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039-520-033
....................92-3830B 039-=52-0=0 & 'B�AUMAN-.-9. Richard U Ln arn Teal m Lnew 5 &V 039-520-033 PERMIT#94-1590 BAUMAN-., RICHARD & SHIRLEE 9641 TEAL LN., DURHAM NEW SINGLE FAMILY R SIDEN TIAL 039-520-033 -� PERMIT#94-1590, BAUMAN, RICHARD & SHIRLEE 9641 TEAL LN., DURHAM NEW SINGLE FAMILY w4& T . OFFICE COPY r I Address GAS Meter By a e ELECTRIC F Meter By Dat j 1d i JOB FINALED ate) _ - v Signature J=OK O = Not OK = Not Applicable NOt Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L'Yt. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 . Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector f 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 8. Gas and Electricity Tagged • 1 j 9. Exits; Insp.-Sketch 1 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card'13-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed f 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater y 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except H's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftq., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth` i 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped I 8. Pie ra,Fireplace Ftq.-Steel !�. . . .; Fall -Fitting -Test -2 Way C/O -Sewer Test iw`uF�ipe; Size -Anchors - yard gas piping: size -test f) j ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground & Ducts; Clearance -Material -Support -Ins. tills -Anchor Bolts -Joists -Vents -Cripples' & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBI Permit),OK except #'s Vent -Access -Combustion Air -Baffle --- -Wat ipe: Test & Anchor -Nail Protection -- ----------------- 1 . .W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access -__-- --- ----- --20_Test hower, Second Floor -Tub Access - - ----------- as Pipe: Size & Anchors -------- -- --�� ------ -- ---------------------- - -- -- - Date,S Q�y, .Card B -t Date -card-,B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's fixture & Transformer Clearance -Ins. Protection ------------- - -------------------------------------------- ----- e epctacles Spacing -Lights & Switches at Doors ------------ --- --- ---------------- - ---- -------------------------- Size B- No. of Conductors -Stapled =------------------------- - --- omex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------ --- L5E�ip. Ground made up w/Meth. Fastners-Bond Gas & Water -------------------------------------------------------------•------------------- 2C,- Appliance Circuts in Kitchen & C nductor SizerGFl ------------------ ------------------------------- -------- !-ga--- � Subfeed Wire Size i�a. Cu o A.C. Wire Size i . Cu or At --------------- ---- ange Circ. !6- ga. Cu o Oven Circ. ! ga. Cu or Al. Insulated Neutral s ❑ No 3� ervice-Riser Conductors & Ground -Main Disconnect ---------------------------------------------------------------------------------- Equip. ----------------------------- E ui --------------- -- - - - ------------------- --------- ------------------------ --- 3 lothes Closet Light -Shower Light -Spa Light moke Detector Date ZQ-� Card B-1 Date Card B-1 --- - --- - - - - - ---------------------------------------- -----------Date Card B-1 Date Card B-1 Date MECH L (Permit) OK except 4's A.C. Du is Insulation & Support - -- -�; Exhaust above insulation on nate Drain &Overflow: Size & Grade -----_-------a-Vent: Access -Comb Air -Return Air Vent -115 -outlet------ Attic Access & Platform if Furnance in Attic •----------------- ---------------- --------•----------------------------------- Date Card B-1 Date Card -B- - 1 - - - ---- ------------------------ ------------------ Date Card B-1 Date Card B-1 Date FRAMING—(Plans) OK except ft's Aelils. Proper Material & Anchors alls Studs -Nailing. Spacing & Bracing -Plates -Sound - ---- -- I--- ------------ ------------------------------------------------- ------- Walls over Girders & Floor Nailing - --- -... - -- ------------- ---------------------------------------- ,42. Draft Stop in Walls (rat proof) - ----- - - - - - ------------ - -- ----- 43 Fir ,Stops: Furred Ceilings -Stairs -Chases -Tub -- - - - - ----------------------------- Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) a _s -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Tr-Shthng.-Rfng. 4k.-5-re_pjaee Ties or Type A Flue -Fireplace Throat clearance tt' ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions rage Fire Protection Framing --------.�r1- Prope y Line Firewall & Openings 5 xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ -- Stair------------- s; Width -Headroom -Rise -Run -Landing -Fire Protection ------------------- -- - wood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- -- --- 45- r ing-Nailing Veneer - ----- -- 66. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic ------ 58. Shea Walls; Nailing -Bolts f, Inst -_alts-Ceilings �¢� 6&Arrrtration-Walls-Windows Date- Card ------ --- — — T?`-�Q� B-1 Date _ Card B-1 Date Card B 1 Date Card B-1 Date AL Plans) OK except ft's Ext. St s -Door & Sidelight Protection -Landings ------ - -- 6 - oke Detector urnace: rrts-Clearance-Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------------------- 6i-44ed1'o_om Exiting - ---------------- 6 I & Bath Fixtures & Tub Access -Spa H IBU�'ETec. Trim & Subpanel: Breaker Sizes &Labels 67. - & Rails --------------- 68. --- ® 68. Fir lace or Stove_CIearances-Hearth --� �- p- r C4; Elec. Outlets at Wood Panel: Int. & Ext. S i ` a 7 Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance t 71EWc. Outlets & Receptacles at Kit. Counter k'T �GarGarage Fire Door: Swing -Landing -Closer e' vis A.C. Duct in Garage -Damper 7 r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. 6- In Gana e: Above Floor-Mech. Protection - li 75. . EI c.•& Mech. Equip. Listed for Location 4th c. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation am -Looked in Attic ❑ Yes 78. -Rails & Deck -Construction -Post Caps IV 9. Fdn. s & Crawl Hole Door -Drainage & Wood -Earth earance Looked under Floor -- ❑ Yes 80. Followin d.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: - - - - -- - Pf-ers ❑ No --- -- ---rs ❑ El Yes es --- Stucco: Brown -Finish 82. A.g_LW017.9isconnect. Electrical, Plumbing Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openi c J-- ------.... E Disconnect, Electrical, Plumbin r Elec. Trim; G.F.I. Receptacle -Underground hout House lass ------on 88. rrect' m Pre ' us Inspectio s as Test eters - - .-Wate Connected -C/O to Grade -HD Approval - — 1. Energy Compliance Certificate_ Other Certificates --- Date d B-1 - Date -- -Card B-1 Date Card B-1 ate Card B-1 ------------------------------------- - — Date Card B-1 Date Card B-1 Comments at Final: -------------------------- ------- ---- --- -- RESIDENTI L JOB FINALED (Date) Signature V=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Eaeements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 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 -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs:Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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-Enclosu res -Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s RESIDENTIAL (Single & Duplex) ; Soils-Elec. Grnd. / P' Ftg. Depth U 4_ QIL. . F . rage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth orches & Decks; Soils -Steel-/ /Ftg. Depth St walla, Main; Steel-Blockouts-Wrapped ----W.-Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Tat 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Tat & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nall Protection 19. Shower Pan; Tat, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfad Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic _Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound i 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A'Flue-Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width-Headroom-Rise-Run-Landing-Flre Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector -- In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked In Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Ya ❑ No; Walks ❑ Ya ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Tat -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7,K11 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-520-033 SRI ZONING BUILDING PERMIT OWNER RICHARD & SHIRLEE BAUMAN TELEPHONE 893-5038 SO. FT. OCC. BUILDING VALUATION 3103 R 167 562.00 OWNER'S MAILING ADDRESS PO BOX 1034 DURHAM 95938 704 M 12 672.00 CONTRACTOR'S NAME OWNER TELEPHONE 70 C 910.00 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1 1,500.00 CONSTRUCTION LENDER TRI COUNTIES BANK UNKNOWN Total Valuation $ 182.644.0 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 9-30-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9641 TEAL LN PERMIT FEE $ 197 .90 DURHAM PLUMBING PERMIT Filing Fee 20.00 Each Trap 41 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. 15 SUBDIVISION'S NAME 1 VINTAGE EST- PARCEL MAP 31711-68/79 Each gas water heater or vent 15.00 30 C)n USE OF STRUCTURE SFX7 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New CX Addition El Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDR00M PERMIT FEE $ 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) SO. 3.50 FT. 122 20 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification is I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occu FIXED APPLNS. OR p (OUTLETS IRESID.I EA. ) 5•�� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 176.20 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating SPLIT 21 35.00 Cooling 5 & 3 140.00 Hood 6.50 6.50 Ventilation 3 3.50 PERMIT FEE $ 115.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cin consequence of a granting of this permit. o X CA11^ Date CO Signa re of Applic nt caner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. / g� J Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ R3 CONST. TYPE VN TOTAL FE HAZ. D. FEES IMP FL76 I CDF PARCEL I PO H E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have � D✓�y��'" '. PERMIT EXPIRES ON I/Date/ the applicable provision's Resolutions to do work been paid. / Date �- 9✓C Receipt NO. 166816-707.50//AO-7 S 3 PINK-INSPEC OR GOLDENRO PPLICF�pijTn WHITE-D.D.S.-B.D. P C ONLY) COUNTY OF BUTTE - D9PARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �• . 7 County Center Drive - Oroville, California.95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9� f5 42 Filing Fee ASSESSORP NUMBER-_� O /J SCJ 1J1 20NING� BUILDING PERMIT . 6D j Solar or heat pump water heater owNE r clS e e- 4 M U n TELEPHONE S'g -S SO. FT. OCC. BUILDING VALUATION 15.00 MAADDRE y/owNNS d NEW OR AOONS.T ( COCTORS NAME TELEPHONE /� l_ Building sewer 15.00 CONTRACTORS MAILING ADDRESS Fireplace 1\ CONS UCTION UNDER% r' un '(LS 4 (/ UNKNOWN Total Valuation $ ' V Al j LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 0, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ nn J Energy Plan Checking Fee $ O� ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUll J? AP9RfSS -�r % I _ _ _ PERMIT FEE $ J c:�.7 -7 '.C�/') . LOT N SUBOIVISI N' MME P CEL MAP 5 a S f- ��-- % c US OF STRUCTURE SF,X Duplex ❑ Mobilehome O Other SPECIFY TYPE OF WORK New (, Addition O Remodel ❑ Utilities 0 Installation O Other O Describe Work: -SU CONTRACTORS LICENSE LAW I declare under penalty of perjury (check ane) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to anter 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 - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories ink height. Receipt No. 1668'16- �'/t. WHITE-D.O.S.-S.D. AN/A�RV,-ASSESSO�, 7NK- ySPE OR GOLDENROD -APPLICANT I \I PLUMBING PERMIT Filing Fee 20.00 j Each Trap 1411 7.00 . 6D j Solar or heat pump water heater 1 23.00 Main Service ( Water piping 15.00 15,40 Each gas water heater or vent oZ 15.00 NEW OR AOONS.T ( Gas piping system 1 - 5 outlets 15.00 NEW CONST. .NON.RESIO. ( Building sewer 15.00 l Mobile Home S G I W@20.00 20.00 Ex. Occup. ( OUTLET OR FIXTURES ► PERMIT FEE ' $ 61 Contractor Temporary Service 23.00 ' ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( LEss ) "OR"" 200A OR LESS 23.00 3, Main Service ( 200A TO IOOOA ) 46.00 NEW OR AOONS.T ( OCC D & ALCCG BLOSUP ) 3.50 F7, , NEW CONST. .NON.RESIO. ( MULTI -OUTLET BRANCH CIRCUITS ► @7.50 Ex. Occup. ( OUTLET OR FIXTURES ► 20 @ 1.000 BAL. Ex. Occup. ( FIXED APPWS. OR ► OUTLETS IRESID.1 EA. ' 5.00 i Temporary Service 23.00 ' Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ Contractor MECHANICAL PERMIT I Fling Fee 1 20.00 ( Heating N r35, on 1 Cooling a Hood 6.50 Ventilation I l c n PERMIT FEE $ 5, Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ cols ff TOTAL S p� /D HAZ. I D. FEES I IMP I F1090 I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date � `CY�'1.� �,,. r. «-M..r'�v... •f ;,,. ... �i,,, t.,., {..1�-ti.,. rye..._ .��rr •..•�,w�,-, , J.. ..,�,. f�``,`'T' S.F.�aF �,c .f � z 'Z.F * • r - �.N'-•... ,.t C,4UNTYOFBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6- Energy_Design Compliance and supporting documentation. . 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome aia and manufacturer's installation instructions, 2 sets. ...... . . f 10. Fees, $ 00, )u . ............ f)A c 11. Impact fees as shown on attached schedule. h��.i •TT� • • • • • �� 12. California Department of Forestry plan approval/fees...................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. - 17. Planning approval for (A) Use: (B) Parking: . ........ '. 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). - - -P"Sa e.0 on request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ................. 22. Certificate of Workmans Compensation Insurance . .......................... (�Z23. Owner -Builder Verification (Given to owner Mail to owner _). .......... 24.' Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ ' 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......... . .......... " ................... jo 29. Documentation of legal access..................`.....:..............s.. . Documentation of 50% subdivision developed or (A) Road improvements cornAeted and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ......•............. ................... . 32. Plan check list . ..................... . .............................. . 33. 34. W e you issue the .,e 9Q,ce s as follows: Ma,J•jto owner. Mail to contractor. Telephone U and hold for pickup at 0 ✓'O U office. Deliver with inspector. Other Parcel Creation Acreage Applica Date �- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted priorpermit issuance: ( new i m not checked above). 1. Index permit for above items No. If G, / 2. Additional items required: Contractor, designer, owner, was advised of above require ata `b, ;phone mail Counter by Z-3Date �e Contractor, designer, owner, was advised of above required data by'- 'phone _ mail Cou er by _ Date Plans checked by Date Plans'�approved by � Date Z Sets of plans on hold in File cabinet AP folder IV i Copy - Department of Public Works ' I...11.1IS1: ON 1.) Plut Plan Attached �— Floor Phn AILtOwd ~` Scut w 11.1). TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance V L4 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public jwPrivate Well Clearance for bedroom In—home. Other Hold final for: Final clearance O.K. for: NOTE: 4onVL-mental Health Specialist 8/92 Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF.DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (9161 872-6307 CORRECTION NOTICE r3,4vA,#Ng 4/-�0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, M e c act this office immediately.14ow � 2 P�� �•v �z �) be, s 600ti/9 WV Date Z-Cld Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE S901-1AA1y i 5yo OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (i) pa)ui o& 11U vs 7,> vt.L %otos 0'rq '5WDwPr2 4A"I c� Date `) ' `� Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE g,4LI14 4,c -i cis(- / 5C/ 0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �$�R uSS�s �p �v � �t•Q-�c,�1 °�l�JiJG�vafd I v U1,0- 02Q0&7/0'A/ I&I,i 1� wz &r A L: - r� o U1 o4 2� c�9. P&A,110-1 r or 4VPA146k Date -"b '16A' CA Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE .G�yit4y qy /5-9 o OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. - c G� Date �� �" {�J Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 0 -/S� o PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work 4111fA1 2S �►F Date 7 Inspector REV 10/92 r'Uiut]ERAHOSfREET UU.Aritui BUTTE ' CITY COUNTY) SU801VISION ( LOT NUMBER PUN N6M8ER DESCRIPTION OF INSULATION s ROOF Materul Band Name Thickrxss (aches) Thermal Resistance (R-Vakr ) CEILING {{ Batt or Blanket TypeyFIBER Sl ASS ! &irid Name %EGTA_ tNTF� Thickness (ixhes) i. f.Z Thermal Raatence iRVatue Loose Fi.3 Type INSULSAR .III II &and Marne • Ca tactors ma MiM irtstaitedtlti s /S �2. we;ytttl}tW.Mhchwtb t ds ir>sta(Ied vragtit Per square foot to achieve Thermal Ru4t uxs (R-Value) E crmlOR WALL Material (irxhnj RAISED FLOOR Material .FIBERS, S Thida>ess+(nches) SLAB FLOOR tt" Material ; ' - Thicmm (,nches) ` &N-4 Name CEUAWIEin Thema Resistance (R Vakre) --L Thermal R (R-ftw) •Brand Name ' Thermal'Resistance (R -Value) Width (Inches) 34 . FOUNDATION WALL Material FIBERG ?AqS . 'RTA_ __ �(�(EEM Brand Name QE Th,chness (,nches) Thermal Resistance (R -Value) Declaration - I hereby certify that the above insulation was installed in the building at the above location in conformance wit6he.current Building Energy Efficiency Standards for new residential buildings contained in Title34 of the California Administrative Code. i GENE R IL WAI I RACTOR (BUILDER) LICENSE NUMBER SIGNATURES TITLE DATE SUBCONTRACTOR (INSULAT)ON INSTALLER 272 4 LICENSE NUMBER 3KiliATUREI TITLE 2.. K `53 DATE pi 'ENGINEERS WOOD SYSTEMS Certificate of Conformance Certificate N° 26062- THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. kat ANSI Standard A190.1-1983, for Structural Glued Laminated Timber Job Name KELLER LUMBER SALES Job Location REDDING, CA Customer's Order No. 674 Date 2-11-94 Mfgr's Order No. 4352—C PROOF LOADED END JOINTS Signature C Company ROSBORO LUMBER CO. Title QUALITY CONTROL Address SPRINGFIELD, OREGON Date 2-11-94 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. o • waOQ �. e� �SPORgr���e �J t N� SE1�L ����ASNING�•••�' by. Michael R. O'Halloran Executive Vice President AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION 0 QTY.r. ,,�; ;.WIDTH. SHIPPING'ORDER -FREIGHT BILI••, ` LENGTH ;.,DESCRIPTION OF, COMMODITIES.,+', ' z75v0 t,p• ;.I, (.. - AU E,°riT3w'iJ.'!'IO-f. v. 'du halon ,enr:-!is':n0� t:ro:., ,;m}t9t ,2>Y? >> Lt�Y fli+:?slffA}' �t 1 Ot•t]EAiC�l2. I niessi9"sr;i' '.;;�: Uff: SOi .C. c•'.- J x I hei r. DATE (tnc-94 • �RB•. CUSTOMER t?� ER NQ N - t- . di (72 2593-! J -CARRIER y' _ POIN1 bf?itcfb ea 9,CF •• �i lsai '' I I ra. t> lsbio Erri! i'�L '6ikT'OF:,r fr,at fivijiuv' I9>{ud 5.. _ 7 Ir DESTINATION ii .�T•. ORIGIN"'!T,ibrn�e.+� i;t=,REDDING; ,. •9. •.<, Mme.o,aarfii•i f> fREflDING 1 ' „� .GC .. `„JC�71321f'1. i'.i•ist 9j715f�1 •[t! 1`.O8?'r3`.�te C'.;,'In;'j,;(f 1:':;�.� ti.Y?'}/..:: ['~�il:'1�• f,P:T•�$i,.fp H+V,�t'+ry {.;t -, . .. - f .n•C_.. <.. SHIPPER1r, I�ELLER'LUMBRrSAI'ES ING£' �' ' Y ' ' MQSS� LUMBER _ r ��,. •.t �+ _.;CONSIGNEE -C- ;1Z(1.^, rah° .•. , ,�..- .;.;,.. ;,p :., ;C, a�_ �t:..,.,,, '. .'rf .. .t:?.""; ..: 1'lij ..,. •,:': .. ... .. P O '•BOX''99.AO05 =1 2' ADDRE.S?I� . > r. fYpDRESS .�:.. t., BEDDING, CALIF. 96099-4005. ' CITY .. QTY.r. ,,�; ;.WIDTH. :,DEPT►i .: LENGTH ;.,DESCRIPTION OF, COMMODITIES.,+', ' z75v0 t,p• ;.I, (.. f '1 '.;;�: .. �i' :r' C- 'i t �.i /'k� kll +'�1 - a�L1ll+i©Vr>7D, �t1♦ 0.- ,... + • r it.9il flryria'nbfl �L,, t ��STOCK ALU• LAMS t L, y r.i• •. ". •: _ r ��,. •.t .;' , _ -T'> i �/i t ''b t9 rf fit y. � ., `f7 5-1 8 x '1 =1 2' 14'' .�:.. �pf1: •°v,•y .'ir: .�:f 11 _ 1 .. �. •, .. c '; 'i4. n•,n� „t r. •U':. ..'l,.('3 - - .�. ' \(rl�:�iv 1(>.9':J;, .pc+P},f P1. t: , .. >. "l:J:'1 (�,( .��L?•3". ..� '��,,Ls (•i,.g2•: if-. 'l7 . `IOaZ,:ril`it ;T'!�^.t? io•�'+?T° te• ti'a. �> �9Ct1? +., •:] •s.:� d:'itia t- J 9ii � i.^:-�7',, 'i: a'„ii w�r'. Ci's.°r P -a � ”, i - ., . • tiJ?+U'>3pi"' i \CI •l^,J - 7.;f1:, ' C> �' > " i:'::-a.liAf.a .•'r. ft 1 . 'E°,: /,I..T i`: �7 i.,• 1. (.t�r.^ : 1 ell. . YL' vat 4,. a rt .. r ..q. R, f! ., .. -lJiy= •J '.Pti! i7i •G :�.,U. SYIiA. 'j;r: Y', , .. 'J,i': $Y,. ��}' ^iY:c•7{,^1; ilU Y Ir tt 'A V G- i .f •, ",Y- , .. .. . 2940 , f. 7� �od IW2 noit f.L(„th ht (iT {h?',r , �t • :: Y< tq •c i ;u r a. . ' hfl1� ir''°?i,> ./IU:' c '}Y'"rJ�?(fl(7 ll 't 1JC•. .Z v: �/.�':11v .. •t:.. � -':,i �.'.' .. ...•aT_i tJ '. '�C �ilV1 •. .. F• , ' rt y: fn -ixic rr 'r.? '• VLW LL:o'W:.qtr .� ... ri. t7¢'J t..". f fri.'_r+' - SHIPPER a: t:� _ ..cf,�..Y tory wt .J t_' .•�.. .. ,:c •a` .. ,. ai...•,p•rt.�:St'-r ..,y+•+ .. ... • Ot 1f ry :: �. ;i, 7 i it ,.. •r'1L J :. •. U� C' -. ?L7r l;rfil - . .. v e h'•KEL'LER°IUMBER: SALES; :INC. •� 1 1 : , : t,r?F; S�••: CARRIER cod i Imp,avt 9Y tnt•or, Qf n if]Ri i of?t ; : y: r ',• i s f Y(, . 'tnl CUSTOMER A . �1 iiC'R11/ER?' r 1 `� ((,' :ti - ' r �' CONSIGNEE � • R CEIVEb N GOOD, CON ITIQN. EXCEPT AS -NOTED` -' . • '' REDDIiV��g ,' :ue`; � �I �:.r:i�s.��y � , • �, .( �� `.�a:x�:ry �� w;.: t 1 • (r lli.••C, Y, .,d'r"J �f t, !' , .,� i , ..- ... _s•t,.Yva > U. •.r,r :J.,VY ILrf 1:+'rV V��.. -' >,..c ....C:. JGL:•, :vt,. PAYMENT I: c., . 5 "rp�' it , i,• _ RECEIVED • -' .}�, A .,:, ,.•,!-. y.. '/. ar.^^(*��;>r.. �s }i4� .7 F.'fi''.o i'f'i '3.0?A .lp'• ','}. .`•Snf1,. �.. f r, > ,f a d." �! c; ♦;S"•K i�� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVEIAPMENT SERVICES - BUILDING DMSION 7 COUNTY CENTER.DRIVE, OROVILLE CA 95965 - TELEPHONE.(916) 538-7541 �ll �AU-0a4 A.P. #0 37 03-5 OWNER G,`Gi✓� i PROPOSED BUILDING USE A)& (Aj � / DATE /� % Z ZZZ .� REC. # DATE REC SCHOOL DISTRICT FEES n (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) 2 /� Residential ...... _x� $ C� v unit amt. Commercial (sgft)_ x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. RECREATION DISTRICT FEESa O'k W7 I PC ('CyJ Y(• ... •.... (paid at District Office)..... 15 h 6o 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK - ...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes 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 C1n Vx9 _ 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 AA Social Security um er ®- -- 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. I� _9 .d< .,�. .=�+r'� :jvra y'ra ��; ... Ira ,BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s):; 0�3 9 —'1c) D - 033 Property Owner ( s): fil,Jqrd q Skrlee, UM4,`' N Project Location/Address: T&6t r t) a Subdivison Name:6mhaln Y'rri2�P-rES Assessable Square Footage: 03 Type of Residential Development (check one): New Development U Afteration/Addition Mobile Home (s) U Non -Residential to Residential Comments: ng Division Representative Durham Recreation and Park District (DRPD) certifies that Applicant Name _ Applicant Phone Number Street Address City State Zip Code �. has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for 5103 square feet at $ 1.04 per square foot for a total payment $32a-? �; t L DRPD R resentative PAID BY CHECK No.: BANK NO.: 90 -3S6 PAID BY `CASH: RECEIPT No.: / 9U 3 Date Remarks: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION C BUTTE COUNTY SCHOOLS IM ACT FEE CERTIFICATION FORM (One Foim Per Building) , School District ( J !ic ✓ Q �%'1 1Cf BuildingDepartment No. P A.P. Number Jurisdiction City 0 County Rlc_�04rd Property Owner Ct— S k r' e e- 4 u In') Cf ✓1 Property Location/Address Subdivison Residential Development Commercial/Industrial r Building Lot No. T 0 Sq. Footage L3 10 No. of Living MHI Addition (Group R) Units Sq. Footage New Addition (Including Exterior resentative (Floor Plans.reviewed by School District Personnel) District Identification No.v.,, \_).-;4'zV.School District certifies that (Street Address) State) ,`Roofed Areas) 5 /� 9 Date (Applicant) &�3 -- '�_O3 (Phone Number) has complied with the requirements of Resolution No. by payment of $ representing C square feet. District Representative S 2 Date ---Paid by Check Number` Remarks: Bank Number Paid by Cash• yr r If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local -Planning Agency that this project is being reviewed under the California Environmental Quality Act (CECA), this project may be subject to r �' additional school fees to fully mitigate_ its impact on the school district's schools. ' White (applicant), Yellow (building department), Pink (school district) feeform.wkf-(a/s2) t r�T ..J �.,, IL RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISCC. ONLY) Bldg. Permit OWNER Plan Checker GENERAL Zoning requirements: (sideyards and number of permitted living units). 0 ---Valuation. ans signed by designer. Proper description of work ,on application. Existing violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. ' PLOT PLAN- PS LAN• PFComplete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. lood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). T.nnR PT.AN j Complete to scale plan with dimensions. �',,Required windows for light and ventilation (Sec. 1205). . Required windows for second exit (Sec. 1204). i Skylights (Chapter 34 & Sec. 5207). ,,,,Human impact glass (Sec. 5406). /Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light L.Lxtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. + Garage firewall, door size, and closer (Sec. 503(d)(3)). r-1 - 3'0" exterior exit door (sec. 3304 (f). and wood stove location, alcoves, and clearance. ,.,Fireplace moke detectors (Sec. 1210). lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. - Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. a Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. 9r Rafter ties or bearing ridge beam. r' Carage door or porch header -'sizes. 2' Stud heights. 3'. Adobe soils - special foundation design. Retaining walls requiring design. .e�ial nspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ''guardrail details (Sec. 1711 & 3306(j). �/ Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper -roof pitch for roof convering (Chapter 32). Roof covering -type - (fire hazard).. Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 'Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1"A"'ttic access and ventilation (Sec. 3205). 2'Underfloor access and ventilation (Sec. 2516). 3.—Combustion air for fuel burning appliances - L.P.G. requirements. r�.Energy oise requirements on duplexes. design. 'Flashing at all exterior openings. DF responsible area requirements. 9 RESIDENTIAL PLAN CHEC UIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR - ,/./"Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). P� Guardrail details (Sec. 1711 & 3306(j). 3. Brick or stone veneer (Chapter 30). 4. Exterior plaster - weep screeds (Sec. 4706). 5. Proper roof pitch for roof convering (Chapter 32). _6+ Roof covering type - (fire hazard). 7. Foam insulation - protection. 8. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 10. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 11. Attic access and ventilation (Sec. 3205). 12. Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. 14. Noise requirements on duplexes. 15. Energy design. 16. Flashing at all exterior openings. _1;".- CDF ,responsible area requirements.. 7` � �f Gait ? C�ia.52 � ? •. � eve '41�4'f ��Ok f.���'�'��' ft G'�� � �•GL•GGLG .s L G .G. fit' L� � /��%1—�'-(' /vim"'f!- !/ Tf/� .d- — 94-24333 _2 Return to: AGRICULTU] AL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building ermit All that real property situate in the County of Butte, State of California, described as follows:. See attached Exhibit "A" made a part hereof. Date: May 20, 1994 State of California ) County of Butte ) TY OWNERS: On May 20 ,1994 before me, D. Koenig, Notary Public personally appeared Richard K. Bauman and Shirlee Jean -------- mpumdamm 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 4wAWthey executed the same in hisflter/their authorized capacity(ies), and that by hiss/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. D OD. KOENIG WITNESS my hand and�friciahseal. 0 ��Ek Q,�p�.E"sem y Comm. # 967302 m� 2'" NOTARY PUBLIC - CALIFORNIA _ Butte County -� CLY °�c Foa My Comm. Expires Jun. 21, 1996 41 SiQnat a Seal: I QF0 A.P. 1/ f"39�6a�-off I The property described herein is adjacent to land or included�94-024333 Rec Fee within an area zoned for agricultural purposes, and residents I COP Recorded 1 1.00 .50 , of this property may be subject' to inconveniences or I Check Official Records I 10. 50 discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 8 -Jun - 9 4 I P U B L X X 2 dust,smoke, noise, and odor. Butte County has established - _ - _ agricultural zones which have as a priority use for.productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows:. See attached Exhibit "A" made a part hereof. Date: May 20, 1994 State of California ) County of Butte ) TY OWNERS: On May 20 ,1994 before me, D. Koenig, Notary Public personally appeared Richard K. Bauman and Shirlee Jean -------- mpumdamm 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 4wAWthey executed the same in hisflter/their authorized capacity(ies), and that by hiss/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. D OD. KOENIG WITNESS my hand and�friciahseal. 0 ��Ek Q,�p�.E"sem y Comm. # 967302 m� 2'" NOTARY PUBLIC - CALIFORNIA _ Butte County -� CLY °�c Foa My Comm. Expires Jun. 21, 1996 41 SiQnat a Seal: I QF0 A.P. 1/ f"39�6a�-off 94-24333 Z The land referred to herein.is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 15, as shown on that certain Map entitled, "DURHAM VINTAGE ESTATES", recorded in the office of the Recorder of the County of Butte, State of California, on December 16, 1993 in Book 130 of Maps; at pages 68, 69, 70, 71 and 72. Portion of AP No. 039-520-018 PARCEL II: An easement for ingress, egress and public utilities over, across and under Widgeon Lane, Teal Lane and Duckling Drive, as shown on that certain Map entitled, "DURHAM VINTAGE ESTATES", recorded in the office of the Recorder of the County of Butte, State of California, on December 16, 1993 in Book 130 of Maps, at pages 68, 69, 70, 71 and 72. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Bauman Residence Date........ 06/28/94 Project Address........ ------"-- ------- Durham, California '7`- /59b Documentation Author... Donna Wallace Building Permit # Company ................ Donna Wallace 1;7- - y' Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check/ Date ClimateZone........... 11--------------------- ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Donna Wallace Run -Bauman Residence ------------------------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... 3103 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 135 deg (SE) Number of Dwelling Units... 1 Number of Stories.......... 2 Floor Construction Type.... Raised Floor (Package E) BUILDING SHELL INSULATION Component Insulation Assembly Type R -value U -Value Location/Comments ------------- Wall ---------- rR=19_] -------- 0.065 ---------------------------------------- Typical, Garage, Nook Door R-0 0.330 Entry, Garage Roof"R=38 Floor LR -19 0.025 0.037 Typical, Foyer, Living Room Typical S1abEdge R-0 0.720 To Outside SlabEdge R-0 0.500 To Crawlspace FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type ------------------- ----- ----- ------------------------------ ------------- Window Front (SE) 132.0 0.510 2 Drapes.Std None None Niny�l Window Left (SW) 49.0 0510 2 Drapes.Std None None(Vinyl Window Back (NW) 97.0 0510 2 Drapes.Std None None �Vi.nyl Door Back (NW) 120.0 OI51,0 2 Drapes.Std None None inyls .V Window Back (W) 13.0 0.510 2 Drapes.Std None None Vinyl Window Back (N) 13.0 01510 2 Drapes.Std None None(Vinyhl Window Right (NE) 40.0 01510' 2 Drapes.Std None �� None Vinylj , Window Right (E) 9.0 11400 2 Drapes.Std None Nonye Metall L� THERMAL MASS ------------ Area Thickness,�� a� Type --Exposed (sf) ( in) �� ocatior 'Tents ------------ -------------- ------------� - -----Ao------------- A8 S1abOnGrade No 358 3.5 Fftv , om CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R --------------------------------------=---------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Bauman Residence Date........ 06/28/94 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Donna Wallace Run -Bauman Residence ------------------------------------------------------------------------------- Equipment Type --------------- Furnace ACSplit HVAC SYSTEMS ------------ Minimum Duct Efficiency Location ------------ ------------- - "A �.780—AFUE Attic 110. SEER Attic WATER HEATING SYSTEMS Duct Thermostat R -value ------- Type ------------ R-4..2 Setback R-4.2 Setback --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ---------------- StorageStandard �" :'?* '' 2".7-z0_.'62 °EF - �40 `w, -�R-12 - - SPECIAL FEATURES/REMARKS ------------------------ Selected water heaters have been certified to the CEC. Model number: A'O: m Sm th�`FG_R=40-1.18-or- FGR=40-218 Reference: P400-93-024 pages 132 and 133 All windows (except the Greenhouse window) shall be --vinyl framed -z:__,. windows- b Mil ard7orna rove( �e ua1: = 0_.-51 ,maximum w alloabl'e_U-value- -.- Reference: _ NFRC Directory,'January 1994 edition, pages R39 -R43. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Bauman Residence Date.. ..... 06/28/94 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Donna Wallace Run -Bauman Residence ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Richard & Shirlee Bauman Name.._ Company. Company. Address. Address. Durham, California Phone... (916) 893-5038 Phone... License. Signed.. 01eK&30 7Vigned. . (date) I0`JEel 1110):4r1: 4z9WZ0�4W4 Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Donna Wallace Donna Wallace 399 E. 9th Avenue Chico, California 95926 (916) 893-4982 �IL&A a- 6/2 8 (date) Mandatory Measures Checklist: Residential MF -1R Project Title Bauman Residence Date 06/28/94 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterick (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures Dwg. Sht. 5A *150(a): Minimum R-19 ceiling insulation. 150(1): Setback thermostat on all applicable heating systems. N/A 150(b): Loose fill insulation manufacturer's labeled R -value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). Dug. Sht. 5A 150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised Dug. Sht. 5A floors. (R-16 or greater). 2. N/A 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 3. Fiberglass 118: Insulation specified or installed meets California Energy Commission quality 4. standards. Indicate type and form. Batts 116-17: Fenestration Products, Exterior Doors and Infilitration/Exfiltration Controls *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and By Owner infiltration certification. Gravity ventilating systems serving conditioned space have either automatic or c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and 114: Pool and Spa Heating Systems and Equipment sealed. System is certified with 78% thermal efficiency, on-off switch, weatherproof N/A N/A 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. N/A 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closable metal or glass door b. Outside air intake with damper and control By Owner c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures 110-13: HVAC equipment, water heaters,.showerheads and faucets certified by the Commission. By Owner See CF -1R page 2 for water heater certification. 150(1): Setback thermostat on all applicable heating systems. N/A 150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, By Owner insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees Fahrenheit insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. By Owner 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof N/A operating instructions, no electric resistance heating and no pilot light. 2. System is 'installed with: a. At least 36" pipe between filter and heater for future solar heating. N/A b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light. (Exception: Non -electrical cooking By Owner appliance with pilot < 150 Btu/hr.) Lighting Measures 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water By Owner closets; and recessed ceiling fixtures IC (insulation cover) approved. Revised January 1992 COMPUTER METHOD SUMMARY ------------------------------------------------------------------------------- Page 1 C -2R ------------------------------------------------------------------------------- Project Title.......... Bauman Residence Date........ 06/28/94 Project Address........ --------------------- Durham, California Documentation Author... Donna Wallace Building Permit Company................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date ClimateZone........... ------------------------------------------------------------------------------- 11 --------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 ------------------------------------------------------------------------------- ----------------------------------------------------------------- User -Donna Wallace Run -Bauman Residence ----------------------------------------------------------------- = MICROPAS4 ENERGY USE ---------------------------- SUMMARY = = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design ---------- Margin = ---------- _ = Space Heating.......... 15.26 13.42 1.84 = = Space Cooling.......... 12.50 13.14 -0.64 = = Water Heating.......... 8.42 8.52 -0.10 = = Total 36.18 35.08 1.10 = _ *** Building ----------------------------------------------------------------- ----------------------------------------------------------------- complies with Computer Performance GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 3103 sf Single Family Detached New Front Facing 135 deg (SE) 1 2 ReducedYear Raised Floor 1 31815 cf 2194 sf 2194 sf 358 sf 15.2 % of FA 10.3 ft (Package E) COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Bauman Residence Date........ 06/28/94 -------------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -Bauman Residence ------------------------------------------------------------------------------- Zone Type -------------- HOUSE Residence Surface HOUSE 1 Wall 2 Door 3 Wall 4 Door 5 Wall 6 Wall 7 Wall 8 Wall 9 Wall 10 Wall 11 Wall 12 Wall 13 Wall 14 Wall 15 Roof 16 Roof 17 Roof 18 Floor PERIMETER LOSSES BUILDING ZONE INFORMATION Solar Floor ------------------------- # of R-val ------- Gains Location/Comments ----- ---------------------- HOUSE Vent Special Area Volume Dwell Cond- 30 Thermostat Height Vent Area (sf) --------- --------- (cf) Units ----- itioned ------- 2 Type ------------ (ft) (sf) ------ --------- 3103 SURFACES 31815 1.00 # of Yes Setback 8.0 n/a Area Pan- Frame OPAQUE SURFACES --------------- Act Glass Int Shading/ Area U- Insul Act Description Solar Form 3 Location/ (sf) ------ value ----- R-val ----- Azm Tilt --- ---- Gains ----- Reference ------------ Comments ---------------- 759 0.065 R-19 135 90 Yes W.19.2X6.16 Typical 20 0.330 R-0 135 90 Yes None Entry 183 0.065 R-19 135 90 No W.19.2X6.16 Garage 18 0.330 R-0 135 90 No None Garage 672 0.065 R-19 225 90 Yes W.19.2X6.16 837 0.065 R-19 315 90 Yes W.19.2X6.16 15 0.065 R-19 243 90 Yes W.19.2X6.16 Nook 15 0.065 R-19 279 90 Yes W.19.2X6.16 Nook 15 0.065 R-19 315 90 Yes W.19.2X6.16 Nook 15 0.065 R-19 351 90 -Yes W.19.2X6.16 Nook 15 0.065 R-19 27 90 Yes W.19.2X6.16 Nook 611 0.065 R-19 45 90 Yes W.19.2X6.16 50 0.065 R-19 45 90 No W.19.2X6.16 Garage 19 0.065 R-19 90 90 Yes W.19.2X6.16 1785 0.025 R-38 0 0 Yes R.38.2X4.24 Typical 204 0.025 R-38 135 18 Yes R.38.2X4.24 Foyer 225 0.025 R-38 315 18 Yes R.38.2X4.24 Living Room 1836 0.037 R-19 0 0 No FC.19.2X8.16 Typical PERIMETER LOSSES HOUSE 1 Length F2 Insul Solar Vinyl Surface ------------ (ft) Factor -------------- R-val ------- Gains Location/Comments ----- ---------------------- HOUSE 3 Window 36.0 2 19 S1abEdge 30 0.720 R-0 No To Outside 2 20 S1abEdge 53 0.500 R-0 No To Crawlspace 2 Vinyl 0.88 FENESTRATION SURFACES # of --------------------- Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) ----------- ----- es Type ------------- Type value ------ ----- Azm Tlt Only Shade --- --- ---- ---- --------------- Description HOUSE 1 Window 100.0 2 Vinyl 2 Window 32.0 2 Vinyl 3 Window 36.0 2 Vinyl 4 Window 34.0 2 Vinyl 5 Window 50.0 2 Vinyl Slider 0.510 135 90 0.88 0.78 Drapes.Std Fixed 0.510 135 90 0.88 0.78 Drapes.Std Slider 0.510 225 90 0.88 0.78 Drapes.Std Slider 0.510 315 90 0.88 0.78 Drapes.Std Fixed 0.510 315 90 0.88 0.78 Drapes.Std COMPUTER METHOD SUMMARY Page 3 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title........... Bauman Residence Date........ 06/28/94 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -Bauman Residence ------------------------------------------------------------------------------- FENESTRATION SURFACES 00::211.74i.1%M4it& Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments --------------- ------ ----- --------------------- -------------------------- HOUSE 1 S1abOnGrade 358 3.5 28.0 0.98 R-2.0 Family Room HVAC SYSTEMS Minimum Duct # of Duct Vent Efficiency ------------ Location ------------- R -value ------- SC SC Interior Area Pan- Frame Open U- Act ACSplit Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description ----------- 6 Door ----- 120.0 ---- 2 --------- Vinyl ------ Slider ----- 0.510 --- 315 --- 90 ---- 0.88 ---- 0.78 --------------- Drapes.Std 7 Window 13.0 2 Vinyl Slider 0.510 243 90 0.88 0.78 Drapes.Std 8 Window 13.0 2 Vinyl Slider 0.510 279 90 0.88 0.78 Drapes.Std 9 Window 13.0 2 Vinyl Slider 0.510 315 90 0.88 0.78 Drapes.Std 10 Window 13.0 2 Vinyl Slider 0.510 351 90 0.88 0.78 Drapes.Std 11 Window 13.0 2 Vinyl Slider 0.510 27 90 0.88 0.78 Drapes.Std 12 Window 27.0 2 Vinyl Slider 0.510 45 90 0.88 0.78 Drapes.Std 13 Window 9.0 2 Metal Fixed 1.400 90 90 0.88 0.78 Drapes.Std 00::211.74i.1%M4it& Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments --------------- ------ ----- --------------------- -------------------------- HOUSE 1 S1abOnGrade 358 3.5 28.0 0.98 R-2.0 Family Room HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 2 0.62 40 R-12 SPECIAL FEATURES/REMARKS ------------------------ Selected water heaters have been certified to the CEC. Model number: A.O. Smith FGR -40-118 or FGR -40-218 Reference: P400-93-024 pages 132 and 133 All windows (except the Greenhouse window) shall be vinyl framed windows by Milgard or approved equal. 0.51 maximum allowable U -value. Reference: NFRC Directory, January 1994 edition, pages R39 -R43. Minimum Duct Duct Duct System Type ---------------- Efficiency ------------ Location ------------- R -value ------- Efficiency ---------- HOUSE Furnace 0.780 AFUE Attic R-4.2 0.880 ACSplit 10.00 SEER Attic R-4.2 0.870 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 2 0.62 40 R-12 SPECIAL FEATURES/REMARKS ------------------------ Selected water heaters have been certified to the CEC. Model number: A.O. Smith FGR -40-118 or FGR -40-218 Reference: P400-93-024 pages 132 and 133 All windows (except the Greenhouse window) shall be vinyl framed windows by Milgard or approved equal. 0.51 maximum allowable U -value. Reference: NFRC Directory, January 1994 edition, pages R39 -R43. HVAC SIZING Page 1 HVAC Project Title.......... Bauman Residence Date........ 06/28/94 Project Address........ --------------------- Durham, California Documentation Author... Donna Wallace Building Permit Company................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check/ Date ClimateZone........... 11 ---------------- --- ------------------------------------------------- MICROPAS4 v4.02 File-BAUMAN Wth-CTZ11S92 Program -HVAC SIZING User#-MP0995 User -Donna Wallace Run -Bauman Residence ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 3103 sf Volume .. ..... ............ 31815 cf Front Orientation.......... Front Facing 135 deg (SE) Sizing Location............ CHICO EXP STA Latitude ... ...... ........ 39.7 degrees Winter Outside Design...... 27 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... No Exterior Shading Used...... No Overhang Shading Used...... No Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description --------------------------------- (Btuh) ----------- (Btuh) ----------- Opaque Conduction and Solar...... 16897 7193 Glazing Conduction ............... 10717 5982 Glazing Solar .................... n/a 17328 Infiltration ..................... 20118 6611 Internal Gain .................... n/a 2100 Ducts ............................ 4773 3921 Sensible Load .................... 52506 43136 Latent Load ...................... n/a 8627 Minimum Total Load ----------- 52506 ----------- 51763 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT u61ng Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this / acknowledgement, be recorded prior to issuance of a building permit. All that real property situate in the County of Butte, State of California, described as follows: See attached Exhibit "R" made a part hereof. Date: May 20, 1994 State of California County of Butte PROPERTY OWNERS: On May 20.1994 before me, D. Koenig, Notary Public personally appeared Richard K. BauQnan and Shi.rlee Jean Baunan-- (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) id/are subscribed to the within instrument and acknowledged to me that hashelthey executed the same in h6Aer/their authorized capacity(ies), and that by hk4w/their signature(s) on the Instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. D. KOENIG WITNESS my hand and -official -seal. Q �"`: Comm. # 967302 . _ as NOTARY PUBLIC • CALIFORNIA 3 Butte County $igmat _ Ste: a +c For ` MY Comm. Expires Jun. 21.1996 -4 A.P. a LIXIJ -� a �0 - 4-0243,3,3I The property described herein is adjacent to land or included Rec Fee 9.00 within an area zoned for agricultural purposes, and residents I COP 1.50 of this property may besubject to. inconveniences or Recorded I Check Official Records I 10.50 discomfort arisingfrom the use of a agricultural chemicals, including, but not limited to herbicides, pesticides, and County ofi fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, Candace J. GrubbsI pruning, and harvesting which occasionally generate Recorder I 12 : 2 S p m 8 -Jun -94 I dust,smoke, 'noise, and odor. Butte County has established P U B L X X 2 agricultural zones which have as a priority use for.productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See attached Exhibit "R" made a part hereof. Date: May 20, 1994 State of California County of Butte PROPERTY OWNERS: On May 20.1994 before me, D. Koenig, Notary Public personally appeared Richard K. BauQnan and Shi.rlee Jean Baunan-- (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) id/are subscribed to the within instrument and acknowledged to me that hashelthey executed the same in h6Aer/their authorized capacity(ies), and that by hk4w/their signature(s) on the Instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. D. KOENIG WITNESS my hand and -official -seal. Q �"`: Comm. # 967302 . _ as NOTARY PUBLIC • CALIFORNIA 3 Butte County $igmat _ Ste: a +c For ` MY Comm. Expires Jun. 21.1996 -4 A.P. a LIXIJ -� a �0 - IV A The land referred to herein.is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 15, as shown on that certain Map entitled, "DURHAM VINTAGE ESTATES", recorded in the office of the Recorder of the County of Butte, State of California, on December 16, 1993 in Book 130 of Maps, at pages 68, 69, 70, 71 and 72. Portion of AP No. 039-520-018 PARCEL II: An easement for ingress, egress and public utilities over, across and under Widgeon Lane, Teal Lane and Duckling Drive, as shown on that certain Map entitled, "DURHAM VINTAGE ESTATES", recorded in the office of the Recorder of the County of Butte, State of California, on December 16, 1993 in Book 130 of Maps, at pages 68, 69, 70, 71 and 72. �L- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPL CATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �O — ®r/ ZONING S j BUILDING PERMIT i owN 1Yi — • 1 C. Cc r Cl 7 C( m a /'t TELEPHONE b 7 ' 50,3 S0. FT. OCC. BUILDING VALUATION ! O NER MAILING ADDRESS © CONTRACTOR'S ^NAME �C Y TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace 1 CONSTRUCTIO ENDER __TNKNOWN Tr ; Total Valuation I $ LENDER'S MAILING ADDRESS Filing e $ 15.00 Per t Fee $ i ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS P14 Che king Fe $ EneWY/61AP Chef brig Fee $ Pen I $Per BUILDING ADDRESS rE fFL L t\fee $ rC7 ' PCUMB G PERMIT FiJngFee 15.00 E ch Trap 5.0 Q / JoVr or het pump water heater 20.00 ! -OT NO + S'U/BDI,VI/S'ITO`'N/�NA/ME —f— U �v r ` "' S/ P RC EL MAP at pipin.` 7.00 Q Each . as Aater he ter or vent 7.00 /�O USE OF STRUCTU E SFZ Duplex❑ MobilehomeF� Other SPE FY Gas pi i g syste 1 - 5 outlets 5.00 C? Buildi sewer 15.00 ile H me I S 1 G W @ 15.00 TYPE OF WOR New i i Addition ❑ Remodel � Utilities Installation❑ Other Describe work: oleo /4 Perml Fee $ 1141 CM Contra for EL CTRICAL PERMIT Filing Fee 15.00 LE Main s rvice 200A OR LESS 18.50 S r _ CONTRACTORS LICENS W I declare under penalty of er ur P y p l y (c eck One): 11 I 1 I am licensed under pro" 'onS Of Chapt. 9, Div. 3 of th BUS S and Professions Code an my license is in full force a effect. License No. Classification I, as the owner, Or m em / U y p yees Ith wages as the sole compen- sation, will do the work,and he s ructure is n t int ded or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively ontracting with li ensed con ors. (Sec. 7044) ❑ 1 am exempt under Sec. in ss and Pro ssions Code for this reason in ervice 200ATO1000A, 37.50 NEW CONST. ( DWELLING OCCUP.111 OR ADONS, l ACC. SLOGS. 3.64 sq.ft.V 17 ti NEW CONSTR ULT' -OUTLET N-RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS 61 S'NGLE OUTLET CIR. EA. OCCUp(OUTLETS OR FIXTURES 20 76d X. OCCUp. FIXED OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee Contractor $ WORKMEN' COMPENSATIO INSURANCE I declare under penalty of perjury heck one): The permit is for S100.b0 ( tion) or les .❑ I have placed on file with t e my of B tte BuildingDep merit a Certificate of Workmen's C pens surance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in y manner so as to become subject to the W. C. laws of California. Notice to Aoplicant: If after makino this statPm t chovirl you become subjsct to the W. C. provisions of the Labor Code, you mus orthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Q Cooling d 3 r EHood 6.50 Ventilation Permit Fee - $ , Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 ccrue against said County in consequence of the granting of this permit. X Date O Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee 5 Energy Inspection Fee $ OCC CONST TYPE^ TOTAL F '$ HAz DFEES IMP FLOOD CDF PAR EL PO H I$ UE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. a wNITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT �.�'r fir•:- � -''t . .. rr•--� .. •... �. :.Yy.�'.r�..i ,; F:+y. �. ..:I_ f � COUNTY OF BUTTE._AW-PARTMENT OF PUBLIC WOR , = BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Cr �7 PCF5#11Z I CE V�'v o6 - a -2. Proposed Building Use r Building Inspector A. Date CY At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items We been submitted......................................... Plot plan /4 sets, signed by preparer of plans. ... ......... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ... . . ............ 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. ................. . oIStatement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data d�rnufacturer's installation instructions, 2 sets. . 0. Fees of $ Z _ ....1(! . ................ 11. Impact fees as shown on attached schedule. .. .... .. .. . . ............... 12. California Department of Forestry plan approval/fees. ....................... . � 3. Flood elevation letter (100 year flood by California Engineer.................. 1 4�!Sanitation and plot plan approvaICPC Health Department. . 15. City of Chico plumbing permit. ........................................ . I.1 . Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . ontact Land Development about (A) Improvements (B) Drainage. .......... . 19, , Driveway permit (construction approval required prior to occupancy). .. ... ... . Pre -Inspection reques 20. Pre -inspection for required. .. to Building Inspector (Date) 217 Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ..Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25: Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .................... t .................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... P checklist. 33. ole- D It --,D 34. Wh n t.�'"yo .issue the rmit, proces as follows: MaiMail to contractor. Telephone A and hold for pickup at C/� office. Deliver with inspector. Other Parcel Creation ,Q O Acreage Applicant Date G Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item n t ch 1. Index permit for above items No. 0 / 2. Additional items required: C,� FC,Cf--1) 02-JAIS 3 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 _ mail Counter by _ Date Plans checked by 1:1�S Date Plans approved by Date _Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �.�i COUNTY OF BUTTE — DEPAMIENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — ORO�V}ILL CALIFORDFTA 95965 — TELEPHONE (916)5387541 OWNERjC-A/ -y /v /x L 6 A.P. NO.&? PROPOSED BUILDING USE �� DATE REC. DA_ 6�1 School Distric Fees (paid at District Office) l/ Z. Sheriff Fees _ .... ...... (paid at Building Department) Residential .......... unit amt. Commercial(per sq.ft.) R =$ �}sq.ft. amt. //. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$. # units amt. Commerical(per sq.ft.) X _$ 4111-4. sq.ft. amt. ly � 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior-- to rix=to issuance of the permit. NT r 2 DATE _/ v COUNTY OF BUTTE--Department.of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone:. 916-538-7541 Attention Property Owner: An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Flease 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) i(_!5I\)P . 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�e-Social Securit Number Date /��2 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 - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE ,SQA 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 $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[--] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 Main service 200A TO 1000AI 1 37.50 NEW CONST. OR ADDNS. 1 ( DWELLING OCCUPM ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. U T"OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.) OUTLETS 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. �j I shall not employ any person in any manner so as to become subject IY� 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aln said Co ty in c quence of the granting of this permit. Date 42 Signature of Applicant owner � Contractor ❑ Agent Li 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ I HAz DFEES IMP I FLOOD I CDF PARCEL I PD Ho ISSUE i This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT