FFii%g. mt. HER V #e& of permit application, I a dv' the above fees are required to be paid prior to issuance of the permit. These fees maybe changed dur' a pl c e ng ocess. APPLICANT DATE 5-2, V• -OV Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Department Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: 1-710 IZ;, 4 5Oro VL�!/Q_ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Luh Date: ?2—C)y Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 O.B.-1 OV`►TNER-]BUILDER VERIE'ICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. .___I .._ _personally_ plan to_provide_the-.major-labor--and-materials for--constr-action of -the -proposed--_.._. property improvement :YES NO 13 2. I HAVE ❑ HAVE NOT 'geed an application for a building permit for the proposed work. . I have contracted with the following person (fum) to provide the proposed construction: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, rovide the jor wo NAME: rtee 11L ADDRESS: PHO N d 60� 26S CONTRACTOR'S LICENSE N.0,9 !2 © 7 S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PRONE TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 19831 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the pernd4 A OWNER BUIIIDFR WFORMATION Dear Property owner. O.B.-r An application for a budding permit has been submitted in your name listing yourself as the builder of properly improvements specified. For your protection, you should be aware that as "owner -budder" you are the responsible party ofrecord on such a permitBudding 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 s posible liability if that person applies for time proper permit in his or her name. Contractors are required by law to b_ a licensed and bonded the_.State_of-California-and to have a business license from the city or county, Tlmey are also required bylaw to put their license number on all permits for which they aPP$'• 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; d If you employ or otherwise engage any persons other than your immediate family, and time work (including mairials 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 hm a=. as an employer and you are subject to several obligations including state and federal income tax withholding, federal socials workers compensation bsmmnce, disability insurance costs, and rm 1 �Y taxes ♦ There may be financial risks far you if you do not out these obligation.�P �� compensation contributions. with respect to worker's compensation , and these risks are especially serious ♦ For more specific fi f°mmation 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 time Department of Benefit Payments and the Division of Industrial Accidents. If the stxvctme 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 tinder limited conditions. A frequent practice of unlicensed persons professing to be contractors is to. secure an "owner budder" budding permit, erroneously implying that time property owner is providing his or her own labor and material personally. permits are not required to be signed by property owners unless ami Building Iafo�on-about-licensed- — — Y Pef�g-their-own work -personalty-- - - - -- - ------ ---- _._-._ contractors may be obtained by ung the Contactors State License Board in your community or at 1020 ld 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 tnfil the verification is returned. IYI 4 Iviic I C. V'i ting C.B:O. ,BtuldInspection NOT M YUS Owner-B"Ederinformafion is required by Section 19830 of the California Health and Safety Codes „r, 4 r .Fi a ti,.•..-+ ... . �t<✓}�w•r.r-:�;�.. .r,. +e �l�c:�:,•;�; :; r BUTTE ' ` V �'CGUNTY SCHOOL_S IMPACT FEE CERTIFICATION FORM 4 J (One -form peubuilding) School District A.P. Number W Property Caner Property Location/Address -4.1 W11-3-333 Jurisdiction: r-1 Cit Building Department No ounty Subdivision LofNo. Y P............................ ..»»...................»......:..._....._...................._ Residential Development � S4• Footage .J ICJ No of Living Mobae Home Addition/ 'Supplemental to (Grou R) Units Instellation Conversion Permit # z *(No foundation inspection) Commercial/Industrial Q t` New I'll- hlj,� I Building Department Representative U Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Q�l Roofed Areas) V Date District Identification. No. n �/ �01,(Fe r ry. �1 � � t ONt `�(� SchoolDistrict certifies that (Applicant) (Street Address) (Phone Number) �r��� I CP (City) (State) (Zip Code) has complied with the requirements of Resolutiorb No. representing School District . �A square feet. <-1. uJ by payment of $ 3 u 3-3(, E2926 : FULL MRIGATION $ Paid by Check # �- Remarks: `' ' q r 7 Date' Notip: You may protest the Imposition of the fess Identified am” by submitting a written protest to the District, in compliance with Government Cods Section 66020(a), within 90 days from the dare fen are paid. Failure to subn* a timely wri ten protest wlil'prohlbit you from challenging On imposition of the fees in any court icon. 9, subsequent to the School District Representative signing thh• Butte County Schools Impact Fee Certification Form, the School Oistrlc Is r MR by the applicable Local Planning Agency that this proje*t Is being reviewed under the CaiNomia Envirorwmrial Quality Ac (CEQ4 this p A may be subject to addMionei school fees to fully m0gate. Its impact on the school distric'a schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/03)dmm (!IL II(III 10(11111111111111111111 AND WHEN RECORDED MAIL TO: 2 10,4 -- G3 go E+ ca2 3 4 BUTTE COUNTY BUILDING DIVISION Recorded I REC FEE 7.00 7 COUNTY CENTER DRIVE Official Records I COPIES 2.00 OROVILLE, CA 95965 County Of I BUTTE CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON I \ Assistant I Jason 03:48PM 12 -Aug -2004 I page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Section 26-8 of the Butte CoFOR RESIDENTIAL DEVELOPMENT unty Code required this acknowledgment to be recorded prior to issuance of a building SG permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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: LOT 4, AS SHOWN ON THAT CERTAIN PARCEL MAP., RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 5. 1979, IN .BOOK 70 OF MAPS, AT PAGE 14. Date State of California County of .BUTTE PRO ER Y E RAYMOND FERNANDES On AUGUST 12. 2004 before me, MARY A. THOMPSON. NOTARY personally appeared RAYMOND FERNANDES personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and officia ILS t ---- Signature Seal: MARY A. THOMPSON C5 Commission #1351470 n CL Notary Public -California v A.P. >t 031-251-028 U Butte County My Comm. Exp. APR. 15, 2006 i SITE PLAN REVIEW APPLICATION Date: 1 AP# 63 Permit Number (if applicable) -C APPLICANT INFORMATION Parcel Size: (�Ci Owners � " W tiers Name: Owners Address: !/�� 3 Telephone No.: - �� Situs Address: /7(o Proposed Use: Residential M New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home / Residential Accessory G�, �v � 01 C/q ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: . Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By ' , Z�LDate 7/17/05� Page 1 of 5 ZCO ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) EE Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ' . Y ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: JL07 q & 007Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali orma Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: k' 4— Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side i Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender, ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 12 Subdivision Man/Parcel Maw: Map Date of Recording: 7 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 74 Page: % Date of Approval: Parcel Map/Subdivision Map/Us .e Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall. be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa u PaLye 4 of 5 i ❑ 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 A-4-- q 70 PIT) r �( . June 21, 2004- Mr. 004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Fernandes SFD Address: 171012th Street Dear: Mr. Vieira: County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-1489 LP2A Job No. 2040015-064 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) copies Plan Sheets 1 through 6 (6 total sheets) Title/Cover Sheet dated May 01, 2004 by Raymond Fernandes 2. Structural Calculations: Not Provided 3. Title 24 Energy Compliance Documentation: Two (2) copies dated May 10, 2004 by L & L Consultants. 4. Prefabricated Roof Truss Calculations: Two (2) copies dated May 18, 2004 by Homewood Truss. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our review. Please note there are no further comments. Therefore, we are recommending approval of the above noted items with the added redlines shown on sheets 1 through 6. Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps along with the applicant's response letter. Please let us know if you have any questions. Thank you. Sincerely, LINHARqeteon ERSEN POWERS ASSOCIATES 16 . Roger S. .Structureer PK;MB:ag Enclosures: Cc: Alice Mefford: amefford@buttecounty.net Bin 42 fAbutte county 015\butte county 2004\2040015-064-pcf.doc LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone t (530) 538.7785 Facsimile TO: FROM: t"' SUBJECT: 1• DATE: LP2A Scott Rutherford (530) 538-7160 o��1TTFo o o 0 0 0 0 cOU N'�y o srutherford Wbuttecountv.net Plans Transmittal For Review Per Contract 6/2/2004 Applicant:, Fernandes Permit 04-1489 Project Type: NSF/Gars a/Cov.Porch APN: 039-540-023 100% 70% Plan Check Fees $ 1,028.65 $ 720.06 $ 1,028.65 $ 720.06 LP2A Fee $ 720.06 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other E110ther THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE ® 2260 OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1710 12th Street Owner's Name: Rayrnond F ernai-ides Date: July 28, 2004 Address: 7413 Leonard Avenue Acct. No.: 508680 Citrus Heights, CA 95610 A.P. No.: 031-251-028 Phone: 916-715-1522 (Cell) New Unit: 1 Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: $ 50 00 T.I.D.: 1705 00 Preliminary Review By: Date: Ext. Fees: Remarks: • CONNECTION FEES WILL BE THOSE APPLICABLE AT SC -OR: 1000 00 TIc9E OF CONNECTION TO THE SEWER COLLECTOR SYSTEM. Lateral: 75 00 CLEAN OUT UP TO GRADE REQUIRED AT PROPERTY LINE. Other: Enchr 66 00 SEWER CHECK VALVE REQUIRED. SEWER PERMIT FEE INCLUDES ONE CONSTRUCTION INSPECTION ONLY. INSPECTION WILL BETotal Fees: 2896 00 BILLED $50.00. Amount Paid: 2896 00 Finaled By: Date: Collected -$y. � �- `-1 ,:-`' I i i Location: n Size Line: I VE- H v L.U .. T. Signature of Owner/Agent- MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (R.F.C.) Blue Book: Meter Book: Paid SC -OR: (S/C HG's) Rev. 5/95 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ca0Ila 4-0049234 Recorded Official Records CountOff CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:48PM 12 -Aug -2004 REC FEE 7.00 COPIES 2.00 Jason Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT SG Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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: LOT 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 5, 1979. IN BOOK 70 OF MAPS. AT PAGE 14. Date J Z — D tf State of California County of BUTTE PRO ERY E RAYMOND FERNANDES On AUGUST 17.. 2004 before me, MARY A. THOMPSON. NOTARY personally appeared RAYMOND FERNANDES personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and officiaJ.sgat--- Signa A.P. # 031-251-0 MARY A. THOMPSON Commission #1351470n EL Notary Public - California Cn U Butte County My Comm. Exp. APR. 15, 2006 TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance A, V4 Je � sore l ?,/0 3 �-2s owner location AP # ggDriveway permit has been issued for the above property. i0elix si ature date 10 'e;q If Do ID Ik lik Im 0, 10 VI. 0 R� lie, 9. Ik 7T Qk�, 61P A. A. Processing !§4rvi`ce$ JAN. 90,P Y P A. IS- 0- AS a u CIS -6s , 0 I. -S # 1� 0 Wit= . `-�� _ ,x °-_ �. �� .: � � n 5 �� � �� � ��.' � � ky �u� �,. �..�1.�'.t�s ,n�o, ���_.�-s� ,. _ � . I -P-"5p 6 R' ' a $a � 't F�_i'� � F, ,��. zKcs.�,... �� � �. �F� 1i y,tY i "�! G. e _ Z J ..- ��� -ski_ Jr A. 0 lll�s=s 0 10 4 VS, A. C> 0 A. 0 p J& Y, "' ' 0 %., A, A. 4p 1p 0 A. A. A. '00 C-� n 10 k. � 'Pot, i Mu / — ;k ,/ ;,, " 0 0 -�. *,o L/O - 'gUl tp ip d 06 VJSS &qsswOJd .A it, *Fl 4k X er'L (I J, 0 " . 7/ ------------- Processing Services JAN. 90 P S�, > 0. 0 A. 0 'k A. V- A. 0 S • o 3,6 s' e I � 31, n COMPLAINANT ADbRESS*: -Z Y k. zP.44&-.. -5iZ'- PHONE NUM.BER:. OTHER COMMENTS: elm . I" .Vow Jj�: T 10 0 ECORD STIED BY n AND WHEN RECORDED MAIL TO r :.—e M/55 /1..i�1Ar'CCI rnCMil / ..,eel 7(, . H4 7-c / /i vl-'- +trtreu /� o/7 6/ %x o I- C�i;F gyo66 MAIL TAX STATEMENTS TO r , e rn i� ff Reimann y76 Ha Ze l i9V'!� ' . / 1 �ry v $ , F L 9'466 CAT. NO. NN00r80 TO 1922 CA (2-831 1 J J 92-02196 92-002196 Recorded Official Records County of Butte Candace J. Grubbs Recorder 12t28pm 17 -Jan -92 Rec Fee PCO Cash PUBL It �Z 5.00 20.00 25.00 xx 1 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Quitclaim Deed TMIS FORM FURNISMED ST TICOR TITLE INSURERS The undersigned grantor(s) declares : i Documentary transfer tax is S C_ ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. (�) Unincorporated area: ( ) City.of Q('0() j IL , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby ackncwledged, 1o6n-o6rns0n iQ nr, -v11n, Soh n5o r\ W4 - hereby REMISES, RELEASES AND QUITCLAIMS to Helen NrA%y Roman n (,t t marl url ✓!'1urrlCd Woman the following described real property in the (j County of am -C , State of California: j a�G ►.11: IP' 031- 4VIAV—O This is n bona f )jP+ Qnd grawbr rece9kj d. 4-nrj to Rc4urn Pi T Dated: /,-- — / 3610 c.-;. or •:.,; '( i o •�� r 77�y A?,q- *-ea 19'00�_ /oy-o 10' Q �Sesmen-F # 031-a61-GaS-a°o Ro peg �k f �� ser tpf i� r\ P. T Al, gy The/r�'�aif � V 1t4k Co STATE OF CALIFORNIA COUNTY OF TRINITY On XMIM A. 1992 before me, the undersigned, a Notary Public in and for said State, personally appeared _ STA Y. JIMN$ON Z= DORMY J - - _ _ �N personally known to me or proved to me on the basic of sat- isfactory evidence to be the person—_whose name_ TR subscribed to the within instrument and acknowledged that SK executed the same. WITNESS my hand and official al. Signature l'ide Order No. 1 .................. ............... .. i } .. He rr (This area for official notarial scall —_ Escrow or Loa,. N(i.' NiAl(. TAX STATFNiFNTS AS F)1nF f:TFD AFn•,r 1 PDO07 COUNTY OF BUTTE PROPERTY SYSTEM ASSESSOR INQUIRY 02/20/92 11:00:58.6 COMMENT: 3125102800 CONVERTED 09/08/88 SITUS: NO SITUS ON FILE OPTION: ___ NXT OWN PCL SIT EXP TAX PRE RET SC2 ATT HON APR MEN HLP PHY ALL OWNERS FOR THIS ASMT HAVE BEEN DISPLAYED PD010 COUNTY OF BUTTE 02/20/92 ASSESSOR INQUIRY 11:01:13.4 CURRENT OWNERSHIP ----------------- ----------------- ASSESSMENT: 031 251 028 000 FEE ASSMT: 031 251 028 000 OWNERSHIP: 0.000 ASSESSEE: JOHNSON ANITA ETAL - - - - - - - - - - - - - - - - - - - - - - - - - - - SEL OWNER NAME TYPE PERCENT DOCUMENT R&<T SECT JOHNSON ANITA SS 0.000 9OR38178 JOHNSON JOHN & ANITA JT 0.000 90ROG785 - - - - - - - - - - - - - - - - - - - - - - - - - - - SEL FIELD = X AND PF1 FOR DOCUMENT HISTORY (RECORDED) ENTER = RETURN FEE PARCEL PARCEL: 031 251 028 000 STATUS: A 00/00/00 CREATED: 82R2711381 0n0/00/00 SEC TRA: 104010 k:ILLED: DESC: PTN BLOCK 84 THERMALITO ZONING: AR 00 ASSMT: 031 2151 028 000 STATUS: A 00/00/00 CREATED: 82R2711381 00/00/00 TRA: 104010 TAX CD: 000 BASE: 00/00 KILLED: CUR DOC: 9OR38178 08/10/90 DESC: PTN BLOCK 84 THERMALITO JOHNSON ANITA ETAL ROLL ASSESSES: N RETAINED OWNER: Y 476 HAZEL AVE ACRES: 0.00 SAN BRUNO CA 94000 ET AL OWNERS: Y SUPL CNT: COMMENT: 3125102800 CONVERTED 09/08/88 SITUS: NO SITUS ON FILE OPTION: ___ NXT OWN PCL SIT EXP TAX PRE RET SC2 ATT HON APR MEN HLP PHY ALL OWNERS FOR THIS ASMT HAVE BEEN DISPLAYED PD010 COUNTY OF BUTTE 02/20/92 ASSESSOR INQUIRY 11:01:13.4 CURRENT OWNERSHIP ----------------- ----------------- ASSESSMENT: 031 251 028 000 FEE ASSMT: 031 251 028 000 OWNERSHIP: 0.000 ASSESSEE: JOHNSON ANITA ETAL - - - - - - - - - - - - - - - - - - - - - - - - - - - SEL OWNER NAME TYPE PERCENT DOCUMENT R&<T SECT JOHNSON ANITA SS 0.000 9OR38178 JOHNSON JOHN & ANITA JT 0.000 90ROG785 - - - - - - - - - - - - - - - - - - - - - - - - - - - SEL FIELD = X AND PF1 FOR DOCUMENT HISTORY (RECORDED) ENTER = RETURN February 19, 1992 Butte County Building Department 7 County Center Drive Oroville, Calif. 95965 Attention: Rob Taylor Pl-(N Thi TT �1 T _n_ -Ili RT �(U rml DEPARTMENT OF HUMAN SERVICES P.O. Bos 218 Telephone (916) 623-1265 Weaverville, California 96093-0218 Jeannie Nig-Temple, Director Dear Hr. Taylor RE: Anita and John Johnson and Helen Reimann Butte County Parcel #031-251-028 As per our telephone discussion I am requesting copies of the following documents. : 1. 8/8/88 Sewer service application and connection permit with Thermalita Irrigation District 2. 8/9/88 Agricultural statement of acknowledgement for residential development 3. 8/9/88 application for temporary travel trailer. 4. 8/9/88 Permit application data,sheet for mobile home utilities 5. 8/9/88 encroachment permit 6. 8/11/88 Warning letter to John and Anita Johnson 7. 10/17/88 application for a three bedroom dwelling S. 10/17/88 Permit application data sheet 9. 10/17/88 owner builder verification 10. 10/18/88 claim form for refund 11. 12/27/89 application with Thermalita Irrigation District 12. 1/17/90 owner -builder verification 13. 1/17/90 permit application data sheet 14. 1/17/90 permit application #154-90�/L 15. 1/26/90 correspondence from Anita Johnson CQUA/T v y -os 16. 2/7/90 General claim for refund J- d y` 9a V' I 17. 8/2/90 permit application for grading J. �01. 18. '8/2/90 application data sheet for mobile home utility permit 19. 8/2/90 blank application 20. 8/2/90 sewer service application and connection permit(,with Thermalita Irrigation District "'" gip+ I do apologize for the long list of items requested but I do: feel they are necessary in order for the � County of Trinity,to evaluate•'further the status of the property. Thank you in advance for your assistance. Sincerely, ulie Neill, Investigator Y m 0j` O 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Alot 4 Yl . A. P. No. ` Proposed Building Use Gt Building Inspector Date At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. 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. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. 13. School District fees paid. 14. Sanitation approval from Health Department. 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: 18. Improvements may be required. Contact Land -Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 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 Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. Other Mail to contractor. _Deliver w./inspector. Applicant Date Z GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m: Hours: 8:00 a.m. - 9:00 a.m. Orovi I le 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. _ 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant ,y�,. .�� ^. .�--ny7`+*a ^;' � i 7e:l�Y'1`.{ �- .,•yyy Y ,,I�.V ,. �'...� i-'�'*�� • i��". '3..L� .•^r T,�! eM.^ •....-+.1..'.• �. ��. L^' � �wr' v �... a COUNTY OF BUTTE - bEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 96886 - TELEPHONE: 918/638-7641 PERMIT APPLICATION DATA SHEET -. ' Permit No. -7f / OWNER O Xnlla V C7 A. P No. �! - 0j-) Proposed Building Use Lrodlk 4 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit pr,cessing and/or issuance: DATE gErCfEIVED APPROVED /1. All items have been submitted . .................................... �f 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 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: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant Date Copy of Haz- Mat corm 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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by-phone--mail-counter by ..date Contractor, designer, owner, was advised of above required data by -phone _mall -counter by date Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION ,r Attention Property Owner: An 'owner -builder" building permit has'been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement {yea or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner AAkg,� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION .r . Attention Property Owner: An 'owner -builder" building permit has'been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement '(yes or no) 2. I (have/have not) v signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work �S igned : ri Propert Owner av a--,_ Social Se rity Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 d OWNER -BUILDER VERIFICATION 'r Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. A- 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :(yes or no) 2. I (have/have not9Ssigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address I 1 11 City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER i ZONIN BUILDING PERMIT .: O +y Vrlr u — / K t TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADOR E,SS� UF,...., TF�TOR'?fAwV CONr•!AM/ '� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation js Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /<ra Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD RESS e� J Permit fee $�"' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r© Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome* Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home WG 10-00e4 TYPE OF WORK New❑ Addition❑ Remodel❑. Utilities4fl, Installation[] Other ❑ Describe work: 114 Permit Fee $ �I f Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 10001 OR 0 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt.9, Div. 3 of the Business and. Professions Code and my license is in full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING oCCUP.& OR ADDNS. ( ACC. BLDGS. �2¢sgft NEW NON•RES O CONSTR BRANCH CIRCUITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20@30C eAL@300 FIXED APLNS EX. OCCup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Oate Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ HAz CUA PARK FLo PAR Po Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for' which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 X51-�a,- APPLICATION AND PERMIT ASSESVORPARC L NUMBER .1— ,� ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION l OWNER'S MAILING ADDRESS E &I F,11 141 `/ CT CTOR•S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON AUCTION LENDER 22 VNKNOWN Total Valuation .$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ C, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 / • L� Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 rQ V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0.00e TYPE OF WORK New ❑ Addition ❑ RemodelFl/ Utilities ❑ Installation Other ❑ Describe work: oc_r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 ADONS. ACC. SLOGS. /2tsgft NEW CONSTR. MULTI -OUTLET NON-RESID R BRANCH CIC ITS 2.50 ea, (POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES eL030 2AL030 Ex. Occup. OUTLETS (REST DIRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f-] The permit is for $100.00 (valuation) or less. E] 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I 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 $ Q Energy Inspection Fee $ occ i CONST TYPE TOTAL FEE $ (//� �7 l HAZ CUA PARK[i7l_[)ALEPAR JP0JHDJ IssuE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 t LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VAMP OROR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ZI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& A CC.LDGS2�zQsea NEw q ft CCONSTR� ULTBI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@DOQ RAL@30 Ex. Occup. OU LETS (RESID )FIXED APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag St saiCoun in c nsequence of the granting of this permit. X , I.1.- _ Date Signature of Applicant owner ❑ Contractor ❑ Agent ❑ An OSHA permit is rq wired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD I PAR PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT "��-l•^'•.-.+%."fitV'\.i`-r•�...^t^.r•1}.,�.�:'tii.�.�'Y'..�}-t,^�w`�"ra' �rL"�1�.{,�,� �it�}X,j�.f..`�.,ly v.-��i.a lr`�r'. -I v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Doo AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.Ed OR ADONS. ( ACC. SLOGS. 2,h2sq ft NEw CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. Occu Occup(OUTLETS OR FIXTURES 20e50a BAL030 FIXED APLNS./1, Ex. Occup. OUTLETS P(RESID 1REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agr st sai Coun in c nsequence of the granting of this permit. ,� r X Date esions Signature of Applicant Owner ❑ Controctor ❑ Agent ❑ An OSHA permit is ruired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK I SCHL FLD PAR I PD I HD Issue This permit is Hereby issued under of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ►' , * ==mow,,: COUNTY OF BUT,TE,- DEPARTMENT,OF PUBLIC WORKS PERMIT NO. 7 County Center Dive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR1 OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification /1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. SLOGS. 21V20sgft NE w CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) _SINGLE OUTLET CIR. Ex. OCCu o p OUTLETS OR FIXTURES 20@300 eAL030 FIXED APLNS, Ex. OCCup. OUTLETS P(RE SID.)OR EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such .provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 a �-nst said Count inconsequence of the granting of this permit. _ `` ,�,/1 � ���,s�,rir► Date Signature of ApplicantrJ Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is re uired 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 $ HAZ I CUA PARK I SCHL FLD I PAR I PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Cender Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME -ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER LNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTJRE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation] Other -E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OV OR R LESS 10.00 CONTRACTORS LICEASE LAW I declare under penalty of perjury (check one) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my licerse is in full form and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- Zsation, will do the work,and the str=-ture is not intenced or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licerrsed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Prof>ssions Code r for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.g OR ADDNS. ACC. BLDGS. ZhCsq ft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) %SINGLE OUTLET C'R. Ex. Occu Occup(OUTLETS OR FIXTURES 20@509 DAL@ 30 EX. OCCUp. OUTLETS FIXED PIRESI DIRE A.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) o.- less. ❑ I have placed on file with the County of Butte Buildin-p Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any nanner so as to be:ome subject to the W. C. laws of California. Notice to Applicant: If after making this staterreent, should you be:omesubject to the W. C. provisions of the Labor Code, you nust forthwith comply with such ,provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and Mate that the above information is correct. I agree to comply to all County Ordi-oances and State Laws relating to building construction, and hereby authorize representatives of tae Countyot Butte to enter upon the above-mentioned propert- for inspection purposes. I also agree to save, indemnify and keep harmless the County of Eutte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c(Pnsequence of the grant ng of this. permit. X f 3A r !n \�� /,1�a <l/� A �j --, Q� — C�n Signature of Applicant Owner El Contractor ❑ Agent ❑ An OSHA permit is re uired for excavations over 5'0- deep and demolitior or construct- ion of structures over 3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA I PARK I SCHL FLo PAR PD HD Issue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDINROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit.fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ( cense 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNSCONST. DWELLING GOCCUP.8j) S. 2+/2Qsgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS Q (SINGLE OUTLET CIR. ) EX. OCCU OUTLETS OR FIXTURES p 20@50a BAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C . my i c se ence of the granting of this permit. X — _ 4!66 Date Signature of Applicant —Owner ❑ Contractor ❑ Agent An OSHA permit is requ ed 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 $ ALSC.L HAZ CUA PARK I ILD I PAR PD HD ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi-LA_ resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f�}'��i�'��y�,�}�. �'s1,�'6- :. I .4 k��`/YA4'.q+C-y'°. I�������.C'r.�'(E�W'r��"twC'�T �,+�1�(�vT•T•��n�'iM"r^.-r�Y:f'�.�.�`4 �d'��-i� COUNT'S OF BUTTE= DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE .t( CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRE=S Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING' PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO: SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ACD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one)- ❑I am licensed under p provisions Of Cha t. 9, Div. 3 of the Business and Professions Code and my licerse is in full force and effect. Icense No. Classification I, as the owner, or my employees w th 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 corYracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ACDNS. ACC. BLDGS. / , 2/zQsgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & SINGLE OUTLET CIR. EX. OCcU p(OUTLETS OR FIXTURES 20@30¢ eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATIOW INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) o- less. ❑ I have placed on file with the Count- of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any nanner so as to become subject i 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 nust forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and s -ate that the above information is correct. I agree to comply to all County Ordirances 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 i c se ence of the granting of this permit. X — Date Signature of Applicant— Owner [:]Contractor ElAgentWork An OSHA permit is requ ed 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 $ HAZ CUA [;ARK SCHL FLD I PAR PD HD ISSUE Th's permit is hereby issued under siois of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD E.IROD-APPLICANT COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00e TYPE OF WORK New El Addition❑ Remodel❑ Utilities❑ Installation[] Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE Icense No. Classification 1, as the owner, Or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2/20sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES p 20®SOt 9AL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 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. shall not employ any person in any ma.-iner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and stale 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 inoonse uence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is requ ed 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 I CONSTTYPE TOTAL FEE $ HAZ CUA 1PARK sCHL FLD I PAR PD HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ZIN S .rte COUNT`.' OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W ff5OSPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICEIISE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesJ and Professions Code and my license is in full force and effect. icense No. ClassificationeLo 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the strL=ture is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively con racting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code i for this reason NEW CONST. DWELLING OCCUP.h OR ADDNS. ( ACC, BLDGS. 2,hQsgIt NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 2AL@C 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 1 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) o less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensa ion Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any nanner so as to become subject ; to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordirances 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 consequence of the granti ig of this permit. / i % i�,-) %� �`�� Date +` Signature of Applicant — Owner ❑ Cbntractor ❑ Agent An OSHApermit is requ4red for excavations over S'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 $ F{q2 CUA PARK SCHL FLo PAR PD HD ISSUE This permit is hereby issued under stops of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEIROD-APPLICANT COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS:�4 z 141 * oz( — 2-5- ` — Ozg _ O Ianamre of DeUarant or Aa.nt detvminlna to - Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Helen Qe--,rmanl a S1v�r3�c LA2C)man . hereby GRANT(S) to teAe1enncSl rill 1� crn an Situ �E_naIn IS J-Ohn �ht,SL�n and Anna .S1nn�4 k-w'cD 2x ncl aryl Lv�f� c�S `Toint T-enan46. the real property in the City of ���^�1v-1 areal%� County of lel] t to f -California, described as Parce-LLA as 5hquDr) CerL6in n ---x zAp �ortic�i1 c� 5�0�iort la, i c7wry,-�h,p Icl Uorth R e � < YYI . fJ "8. 13Y�'l . w1 � 1c h do ce. L m L� recon � ed, �I � r1 ,-he c'FicE CFE r�CrcS�r— c�' t-h� _ Cc:un�t� c:`� F'�L,�tE �•���FL D>< alt-'c,vnld c:1'1•Sc�n��a ��� 1010 ) r! t �)C'C'� -T�. % F !1 �ci� c3} (�c��'�f'_ Ili , IJ Dated_SI.IEO��f^� COUNTY pCALIF On �CCit/l. before me, the undersigned. a Notary Public in and for said Stale. per- sonally appeared !'�e _ Fr/Y j:j-Zj /a personally known to me for proved to me on the basis of sausfactory evidence) to be me pe.lsl whose name(soam subscribed to the within instrument and acknowledged to me that he/snetthey executed The same. WITNESS my hand and gfbwl"al. / fr I.' II'•I I'i I' __SAI f�Z(�vL ��SuYVL�.►.,�c_� OFFICIAL SEAL TRACY A. RAMPTON Notary Pubtle-Celllornia SAN MATEO COUNTY t" my Comm. Exp. July t, 1991 1002 tMV) END 4F vOCUN1EO' 0 90-06185 Oltl.:r No, Escrow No. Lomi No. n —T d CI.. 90-0067B3 Rec Fee 5.00 WHEN RECORDED MAIL TO: : Check 5.00 He- Ien Reirr1gnn Recorded Official Records �{�(rj (tZ�l fiVZ County of San tJ( Llt1Q Butte Candace J. Grubbs : CAIt� gtio(c Recorder 8:02am 21 -Feb -90 : FD 1 MAIL TAX STATEMENTS TO: DOCUMENTARY 11'►` e a5 q L _W Ye- TRANSFER TAX i&L7'�Q!14 cam. .X Computed on the consideration or value of property conveyed: OR --Computed Computed on the consideration or value leu liens or encumbrances remeinmypt time ofN�10. t 141 * oz( — 2-5- ` — Ozg _ O Ianamre of DeUarant or Aa.nt detvminlna to - Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Helen Qe--,rmanl a S1v�r3�c LA2C)man . hereby GRANT(S) to teAe1enncSl rill 1� crn an Situ �E_naIn IS J-Ohn �ht,SL�n and Anna .S1nn�4 k-w'cD 2x ncl aryl Lv�f� c�S `Toint T-enan46. the real property in the City of ���^�1v-1 areal%� County of lel] t to f -California, described as Parce-LLA as 5hquDr) CerL6in n ---x zAp �ortic�i1 c� 5�0�iort la, i c7wry,-�h,p Icl Uorth R e � < YYI . fJ "8. 13Y�'l . w1 � 1c h do ce. L m L� recon � ed, �I � r1 ,-he c'FicE CFE r�CrcS�r— c�' t-h� _ Cc:un�t� c:`� F'�L,�tE �•���FL D>< alt-'c,vnld c:1'1•Sc�n��a ��� 1010 ) r! t �)C'C'� -T�. % F !1 �ci� c3} (�c��'�f'_ Ili , IJ Dated_SI.IEO��f^� COUNTY pCALIF On �CCit/l. before me, the undersigned. a Notary Public in and for said Stale. per- sonally appeared !'�e _ Fr/Y j:j-Zj /a personally known to me for proved to me on the basis of sausfactory evidence) to be me pe.lsl whose name(soam subscribed to the within instrument and acknowledged to me that he/snetthey executed The same. WITNESS my hand and gfbwl"al. / fr I.' II'•I I'i I' __SAI f�Z(�vL ��SuYVL�.►.,�c_� OFFICIAL SEAL TRACY A. RAMPTON Notary Pubtle-Celllornia SAN MATEO COUNTY t" my Comm. Exp. July t, 1991 1002 tMV) END 4F vOCUN1EO' 0 J; F,. Glander,-.,,SU'I 10-. ;Ins ector,. f`- Butildin P .4..,►C fit- . ; . Chie Ig Dear Sir: 'i` Here is another document that file., "1 can go into the Johnson's N1rs. James Crabtree r• �# .-� ' � ' % -'.1 a .i _ •S. 1 0 .h in Revenues )unty revenue picture for the period from tar. All county revenue from all sources those used by the State Controller. ure 1-1 1 81/82 87,/83 87/80 84/8S 85/86 .908 1 6.856.711 S 7.698.346 5 8.620.969 5 9,343.915 510.011.121 .973 4.812.951 4.109.553 4.768.839 4.569.560 4.S94.276 I Helen Reimann, etal. 476 Hazel Avenue San Bruno , CA 95066 RE: Grading Violation 1710 12th. Street Oroville, CA Dear Ms. Reimann: A.P. #31-251-28 We sent you a warning letter dated April 6, 1990 notifying you. that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. Grading work with cuts leaving unprotected adjacent property lines and an improperly .compacted fill blocking a portion of the drainage swale in violation of the sections of the 1988 Uniform Building Code as adopted by section 26-1 of the Butte County Code as follows: (1) 7006(a) Permits Required (2) 7014(a) Inspections Required 1 (3) 2903(b) Protection of AdjacentlProperty The above violation(s) shall be corrected or abated by you by submitting two complete sets of plans, applying for the required permits, and paying the appropriate fees within 30 days of the date of this letter. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. Unless the violation(s)'is(are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said 'violation(s) or for failing to comply with this notice,. penalties shall be imposed and a Notice Code. .. �.,el � 1 s E Letter to Helen Reimann RE: Grading Violation A.P. #31-251-28 Page 2 May 1, 1990 � Should you have any questions concerning this matter, please contact Jim Glander of this office at (916)538-7541. {; Yours very truly, William Cheff i Director of Public Works j� ian,,d i 9L F. Ea&asdw JFG:ds J.F. Glander Chief Building Inspector cc: Building Inspector John & Anita Johnson , 30.5 Nealy St, Pickens, S.C. 29671 James Crabtree, 1200 12th. St, Oroville 9596.5 i i� 'I �I li Il �j a 4 'I 0 �I hi i �f 1 2 3 4 5 G. 7i 10 11 12 13 14. 15 I t; I7 I$ 10 20 .) I 22 23I 2` 25 2r 27 93 PROOF' OF SER ViCE SY RAaIL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is California. ' I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope.in the United States mail with.postage fully prepaid on May l.st. . 19 -20 and addressed as follows: Helen Reimann;.etal.. 476 Hazel Avenue .San Bruno,. CA 95066 i T_ declare under penalty of per under t:'e lams of the State of California that the forecoing is true and correct and that this declaration was executed on 5/1/90 at Oroville California. r - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I County Center Drive, Oroville, CA 9-10965 PHONE:. 916-538-7541 DATE April 9 -At 199n Anita Johnson RE' 305 Nealy St. Grading Permit. Pickens, South Carolina 29671 A.P. # 31-251-28 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER List of Butte County Engineers " We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or'check exemption statement. Complete .plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design inluding Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at:: 196 Memorial Way, Chico j 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for _ Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. AW OTHER Please have the engineer design tha ra =iji rayl ratai ni na ural 1 c � rmsent grading plans and provide compaction tests. Should ,you have any questions concerning the above, please contact Bob Keith or Jim Glander of this office. 916-538-7541 Yours very truly, William Cheff Director of Public Works F. Glander JFG/aj Chief Building Inspector FOR- A.M. DATE —TIME P.M. M— OF PHONE. AIREACODE- NUMBEA EXTEi4SION 'g, m 1 0 1 IN llli.A Mali I W-14 I . . . . . . . . . . -5-��e- s 7/, 5 - SIGNED LITHO IN U.BA. 41'4, 4= L_43 A-4;o4t1--j W,1;7c- �>,/ a4 A/ 14 IJ -e )c 0=& V A.�-. . Since your " income exceeds the. am01 have a share of cost to pay or pbl: share of cost is bi of cost was computed as follows: Month I Gross Income $ Net nonexempt income $ Maintenance need $ - Excess income . $ Share -of cost $ Enclosed is a RECORD OF HEALTH CA] follow. the instructions on the i medical. expenses exceed _your sha coverage Medi -Cal card will be i. - completed and approved. MC239Q Helen Reimann 476 Hazel Avenue San Bruno, CA 94066 RE. -Grading 1710 12th. St., Oroville Dear Ms. Reimann: April 6, 1990 A.P. #: 31-251-28 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Doing grading work, which will require retaining walls to protect adjacent properties to'the east and south and will require compaction tests of the fill. Since permits and inspections are required for the above work, please contact ® this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Keith of this office. Yours very truly, William Cheff Director of Public Works RK:ds Robert Keith cc: Building Inspector, Oroville Building Inspector IV James Crabtree, 1700 12th. St, Oroville Assessor ------- ---- - AP #-_0.31-25t- 028 COUNTY OF BUTTE o COUNTY OF BUTTE CODE ENFORCEMENT CITATION N- 5 3 3 w CODE ENFORCEMENT CITATION N° 534 NOTICE TO APPEAR NOTICE TO APPEAR Date Time •'t Day of the week „ S Dote )�` 1 (� i Time :��; Day of the week F 1� 5- J I 40 _ a t^A Name (first, ddl`e,1 last) `' I r !L Nome (first middle, lost) - rr ^' c h -j n ��% (� jr)J l 1 �SJ .� ���� AnYG. Virr.i�rg. \�`-�L1�y`'0 Reside nceoddne�ssQ nnec ``// Phone IU Residence ddress n ` /r [r n Phone i C- F_ f i -T A L- DEL!_Y4 PLm�iLtLt' i7Ei1-rkAL.._F/-E�,.%v�Y—a2AA S✓�hzz City r S�l-a•tQe Zip x-131 r City State ZipAF` J lLL� L_L_r _I ,1 I �.,J � � � �% Driv r s Lic. I�o State Class -� Birthdate(- 3 Drix e�s Lic Nq� -- State /� Class G. Birthdate / }► I i S !) r ` �� `� - -- -w_ (�5�J f1 _ ill Sax ajr Ey Hghtr Woight Oth o� do n Sex LIjoir Eyos r Hei ht Wei t (her des,�j,; M i AJr�L.Uf� I?(� (A1�GB. - (jG-�JrJ (3LvF % JD Q� �� Occupation Social Security No. r_ LI Occupation I nal $ecurirY No7' J I �1Z, 0_�/ 7' 0 '.l � OFFENSE(S) -� 7r) • �' c r- C� AI. -L &I TE Ct._ . C� l E I � FRAC'TI0 0 J OFFENSES)ALL BOTTE CO CODE iN�RA�Ti�,N;a U ---- �t -- -- -- - - — Z Butte County Code Section Description of Offense �� I Butte County Code Section Description of Offense `' (o r� ,70(���/To��C�)U,a.c. �E;ri�rNc u I,i ,.7��n1�/Tno(n���)u.6rC_: GRA.�iNG \I rF_ P 1 �- RE.n�I, �F 10 C �. PE Rrn I -T" r E(��It E� >. --�M �- �� ' Nf� ;�-'.�t�1 i l) e' %(� I `I ��) (�. g . C . C.�FF,�il�1G iAl F'I_"r•_i 1, U. a C FAD-/ INSPECT,,() r I �� � L( i �� T 1' 'AI[)Tlr��ftIOILO�E"To S�'M��`LiVlilLt��T1�E fAILRE•��-,?me Y��b I , -- ' j ro (J c- I Location Offense(s) Conumitted1bo 1 L r ry J I• / FIERMA Location Offense(s) Committed r l g l�j1 a l ' T' tRMA L ITO i W FlF ri 031 -.2 5 1 -.Q� ! cry El Offense item numbers) not committed in my presence, certified ❑Offense item number(s) not committed in my presenc certified i �D � on information and belief. on infomtation and belief. Cli• I certify under penalty of perjury that the foregoing is true and correct. l(i O I certify under penalty of perjury that the foregoing is true and correct. i �'I; 1 r �i:/ Y TE �Ot1fJTY !t Executed on the date shown above ali2�[ IJt California 4 Executed on the dale shown above at�•� California 9 - r 7 � ✓1" n�QQ� M� ��\ �S X Signature of Code Enforcement Officer ru_tr- ' " X Signature of Code Enforcement Officer/1JC_ Ll '_ t^ }}��((��iiii7777000V777 ^^ r r / Name of Code Enforcement Officer�L� S?)/ _.f !IAll�r`� Name of Code Enforcement Officer'jeR ay-b—M- &Q�— x` WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE INDICATED BELOW: X Signature //e n� 0 SFR1ri Belore a Judge or Clerk of the County Municipal Court located at:�r ,t G�Jnly /�J11,C;R1� CIVET- IVE — 01ROVI LLE. i931 ARLiN RhiNE- DRivE' - OFQVIL LE. ,iii nA*v' Dote.! ()/�/)_ i 19 C)/ Time 7'oo & WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE INDICATED BELOW: X Signature b`///z-Efl, Before a Judge or Clerk of the County Municipal Court located at: �IhC��•�n[�/ Jit1Jn,c.,�n..l ��ivr7-'OQ(,)1/l/_L (�r? � AR�;M R:;,nit mer✓� — OF?Cl1/ILL�. Dore 00 Form approved by the Judicial Council of California 11/4/88 Forma roved The Judicial Coun it of Calif rnia. 11/4/88 C �Q O approved A,? 0A/ -a. • I% ���� SEEREVERSE SIDE SEE REVEFRiSE SIDE White, COURT COPY Yellow, VIOLATOR'S COPY Pink, FILE COPY White, COURT COPY Yellow, VIOLATOR'S COPY Pink, FILE COPY STATE OF CALIFORNIA, COUNTVOF___—. �_--I . orLfi�l.a lisJ.._._..y�.12.�Z---- ----• ......---• -----..___..--- ...------------- ... - betwe me, the undersigned a Nota.y Public In and for said State. per- - ' eonaltyeppeared___..T.K�_✓._.� K,✓_S_GN...._i. ^!d_. ...._.............. _.._. _ _.......-.-__..--------... _ personalty known to me for !!Tng� the_llAalLQI pa116teGtory - U !'; 1.. 1l.L SCAL 1 \• , e iaencrl to be Inc parsonlal wnnse name(S) Is/are subscribed to the`'.. ,': "'I within instrument and acknowledged to me that he/she/they executed ` t the Nme. • " rap WITNESS my h endol!)CIal seat / �//]�[�/L, / A �,�//•/ i ITh.. .,.. I., GN,a,a eerena ...n END OF DOCU 002 (6/82) MAIL' TAX STATEMENTS AS DIRECTED ABOVE MENT .. _...._ ...-.tee,.., z•: 8.9-29320 Ul,tltr N,I. E.crow No. Loan No. , 89-029320 Rec Fee 5.00 - - DOC 4.95 WHENDEO MAI TO: Recorded : Cash 9.95 ^ Official Records REI1tANN County of Butte PART( SHOWN HAZEL AVE Candace J. Grubbs RUNO I� Recorder 9 12:44pm 4 -Aug -89 BG 1 SPACE ABOVE THIS LINE FOR RECOROER•S USE MAIL TAX` STATEMENTS TO: DOCUMENTARY TRANSFER TAX 1. Computed on the consideration or value of property conveyed; OR • .-... Computed on the Consideration or value lees liens or encumbrances rem n at thne of est. A P 031-25-1-023-0 I S en.tum of O.claant of A"nt d.ter,nmiinp tax — Flrm Nem. - GRANT DEED �> FOR A VALUABLE CONSIDERATION, reciipt of which is hereby acknowledged, John Johnson and' Anita Johnson husband 1 --td Wife as Joint Tenants hereby GRANT(S) to Helen Reimana • the real propffty in the City of unincorporated area of the County of Butte State of California, described as ?'ercel 4, As Shoran on That Certaf.n Parcel saes• 170ing A Portion of Section i 12, Township 19 ?'forth, Range 3 east M,D,B",E34, ::'HIC': PAR'EL MAP ZAS ":CORDED IN THE OfficE of the Recorder of the county of'Butte, State gf California on January 5, 1979 . is Book 70 of maps. at page 14 , ...........................I STATE OF CALIFORNIA, COUNTVOF___—. �_--I . orLfi�l.a lisJ.._._..y�.12.�Z---- ----• ......---• -----..___..--- ...------------- ... - betwe me, the undersigned a Nota.y Public In and for said State. per- - ' eonaltyeppeared___..T.K�_✓._.� K,✓_S_GN...._i. ^!d_. ...._.............. _.._. _ _.......-.-__..--------... _ personalty known to me for !!Tng� the_llAalLQI pa116teGtory - U !'; 1.. 1l.L SCAL 1 \• , e iaencrl to be Inc parsonlal wnnse name(S) Is/are subscribed to the`'.. ,': "'I within instrument and acknowledged to me that he/she/they executed ` t the Nme. • " rap WITNESS my h endol!)CIal seat / �//]�[�/L, / A �,�//•/ i ITh.. .,.. I., GN,a,a eerena ...n END OF DOCU 002 (6/82) MAIL' TAX STATEMENTS AS DIRECTED ABOVE MENT i a a lllila Nu. Exraw Nu. Loan No. WHEN RECORDED MAIL TO: HELEN REI14ANN 476 HAZEL AVE SAN BRUNO CALIF 94066 MAIL TAX STATEMENTS TO: A P # 031-23-1-023-0 89-29310 89-029320 Rec Fee 5.00 DOC 4.95 Recorded : Cash 9.95 Official Records County of Butte PARTY SHOWN Candace J. Grubbs Recorder 12t44pm 4 -Aug -89 : BG I SPACE ABOVE THIS LINE FOR RECORDER'S USE DOMIMENTARY TRANSFER TAX — CornputW on thecomlderstion *,value of prop" cony , d: OR .r computed on the eonelderstlon or value Ion Ilan or enwrefrenees ren In at tirne of tl4k 09. f enswrs of pecl~t or AMnrL ntIiii nV�ns tee —n11%r RM e GRANT DEED 41. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, `!fI John Johnson and' Anita Johnson husband x:td Wife as Joint Tenants hereby GRANTISI to Helen Reiaann . the real propUty in the City of unincorporated area of the County of Butte State of California, described as Farcel 4, As Shown on T::at Certaf.n Parcel saes, noing A Portion of Section ! i 12. Township 19 Horth, Range 3 east H,D,B,f.:!, 'XIC" PAP --TL NAP ::AS " CORDED IN THE OfficE of the Recorder of the county of'Butte, Stats of California on January g, 1979 . in Book 70 of maps. at page 14 , if Dated_._,_..__ I STATE OF CAIiFORNI IK COUNTY� OF_—_.�—__l belo.o me. the underaleneq� /a Notaq PuuWIc�IInn and for unf Slna per- sonally atmssred__ ....y ri./!.�✓... _O..o_/IK.f'_ON..._/�+/1-- personally known Io me Ip pw.ed_ n»y..l.all.h_lctory s dencei to be the oersoMsl whose nsmalsl Ware subscribed to the vA1Nn instrument and eCknowledped to me that Its/elle/Ibsy a■eMed The same. WITNESS m,h aM oft VINLL t ,TM LLC AL IThn — lot a$fK..1 npinr.M ..dl Byname ,,�p �S�'yyl���a•-VVV�L� � {/ EN +oo: Ie/ezI . . MAIL TAX STATEMENTS AS DIRECTED ABOVE DOFDOCUME PIT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit'Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER avid Professions Code and my license is in full force and effect. (cense No. Classification el, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. ` ACC. BLOGS. , 2/20sgft NEW CONSTR ULT'.OUTLET NO N.R ESID, BRANCH CIRC ITS 2,50 ea APPARATUS a) (SINGLE OUTLET CIS. Ex. Occu p( OUTLETS OR FIXTURES zD ® 50CBAL®30 EX. OCCUp. OUTLETS FIXED �RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ler I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 agai st said (County ce sequence of the granting of this permit. Date Signature of Applicant Owner ElContractor E]Agent❑ An OSHA permit is r uired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz CUA PARK I SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW-ASS[SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �"'-�,�/S.7T��'� ...v�; v:t y.,.:ix:...{�1.;.. � q�;�i:�i�' l�f'��y�K,,.,�yt. �' .'rY '•`_�dtrr^<�yRt��wL r.,�, ��^� r s► 1 LYti..: .,,ti+�,` y `Y..�N t V.`�-''."� L`✓, 4.Y �''''fl t y y7 •- j 1 � - 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDF ESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE .OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect.SINGLE icense No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do- the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business an -I Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / 2/zQsgft NEW CONSTRESID. BRANCH NON -R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. OCCu p OUTLETS OR FIXTURES 20050a BAL®30 FIXED APPLNS, OR \ Ex. Occup. OUTLETS (RESID.) EA.)" 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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 Euilding Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shal I not employ any person i i 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 forthwi h comply with such provisions or this permit shall be deemec revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that th9 above information is correct. I agree to comply to all Couw:y Ordinances and State Laws relating to building construction, and hereby autl�-orize representatives of the County of Butte to enter upon the above-mentioned )roperty for inspection purposes. I also agree to save, indemnify and keep harmless the Courty of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' st said ounty c sequence of the granting of this permit. q %� Dater �' 1 (� Signature of Applican Owner Cor -tractor ❑ Agent ❑ An OSHApermit is r uired for excavations Dver 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD I PAR PD HD ISSUE This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECT -R. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orbville, California.95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWI10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 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 OR ADDNST DWEACCLLIN GOCCUP.al S. 2'/2Qsgft NEw CONSTFL ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. EX. Occu o Occup(OUTLETS OR FIXTURES 20m50e 9AL®30 FIXED LEP(RESID )REA)` Ex. Occup. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authcrize 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 ' sequence of the granting of this permit. agnst said County(lop" X — O� — Date Signature of Applicant Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is r�uired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ JISSUE HAZ CUA PARK scHL FLD I PAR PD Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovtlle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 771_LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRLCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti:ities ❑ Instal la -ion ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bus'nes$ and Professions Code and my icense is in full force and effect.SINGLE License No. Classification as the owner, or my employees with wages as heir 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 icensed con_ract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING occuP.tr OR ADDNS. ACG. BLDGS. , 2/zOsgft NEW CONSTR ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu po UTLETS OR FIXTURES 20®50CeALO 30C. FIXED APLNS.I, Ex. Occup. OU LETS PIRESID IREA,7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSOTION 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 Bu Iding Department a Certificate of Workmen's ComFensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as -o become subject to the W. C. laws of California. Notice to Applicant: If after making this s atement, should ycu become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed ryvoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representative: of the Countyot Butte to enter upon the above-mentioned property for inspecticn purposes. I also agree to save, indemnify and keep harmless the Count-. of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i.n consequence of the granting of this permit. / C� /l X ` ,n A AJOIn Date 1 V Signature of Applicant/' Owner❑ Contr.Ctor ❑ Agent ❑ An OSHA permit is r' uired for excavations ov_r 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 $ HAZ JTUA PARK I SCHL I FLD PAR PD HD ISSUE Th:s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPLICAMW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovill.e, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASS SSOR PARCEL NUMB R - 1I S' f -- ZONIN BUILDING PERMIT owN7- TELEPHONE SQ. FT. OCC. BUILDING VALUATION O K OWR'S MAI LIN ADD 55 en F i �Y, CON RAG TOR'S NNAAME 7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 L 'S AILING ADDRESS Permit Fee $ — 1;11,:. S- ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS JL Y 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �(lci ` ✓� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 0.00e TYPE OF WORK New x Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E]I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.l4 OR ACDNS. (ACC. SLOGS. ) 2/ ,zQsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUIT 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occ Up(OUTLETS OR FIXTURES 20@50t EX. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCHI HAZ CUA PARK I FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r THERMALITO IRRIGATION DISTRICT 8 410 GRAND AVENUE -y OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1 i j 0 Owner's Name: j c t ;< Ic. i,:-, Jc,.insoiI Date: �/2/90 Address: r,;_,. - int .. {, Acct. No: tr , t) It,,, U J A.P. No. Phone: No. Units: Applicant/Agent: Agents Proof: r./c Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 .15L Remarks: c SC -OR ` 01, L L 1st mo. S.C. L. L J i ­r.2f-,c r,. *Other 1. +. „ 00' d- AA � i ;::..:.._:.;:�u.:..:.� a'., ,,. ••„ Total Fees =' I i � Collected By: >� Date:�� Field Review By: Date: cr .�/'�•%yfi .�.-, Remarks: MONTHLY SER4ICE CHARGE WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed bolding sewer (early connection). ❑ 30 days after date aboje, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing constrLction", prior to Mar. 5, 1974). ❑ 180 days after date abDve, 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 TIE) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. . P No. --3 Building Inspector Date At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. 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. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. School District fees paid. 14. Sanitation approval from :77/ Health Department. 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: 18. Improvements may be required. Contact Land. Development Section of DPW. L,+9—Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for- required. 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 ❑). ecorded copy of Agricultural Acknowledgment Statement. Letler f signature authorization. 27. When you issue the permit, process as follows: Mail to ner, _ Telephone and hold for pickup at office. Other Applicant GENERAL INFORMATION Mail to contractor. —Deliver w/inspector. Date BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. _ 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant COUNTYe OF BUTTE -DEPARTMENT, OF PUBLIC WORKS -BUILDING DIVISION 7 COLIN—Y CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use NY V Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in cuplicate/triplicate, 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 detals and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1 School District fees paid .............. 14. Sanitation -approval from p Health Department - 15. City of Chico plumting permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use- (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW JL,Y�r_Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workroans Compensation Insurance .................. 23. Owner -Builder Verif cation (Given to owner ❑, Mail to owner ❑)..... ecorded copy of Agricultural Acknowledgment Statement ......... Let rAf s, nature av_th�riFtion ................ 27.Uf L When you issue the permi--, process as follows: Mail t ner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other_ Copy of Haz-Mat Torm se Copy of plans sent Applicant I a t e / Health Dept. Fire Dept. Air Pollution Date )alth Dept. Fire Dept. Other Date By. The following data must ke.submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items requi-ed: . r' Contractor, designer, owner, was advised of above required data by_phone\___rnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall_counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERM APPLICATION DATA SHEET 4� 1 �'`'�-%�f�0 Permit No. OWNER < /� A. P. No. Proposed Building Use Building Inspector Date ZZ - At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. 13. O 0 UN H5 School District fees paid. 14. Sanitation approval from Health Department. 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: 18. Improvements may be required. Contact Land -Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 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 Acknowledgment Statement. 25. Let ure aujthorizatloct. 26. 27. When you issue the permit, process as follows: Mail t wner. _ Telephone and hold for pickup at office. Other Applicant Mail to contractor. —Deliver w/inspector. Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Oroville 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Parad i se . . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 12:00 a.m. Oroville 7 County Center Drive . Phone: 538-7281 Hours: 8:00 a.m.: 10:00 a.m. Paradise. . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS'- BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERM PPLICATION DATA SHEET Permit No. OWNER / A. P..No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ =' 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... �!-Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 1,2. Park fees paid 13. ©X 0 V Ad' H 5 School District fees paid .............. 14. Sanitation approval from Health Department 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: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requiredPre-Inspec. request to 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 Acknowledgment Statement ......... 25. L L mature o 'zatio .................... 26. 27. When you issue the permit, process as follows: Mail t�gwner. Mail to contractor. Telephone and hold for pickup at �-•f office. Deliver w/inspector. Other Applicant Date Copy of Hez-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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date _ Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date ' Plans checked by Date k Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW i,CLU1u LV iJ:" Yu 'v ~H -VI l%.UI' UAAL G 41 VL' t1l,.A lVV WLliLV L'('IL'lVl FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use foi• productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 41 AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 12, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 5,.1979, IN BOOK 70 OF MAPS, AT PAGE(S) 14. Date: 4(S7- PROP TY OWN S: State of G/L"- ) On this the --day of ,QG�UG/ST 19_jL', before me, SS. the undersigned Notary Public, personally appeared County of 77-Z; ) /� ��i1i / TA Nj1 Of Mt /)A � ®■■■■aa■°■®®O■■■■■■■■■■■ rown-t� ►fie. Proved to me on the basis ° of satisfactory evidence. , .ANGELA D. MASTELOTfO& be the erson p � whose name (;s� ( S NOTARY?I"FIIIC-CALIFORNIA 4bscribed to the within instrument and acknowledged that ;lone piles ecuted the same for the purposes therein contained. IN WITNESS F"y Corm �aa�on E:<pi� es Sept. 7.1990 7e°®Q■°°0Q°®0°■■■■°WHEREOF, I hereunto set my hand and official seal. Present A. P. No. Notary Public THERMALITO IRRIGATION DISTRICT ,> 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ` Owner's Name: Date: Address: Acct. No: A.P. No.: '% Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: i SC -OR r ' 1st mo. S.C. Other Total Fees - Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil-le. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ,N 2O ASSESSOR PARCEL_ -W -MB C, ZONING BUILDING PERMIT OWNER _- I TELEPHONE �uorJE SO. FT. OCC. BUILDING A ATION OWNER'S 1VIAT=rALG ADDRESS CONTRACTOR'S NA/MEE— TELEPHONE (Jy CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ j ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 72 16 S—L Permit fee $ U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ( �� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New N9 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �le _ Permit Fee $ —� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 D✓ Main service EA. ADD'L 100 AMP 2.50 ,j CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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 OR ADDNST ACCLBLDGS°c 2'/20sgft % , NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. OUTLETS OR FIXTURES EX. Occup. ALO 30 200030 Ex. OCCUp. OUTLETS FIXED PR (RESID IEA.) 2.00 Temporary service 10.00 10— Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating I�- 1 PV/`'!P Cooling Hood 3.00 r Ventilation permit Fee $ /r Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal Coiu onsequence of the granting of this permit. � l `� X Date ` Signature of Applican Owner Contractor ❑ Agent ❑ An OSHA permit is rQ ired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 starts in height. Mobile Home Installation Fee $ 30 Energy Inspection Fee $ occ CONST TYPE AL E FEE TOTAL $ , AZ CUA PARK P PD HD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 5-0, Ssl WHITE-D.P.W.. YELLOW-ASSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT + COUNTY OF BUTTE - DEPARTMENT•OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ` . Permit No. OWNER ­K;"Isd A. P. No. 4N' Proposed Building Use Building InspectorDate-07 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 . ................................. 1 2. Plot plans in duplicate/triplicate, signed by preparer of plans... . 3: Complete plans in duplicate/triplicate, signed by preparer of plans . 4. Complete engineerec 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 installat on data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fens paid ....................................... 12. Park fee paid ......................... *,' 3. School District fees paid .............. 4. Sanitat4on approval from --in Health Department5. 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: ...... —�18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature a-ithorization .... ........ ................... 27. ,z o �I �G When you issue the p rmi-, process follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other k Applicant p Date 4- V Copy of plans sent Health Dept., \ Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW THERMALITO IRRIGATION DISTRICT f�91 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: X" A""llri�aX1 1A hXI�i ;i I;AV. Owner's Name- 00.01 & i.ic., 4-u Date: U,!c.. Address: UaA Acct. No: A. P. No.: Phone: No. Units: 1 Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ u Arrearage Preliminary Review By: Date: CSA 26 x i Remarks: -en L1)0,at. ZOTti-cul 1 SC -OR _o '.l,r :,� , _: c.C�' . c', c, c- ��,'...+_i c 1st mo. S.C. 00� U1, Other vt' �Q� ,, C_.�•uL" �`.' l�nE ta..c_i ,_L.:'E;c�." :, 1'� c;tc:r: iat7. l.. Total. Fees (1 r ^ c is'*— o - Collected By: Lo— _ Date: Date: Field Review By: Date: Remarks: MONTHLY SEFVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approvzl 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 construc_ion", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) k k U-'-- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 4. Address City Phone Contractors License No. I plan to provid to coordinate, s Name Address Phone portions of this work, but I have hired the following person vise, and provide the major work: Contractors License No. 5. I will provide some of the work persons to provide the work ind Name Address . Signed: Property Owner Social Security Number Date ._— —L7 — Q City t I have contracted (hired) the following bed: Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and .Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE 7 COUNTY CENTER DRIVE < OROVILLE, CALIFORNIA 95965-3397 A.5,50SIAR JAN25'90 - ;ti DEPARTMENT OF PUBLIC WORKS 0 .2 1 ,A 71) mo lio OZ r,:� $0 Mr. & Mrs. John Johnson C) 03 P. 0. Box 73 O�A Berry Cr ek,CA'95916 01 00 _j >< UJ " Q z LL, z w Lo CL John & Anita Johnson P.O. Box '473 Berry Creek, CA 95916 RE: Grading 1710 12th. St., Oroville Dear Mr. & Mrs. Johnson: 6,afip, County L A N D O F NAT U RA L W EA LT H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 January 25, 1990 RONALD D. MCELROY Deputy Director A.P. 31-251-28, This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Doing grading work, which will require retaining walls to protect adjacent properties to the East and South and will require com- paction tests of the fill. Since permits and inspections are required for the above work, please submit two (2) complete sets of plans prepared by a Registered Civil Engineer for the grading operations, drainage and retaining wall designs, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Keith of this office. JFG:ds cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector John & Anita Johnson P.O. Box t473 Berry Creek, CA 94916 RE: Grading 1710 12th. St.,.Oroville Bear .Mr. & Mrs. Johnson January 25,. 1990 A.P. 31-251-28 This is a warning letter to notify .you that you are: in violation of the Butte County Code at the above referenced location as follows: Doing grading work, which will require retaining walls to protect adjacent properties to the East. and. South and will require com- paction tests or the fill. Since permit: and inspections are .required for the above work, please submit two (2) complete sets of plans prepared by a Registered Civil Engineer for the gradin; operations, drainage and retaining wall designs, apply,forthe required permits; and pay the appropriate fees. All work must stop{unril these permits are issued and you are authorized by our field inspector to proceed. 'This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement: Program that seeks voluntary compliance with the Butte County Code but provides an effective means of .enforcement if such compliance is not obtained. If voluntary compliance -is not obtained, enforcement will be pursued through,the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation ih resolving this matter would be appreciated. Should you hEive any questions concerning this matter, please contact Jim Glander or Bob Keith of this office. JFG:ds cc: Assessor Building Inspector Yours very truly,. William Cheff' Director of Public Works J.F. Glander Chief Building Inspector ;t John & Anita Johnson P.O. Box 443 Palermo, cA 95968 RE: Grading 1110 12th.St, Oroville Dear Mr. &Airs. Johnson: January 25, 1990 A.P. 31-251-28 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Doing grading work, which will require retaining walls to .protect adjacent properties to the cast and south and will require corc- paction tests of the fill. Sincepermits and inspections are required for the above work, please submit two (2) complete sets of plans prepared by a Re istered.Civil Engineer for the grading operations, drainage and retaining wall designs, apply for the required permits, and pay the appropriate fees.` -All work must stop until these permits are issued and you are.authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective deans of enforcement 'if such compliance isnot obtained. If voluntary compliance is not obtained, enforcement will be pur.sued'through the issuance of citations, fines, and the recording of" a fhotice .of Violation. 'Your cooperation .in` resolving this matter would be appreciated-. Should. you..,have any questions concerning this matter, please contact Jim Glander or'Bob;Reath of this office. JFG:ds cc: Assessor Building Inspector Yours very truly, William Cheff 1f Director of Public Works IF.vmkv J:F. Glander Chief Building Inspector <. .Ir File No. BUTTE COUNTY (Foi Action 1, 2, 3) Public Works Dept. (For Information .I ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. eautd* 6-Rutte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John and Anita Johnson ADDRESS: 1710 12th St. CITY & STATE: Oroville, CA 95965 IMPORTANT: October 21 1988 SEE INSTRUCTIONS DATE OF CLAIM: ' ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RF[FIVIIJI: rnnnc no tcovfrrre DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #3393-88BPEM, Receipt #26927, dated 10/17/88, A.P. #31-251-28). Total permit fees paid ---------------------- $235.50 Retain filing fee ------------- $10.00 Retain inspection fee --------- $15.00 Amount retained --------------------------- $ 25.00 TOTAL REFUND DUE ------------------------------------------ $210.50 $210,50 Owner has de cided not to o work.(Bldg-Permit Appin. #2539-88P E Receipt #21841, dated 8/9/88, A.P. #31-251-28). Total permit fees paid -------------- -------$92.50 Retain plan checking fee----------- $15.00 Retain plumbing permit filing fee --$10.00 Retain elect. permit filing fee---- $10.00 Retain fees for two inspections---- $30.00 Amount reltainPd -------------------------- $65.00 REfund Due-----------------------------------------------$ 27.50 $ 27!50 TOTAL REFUND DUE -----------------------------------------$238.00 23 TOTAL F $238 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. �y ,/� Dated this �X {y o 1 � I e - ......... .�./-.�/.................. y U t ��.+ Y 1 . Y de of .......�..�.............. 19 et ... Calif. Aa . .. .............. . ......... ........................ Signature of laim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified abo ha been performed or de- livered and that there is a Budget Appropriation[] or Specific Board Approval (Check one) A., mDated this,,,,,,,,,,,,,,,,28th•,....., day of ..,,November l98$ at Oroville clif.....ment Heed or Authorized Dep`' 440-002 coati 4210500 Code ,,,,,,,,,,,,,,,,,•,,,,,....,.....,.,....,,. PAYABLE FROM St . Permits ........................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Ls -e3 A ESSOR B.qR NUMBER . (C�JJ� 11 ZONIN BUILDING PERMIT OWNER , V1 SQi TELEPHONE S(]. FT. OCC. BUILDING VALUATION OWNER -SS AI IN D RESrSf J` V L 1 NTR CTOR'S NAME -2 TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FllingFee 10.00 �y l Each Trap 2.00 04 Solar or heat pump water heater 20.00 LOT N I SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFC] Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Ifl'S J G LW 0.00 ea TYPE OF WORK New❑ Addition[—] Remodel Utilities Installation❑ Other ❑ Describe work: (r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 © \' �J Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main serviceEA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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.Ed , OR ADDNS. ACC. SLOGS. hQsgft NEW CONSTR. TI -OUTLET 2.50 ea NON.RESID .BRA CH CRC., RC ITS POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 209501 eAL(930 Ex. OCCup. OUTLETS P(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5. Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 deemeArevoked. MECHANICAL PERMIT Filing Fee 10.00 Heating _ Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 againXi Coun cons uence of the granting of this permit. X Date' 2' g Sin tyre of Ap ant — Owner Contractor ElAgent r] An OSHA per it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.TYPE SCHOOL I FLOOD PAja P Xs9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt q I WNITE-O.P.W., YELLOW-ASSESeOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I !�p'`Ca"^t ti� 'fi?^i►j a►�L�i,j:`7f�1'vfs \' `'JR'E r. y .e t3 '�S. � � � � X'wv'[s�����"�+��{�lylr+�t'a`� � COUNTY OF -BUTT E -DEPARTMENT Of PUBLIC WORKS -BUILDING DIVISION - .... .; 7 COUNTY CENTER DRIVE 3 OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT PRLICXTION DATA SHEET �---- i r Permit No. c/ OWNER No. Proposed Building Use Building InspectoWF Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicata/triplicate, signed by preparer of plans, , 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings, I� 8. Fees of $ . . . . . . .. . tAy"`, / PC 9. Letter of signature authorization. . . . . . . 10, Sanitation approval frDm l -� Health Dept. 11. Planning, approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _.--..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 7. Pre -Inspection for _-_ _ - .._._- _ Required, Building Insp or X18. Recorded copy of Agr cultural Adknowledgment Statement. 19. Driveway Permit. _ 20. Plot Qlan approval frmjn city of —L.-' 22. — — — -- When you issue the permi-, process as follows: Mail to ownerMaii to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Cnnv of nlans sent The following data must be submittE 1. Index permit for aboVE items No. Additional items requ red: STT rior to permit issuance: (Circle new item not ked above). Contractor, designer, owner, Was advised of above required data by—phone—mail —counter by Gale Contractor, designer, owner, was advised c? above required data by—phone—mail—counter by date i Plans checked by Date Plans approved by baS Date Copy—DPW Sets of plans on hold in File cabinet AP'folder u r .� W �� . .� Gc� c i -t- S _ !% . 'v �- tel' !!► .� �� L2 �+�� V—G` C MW 0; 4# A SWMCACA MM bs TM its on the p} rill times 'MI4 it is pnk�vwful +� rake any chrinhns or raltFr" i: �� nn sa�n®wlthoul Written permission from the Departmed Of Poble Wads, C -M* of 4 H N Accordance of a qu AdUICROMguy' iw i v Sho`�e e,etees. Siff F'Com �v-ad �r •�r`O OOO- -1 Ya R �p�1LE �aM� cmop ghan 1 �wCO ' a �b�:.• Fiurci"�'sc�g a:�nl Godo' ick d t�k of s n. Slines on fMM roPertY the fOad 54h, from clear o8 ntefl'ne Shall be �ennsk , u�uf es of eq_%IA Over_ t rant, lit 44" 434 bf, en �vf tit Ijw.V,o 44,00 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center,Drivei, Oroville, CA 95965 John &F'Anita Johnsen 1710 12E!� St. Oroville, CA 95965 With reference to the above subject: " Attached is: PHONE: 916-538-7541.. DATE August 19, 1988 RE:Building Permit Application #2539-88 A.P. #31-251-28 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mbbilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form. List,of Codes Enforced OTHER ,C_1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans, in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design.including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER TID Drainage fees of $250.00 to You have a rainage eaaemPnt nt nort out o= unar easement vatn any structures. (538-7266), el—. -7o --u nee to Rai Should you have any questions concerning the above, please contact this office. JSFG/a j -Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector J � ro 10- a l RK CL C J ©n -f- Y` 1' a ori, TO Cc ss u nCl, ,r 2 f� 4tV �o�y1�� f� :mss � �,, �� -�_ J / "� \n WW nn W-�Ml OVILL)IM zo77 rLHRIMIUR LIVL VPA w7w tmflLn L. a onmnum m. nuou) ullulloy HAASE, JAMES M. 1025 EL MONTE CHICO 95928 (JAMES M. & SUSAN B. HAASE)CANCELLED 8/31/88 01/01/89 HAGBERG CONSTRUCTION,J. LOWELL 1408 HAZEL STREET GRIDLEY 95948 MIKE STUBBS,DENNIS BARNEY 381195 07/27/89 HAHNE CO., M. 963 MYRTLE AVE. CHICO 95926 (MAURICE & CHRISTOPHER HAHNE) 10/01/88 H�LIMI, LATFALLAH & DAVID P.O. BOX 3565 CHICO 95927 O9/D9/a8 HANCOCK PETROLEUM ENGINEERING 3320 INDUSTRIAL DR. YUBA CITY 95"l 09/01/89 HARDESTY & SONS, INC. P.O. BOX 1492 CHICO 95927 DONALD H. BRASHEARS, JR. 07/01/89 HARDING CONSTRUCTION, JIM 1077 SHADOWBROOK #17 PARADISE 95969 EVA LOUISE HARDING 232687 12/31/88 HART CONSTRUCTION, MIKE 2591 KENNEDY AVE. CHICO 95926 BOB VANDERLINDACHAEL E. HART 354057 03/22/89 HEAL PLUMBING, DANIEL RT. #6 BOX 322 CHICO 95926 DONALD CARSTENSEN 393518 01/01/89 HEATH & COMPANY, W. 3225 LACY ST. LOS ANGELES 90031 04/01/89 HEFTY SHEET METAL RT. I BOX 1058 ORLAND 95963 (GREG LORENZO) 01/01/89 HEMSTALK CONSTRUCTIONJODD 55 WHISPERING OAK OROVILLE 95966 (TODD HENSTALK)JOHN WHEELER 438912 04/01/89 HENRY'S TRAILER PULLING 100 SAN JOAQUIN STREET MODESTO 95351 08/04/89 HI-VOLTASE WIRE WORKS, INC. P.O. BOX 1450 RANCHO CORDOVA 95670 05/25/89 HILL REFRIGERATION 5804 E. SLAUSON AVE. LOS ANGELES 90040 (JEPSON CORPORATION) 10/01/88 HILL, RUDY 395 HILLCREST AVE. OROVILLE 95966 3U507 10/01/88 HINKLE ROOFING CO. P.O. BOX 355 GERBER 96035 (ROBERT & BETTY HINKLE) 10/01/88 HINNEWINKEL CONSTRUCTION CO.,INC. 2664 NEWPORT BLVD., #200 COSTA MESA 92627 STAN WOODWARD 227983 07/01/89 HOLIDAY POOLS 1170 E. LASSEN AVE. CHICO 95926 (JAMES R. DOUGHERTY)DEAN SCHWARZ,KEVIN CALLAHAN HOLIDAY POOLS 1170 E. LASSEN AVE. CHICO S32127 01/01/89 HOLLAND WOODWORKS, RON 403 BALD ROCK RD. BERRY CREEK 95916 03/30/89 HOLLOWAY III, INC.,STERLING P. 1490 CHRISTIAN VALLEY RD. AUBURN 95603 10/28/88 HOMETRIM 6602 TIKKER LN. MAGALIA 95954 (ALAN R. & KATHY L. SKUBA) 07/01/89 HUNTER KING, ROBERT P.O. BOX 342 GRIDLEY 95948 CANCELLED EFFECTIVE 8/9/88 04/01/89 INTERMILL CONSTRUCTION 14198 MONTE CALLE LN. MAGALIA 95954 (SAM M. INTERMILL) 05/25/89 INTERWEST PROPERTIES CORP. 430 PALORA AVE., SUITE I YUBA CITY 95"l AL LINEKER 10/6/88 OROVILLE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �P!E R! TN0._/ SV( R=PARCEL/NUMB ASS SJR— ZONIN BUILDING PERMIT Owff T L PHO E SO. FT. OCC. BUILDING VALUATION OWN R'S AI LIN -Mss _ r©U.Ile CON ACTOR' N'AMME &r T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T CT O¢R ENGINEER R LICENSE NO. Plan Checking Fee V Energy Plan Checking Fee $ ARCHITECT ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / .Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 50 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea' TYPE OF WORK , New Addition❑ Remodel U/'lit' s❑ Installation[] Other[] Describe work: C J ✓o) X Permit Fee S±14 6262 Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service 1000 AMP V OR ORSESS LESS 10.00 119-0 Main service EA. ADD'L 100 AMP 2.50 d. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions,of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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. IhCSQft OR ADDNS. ACC. BLDGS. NEW CONSTR MUETI-OUTLET . NON-RESID BRANCH CIRCITS 2.50 eaPOWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®60t SALC30 FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESIO.) EA.� 2.00 Temporary service 10.00 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 5 Cooling g Hood 3.00 , Ventilation Permit Fee j 30 P9?7 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 sai C my ' consequence of the granting of this permit. A DateThis Signature of Applica — Owner,Rr Contractor ❑ Agent ❑ An OSHA permit is triquired for excavations over 5'0" deep and demolition or construct- ion of structures ovew.3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPE JSCII00LJ FLOOD PARCEL PD 11 IS9UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. IggBy WHITE-D.P.W.. YELLOW -A r.33a K. PINK-INSPE 70R. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER D�IVI `I i �G� (T I'l S6 A. P. No. Proposed Building Use Building Inspector 630 Dated // 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. V Plot plans i duplicate, riplicate, signed by preparer of_plans. . 3. Complete plans in uplica ./triplicate, signed by preparergLp a s 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for NHeated and AC Buildings. 8. Fees of $ 6 0 , f� . . . . . •. 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. , . , . , . , , , , , s 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. En jneered trysses �" duplic to (required for to plan check). 22. ���c'Ia t fils� ���rm;t o✓, T, l Whr you issue the p fr it, plrroce s as follows: Mail owner, Mail to contractor. Telephone J� .�/ o and hold for pickup a� r�ffice, Deliver w/inspector. Other /s S6 SS���rf/� Applicant C�i. _ . Da-te Copy of plans sent k Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner; was advised of above required data by_phone—mall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in'processing and issuing your building permit. No building permit will be issued until this verification is received. _.1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) W 2. I (have/have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: --Property Owner Social Security Number __,,Date t — g NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Infer 'Departnr0'.. emorandum TO: Jeff Madden, Code Enforcement Officer FROM: J.F. Glander,Chief Building Inspector SUBJECT: Citations DATE: April 24, 1991 Attached are copies of our correspondence for the following owners and locations: 1) Roy A. & Doris Plaster - A.P. #31-202-37 C'2) Anita Joh_ nson 3) Michiel & Donna Haley - A.P. #64-18-26 4) Michiel & Donna Haley - A.P. #66-15-22 Would you please issue citations so these violations may be resolved. Should you have any questions concerning this matter, please contact this office. JFG:ds J.V1 Glander C of Building Inspector N � A ° -z .. I i W TO WHOM IT MAY CONCERN: B E A U T Y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 RONALD D. McELROY Apr i 1 22, 1986 Deputy Director Re: Encroachment Permits and Transportation Permits - Butte County Rights of Way This correspondence is to advise all parties doing work under encroachment permits, or transporting permitted loads, of recent s regarding mandatory insurance requirements. revision Encroachment permittees for construction shall provide an acceptable Certificate of Insurance covering Bodily Injury and Property Damage in the following minimum amounts: Estimated Value of Work under $50,000 Bodily Injury - 8100,000 each occurrence/8300,000 aggregate Property Damage - 8100,000 each occurrence/8300,000 aggregate Estimated Value of Work over $50,000 Bodily Injury - $500,000 each occurrence/51,000,000 aggregate Property Damage - $250,000 each occurrence/5500,000 aggregate Butte County shall be named as shall contain a provision that cancelled unless at least thirty been given to Butte County. additional insured. Certificates, coverages afforded will not be (30) days prior written notice has Transportation permittees shall provide an acceptable Certificate of Insurance covering Bodily Injury and Property Damage in the following minimum amounts. Bodily Injury - $100,000 each occurrence/5300,000 aggregate Property Damage - 5100,000 each occurrence/5300,000 aggregate Butte County shall be named as shall contain a provision that cancelled unless at least thirty been given to Butte County. additional insured. Certificates coverages afforded will not be (30) days prior written notice has To Whom It May Concern Page 2_ Re: Enc. Permits.& Transportation April 22, 1986 Permits, Butte County Rights of Way All parties who have unexpired certificates of insurance presently on file with the department will be required to provide a revised certificate, incorporating the above by June 30, 1986. Any new certificates filed prior to June 30, 1986 must comply with the above when filed. RM/ss Very truly yours, William Cheff Director of Public Works �� /- � ��� Ronald D. McElroy Deputy Director u��e Count DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY November 13, 1989 Deputy Director Anita Johnson roville, CA 95966 PCO `V/� 3 1 'r °i ti RE: Driveway Encroachment '4pA 3i-zf/-ze 1710 12th Street Road Permit No. This is to advise that the permit issued for the above -noted encroachment on County road right of way has expired, and construction has not been completed in accordance with the conditions of the permit. Construction of Butte County Standard S-31 driveway,'including aggregate base and asphalt concrete surfacing, at the above iocation Please see the attached plat. We hope that you will be able, in the very near future, to complete the work and solve this encroachment problem on County road right of way for both our convenience. Please call our Permits Engineer at (916)538-7681 at your earliest convenience and advise us when the work will be completed and to renew your encroachment permit. Should this not be done within 15 days, we will have no alternative but to post the encroachment for removal in accord with Chapter 6, Section 1480 through 1485 of the California Streets and Highways Code. RM:ss Att. cc: Permits Engineer Very truly yours, William Cheff Dire r of Public Works Rbnald D. McElr,Sy Deputy Director PRIVATE DRIVEWAY DETAILS EDGE OF EXISTING PAVEMENT �o a FLOW LINE DITCH + 12' MIN. 20 MAX. NOTES_ 1. PIPE TO BE C.S.P. OR EQUAL(12"DIA. MIN.) . 2.PAVING SHALL CONSIST OF 4" OF AGGREGATE BASE, MIN., AND 2° OF ASPHALT CONCRETE, MIN. PIPE IF REQUIRED, SIZE AND LENGTH TO BE DETERMINED IN THE FIELD BY ROAD FOREMAN. -------- 10R AREA TO BE PAVED IO'MIN. i l PROPERTY LINE - - 1700 12th Street Oroville, CA 95965 January 23, 1990 Mr. John Mendonsa Butte County Public Works Land Development 7 County Center Drive Oroville, CA 95965 Dear Mr. Mendonsa: This letter is a follow-up to our phone conversation of January 8, 1990, wherein I stated my concern about future erosion of my lot caused by the excavation by John and Anita Johnson, owners of the property next to mine (1710 12th Street). The actual work and equipment are being supplied by John Johnson's employer, Doug Dirk of Dirk's Auto & Transmission Service, 2160 Montgomery Street, Oroville, Phone 534-1672., Enclosed are some photos we took of the excavation (even though you said your man would take them). We want to send more up-to-date photos because Mr. Dirk continued his exca- vation Jan 20, 21 &.22 causing the property to now be 6 feet deeper on the south side and a great deal closer to my lot line. You told me that the owners, John & Anita Johnson, would need to file a "Lot Grading Plan" with the county and I wonder if they have done this. The Assessor AP # is 031-25-1-028-0. Thank you for your time and concern in this matter. Very truly yours, Beverly Crabtree James Crabtree J COUNTY OF BUTTE !AN 2 4 1590 Land Development'Sec. Order No. Escrow No. 3-100626 Loan No. �7 WHEN RECORDED MAIL TO: MR. b MRS. JOHN JOHNSON P.O. Box 473 Berry Creek, CA 95916 88-23091 88-023091 i Rec Fee 5.00 ) DOC 6..60 Recorded i Total 11.60 Official Records i County'of i Butte MIDtVALLEI' .TI:TLE CO. Candace J. Grubbs Recorder, 8t00am 1.8 -Jul -88 MAIL TAX STATEMENTS TO: same as above DOCUMENTARY'. TRANSFER TAX SArk....W.:� ..-.�...-....,.. A Computed on -the eonr{deratbn or value of property conveyed; OR ...... Computed on the t�rtslderatlonest •or value tllons,or iricumbromea remalnl etalme of a.' I '1 Signature of Oeclerant or Bent determining tax -Firm Name AP f 031-25-1-028-0 MID VALLEY TITL & ESCROW C011PANY GRANT. DEED rNsF� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ,oA 0 WENDELL L. OWENS and C. FRANCFS OWCNS, husband and wife hereby GRANT(S) to ,JOHN JOHNSON and ANITA JOHNSON, husband.and wife, as Joint Tenants the real property in the g*lfiJ unincorporated area of the County of Butte State of California,- described as PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 12,:TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. S 24., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 5, 1979, IN BOOK 70 OF MAPS, AT PAGE 14. , Dated JULY 5, 1988 /4 ANWILL L. OWRNS STATE OF CALIFORNIA COUNTYOF Butte on July 8, 1988 VII before m% the undersigned a Notary Public In and for said Stater per C • FBANCBS OHMS gamily appeared WENDJ.L L OWENS and C. FRANCES OWENS----- ------------------ ------ ---------------------------------- ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ tivhbf ljf fd HgVfWprmed to me on the basis of Satisfactory • ANGELA O. MASTELOTTO evidence) .o be the persoryp wftoee names) ) /am subscribed to the ■ NOTARY PUBt-IC-CA:IFORNIA j ■ Butte County • within Irtatrument and acknowledged to me that h%/i jaAhey executed MY n Expires Sept. 7. IM the same ■■■■■■■■�■■■■■■■■■■■■■■■ta!♦ WITNEur y h Slpnetand and offlclal seal , gLs , (TAI, arae for oHlelal notarlsl wet) \ \ XffM 1002 (8/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE �O��OCUMENI 1 4D$,0, c OUNTY OF BUTTE i1990 JAN 2 4 1990 Land Development'Sec. exuatip of J(OuW 8UTit j=Irl LINTY OROVILLE, CALIFORNIA rNERAL CLAIM 9'D FIES II A 9 CLAIMANT: / / V 1 / S ADDRESS: 3 ct CITY & STATE: C G g IMPORTANT: DATE OF CLAIM: / 90 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING annnc no cFavircc � �r - - DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Owner has decided not to do work. Permit #154-90B,P,E,M, AP# 31-251-28, Receipt #55174, dated 1/17/90. Total Fees Paid ----------------------------------- $241.50 Retain Building Permit Filing Fee ------- $10.00 Retain Plumbing Permit Filing Fee------- 10.00 Retain Electrical Permit Filing Retain Mechanical Permit Filing Fee----- 10.00 . Total Amount Retained ---------------------------- Total Refund Due ---------------------------------- $201.50 TOTAL $201 150 I, the undersigned, declare under penalty of perjury that the services or articles claimed av been p fo or elivered, and that this claim is true and correct as stated. ....... ..... I/ Cal' Dated this ............... day of ,�.1•�.%1..�1�R•<...`tC 19/,O, at.JcJ.yt. .......... .. .......... .. ...................... ..... ....5.... .. gnature f Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified ove have been performed or de- livered and that there Is a.Budget. Appropriation ❑ or Specific Board Approval 0 (Check o7)r the same. Dated this...............6,th..... day of 1990 a Oroville........... t............................. calir...... ��T, ... ...... ... - ......._ .............. ' D rt ent Heed or Authorized Depu cope Ez ..................440-002......................... C de 4210500 PAYABLE FROM COn Permits FUND . ...................................................................................... DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. 8 SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. r April 19, 1990 Helen Reimann e4 -a-4.- 476 Hazel Avenue San Bruno, CA 95066 RE: Permit Requirements A.P. #31-251-25 1710 12th. St, 0roville Dear Ms. Reimann: Thank you for your response letter dated April 12, 1990, however our warning letter dated April 6, 1990 was not a "letter of advise". The grading work mentioned in our letter has already been done without the required permits and must be dealt with within ten (10) days as our previous letter stated. Yours very truly, William Cheff Director of Public Works RK:ds Ro ert Keith Building Inspector IV y/V-3 v PAN, %% Ize2z 7 le /7/s -7 6 A 4 ZIP 14, c::-) W at en �o iD cog V ce- �" I,IV1I�O.RTANfi��ME� „SAGE-- r FOR DATE TIME A. M OF ,Cf PHONE AREA CODE NUMBER EXTENSION EkEPHONEO� �. '�PLEASECAtC>�yi `'\'0�7,°a.��.�i.�� � rE�TOSEE b� 0 11 MESSAGE SIGNED LITHO IN U.SA. TOPS Q FORM 3002W 1. Ceiling Insulation 5. Infiltration (Air Leakage) Specification Points standard 0 6. Glass Heat Loss Total Number of stories Slab Floor R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -39 -24 -10 0.50 -176 -84 -54 0.30 7102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 i 0.04 -4 -2 -58 0.02 4 2 1 0.00 11 5 3 -10 -2 5 13 2. Wall Insulation -52 -17 -9 Single-Single- 6 13 26 Famlly 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 2 8 15 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 -23 -1 3 8 3. Raised Floor Insulation 17 16 Insulation In Floor 0 4 9 Number of stories 17 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 12 -9 6 - 0.60 -i44 -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 Crawispace 3 0 Number of stories -5 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 None -- - _ - :4--3 Number of Stories 2 R -value One Two Three • R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 30 -15 -10 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points standard 0 6. Glass Heat Loss Total Single- . Slab Floor Raised Floor Effective Percent Glass U -value Stories Percent (parent glass x SC) .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 Raised Floor Effective Percent Glass Wall Stories Family (parent glass x SC) Mass Effective One Two Three One Two %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 7 8 10 11 16. Shading (Shade Closed) 5.0 4 7 Effective Parent Glass 11 12 12 (Percent glass x SC) 8 Effecdve 11 12 12 ' 6.0 5 %testi North Etat South West Skftht 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 IG None -8 :4--3 9. Interior Thermal Mass Interior Single- . Slab Floor Raised Floor Mass Wall Stories Family Multi Stories Mass ]CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 ' 6.0 5 8 10 12 13 13 I 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 - Unit Size (sQ X Wall Family Family Multi 1700 Mass Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 •410 0.40 5 4 3 -15 •6 0.60 8 6 4 -14 0.80 10 8 5 8.5 1.00 13 10 7 - -3 _ 1.20 13 12 8 i 1.40 12 13 9 -2 1.60 10 13 11 0 0 1.80 10 12 12 4 2.00 10 11 13 10.5 11. Heating System 6 5 4 3 2 SE or KSPF 10' 9 7 (assumes ducts In attic) 4 3 12.0 Sum of 1.6 13 11 _ 7 _ -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 5 0.85 7.79 13 11 10 8 7 -15 -4 0.90 8.25 17 15 13 11 9 7 0.95 8.71 .•20 18 15 13 11 8 -12 Effective SE or HSPF -7 (SE or HSPF x duct efficiency) 4 Effective •25 or -24 to -14 lo d to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -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 3 System Type No Cooling System Installed i j Resistance 10 9 7 6 4 3 Other 6 5 4 3' 2 2 12. Cooling System Raised Floor Insulation SC Eff. % Glass Unit Size (sQ X Water SEER 1199 1200 1700 2200 2700 (assumes ducts In attic) or to to Sum of 7-10 or Type Type less_ -2S or -24 to -14 to •410 +6 to 16 or SEER less -15 •6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 ,9 -7 1-6 -5 -4 - -3 _ 8.9 -5 -4 -4 3 -2 -2 9.0 -4 -3 -3 -2 .2 -1 9.5 0 0 0 0 0 0- 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10' 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20` 17 14 12 9 6 _-12 -9 Effective SEER -6 IG None -5 (SEER x dud efficiency) -2 -2 -2 Sum of 7-10 Solar 7' 5 Effective -25 or -24 to -14 to -410 +6 to 16 or SEER less -15 -4 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 i 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 or Zonal Control Adjustment 14 7 5 10 8 7 6 4 3 5 No Cooling System Installed i j Stories 9 4 3 2 2 One -5 -4 -4 . 3 -2 -2 Two + 3 3 2 2 2 1 Single-Famlly Detached and Attached Interior Mass/CFA . TTV6 a wss Raised Floor Insulation SC Eff. % Glass Unit Size (sQ X Water R -value [ 191 1199 1200 1700 2200 2700 Heater Credit or to to to or Type Type less_ 1699 2199 2699 more SG None 0 0 0.. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 X WSB 5 3 3 2 2 HSPF 10.5615.151 POU 8 5 4 3 3 SE None 37 -24 -18 -15 •12 Solar -1 .1 -1 0 0 HWR -18 -12 -9 -7 -6 30% WS8. .25 -16 -12 -10 -8 60. POU -18 _-12 -9 -7. -6 IG None -5 -3 -2 -2 -2 1.1 Solar 7' 5 4 3 2 2.5 POU 3.2-- 3.2 1 1 1 IE None -28 -19 -14 -11 -9 10Y. Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 2.9 Multi -Family (Individual 3.5 units) 4 4.2 4.4 4.6 Unit Size (sQ 5 Water 5.4 699 700 1200 1700 2200 Heater Credit or to to to or Type Type less 3.3 1699 2199 more SG None 0 _1199 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3 WSB 9 4 3 2 2 4.5 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 2.2 Solar 2 1 1 0 0 3.6 HWR -23 -12 -8 -6 '-5 5.1 WSB -25 -13 4 3 -5 1.1 _taQU _23 -12 -8 _ -6 "5 IG None -8 :4--3 3.4 2 i -2 4 Solar 6 3 2 1 1 5.5 POU 1 _0 0 0 0 IE None 30 -15 -10 -8 _ -6 28 Solar 18 9 6 4 4 4.3 POU -8 -4 -3 -2 -2 Interior Mass/CFA . TTV6 a wss Raised Floor Insulation SC Eff. % Glass or X = R -value [ 191 U -value [0.037] 4. Slab Edge Insulation X or X R -value [0] F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss TYPE 1 MASS AREA % Type [double] la.a•�a�c•..al 7. Shading (Shade Open) liaurior Miss/CFA % Glass SC t TYPE I MASS (UIMC a- 4.2, is: exposed slab) LMAOAREA ND. Exterior Wall Mass X Ic•ryet.d .1•bl SE or HSPF Duct Efficiency [0.781 Effective SE or 10.7216.61 HSPF 10.5615.151 X - SEER [9.5] Duct Efficiency (0.741 Effective SEER 17.031 ---P-- - 0% 5% 1095 1S% 209. 25% 30% 35% 40% 45% 50% 55% 60% 60. 70% 75% 80% MY. 90%: 95% 100% 105% 110Y. 115% 1207.125' OY. 0 0.2 0.4 0.8 0.8 1.1 1.3 1.S 1.7 1.9r 21 23 2.5 2.7 2.9 3.2 3.4 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 1.4 1.6 1.9 21 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 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 so 40Y. 0.7-0.9__1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.0 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 =1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.6 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 2.5 27 2.9 3.1 3.3 3.S 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 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 6.5 807. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 6 6 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 90Y. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 . 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95%1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 23 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 43 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 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 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 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 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 Measures 1. Ceiling Insulationor R -value [38] U -value [0.030] 2. Wall Insulation _ or R -value [111 U -value [0.098] 3. Raised Floor Insulation SC Eff. % Glass or X = R -value [ 191 U -value [0.037] 4. Slab Edge Insulation X or X R -value [0] F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss TYPE 1 MASS AREA % Type [double] U -value [0.65] 7. Shading (Shade Open) liaurior Miss/CFA % Glass SC a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating X = X X = X = X = Point Scores 0 %Total Glass [161 Sum 1-6 Eff. % Glass % Glass SC Eff. % Glass X = X = X = X = X = TYPE 1 MASS AREA % COND. FLOOR AREA liaurior Miss/CFA 2 TYPE SSR AREA __ 8 LMAOAREA ND. Exterior Wall Mass X = SE or HSPF Duct Efficiency [0.781 Effective SE or 10.7216.61 HSPF 10.5615.151 X - SEER [9.5] Duct Efficiency (0.741 Effective SEER 17.031 Type [SG] Credit [none] Sum 7-10 Point Total. a_�= Certificate of Compliance: Residential Climate Zone 11 — Project Title Building Permit N Project Address Checked By/ Date Documentation Author Telephone Enforcement Agency Use Only Glazing Area Glass Type Interior y Orientation (SO (single, double) (yoUer blind. etc.) Exterior Overhang Framing Type (shtdescreen. etc.) (yestno) (metallwood) Glass Area % Glass BUILDING DATANorth North ( ) Conditioned Floor Area Number of Stories East East ( ) Slab/Raised Floor Number of .Units South (] Single Family Detached (SFD) (] Addition Alone West [ ] Single Family Attached (SFA) [ ]Existing Building T ytalh'ght West ( ) [ ] Multi-Family(MF) [ ] Existing -Plus -Addition Skylight....... BUILDING SHELL INSULATION THERMAL MASS Component Insulation Location/Comments Type/Covering Type R -Value (attic, to garages typical. etc.) (slab/exposed, tile, etc.) It Wall .............. HVAC SYSTEMS Minimum Duct Wall. Type (furnace, air Efficiency Location Duct Roof ............. conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value Roof ............. Floor ............. i Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior y Orientation (SO (single, double) (yoUer blind. etc.) Exterior Overhang Framing Type (shtdescreen. etc.) (yestno) (metallwood) North ( ) North ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sl) (inches) Locadon/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES[REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrie residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more s�ingent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. t DESCRIPTION Building Envelope Measures l ° §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permlmch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. 52-5317: InfiltraboNExfiltm6on Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatMrstripped. all joints and penetrations caulked and staled 12.5352(e): Special infdaation barrier installed to comply with 62.3351 meets CEC quality standards . §2-5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback them osat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(br Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and fauces certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return dt recirculating I piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. — 5. Directional water inlet. 1 Lighting and Appliance Measures ' 62-53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the building features and perfonnance spedfications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building err Name: Name: TukJF-um: Titk/Fvm: Address: Address: Tekpi one: t.ic. 4: (signatu m) (date) Documentation Author Tekphone: (signature) Enforcement Agency Name: Name: Titk/1-tem Agency: Address: Tekpltone: (date) 12. Cooling $yst?m 1. Ceiling Insulation Interior Mass/CFA . 1 Number of stories S. Infiltration (Air Leakage) exposed eleDl 9. Interior Thermal Mass 0X Sx 107. 15% 20% 25% 30% 35%. 5% 0% R -value One Two Three Specifcation 1.1 1.] 1.5 1.7 1.2 1.4 1.6 1.9 Po_'.Its 2.9 3.2 3.4 3.6 Interior Slab Floor R arsed « 20% 0.3 06 0.8 1 1.2 30X 0.5 0.1 0.9 1.1 1.4 103 2.9 2.2 24 27 29 3.1 2 7 1 /.2 " t.t 1 6 ' 4.8 5 5 2 5 4 4.1 4.3 4.5 !.8 Standard u Iq' 0.7 0.9 1.1 1.7 1.5 0 2! 26 28 3 3 2 2.6 2.6 7 3.2 3.4 Mass Stories Stories 9.0 3 3 2 2 t R-1-1 9 •8 - -4 ! . .2 6 1.5 4.1 1.9 5 1 5.7 5.5 5.7 5 9 4.6 9.5 0 0 0 0 0 0 10.0 d 3 3 2 2 1 SS% 0.9 1.1 1.4 1.6 1.8 60% 1 12 1.4 1.7 1.9 2 72 24 2.6 21 23 2.5 2.7 28 3 3.1 35 37 2.9 /CFA One Two Three One Two Three 10.5 7 6 5 d 3 2 11.0 10 7 R-30 R-38 .2 0 -1 0 .1 0 4 4.2 4.4 4.6 4 4.3 4.5 4.7 6 8 • 5 62 . 5 /. 52 l 5 6 5.9 6 1 6 7 4.9 S. i 9 6 4 3 120 15 13 11 9 7 5 75% 1.3 15 1.7 1.9 21 22 25 27 2.9 2.3 25 27 3 0.0 -8 •5 -4 .2 .1 •i 13.0 2C 17 14 12 9 6 80.1. 1.4 1.6 1.8 2 2.2 24 26 28 3 4 3.3 3.5 3.7 4.2 4.4 4.6 4.8 U -value Effective SEER 85Y. 1.4 1.7 1.9 2.1 2.3 90%* 1.5 1.7 2 2.2 2.4 6. Glass Heat boss 3.9 1.1 3.3 7.S 3.8 4 4 2 1.7 !.5 4.7 t9 4.4 4.6 4.8 5 S.1 54 S5 58 6 62 64 65 5 2 54 0.3 -7 -4 2 0 1 1 3 32 27 2.9 3.1 33 0.50 0.30 176 -102 84 -49 .54 32 Total Percent 100% 1.7 1.9 21 2.3 2.5 U•value 4.3 3.6 3.8 4 4.2 4.4 0.5 0.7 •6 •3 -1 1 1 -5 .2 -1 1 2 2 2 0.10 -26 -13 -8 • Glass Single Double .51 to .60 .41 to .31 to 0.30 or less 0.9 1.1 -5 .1.0 2 3 1 1 3 3 5.0 -30 -25 •21 - -17 -13 -9 O.CB 0.1064 18 9 •5 6 -4 4.9 5.1 5.3 5.5 S 5.2 5.4 5.6 121 53 39 .50 24 .40 10 4 1.3 4 -3 0 2 3 4 4S0 5 7.0 0 0 0 0 0 0 ; O. 0.1042 1 40 -90 37 -26 -14 3 8 1.5 20 -3 1 2 4 5 1 2 O.C2 O.CO 4 11 .. 2 S 1 3 30 15 -29 31 -21 -19 .-13 .9 -4 1 4 10 12 25 d 5 6 0 3 5 7 7 7 8 _ L. Ceiling Insulation 29 28 -58 -20 •55 •18 .12 .10 •3 .2 5 5 12 3.0 1 4 6 8 8 9 R -value 1381 U_value [0.0301 2. Well Insa18tj0II 2. Wall Insulation 27 2 -52 -17 .9 •2 6 13 13 4.0 4.5 3 6 8 9 10 3 7 8 10 R -value (111 Single Single 25 5 -49 .15 16 14 -8 7 1 0 7 7 14 14 5.0 10 11 4 7 9 11 12 it 12 or R -value Family Detached Family Attached Muld- Family23 24 •43 •12 -40 .11 -5 -4 1 2 8 8 14 15 5.5 6.0 5 8 9 11 12 5 8 10 12 13 12 13 R-0 .68 -51 •3.1 21 � 7 .2 4 9 15 6.5 7.0 6 9 10 12 13 6 9 11 13 13 13 6. Glass Heat Loss R-11 R-13 0 2 0 2 0 20 -31 .6 0 5 10 10 15 16 7.5 8.0 6 10 11 13 14 7 14. 14 R-19 8 6 1 4 19 18 -29 .4 -26 32 6 7 11 16 8.5 10 11 13 td 7 10 12 13 14 14 15 HP -HWR 8 5 4 3 3 U -value 17 -23 .1 3 8 12 12 16 17 SE None -37 •24 -16 -15; -12 d. West 0.80 153 114 76 16 15 •20 0 -17 1 4 6 9 10 13 17 WS8 -25 •16 -12 -10 -8 0.50 0.30 91 -47 38 •36 8. Shading (Shade Closed) 14 14 3' 7 10 14 t4 17 18 10. Exterior Wall Thermal Mass ' SC Eff. % Glass 0.10 0 0 -24 0 13 12 -12 4 9 6 8 9 11 12 15 18 Exterior Si^Al&- &ngla" 3 3 POU •10 - -6 •5 -4 -3 0.08 0.06 4 9 3 7 2 5 11 -6 7 10 13 15 16 19 19 Wall Mass Femiy Family Mufti Detecfhed e. Skylight 0.04. 14 11 7 10 9 3 9 •1 10 11 14 17 19 Family �•. 0.02 0,00 19 24 14 18 10 8 2 12 13 14 15 16 17 18 20 20 0.00 0.20 0 0 0 3 2 1 2 SE None -45 -23 -15 -11 11. Heating System 12 Sum 7-10 -9 HWASola 23 12 g 0 0 .5 Zonal Control? ( Y / N) SE or HSPF - 0.40 5 4 3 _ WSB -25. -13 .8 -6 -5 [0.72/6.6] HSPF [0.56/5.15] _ PQU --23 _12_8_ 3 •s 12. Cooling System 0.60 8 6 4 Zonal Control? (Y / N) .0 3. Raised Floor Insulation Elf-uve SEER (7.03) 7..Shading 13. Water Heating 1.0000 13 10 7 Type [SG) Credit[nonej . (Shade Open) 1.20 13 12 a Insulation in Floor 1.40 12 13 9 Ettective Percent Glass 1.60 10 13 11 ' Number of stories (percent gLLss x SC) 1.80 10 12 12 R•value One Two Three . 200 10 11 13 i R-0 -17 -8 -5 Effective R•11 _3 .2 -1 %Glass North East South -West Skylight 8-19 0 0 0 18 5 1 11. Heating System . R-30 3 1 1 4 1 na „ U -value 14 4 2 5 1 na SE or HSPF 0.60 ,. 144 70 d6 12 3 3 5 2 na - _ (assumes ducts in attic) . 0.50 0.40 _g� 38 10 2 3 5 2 1a Sum of 1.6 t 0.30 -95 -46 -34 3 9 8 2 3 2 5 2 2 _. b0 -25 or -24 -14 to -4 to +6 to 16 or 0.20 -43 -21 .22 3 5 2 2 SE HSPF less -15 .. -5 +5 +15 more t ;. 0.10 0.08 -17 -8 -5 6 1 3 4 2 3 0.72 6.60 0 0 0 0 0 0 0.066 -11 -6 3 2 4 0 2 0.75 .6.88 0.80 7.33 3 3 3 2 2 1 8 7 6 5 4 3 0.04_1 0.02 4 0 2 0 3 0 1 3 2 1 1 3 3 0.85 7.79 13 11 10 8 7 5 0'00 10 5 1 3 2 1 0 0 1 1 1 0 3 0.90 8.25 0.95 8.71 17 15 13 11 9 7 20 18 15 13 11 8 0 1 2 i 1 2 U Elrective SE or HSPF Controlled Ventilation Crawlspace (SE or HSPF x duct efliaency) na not allowed Effective •25 or -24 to •14 b -4 to +6 b 16 or R -value Number of stories One Two Three SE HSPF less -15 •5 +5 +15 more R-5 R-5 11 -7 5& Shading (Shade Closed) 0.30 275 na 3.a1 -73 -64 •56 -47 .38 •30 ,5 39 •34 •29 -24 .18 R-11 4 "" -2 4 -2 3 .2 0.40 3.67 0.50 4.58 -34 -30 •26 •22 .18 -14 •10 .9 -8 R-19 1 -2 •2 Erket!ve Percent Gissa 0.56 5.13 •7 •5 -4 0 0 0 0 0 (Percent Masa x SC). 0.60 5.50 0 5 5 4 3 3 2 4. Slab Edge Insulation Effete 0.70. 6.42 17 15 13 11 9 7 - Number ofStories %Gfau NortEast ou y�lU*hl 0.80 7.33 0.90 8.25 25 22 19 i6 13 10 32 28 24 20 1713 R -value One ' Two Three 18 -14 •48 -69 . 34 na 1.00 9.17 37 32 28 24 19 15 R-0 0 0 0 16 -12 -A2 -59 •55 na R-5 g 5 2 14 -10 •35 -50 -16 na Zonal Control Adjustment R-7 8 6 3 12 8 29 40 37 na F2 factor 11 ' -7 .26 •36 •33 na System Type 0.90 -4 3 1 10 9 -6 .23 -5' -20 -31 -27 .29 •25 .74 -65 Resistance Other 10 9 7 6 4 3 0.80 _1 .1 0 8 -5 -17 -23 •21. -56 6 S 4 3 2 2 0.70.- 2• 2 1 7 -4 -14 -19 -18 -47 0.60 6a 4 2 6 -3 -11 -15 -i4 -38 0.50 9'' 63 5 -2 -9 -it -10 -30 040 12: 8 4 4 -1 3 -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 12. Cooling $yst?m Interior Mass/CFA . SEER _ (assume: duets in attic) • Ty" r wwu Il. �•u1K•.. 11 Ic•rnel•e •1_el rrre t loss tuhne b 4.2, ie: exposed eleDl Stm of 7-10 -25 tr ..1 b -1410 1 b +b b 16 tx SEER 0X Sx 107. 15% 20% 25% 30% 35%. 5% 0% 457. SOX �X 60X 65Y >OX 75-t10% 85Y. 90X 95% 100X COSY. 1107. 1157. 120X 125- less 15 +5 +15 more IO 0 0.2 O 4 0.6 0.8 107. 0.2 0! 0.6 0.6 1 1.1 1.] 1.5 1.7 1.2 1.4 1.6 1.9 1.9 21 23 25 2.7 2.1 23 25 27 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 1.8 5 5 8.0 14 •12 -10 3 -b -4 8.5. -9 20% 0.3 06 0.8 1 1.2 30X 0.5 0.1 0.9 1.1 1.4 1.4 1.6 1.8 2 1.6 1.8 2.9 2.2 24 27 29 3.1 3.1 J.7 3.5 3.7 3.3 3.5 3.7 3.9 7 1 /.2 " t.t 1 6 ' 4.8 5 5 2 5 4 4.1 4.3 4.5 !.8 -7 -6 -5 -4 -3 8.9 •5 -4 -d -3 .2 .2 Iq' 0.7 0.9 1.1 1.7 1.5 2 2.2 1.7 1.9 2.2 2.! 2! 26 28 3 3 2 2.6 2.6 7 3.2 3.4 3.5 J.7 J.9 1.1 5 5 2 5.1 S 6 4.3 t.5 1.1 4.9 5.1 5.3 S 6 s 9.0 3 3 2 2 t SOX 0.9 1.1 1.3 15 1,1 1.9 21 23 25 21 3 32 3.4 3.6 3.6 3.8 4 4.3 3.8 4 42 4.4 6 1.5 4.1 1.9 5 1 5.7 5.5 5.7 5 9 4.6 9.5 0 0 0 0 0 0 10.0 d 3 3 2 2 1 SS% 0.9 1.1 1.4 1.6 1.8 60% 1 12 1.4 1.7 1.9 2 72 24 2.6 21 23 2.5 2.7 28 3 3.1 35 37 2.9 3.9 4.1 4.3 4.5 4.8 5.1 5.3 5.5 5.7 5.9 6.1 4.7 4,9 5.1 5.3 56 58 10.5 7 6 5 d 3 2 11.0 10 7 65 Y. 1.1 1.3 1.5 1.7" 1.9 70% 1.2 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3.1 3.3 3.5 3.8 3 3.2 3.4 36 3.8 4 4.2 4.4 4.6 4 4.3 4.5 4.7 6 8 • 5 62 . 5 /. 52 l 5 6 5.9 6 1 6 7 4.9 S. i 9 6 4 3 120 15 13 11 9 7 5 75% 1.3 15 1.7 1.9 21 22 25 27 2.9 2.3 25 27 3 3.1 3.3 15 3.7 3.9 3.2 14 3.6 3.8 4.1 4.3 4.6 4.8 52 5. 3 5 55 5 5.7 5.9 6.1 64 53 5 58 6 62 64 13.0 2C 17 14 12 9 6 80.1. 1.4 1.6 1.8 2 2.2 24 26 28 3 4 3.3 3.5 3.7 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 Effective SEER 85Y. 1.4 1.7 1.9 2.1 2.3 90%* 1.5 1.7 2 2.2 2.4 2.5 2.7 2.9 3.1 26 2.8 3.9 1.1 3.3 7.S 3.8 4 4 2 1.7 !.5 4.7 t9 4.4 4.6 4.8 5 S.1 54 S5 58 6 62 64 65 5 2 54 (SEER x dud emclency) 95 Y. 1.8 1.8 2 2.2 2.5 3 32 27 2.9 3.1 33 3.4 3.6 3.8 4.1 4.3 3.5 3.1 3.9 4.1 4.5 4.7 4.9 5.1 56 5 9 6 1 62 6 5 6 7 S3 SS 5.7 5.9 62 6a Sim of 7-10 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 4.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 4.6 1.9 S.1 5.J 66 68 S.l 5.6 S 6 6 6.2 6.4 6 ) 6 9 55 S.1 5.9 6.1 6.3 Effective -25 a •24 to •1410 -4 b +6 b 16 or 1057. 1.8 2 2.2 2.! , 2.6 1107. 1.9 21 2.3 2.5 2.7 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 6.5 6.7 ) 5 6 5.8 SEER �s -15 -5 +5 +15 more 115% 2 22 2.4 2.6 2.8 t20X 29 3.1 3.3 3.6 3 3.2 3.4 3.6 38 4 4.2 4.4 4.6 3.8 4.1 4.3 44.7 4.8 S 5.2 S.t 6 6.2 6.4 6 6 6 8 ). 5.7 5.9 6.1 6.3 .6.5 6.7 5 9 7.1 5.0 -30 -25 •21 - -17 -13 -9 2 2.3 2.5 2.7 2.9 in% 21 23 25 2.8 3 3.1 3.3 3.5 3.7 3.2 3.4 .5 3.9 4.1 4.4 4.8 4.6 4.9 5.1 5.3 5.5 S 5.2 5.4 5.6 5.7 5.9 6.2 6.1 6.8 6.8 7 72 58 6 62 6.0. -12 .11. -9 -7 3 -d 3.8 3.8 4 4.2 4.4 /,6 1.9 5.1 5.3 5.5 5.7 6.5 6.7 6.9 7.1 13 5.9 6.1 6.7 6.5 6.7 7 7.2 ).a 7.0 0 0 0 0 0 0 ; Point System Summary: Climate Zone 11 8.0 9 8 6 5 4 3 9.0 16 14 i2 9 7 5 10.0 22 19 i6 13 10 7 SCORE CARD 11.0 26 23 19 15 12 8 Measures 120 30 26 22 18 14 9 Point Scores 13.0 33 29 24 20 15 to L. Ceiling Insulation Or Zonal Control Adjustment R -value 1381 U_value [0.0301 2. Wall Insulation 10 8 7 6 d 3 . or R -value (111 U -value 10.0981 No Cooling System Installed 3. Raised Floor Insulation or --Stories R -value 1191 U -value [0.037) One •5 -4 -4 3 _2 -2 4. Slab Edge Insulation Two + 3 3 2 2 2 1 R -value 101 or F2 fa _ . 5. Infiltration .... _.._ . Standard Single•Famlly Detached and Attached i 6. Glass Heat Loss 0 UM Water 1139 12L-0 Size (SQ 22W 2700 Heater credit or . b to 7. Shading (Shade Open) Type [double) U•vdue [O,65J 90 Total Glas, [ t 61 ---- Sum 1-6 io or Type Type less -1 2199 2699 more %Glass $C SG None o . 0 0 . 0 0 a. North Eff. % Glass or Solar 12 8 6 5 4 X HP -HWR 8 5 4 3 3 b: East WSB 5 3 3 2 2 POU 8 5' 4 3 3 C. South X X = SE None -37 •24 -16 -15; -12 d. West X --- solar -i-1 0 o HWR •18 -11 2 -9 -7 -6 . y eSkylight X ' - WS8 -25 •16 -12 -10 -8 POU •18 _42 -9 -7-6 8. Shading (Shade Closed) IG None -5 •3 2 2 2 $pilar J S a 3 % Glass ' SC Eff. % Glass Pots 3_ z 1 1 i a. North X , IE None -28 -19 -14 .11 .9 Solar 8 5 4 b. East X --- 3 3 POU •10 - -6 •5 -4 -3 C. South X _- Multi -Family (individual units) d. West Unit Size (so Water bs9 700 1200 1700 2200 Healer Credit or e. Skylight X X = " _ b to to or TyPe Type less 1199, 1699 2198 mom 9. Interior Thermal Mass TYPE I MASS AREA SG None 0 0, S 4 0 or Soiar td 7 3 IntcriorNiss/CFA _ COND. FLOOR AREA HP HWR 9 5 3 2 2 10. Exterior Wall Mass TYPE 2 MASS AREA WSB 9 .4 3 2 2 POU 9 5 Exterior Wall Maas ND. L OR AREA 9 2 SE None -45 -23 -15 -11 11. Heating System ' Sum 7-10 -9 HWASola 23 12 g 0 0 .5 Zonal Control? ( Y / N) SE or HSPF - X Duct Eff-. dency (0,78) Effective SE or _ WSB -25. -13 .8 -6 -5 [0.72/6.6] HSPF [0.56/5.15] _ PQU --23 _12_8_ 3 •s 12. Cooling System IG None -s - _ Solar 6 3 2 12 ; '� Zonal Control? (Y / N) SEER [9 5) X _ Due Ere- iettcy [0,74) Elf-uve SEER (7.03) POU 1 0 • 0 0 0 ENone 30-15 _10- a -� 13. Water Heating Solar 18 9 0 4 4 Dr11 .A .�! .� _ Type [SG) Credit[nonej . Cermicate of t;ompiiance: Keslaential Climate Zone 11 Project Tide Building Permit M Project Address Qteciced By/ Date Documentation Author Telephone Erdorcernent Agency Use Only BUILDING DATA Glass Area % Glass North Conditioned Floor Area Number of Stories East Slab/Raised Floor Number of -Units South [ J Single Family Detached (SFD) (] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (NM [ ] Existing -Plus -Addition Tot BUELDING SHELL UgSULATION Component Insulation Locahort/eamrnents Type R -Value (attic, to garage, typic:!, etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..:.. GLAZING Shading Devices Glazing Area Glass Type InteriorExterior Overhang Framing Type Orientation (sf) (single, double) (roUcr blind etc.) (shadescreen etc.) (yes/no) (metalhvood) No rLh ( ) North ( ) East C ) East ( ) South Sou th ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (so (inches) Locationi'Description (kitchen, bath, etc.) HVAC SYSTEMS hiicimum Duct Type (furnace, air Efficiency Location Duct . Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) r Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank ' Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential , I MF -1R NOTE Lowrsc residential buildings subject to the Standards muss contain thou measures mgardka of the eompliariee approach used Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance When this checklist is incorporated into the permit documents• the fetuw= rwtcd shall - be cwtsiduw by all parties as binding minimum component performance speeifteatioru for use manduory measures -huhu they arc shown else -has in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(x): Minimum ceiling insulation R-19.•sighted avcragc. §2.5352(b} Loose fell insulation manufacturer's labeled R -Value §2.5352(cy Minimum wall insulation in framed walls R -I I weighted average (does not apply to cxtcnor mass walls). §2-5352(kr Stab edge insulation - water absorption rate no greaw than 0.3%• wta vapor transmission rate no greater than 2.0 perm/uxh. §2.5311: Insulation specified or installed meets California Energy Commission (CF.q quality standards. Indicate type and form. §2.5352(fk Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Inriltration/ExrnlwationControls x Doors and windo-s between conditioned and unconditioned spaces desipsed to limit air leakage. b. Doors and windows ccrtirwA C. Doors and windo-s weatherseipped: all joinu and puseuations caulked and sealed 12-5352(e)r Special infiltration barrier insulkd to comply with 62.5351 meets CEC quality standards §2.5352(d): lrutallation of Fucptaces I. Masonry and factory -built ftrepbaas have a. Tight fitting• closeable metal or glass door b. Outside air intake with damper and control e Flue damper and control 2_ No continuous burning gas pilots allowed . HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach akislatiotu- §2.5352(b) and 2.5315: Setback thcrmosue on all applicable heating systems. §2-5316(x): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC §2.5316ft Exhaust systems have damper controls. §2-5314(c): Gas-fired space hating equipment has intermittent ignition devic4m 62-5314: HVAC equipment. rater heaters• showenccads and faucets certified by the CEC §2.5352(1): water heats insulation blanker (R-12 or greater) or combined intenor/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exeeption 1): Pipe insulation on steam and steam condensate return & recirculating piping' 12-5319(dr Swimming Pool Heating ! 1- System has. a. Orloff switch on heater. 1 b. weatherproof instruction plate on heater. e Plumbed to allow for solar- ; 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional al water inlcL Lighting and Appliance hleatures 112.5352(1): Lighting - 25 lumens/wau or greater for general lighting in kitchens and bathrooms. §2.5314(cr Gu feted appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers• frscacrs and fluorescent lamp ballasts certified by the CEC Indicate make and model number. COMPLIANCE STATEMENT This c=&Ate of compliance lists ter, building feat is and performance specifications needed to comply with TStle 24, Chapter 2-53 and Tide 20, Cliaptcr 2. Subch pttx 4, Article I of the California Administrative code. This certificate has been signed by the individual Frith Overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. Designer Name: TitkJFimt: Addre=- Tckphortc Lic. 1: (signatttrt) (date) Docvmentatlon Author Name Titic/F-tern Address: Building Owner TitwFrm: Adams: Tckphonc: oil A i6nanae) (date) Enforcement Agency Name: Autry Telephone � ,