Loading...
HomeMy WebLinkAbout039-570-005a I 39-570 01-1-15 3 9 5 7� 00 5 WILLIAM BATTINICH 039-570-005 @ end MoreheradAve, C BATTINICH, ANN I hT3-C 0 Mo E-1-1EAPERIVIIT Contr:14illiam Squyres 4067 MORF31 Chi L)C_Permit#l294-85F,P,E,M(new single famil3� AG EXEMPT 039-570-005 . PERMIT#98-1344 BATTINICH, William & Ann 4067 Morehead Ave:, Chico" Cont; North. State Electric 'Mobilehbme Utilities •ELECTRIC- o90 0 GAS Juq'l- COMPACTION TEST REQ 541 SUPPORT STRUCTURE REQ 039-570-005 PERMIT#98-1441'. BATTINICH, Bill 4067 Morehe--,;j Av4^: Chico ,Cont: Skycrest -Mobilehome Installation 639-57-0-005 #98-2698 BATTINICH, ROBERT 4067 MOREHEAD AVE.,CI-HCO OWNER DECK I--_- 05, cri 039-57-0-0'� #98 -?698 RESIDENTIAL BATTMCH, ROBERT 4067 MOREHEAD AVE.,CHICO OWNER DECK (PERMIT NO. C� PERMIT EXPIRES OWNER CONTR. /+ASSESSOR PARCEL i, LOCATION Z s? ' Zla-t 411 i a _. . , !, ti CHECKS r BY ' SRA a # FLOOD CERTIFICATE 'REQ.,:. ' FIRE SPRINKLERS REQ. 1 SP ,, f ECIAL INSPECTION ITEMS VERIFY R Temp. Power Pole 4 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature Ow'. •Ft V=OK � . 0 = Not OK Not •=NotRepady MOBILE HOMES F Date MOBILE HOME UTILITIES (Plans) OK except #'s i equirementsSetbacks-Easements tings; Soils-Size-Dep"pacing-Connectors-Steel 1. Zoning Requirements - Setbacks - Easements 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 3. Sewer; Locabon-Test-Fall-Ci"oncrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water, Location -Test -Easement Needed (Sketch) 6. Carports; Windows -Doors 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 7. Electric 6. Gas; Location -Test -Wrap; / /Vft. / /Nat. or/ /'L -ft./ /LPG 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 7. Well Clearance & Disconnect 9. Siding; Nailing VeneerShxx*-Mesh 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Manage Line 1. Setbacks -Easements 3. Gas; MH Test-DemandValve-Connector 2. Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test-FalWlex Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 6. Water; MH Test -Regulator -Connector 5. Elec.; Pod Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Exits; Insp.-Sketch 9. Health Department Approval 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card 0-1 1 3i ISCELLANEOUS Date I DECKY, COVERS, CARPORTS, GARAGES lana OK except #'s i equirementsSetbacks-Easements tings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerShxx*-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. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 137 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = No �-,. RESIDENTIAL (Single & Duplex) - N I bl of App ica e Not Ready , Date -- UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / i Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth 49. 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 50. 5. Stemwalls, Main;*Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. S. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 60. Brace Interior / Exterior Wall Panels 14. Girders -Sills -Anchor Bolts -Joists Vents -Clippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or All Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �50' �+; N; C A 9�?- 26 � 5 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 notice 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. �v✓ fv � �3 Date 15 y$ Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 .,�'s.. -� PER II NO. (Rev. 12/96) 1" I/ APPLICATION AND PERMIT ° `�` ''� ASSESSOR PARCEL NUMBER 039-57-0-005 ZONING : , ►: x BUILDING PERMIT OWNERyE T BATTINICH, ROB" TELEPE NE == �- w),325 SO. FT. OCC. BUILDING VALUATION �` 0 0 9 OWNERS 74N,G AWDD t'«Jx iUj r CT. CHICO CA CONTRACT Spy M TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ • OU ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 4067 MORCIMAD AVE. Energy Plan Checking Fee $ $ CHICO PERMIT FEE = 68.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome T Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ; D= Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 EL PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600OR UE Main Service zo.VA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: l7', I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3` X Date eft 1 �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction'' of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. BLD . rN�µq° oMULTI @7,50 . =011 CIOUTLERCUITS APPARATUS 6 SINGLE OtlILET CTR. 20 O 1.00 Ex. OCCu OUTLET OR FIXTURES SAL. p .50 Ex. Occup. o TS R p,OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 68.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated -,above for which fees have By a ,0. "' "`*.� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date pBta Receipt No. `� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE 'A BUI LDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE z46q PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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 Date7-d d 2 G/ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ,i 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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. f? oar«�Zcc/c��.n� 51pow Yd(Ig D/vg 3 69 S( /41- 5 NO 77C cz i( r=i/U1)rC-0,? i 3 Date 7- a �-' Inspector REV 10/92 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 39 --+d - Oo5 PAR L ZONING A ` (® OWNER ANV\ 1B*-R;,nCcNN ISS PHONE NO. gq 1 _ OSIS OWNER'S ADDRESS �63� Cl�cxv` l� �� e� J C� LOCATION OF BUILDING LAC% I 57o - oo5 USE OF BUILDING S Djof on(tkescAmeA,+ Tmckvy s M g SIZE OF STRUCTURE 30 LA 90 X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME -X, STEEL CONCRETE OTHER (Specify) TYPE OF SIDING T /// ROOF COVERING FLOOR TYPE - cpm!p- 5 conc eke. ESTIMATED COST OF CONS $ 5-000 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 5 ' c J �tiwt� � 20�'� - I � o FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply- a lth the requ�Wents in effect at that time and before occupancy. Date Permit Fee - $60.00 �-7 Receipt No. Dl-�3 / q `Signature of The above described AG Building is exempt from a building permit. Manager Building Division - By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD PAR L P. RVMNG ISS >C" I I Manager Building Division - By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ���..��► �'�� ',� - . ,- , rte, �� . .,.._.-_-COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: (D uilding Inspector: _C-/ Date: / f:CDj At tim f permit applicatio , I was advised thelfbHowing data must be submitted prior to permit proeessingfwd/or issuance: Date Received By 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in, duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, D Drainage, D Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. -----------------------------------❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------------- ; ---------------------------- 026. Letter of intent on building use. --=--------------------------------------------------------------------------------- .. _., ❑27. Manufactured Home utility clearance.--------------------------------------------------------- - ---y! / - X � d ❑28. Existing violations and/or expired permits. 1129. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: / When you issue the permit, process as followso] Mail to owner, DMail to contractor. --------------- •,, �,. ------------ s OTelephone and hold for pickup at office ®- eliver with inspector. Applicant: Date: - Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll ion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 'By: 1. Index permit application for the above items numbered: O.Plan' .Check List 2. Additional items required: Contractor, designer, owner,`was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved,by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfe,by;. Date: Voll..... /•,...., Tla.....+«.,...♦,.CTI 1 ao--'---- r�___i �_--^�--�-�-- '. "fx7C{`±..•,5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541cfg Em 0. (Rev.12/96) APPLICATION AND PERMIT __11Qp ASSESSOR PARCEL NUMBEA039-57-0-005 ZO7210 BUILDING PERMIT OWNER BATTINICH, ROBERT "VT10815 SO. FT. OCC. BUILDING VALUATION 140 0 980.00 OWNERS OMT tn' 'MONT CT. CHICO CA CONTRACT,QjR' If TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 4067 MOREHEAD AVE. Ener Plan Checking Energy g Fee $ $ CHICO PERMIT FEE $ 68.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome (A Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW DECK Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 OOOVOR LESSFling Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: V1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number V(The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' h c mply ith se provisions. X Date / Signature of Applicant - IT Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADONS. ( a ACC. BUDS. 3.5¢FT; =REOSID ANCHOU LECUI @7,50 APPARATUS 8 SINGLE OtfTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FDITURES 6AL @ .so Ex. Occu . OUTLEEDTs RM.cEEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL= $ Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 68.96 HAZ. _ D. FEES IMP FLOOD ._ CDF PARC PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions i Ic to ab a for hich fees have been By Date PERMIT EXPIRES ON Ife provisions to do work paid. j 23 pS7 / C� Receipt No. '2_5—p!3 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75�1'�2^r, �Pj NO. (Rev. 12/96) APPLICATION AND PERMIT `�( ASS ESSOR PARCEL NUMBER 2ON1NO _ D BUILDING PERMIT OWNER 1 n 3 / I TELEP o -ons SO. FT. OCC. BUILDING VALUATION O OWNERS MAILING ADDRESS CONTRACTOR'S NAME l,,p ♦ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ l7 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ S ARCHITECT OR ENGINEERS MATUNG ADDRESS Plan Checking Fee 5 2 ADDRESS61 n / _ BUILDING v� C (i{ U Energy Plan Checking Fee $ $ PERMIT FEE $ B LOT NO. SUSDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IZ/Other SPECIFYEach Solar or heat pump water heater 23.00 Water piping 15.00 gas water heater or vent 15.00 / TYPE OF WORK New ❑ Addition Q Remodel ❑ wrdies ❑L insffipation ❑ other ❑,- Describe Work: �Gc �l¢ �7 �� i (V, ��� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2200A OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service 2wA To L000A 46.00 NEW CONST. OWELLM OCCUP. SD OR ADDNS. . EW GUNUT. MULTI CIRCUITS OUTLET @7,50 NON-R61D. BRANCH POWER APPARATUS & SINGLE OUTLET GR. OUTLET OR Ex. OCcu BAWL o N o OF' 5.00 FRIED APPlN3. OR 5.00 Ex. Occup. oLrrLETs ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE S t Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEES 68 D FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: %� 2�1� 13 +r"! C Lt ASSESSOR PARCEL NUMBER: 3 97 — /— Cf:)5­ Proposed Building Use: 4W i9eck-o uilding Inspector: Date: /J / 2 %S e, At time of permit application, I was advised t e following data must be submitted prior to permit pr4cessing and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate.------------------------------- 1Q.EW4_. Sanitation and plot plan approval C N/y' Health Department. Ell 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use.----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- I zo Z/ (Date) Wh you issue the permit, process as follows ❑Mail to owner, ❑Mail to contractor. Telephone D 1 0'6/ and hold for pickup at CG'S/ office. ❑ Deliver with inspector. Applicant: /C`( /'' ` Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o B 'ldin on mupter, byDate: Plans reviewed by: Date: Plans approved by: Date: Z - Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: V Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ..s y. E.H. USE ONLY Plot Plan Attached `lrt-S Floor Plan Attached /NO Sent to B.D. 11 �al in>� h �t-Olo7 /Llar�/%va� Ave. 39-570-005 Owner Location AP## Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for _I+wg Other /D'x 04--, cA. Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signautt+e, Please complete and return this information at your earliest opportunity to avoid unnecessary de* in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide thy major labor and materials for construction of the proposed rty propeim rovement : YES O NO O 2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed wa& 3. I have contracted with the following person (firm) to provide the proposed construction:. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordi�e; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to pr Me the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBEW DATE:.-. j�J NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of lfie California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION -� Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plant 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: ♦ Ifyou employ or otherwise engage any persons other than your immediate family, and the work (including mawrials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contracooie or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employs and you are subject to several obligations including state and federal income tax withholdin& federal social secuft tortes. workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations trader State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners. who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder•' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete -the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, ��l Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Injormatlon is required by Section 19830 of the Call(ornla Heald/r andSafety Coda OVER 0 ;r• _..,�!i RA.QtBr�tltt�*ons'�'p,�.p ul 1 ••- • 'v. ?: iLvCU�r!xE9� ��6�L,a r'ra�'• ._. ��_ -- —• — _ "1 — l oscribad -xor the S:mcifiad u;.Y ijueijing, Plumbing &ire iQW � i — �1JD L_�,� Blow-up detail F' d North East corner Im =I to p0cros speoificatiotra mus, � Parcel 62 W 60 jot; Of 061 times and if is unlawful f Morehead Road nvalu my changes of alterations on some w.ith r; • isaie�iro� Dep rr E?. Xis n � WWI • • Scale I 1 mm - 1 foot ALL STRUCTURES OVERHANGS SHAU A SET BACK OF �O FT. FROG+! T FT. FROMTl CLEAR OF STRU F4DR A a FT. EAVE Q i a. �ft� �) - r AND EOUIPMEN .l I BE CLEAR OF A L .- NTSS.. • FROM TI DiDE ��ND• • I E REAR PROFERT Y LINES AND e j i* I ROAD CEI'v'TERLINE SHALL .+ RIES AND EQUIPMENT EXCE ' �� I 'ERHANG. AL / Utility trench / Ag well Gas existing / I Am Power pole, existing C A CCUELff ft • • • , • is • eck 1 .4 t-16211 l� Env ronm • ental Health Nov 18 1998 -LTTE C®UKln. APPROVED �) s0,0 4A 3, S-7 Cp 9 L -LTTE C®UKln. APPROVED Sz� Z7t coulvr� Dep APpiloveo 46 Ir 1 hh, coulvr� Dep APpiloveo 0 U -fTE COUNn.' DEPAnTjvi:N, PROVI=D cz:> U -fTE COUNn.' DEPAnTjvi:N, PROVI=D RESIDENTIAL 039-570-005 , PER�MI,T#98--1344 " BATTINICH, William �Ann PERMIT NO. 4067 Morehead Ave., Chico PERMIT EXPIRj Cont: North State Electric Mobilehome Utilities OWNER CONTR. ASSESSOR PARCEL k LOCATION ILA 1• 1 J ' ` 1 IUU 2° e I y �r ct i N ' CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) y Signature V=OK O = Not OK = Not Appticable Nt Ready IMO oBILE HOMES Date MOBI HOME UTILITIES(Plans) OK except #'s 4-12oning R rements - Setba s - Easements 11 ' 2. S pecial M u=oWSket9 6. Gas; Location- rap; V% rce /"L"ft./ /LPG � C,Wrell Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILFINOME INSTALLATION (Plans) OK except #'s 1-Zo ' g Requirements- Setbacks Easements ngs; Sine -Spacing -Manage Line MH Test )emandVaKe Connector 'ty; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector er; M est -Regulator -Connector Wat nd Sewer Connected -C/O to Grade -HD Approval 8.4a _s Electricity Tagged Downs -Type -Installation Cert. 1 !/<ert of Occupancy 2. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Sys MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-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 -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Nlche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ ' /'Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe;, Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. R eptacles Spacing -Lights & Switches at Doors 25. Size Bo s & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic RESIDENTIAL (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) ' 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance r 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County COW Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEUI VO) (Rev.12/96) ` n APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 019-970-005 ZONING d BUILDING PERMIT OWNER WIIII891-6042 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CHICO 274 COH-ASSET RD #310 CONTRACTOR'S NAME NORTH STATE FIRCTRIC TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS p MOREHEAD � , Energy Plan Checking Fee $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome7 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities' Installation ❑ Other M Describe Work: MHFA Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home q(G XK 920.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall ,0 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor compensa ' provisions of section 3700 of the Labor Code, I shall h ' comply those provisions. _ Date �2 / Si ture of Appl ant - Owner ❑ ontractor ❑ Agent n OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO lOooA 46.00 NEW CONST. DWEWN YT.O OCCUP. SO OR ADONS. a ACC. BLDS. 3.5QFT. =R6IU T. MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 O 100 Ex. Occup. OUTLET OR FDTTURES BAL @ .50 FlXED APPINS. . OR 5.00 Ex. Occup. OUTLETS RESIDE. Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ L66 00 HAZ. D. FEES FLOOD P C o SU 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. ;V�� I By Date PERMIT EXPIRES ONITE•D.D.S.-B.D. Date ceipt No. 237139/$166.00 r CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `. �* UNTY OFA{, EPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION , r 7 COUNTY CERTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 i►' PERMIT APPLICA TION DA TA SHEET OWNE / ! ' /i» All-./CASSESSORPARCEL ER: D 3 l O 'o6.� Proposed Building Use: /-�u� Building Inspector: Date: o - ~' At time of permit application, I was advised the following data must be su muted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------- ----------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 0 5. Engineered truss details and layout in duplicate (required prior" to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ----------=---===-------------------- ------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------- --------------- 0 13. Flood elevation certificate. ---------------/--'------------------------------------------------------------------------ Sanitation and plot plan approval�H-1 66iealth Department. ------------------------------------------- I�� ❑ 15. City of Chico plumbing permit. -------------------------------------- "-------------------------------------------- 10 16. Plot plan and Business license approval from the City of Biggs. ---------------------------------------------- Vanning approval for (A) Use: (B) Parking: -------------------------- Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. ----------------------- 19 Encroachment Permit for driveway (construction approval prior to occupancy). ty ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 1-_123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 4. Letter of signature authorization. -------------------------------------------------------------------------------- 5. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------` ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other:------- Wh you issue the permit, rocess as follows ❑Mail to owner, ❑Mail to contractor U Telephone U l �"t Z and hold for pickup at C 6 o ce. Deliver with insp o . Apphc Date. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ' Pollution Date: By: Copy of plans sent o Health Department, o Fire Departipent, othey: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Divi ion counter, by -Date- Plans reviewed by: Date: Plans. approved by: ' Date:- Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. -N y `t E.H. USE ON Y �.0 Plot Plan Attached Floor Plan A e �Seift to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance As- wner Location AP# Plan Approved for: tting ttheSeewageDiDis�posal Water Supply: Public Private Well Clearance for& dvVell\r Hold final for: Final clearance O.K. for: NOTE: Environmen al Health Specialist Date 8/96 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26=8 of the Butte County Code requires 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 62 and the Westerly 3 acres of Lot 63, as shown on that certain Map entitled, •SUBDIVISION NO. 2 OF THE MOREHEAD RANCH IN RANCHO de*FARWELL, BUTTE COUNTY, CALIFORNIA", which Map was filed in the•office'of the Recorder .of the County of Butte, State of California., February 5, 1926, in Book. 10 of Maps, at Pages 8 -and 9. Date:'PROPERTY OWNERS: State of California ) County of ) personally appeared tiati-t— 5nJt1=k k A a c )A a �� ,. t r a� personally known to we (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 signatum(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 official seal. Signature eal: A.P.# SHELA SIMPSON; Comm. #1043402 IOTARY PUBLIC - CALIFORN3A/1 � BUTTE COUNTY O Comm. Expina Oct. 26, 1989 1 998-0033424�. Recorded I REC FEE 7.00 Official Records I COPIES 1.00 County Of I Butte I CANDACE J. GRUBBS I Recorder I I I Myles 02:20PM 05 -Aug -1998 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26=8 of the Butte County Code requires 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 62 and the Westerly 3 acres of Lot 63, as shown on that certain Map entitled, •SUBDIVISION NO. 2 OF THE MOREHEAD RANCH IN RANCHO de*FARWELL, BUTTE COUNTY, CALIFORNIA", which Map was filed in the•office'of the Recorder .of the County of Butte, State of California., February 5, 1926, in Book. 10 of Maps, at Pages 8 -and 9. Date:'PROPERTY OWNERS: State of California ) County of ) personally appeared tiati-t— 5nJt1=k k A a c )A a �� ,. t r a� personally known to we (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 signatum(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 official seal. Signature eal: A.P.# SHELA SIMPSON; Comm. #1043402 IOTARY PUBLIC - CALIFORN3A/1 � BUTTE COUNTY O Comm. Expina Oct. 26, 1989 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 deisy 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 ajor labor and materials for construction of the proposed property improvement: YESA NOD 2. I HAVE 13 HAVE NOT 0 signed an application for a building permit for the proposed wiolc , 3. I have contracted with the following person (firm) to provide the proposed construction:NAIMs. t a ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to co oi+dimoe, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pr9vide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: _' DATE• NOTE: -This Owner -Builder Verification is required by Section 19831 and 19832 of 9e California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property, owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including.state and federal income tax withholding, federal social security taxes, a workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for We. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.lnformatlon is required by Section 19830 of the CaUfornla Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION f 7. County' Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER �^ % ^�{�"jD ZONING BUILDINGPERMIT eGLJ TeWE1_'HONE o I' I -loy Z. SO. FT. OCC. BUILDING VALUATION ,=p -7 MA NLi RE CONTRACTOR'S NAME /j U re TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 5 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan.Checking Fee $ O U BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Fili&d_F4 20.00 Each Tre 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition �❑/J Remodel �❑/ Utilities ❑ Installation ❑ Other ET-__ Describe Work: /!// (/l r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 7011W @20.00 Q',Gt PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LE9 Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of'the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. l,'as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation le s of California, and agree that if 1 should become subject to the workers' comp,�sation provisions of section 3700 of the Labor Code, I shall with corn ly wi those provisi ns. X G�-'^ Date �/� 9? _ ature of Applicant -, O'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TG 46.00 NEW CONST. DWEWCC EL NG OUP. S° OR ADDNS. ( s ACC. UDS. 3.5dFT; NO-RE°,SID.' MULTIoun�CIRCUITS @7.50 8 SINGLE POWER APOUTLET PARATUS CIA. °�OAFIxTUREs Ex. Occup. SAL o L:m Ex. Occup° qI°,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 It PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ C?c7 HAZ. 1 0. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. -2 3 % 1 -37FT1 1107. 02) WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CL.f U AIL �- _ Xy 41� 00 Date pr 7U Inspector _ REV 10/92 ;'°� COUNTY OF BUTTE k BUILDING DIVISION., `= DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA i (530) 891-2751 -` 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �r 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 notice this office when correction of work is completed. If you ha any questions pertaining to this matter, or need additional explanation, please contact this ffice immediately i ^ '� V / w6 an- - r ( Ax /V-\ Len -eta CL.f U AIL �- _ Xy 41� 00 Date pr 7U Inspector _ REV 10/92 ;'°� aJ a er, MOBILEHOME INSTALLATION ACCEPTANCE ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965—PHONE (916) 538-7541 APN: � - CBOT PERMIT NO.: q4 lye/ Owners: �A P'T'j•�� cry Name: _ y a Owner's: ea Address: aJ a er, MOBILEHOME INSTALLATION ACCEPTANCE ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965—PHONE (916) 538-7541 APN: � - CBOT PERMIT NO.: q4 lye/ Owners: �A P'T'j•�� cry Name: Owner's: Address: Mobilehome Year of C �/ k Manufacturer �' ` �% F Manufacture: Serial number i�, ,, V � �.� �� - Insignia or �Z / t i Y 7/ .2 � �j or V.I.N. N1 � HUD number: 7 7 Z Official approv ngan`s allation: - Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall y. not be used when the mobilehome is Installed on a foundation system. 5T3B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor AP C�3� 7D'UU� WNER ►u-� (� PERMIT ik '7 M![ UTIL.CLEARANCE DATEc��_9 0 . INS PECTOF( 0. - ELECTRIC GAS Support Struc. Compactio 'rest [te . Service Size Other Load T e Pipe Size Length YES NO YES1 NO foo pow � Lfi h2l LAND DEVELOPMENT `! — q BUILDING /ENVIRONMENTAL HEALTH -PERMIT CLEARANCE Bu!/ding PormkNo. OWNERS A.P. NUMBER: L_— PItlNT LAST NAM FIRST , .COUNTY ZONING + �( DESIGNATION: to FLOOD ZONE: �+' � ` FLOOD MAP: 20�� APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP 3 Ae r, - DEED INFORMATION: DATE OF CREATION: -2- LEGAL ACCESS .PROVIDED: YES NO DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES -NO COMM MAP INFORMATION: �i� J�Ls/A i�... �1i/UChF (��h✓ DATE OF RECORDING LOT �2 f2TIJ BOOK PAGE � Pt to i G3.. COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED?_ (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THE BU/LD/NO DMS/ON UNLESS OTHERINSE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. - _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. v _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ nu 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See'phorie number below) dr _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-35.5-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of S as stated in the Oroville Area Traffic Mitigation Fee Agreement. Pay~ to be made to VW Phvm jg Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zonej3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 19. 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. s 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in .the area of,the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25 26. AIO LW N MA30 ONVI aiing JO AINnoo 6661 9 Z N n r a3AI333H LD 7,96 CAWKI TORMS.MBLDGPERM.CLR ,.,,. ., .. .__-..- ..k-.._,...,.:,,�r-w....,tre,yF-^v-..,.,o..,�.; ...,,..wa;s;;.wy..-:,,..._�.p--�y��"„J"'�'.fi�rv!roapr.,."r�."o".,1.Ni1E�✓^�-wL���+,.,. - 039-570-005 T, BATTINICH, Bill PERMIT#98-1'441 4067 Morehead Ave., Chico r Cont: Skycrest -" Mobilehome Installation �c�-s ire ,acic�r - s, s k COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 CoUvt Center Drive • Oroville, "California 95965 • Telephone (530) 538-7541 PERMIT PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-570-W5 ZONING BUILDING PERMIT OWNER BILL BATTINICH TELEPHONE SQ. FT. OCC. BUILDINd VALUATION ' OWNERS mmNG ADDRESS 274R COHASSET RD 10 CHICO CA 95926 CONT SKYCREST W. TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECTOR ENGINEER NE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MATING ADDRESS Plan Checking Fee $ 931 00 BUILDING ADDRESS 4067 MREHEAD AVE. MCO Energy Plan Checking Fee $ PERMIT FEE $ An LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT FilingF46-90.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 8X Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities (❑ Installation IX, Other ❑Buildin Describe Work:AX�� y Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zea. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NON and my license is in full force and effect. [� License Class Lic. No. 0'15,412- 2- Jr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 6 i Policy Number Lip r 2:2 _?,. (The above sections need nar a completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X4.14 Q_Gt� _ Date - Signature of App icl" A - ❑ Owner Contrrctor ❑ Agent An OSHA permit is required for excavations©;er 560" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To I000A 46.00 NEW CONST.DWELLMK9 OCCUP. SO OR ADDNS. ( a Aac. Blas. 3.5¢FT; R61D. Mu LTH' @7,50 POWER APPARATUS a swGLE oimET aR. Ex. Occup. B20 1.00 OUTLET OR FIXTURES FIXED APPLNS. OR Ex. Occup. 5.00 ouTlt�s REslo. Ew Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ 100.00 Energy Inspection Fee $ occ TAL FEE $ 143 00 CONST.±FE HAZ. D FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date f:, % Date ReceiptNo. L444101 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ���" 1 4a ASSESSOR PARCEL NUMBER 039-570-005 ZONING A10 BUILDING PERMIT OWNER BILL BATTINICH TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 2274COHASSET RD #110 CHICO CA 95926 DMRS CONTRACTOR'S SKYCREST ENT. TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS CONSNONE LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4067 MOREHEAD AVE., CHICO Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 0.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I'IX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Jq+( Other ❑ Describe Work: 14(1 lLK If* qd- 13,144 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful force and effect. /) S� ` License Class 0 % Lic. No. �c J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA TO tOooA 46.00 NEW CONST. DW ELIJNG OCCUP. OR ADDNS. ( a ACC. Blns. so. 3.5QFr; N"ON CONST. MULTI.OUTLETCIRCUITS (a 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ ,.pp BAL Qa .50 Ex. Occup. ouTiErs RESID.) A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier _ _lAf S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number AW) 37 9 7 2% b7 (The above sections need nofbe completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. —7 X Date / _ Signature of App Ic nt - ❑Owner tr ' ❑Agent An OSHA permit is required for excavation er 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD 1FDF PARCEL PD HD ISSUE This permit is hereby issued under t • e applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees hal been paid. By ADate If PERMIT EXPIRES O Date 7 Receipt No. 244401 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �v+ (Rev..12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER © —55-70 —©©5 ZOMNQJ4 O BUILDING PERMIT OWNER SILL, B&msz 4c-a TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIU ADDRESS S rin CONTRACTORS NAME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee E 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ` 0 ) (S� V Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W (9]20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.w►oa LE.: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that N I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height Main Service oA To lOooA 48.00 NEW CONST, DWELLING ELLINNGG occ. SO OR ADONS. ( a ADC. BLDS3.5¢FT: ppµp°.IDT MULTI OUTLET @7.50 ,, CIRCUITS POWER APPARATUS & SINGLE OUrLer CIR. 20 ®IDD ET OR FDITURES EX. OCCU OUTLET ® so Ex. Occup. oMO r�Z.) ERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee I $ 7750 Energy Inspection Fee Is occ CONST TYPE 14591 TOTAL FEE $ 143 HAZ D, FEES IMP I FLOOD I COF PARCEL I PO I HD I ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Ne ReceiptNo.,Q=YLJ U 7 WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT vr/f•,i-+i'.....P7�7S,Y'-"• �«.�-. .r»�, .€ K. r. +y„ytt+t 1WROr,",. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:A ATI �ASSESSOR PARCEL Proposed Building Use: IM f Z Building Inspector: Date: `7 42 K — 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 ----------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. 09. Manufactured Home data and installation instructions iv ❑ 10. Fees of $ ---------------------------ow"— . Impact fees as shown on the attached schedule. ------- 12. California Department of Forestry plan approval/fees. ❑ 13 . Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- Specifications .------------------ 1:113. ------ ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------- ❑ 17. Planning approval for (A) Use: (B) Par; i ' ": ---- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, 0 Legal Parcel. -- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on E12 1. Contractor's license information. (Number, Name Style, Classification). ---- El 22. Workers' Compensation carrier and policy number. ---------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------ 024. Letter of signature authorization. ------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------------ 026. Letter of intent on building use.------------ lffT7* . Manufactured Home utility clearance. ----- ❑28. Existing violations and/or expired permits. -------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: (Date) e ou issu p t pr ss a ollows ❑ Mail to ownerto c tractor. phone C ' N ` and hold for pickup at v office. ❑ Deliver with ' ector. —9 C.? Applicant: 1 ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ate: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildingcounter, by Date: Plans reviewed by: Date: Plans approved by: Date: v Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. v COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE C ' 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- R 'sed Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES "t'District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES + $510.00 (paid at Building Division) f 7. SRA FIRE INSPECTION' AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion N ) $200.00 (paid at Building Division) 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) A. P. #t/I� DATE RECEIPT # DATE REC 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT 2a, 0 DATE T() t- 2— % b Pursuant to Government Code Section 66020, you are hereby notif d t items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projec or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE -7-T/ A/ ( C_ PROPOSED BUILDING USE 1 VI 1 1. BUILDING PERMIT FEES -- Balance Due ......... ' ..... .$ -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ....... $ dW2�.SCHOOL DISTRICT FEES aid -at District Office) 69 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial.(sq.ft.)..: x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . X_ _ $. #Units Amt. Commercial (sq.ft.) .. x =$_ Sq. Ft. Amt. 5. RECREATION DISTRICTFEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) \ 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. ft4!!J DATE RECEIPT N. DATE REC �1-glS t At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. 2 ­ APPLICANT DATED Pursuant to Government Code Section 66020, you are hereby notified 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) � � �". y ir�i. �., �.}. ; ^• r --,�� we "^ �... ...y�.-.. �t-� .�1-.�. h�_,�-r.• ,.• v��,'.� ,{ry.. .t'��'M`r.r,•-i'Fti- {V', `��.11n ^h ..,:W�'rR .��. �- -. "1.... �-O TTe&OUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One `form per Building) ' School District C-0 Building Department No. r A.P. Number Q.32•-1jV7o — (2o-5—Jurisdiction: City County Property Owner (� [ l 3 A2Z A2!IIV AL Property Location/Address �©-�/aL ���-r Subdivision Lot No. Residential Development ® Sq. Footage 3So No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage _ New Addition (Including Exterior Building Department Representative Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification No. 791/ 2 School District certifies that OCl.Q�t, (Applicant) /3 8 1 (Street Address) "A� (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 3 S0? square feet. School District Representative Paid by Check # Remarks: 6.5,9-9 6 by payment of $ B 2926 $ ULL MITIGATION $ 7h V Date l zzq%.r 8' Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. 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 (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm a t. W 1WIW 1 IW Blow -.up detail :Leach Field North East corner Parcel 62 ib18 eet of PISMS and VeMfttlone Morehead Road kept. on the job at all. t' •. II1b.Y,L_ � a s.�d it is � in g s or rations one u� •written an from the Works. County of Butte. fitment Scale 1 mm = 1 foot N Wa, & Wor p aban Es lb ® cor wit1J,Re ed Good�ticee an* 55 f of aPrescrib�e' lor the SpTred use in the Uniform wilding, Plumbing 6f Meohanica� Codes and tits NhWonC MeokIW Oods. Domesti well, existins I lob �e 4f pJY g\0 aES e�G. FR��E�'�SNp�e3-�... \ s PNQ �Q / HOME e P 26 ft �,•��� �ENQ. / 52x Yo Of Utility trench N / / Ag watt ;:;:46x33 ft existing Gas / O / DRIVEWAY Power pole, 'oJoao oa000ao oaoaoa ooaoaoao -W, / 0000c�00000000 existingoaaao0aaoaaaaa EASEMENT ooa000000 op080pOa0 c — c_�Gravet c:oo_o EASEMENT Jkl 1. Owner's Name: W I t -L I A M g 4 NW 8 A T T/ N (C 9 2. Assessor's Parcel Number: ,3'7 -- 5_70 — o Sr :.°` - " =' i Am 11 3. . - Installer s Name: 5/�Y �R-E57" Ci�i'T��2��2JS S � �7s.)fa ric 4. Is the site currently under permit? Noaa' Permit No. r'' Yes`' \ 5. Is the site an existing site? Yes[A NoM (If yes, furnish two plot plans).. DX 6. What is the electrical rating"of the mobilehome? - /0 O Amperes.,_ _a•=z _-= 7. What is the mobilehome site -circuit breaker rating? ___�. _p..p..;.Amperes� -"--- . .... .. i8. What is the electrical rating of the mobilehome site? / O Ampe es,_r_ a ,pus 9. Is the main service remote from the mobilehome site? Yes[ ] NoV] If,it is, what is the rating? Amperes. 10. Is there any other electric load_ to be served by .-the mobilehome site electric service, (i.e. well, garage etc.)? Yes[] No[X] If yes, please identify the load and size: a) The mobile home site: Load- Amperes- -.160 b) The main service: ' Load- Amperes- %D C7 i. 11. Type of gas service at mobilehome site: Natural[x] Propane[ ] Nonerr ] 12. Size of gas pipe at the mobilehome site - from the " meter tank: 3f f inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_.Z 14. What is the mobilehome gas demand? == B.T.U.* ````� *(This information is not required if the pipe length is less than '6 feet on natural'gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION. May 1995 8.5 Mobilehome Manufacturer:<A11 Manufacture Year:_ 19 If other than single wide, furnisModel Number: P 2-cI Width: 240 (ft.) Length:_cZ-,� (ft.) Tagalong or Expando Size _-—(ft.) On all mobilehomes manufactured after October 7 1973 furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated.or foundation grade[ Other: SUPPORTS: Concrete block Other: 111C.` Provide Tie Down Specifications for all Mobilehomes: 0 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends-maximumi I` Line 2 Piers: Size minimum: i Wo I Spacing maximum: D ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from fit): REAQ Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings ! I Size minimum: (/y ] x [3 0 ] , , Each side of openings : ' with width over: 1-0-11 Line 4 Piers: Size minimum: I 1XI Spacing maximum: ` From ends -maximum ` OVER Pier Footings Sizes and Location . -" ""'' " SINGLE WIDE MULTI -WIDE Line 1 -- , .. a, 38i �'� , C Line 2 - - Zai ................................................................................................ Main Bam......................:................. ��i2 ai ; TV/ $ ..................................... Lune 2 Line I Line 3 . C ............................................................................................. Main Bearers ' _ ,�$tT33ri fi J ` Line 2 Lin I yty:ii ................................................. Tag or Triple e4 -IT (F ...................................... 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends-maximumi I` Line 2 Piers: Size minimum: i Wo I Spacing maximum: D ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from fit): REAQ Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings ! I Size minimum: (/y ] x [3 0 ] , , Each side of openings : ' with width over: 1-0-11 Line 4 Piers: Size minimum: I 1XI Spacing maximum: ` From ends -maximum ` OVER M 0 R E H I- A D A t1E PROPOSED E -A i's r Home (3 Be) P� 9 ar \PPve aCG 77 -ROPOSCD p 6 it a pwp- POS SC-P7i C- I D o m c-:5 -ri c- wc-74-�. -(e?41 s r IBUL ANN BATT141 CH MOOREHEAD AVE CHICO C,9 9,57924p g/p)* a - 5?0- 009 SCALE P/ = 100 ( 13 �A C- R, ES) I I I I i I I � I i Ir---- 1----5'-4" CENTERLINE SUPPORT REQUIREMENTS THIS SHEET TO BE INSERTED NTH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 20# ROOF SNOW LOAD. SEE ABOVE PRINT FOR LOAD REDUIREIAENTS. 20,¢ ROOF LIVE LOAD 5226-3CK-29-CATH 00 F. ��� �G ;y^\ ' A O FILE MAN�- VOL. - SEC. ILL. 51 PG' 6-525 -WINE DRAViN BY : R'A(ER DATE: 02-24-1997 DRAWRG NUMBER P702-C%CTC h i Blow-up detail North East corner Parcel 62 Morehead Road Scale. 1 mm s 1 foot fubi AI) • • �e,wch I - -'s �D,► _ F d • • Septic xis Zn • • -W<ft � ? l Domestt well, I existing \ 10:P _I e •j / Utility trench / / Ag well / existing Gas I C) - P1 Power pole, existing EASEMENT • e Environtntal Health JUL 0-11998 • Civ*, CA EASEMENT. !04 780 ft I 0000000000000000000000000000000000 00-m9000000000000000000000000000000 0000000000000000000000000000000000 Plot Map 0000000000000000000000000000000000 Parcel 62 Morehead road 0000000000000000000000000000000000 0000000000000000000000000000000000 0000000000000000000000000000000000 00000000000000000000000000000000gcI io", Scale 00000000000000000000000000000000 Z!PN.,, 25 m = 100 ft 00000000000000000000000000000009�&P-1 00000000000000000000000000000C�00,10 it, h" i!Pi• ,• - A A, AF, 14, 1#1 A A 1*1 10, 1*1 *A-Lfl 1#1 It, It, A A 1*1 A A 10, AF, 14, 10, A 10, 14, 1*1 A A A w w w 11 L A& IMorehead Avenue M Ewir®nmental Health JUN 1 6 1998 Chic®9 CA + 110-19Z a N t+) r J Q D W 2 H Q U N 1— Q m N 0 0 cc 0 W m cD N N N O N d C UNY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT o. "-^-^-- 7C my nier Drive - Oroville, California 95965 - Telephone 916/534-4541 N APPLICATION AND PERMIT 3Aowrs ��,,✓ ASS SS7 PARCEL NUMB ER ZON G BUILDING PERMI 470. Owto � CSO. TELE FrHONE FT. OC BUILDING 0 OWNE 'S 41LIN DRESS C r ►^ c. CO T CTOR'S NA N1 r T LEPHONE ^"' 1 /a'Lr CONT CTOR'S MA IN ADD SS I CA Fireplac " CONSTRUCTION LE DE UNKNOW Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Lf ,- t $ /v i ARCHITECT O -ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING KESS 14 rl PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 y, Q Solar Water Heater 20.00 0.000 C Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 , Mobile Home S I G 1 W 10.00e TYPE OF WORK 'New Addition ❑ �Rmode ❑ Uti Iities ❑ Installation ❑ Other ❑ Desc Ibe work: _�1T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 0 Main service EA. ADD'L 100 AMP 2.50 NF CONSELING OR ADDNST ( CA CLBLDGS.CC 21/20sgft / CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed qPdN provisions of Chapt. 9, Div. 3 of the Business and Profession de and my license is in f for ec 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 NON•RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS &\\ NON.RESID. ( SINGLE OUTLET CIR. / 20®50e Ex. Occup(ouXED TS OR FIXTURES BAL030 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 . Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. 71 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. Heating. 1 S2 - Cooling c4 Hood 3.00 Ventilation ,0 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 sts, and expenses which may in an way accrue aga' st said County in co se en f e granting of this pgmit e %� Date g Signature of Applicant — Owner ❑ C ntracto 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 $ yt TOTAL MIT F E CU $ occu GROUP I TYPE of CONST. ry I I PARCE PD ND ISSUE 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 No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT W : :' _a C: it l /� l_. c r�• Q L AI—i ��. ^tee•`` . � . Glc_; :.�0 � '�:,'�; • '� -;'. Plo: C "35 i� F'UF CFi�ir��yr •' '� • �►U !�.?i�F�:te r�ITY'( .• �= UK� .�Iw`� �-�'� 1 i�'1',� . �� -�°:a �•y:i i uN. v � 'ri-I 15 - 0 17Ltvi s ;~'C•C. � �" j� �L:L.`i' . u;c_ �1�c`i �" 1r°t tw',� ;,'_.�..r'f�irr ,� . �.,` (.,; �%.i:� C/'l_4ul_L�:ilo,vS � S : •� . r. r 2 Cry . � 1 G ve UVL- rn�����f w= -0117 vrz ry kL "r6 i-1 IF �_ 1___- Cr a : • I a ; `r . •"(_�'_3' r_. __.._ . .__-- ----- _.__._—. -,.___ . -_ � -- - • ._....•ter_. J •• r^ t s s' i 1 � ._ v rl , - .tet � �; � e"d* ✓ uue OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: William Squyres ADDRESS: P.O. Box 3176 CITY & STATE: Chico. CA 95927-3176 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: November 25, 1986 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work: (Bldg Permit Appin. #J294-85B,P,711M1 Receipt #37877, dated 5/6/85, A.P. #42-23-05). Owner: WE. Battini h Building permit fees paid --------------------- $1263.25 Retain filing fee ---------------- $ 10.-00 Retain plan checking fee ---------$412:75 Retain energy plan checking fee--$ 15.00 Amount retained ------------------- .---------- $ 437.75- 37.75Refund due ------------------------------------- ----------- $825.50 Refund Plumbing permit fees paid --------------------- $ 84.00 Retain filing fee----------------------------- L 10.00 Refund due------------------------------------------------ $ 74.00 Electrical permit fees paid --------- ---------- $ 210.00 Retain filing fee ----------------------------- Refund due ----------------------------------------------- $200.00 Mechanical permit fees paid ------------------- $ 68.00 Retain filing fee $ Refund due-----------------------------------------------$ 58.00 Refund energy inspection fee-----------------------------$ 30.0.0 TOTAL REFUND DUE ---------------------------------------- $1187.50 $1,18-1.50 TOTAL $1,181. 50 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. X Dated this 11 ................ day of ..1 �/.v�............ 19 V.�. at...O.�..:�....... Calif. V......... ....... ...... Signature of Cisim ant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above livered and that there its a Budget Appropriation O or Specific Board Approval EJ (Check one) for an Dated this z.5.tkl............. day of ......N9v..embe.z i9...86at Oroyille Calif. ......... ..:.. ....../...............................r, ............ ...... .......... . Head or Authorized D performed or de - Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 4, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. ASSS-17 PARCEL NUMBER .. P Arl - ZON G BUILDING PERMIT OW E 1 ` 1 C' 6 TELEPHONE SQ. FT. OC BUILDING VALUATION v O 6, ( O WNE 'S 411 LIN DRESS ►^ r c CO T CTOR•5 NA - T LEPHONE S�l 2, " % C� )I'tr CONT CTOR'S MA IN ADD SS Fireplace L` �� CONSTRUCTION LE DE UNKNOW Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ "80 Ne r $ A ARCHITECT OR NGINEER'S MAILING ADDRESS Permit fee $ BUILDING KESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �, C) Solar Water Heater 20.00 b,Qd C Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 O Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 r Mobile Home S I G I W 10.00e TYPE OF WORK New Addition❑ R model F-1Utilities ❑ Installation ❑ Other ❑ Desc�Ibe work: LI'� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 h / , V Main service EA, ADD'L 100 AMP 2-.50 NEW ACCLBLDGS.CC7 OR CONST. NS. 1 11, 21/20Sgft / t CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): I am licensed 4FdIN provisions of Chapt. 9, Div. 3 of the BusinesszD®so: and Profession de and my license IS In f for �iHd eC . License No. Classification `J ❑ 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 CON5TR U TI -OUTLET 2,50 ea NON.RES'D BRANCH CIRC ITs NEw CONSTR (POWER APPARATUS &) NON RES,D. SINGLE OUTLET CIR. / EX, QCCUp(OUTLETS OR FIXTURES BAL®300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Qr Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. `r4q[ I have placed on file with the County of Butte Building Department L/Na 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. Heating si Cooling Hood 3.00 Ventilation ,Q permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 sts, and expenses which may in an way accrue aga' st said County in co se en e f e granting of this plait X Date Signature of Applicant — Owner ❑ C ntrocto 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 $ yt TOTAL MIT F E Gu $ occu GROUP I TYPE of CONST. I El PARCE PD HD ISSUE 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 No. WHITE-D.P.W., YELLOW-ASSIZSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) a Building Inspector �s O Date / /� A? At time of permit application, I was advise8 the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . . 3" Complete plans in duplicate./triplicate. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. Statement of Intent for Non -Heated and AC Buildings. —110 Fees of $ !.d . . . . . .. .. 9. Letter of signature authorization. . . . . . . . . – .Sanitation approval from c � 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 1?7. Pre -Inspection for Required. Building Inspector (Date) a*�Recorded copy of Agricultural Acknowledgment Statement. A =22 1 9. Other 0 C) J 1 en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. 'Deliver w/inspector. Other Q Applicant / _��� Date.. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of a Ii c ion circle item_ .) 1. Index permit for above Items No. /* 2. Additional items required: r (Contractor, Designer, Omer) was advised of above required data by T lephone Mail Other By Date Plans checked by Date j/2 Plans approved by Date _/ (J41 S Other: n_ Copy—DPW TO: Building Department a FROM: Environmental Health, Chico SUBJECT: Sanitation. Clearance 4) . /1, ick �AD41, Alq Owner Location APR Plan approved for: sewage disposal water supply Hold final for: water sup;)ly Final clearance O.K. for: water supply Clearance for_bedroom mohile home. Other S� I Note*"* Sanitarian Date .tAD 4/0 le �-5 �Sel /.0 s n • . �' LOQ Chi v TS S+�J � Gu� . ���/P� c�'r✓rC�y Check made out to Butte County Temnnrar\- poi.,er needed? � AG Permit III.° Sanitation 1 -one plot plan 1 -one permit form filled out 1 -one check made out to Butte County for.a48.00 IV. P.G.&E.. Mail complete P.G.&E. form to P.G.&E. 1 -one plot plan Webb Homes -371995 B Webb Bros. -407234 B i r/ All" Irl A PERMIT 1;.. 2 -two sets of plans .'2 -two sets of plot plans �"2-two energy calculation papers -one heating and air'• conditioning print out sheet I I . Know. A.P. Number Size of air conditioning L `RESID(:trrytL PLAN CIIEChING GUIDE (S.F., DUP.U*11, & MISC. ONLY) Bldg. A. P. GENERAL' �� Zoning requirements (sideyards anti parking). aluation. . t. Signature by R.C.E.. or Architect (if required). PLOT PLAN Complete parcel size and d;iinensions. Setbacks, sideyards, easements, etc. Other buildings or structures. -Grading, fills, drainage. Permit # %,2.gy-�� # —GS— 14-16 _FLO9B PLAN Complete to scale plan with dimensions. Y Required windows for light and ventilation (Sec. 1405). ,le Requ4red windows for second exit (Sec. 1404). -4-." Allowable glazing for energy requirements (20% max. per State law). ,51.**' Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-85. -8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. A_-__1_Tocations of water heater;..heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location., 13!_Smoke detectors (Sec. 1413):2 Foundation plan complete enough to construct building. 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. 5 Fireplace construction details and calcs if over one-story in height .. Sufficient data and details to satisfy energy insulation requirements MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). 4 ;-��Exterlor rick or stone •veneer (Chapter 30). plaster - weep screeds (Sec: 4706 & 4708). Af Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. �9! Adequate bracing. Ilan r4 T iving area over garage -.complete 1: -hour separation walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). TV building. a (State law). required including supporting Return to DPW AGRICULTURAL STATEMENT .OF ACKNOWLEDGEMENT �L'� RE ORI}Cp I O F 01 I EC.ORDS FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNT Y.CALIFORNIA Page AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1,45-15177 Cx .2 `198519AY 22 PH I= 58 The property described herein is adjacent to land or included' within an area zoned for agricultural purposes, and residents of this.ELEANOR M. BECK!. property may. be subject to inconveniences or discomfort arising fr%ERK-RECORDER FEE 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 zones which have as a priority use for productive agricultural purposes, and residents within said.zones and on adjacent property should be prepared to -accept such inconvenience or disconform from normal, necessary farm operations. All, that real property situate in the County of Butte, State of California, described as follows:, Lot 62 and the Westerly 3 acres of Lot 63, as shown on -that certain May entitled, "SUBDIVISION NO. 2 OF THE MOREHEAD RANCH IN RANCHO de FARWELL, BUTTE COUNTY, CALIFORNIA", which May was filed in the office of the Recorder of the County of'Butte, State of California, February 5, 1926, in Book 1Q of Maps, at Pages 8 and 9. bate:C) State State ofoav(),:�Izoo County of % ) On, this the 0?/ day of 19 o S --before SS. me, the undersigned Notary Public, Jersonally appeared. i� . ANAI A, ,4Tli/Vl c ersonally known to me. Proved to me on the basis of sat' factor evidence. :OyFFICIAL SEAL to be the person(s) whose riame(s) u scribed to o- ADES MATSpy the within instrument and acknowledged thatt• • o PUBLIC - CALIFORNIA BV -111 COUNTY executed the same. for the purposes therein containe . mm. expires OCT 24, 1986 IN WITNESS WHEREOF, I hereunto set my hand and''officii'al seal. .' Present A.P. No. Cki Notary Public END Of DOCUMENT 05 ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and —/ labeled. All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. __ L9Jl fE COUNIY Tight - the above standard features plus• (D) Continuous infiltration barrier BUILDING DEPARTMENT (E) Electrical outlet plate gasket (F) Air-to-air heat exchanger APPROVED (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldgfes, X 621" North �, 2 )0_ (� East ova Z y _>0 South [� West 170 '7 Skylights (B) Shading Shading Coefficient bescription East South West Skylights (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal l� ❑ Type FORM - Area Ft.2 HC= RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY MC= Location ❑ Owner°' T�l�li Climate Zone Permit No.. Floot Area MC= Location Compliance path: Package ❑ A ❑ B ❑ C E Point System ❑ Budget ❑ Other - Area MIN R= R -VALUE DESCRIPTION MC= Location REQ'D , ❑ INSTALLED ITEMS (1) INSULATION• Ft. HC= R= MC= Roof/Ceiling ❑� Wall - Area Ft.2 HC= ❑ Slab Floor Perimeter MC= Location Raised Floor� �si Type - Area ,(2) INFILTRATION• R= ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and —/ labeled. All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. __ L9Jl fE COUNIY Tight - the above standard features plus• (D) Continuous infiltration barrier BUILDING DEPARTMENT (E) Electrical outlet plate gasket (F) Air-to-air heat exchanger APPROVED (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldgfes, X 621" North �, 2 )0_ (� East ova Z y _>0 South [� West 170 '7 Skylights (B) Shading Shading Coefficient bescription East South West Skylights (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft . ' HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.z HC= R= MC= Location 7/83 i FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight o fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside.of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A) --Heating (� Central Gas Furnace 7-1-74 % (brand and model number). SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling Q/ Electric Air Conditioner _ �0 k, 3 (brand and model number) (seasonal EER) Btu/hr ' (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. i (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. E AN INTERMITTENT IGNITION DEVICE shall be ( ) provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting, joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. ,7/83 2 (6) DOMESTIC WATER SYSTEM ., (B) Gas Only (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup Gallons (tank size) ❑ *2_ Active Solar ,. FORM I Gallons (brand and model number) (collector brand and model number) (rated y -intercept) (rated -slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector.orientation) ® Location of Solar Panels ❑ Other (collector tilt) (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and "steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. /(7) LIGHTING , [� (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of no.t less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature C3970, elevation ��SZ ', heating load /VawTU elevation factor x heating load = maximum outlet capacity gas furnace fid,/o-�o BTU USE ONLY -AS SIZING GUIDE, >�� G®O� MAY EE INADEQUATE 0 Cooling: Summer design temperature / a °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDING I R OR APPLICANT 3 ZO E 11 OWNER / POINTS PERMIT NO.,� ---2,2=24-S--Y- S-- ASSIGNED ACTUAL 1. SLAB - INSULATION 12. MOVABLE INSULATION - NONE ..�- 13. INFILTRATION (Standard=0)(Tight=+12) s� 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-767 16. HEAT PU1iP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% WOOD STOVE S WATER HEATER A-% OTHER _ TOTAL POINTS = -able 3-1. Slab Floor Points 17ncula- I R -Value of Insulation I I tiun I I I Depth, -T Inches 10-2 1 3-4 ! 5-6 I 7+ I I 1 I I I I 1 0- 11 I -5 I -5 I -5 I -5 I I 12 - 15 1 -5 I -3 I -2 ( -1 1 I16 -19I-5 i-2 I-1 10 1 I 20 +' I -5 I -1 1 0 1 +1 I x/7/83 -•4r` Table 3-2. Raised Floor Points r I R -Value of I I Insulation I Points I 1 1 below 3 I -12 I 3-4 I -8 I 5- 7 ( -6 I 8-12 I -4' I 13 - 18 1 72 19+ i 0 Table 3-3a. Ceiling Insulation Table 3-7. Points T R -Value of Insulation I Points 19 1 -4 22 I -2 30 ( 0 38 I +2 49 I +4 Wall Insulati R -Value of Insulation I Points h -Facing ClazinR Pte I I Glazing Type 1 I Total I ! Z of I ST. Dbl, Trpl, I Floor I U- I u- I U- I I Area 10.66 1 0.42- 10.41 1 I 11.10 10.65 I down I O 1 a4 1 +4 +4 I 0-1-1.2 1 +4 ! +4 I +4 I I 1.3- 2.3 1 +1 I +2 I +2 I I 2. - 3.6 I -2 I 0 1 +1 I I 6.8 I -4I I -1 I 1 4.9- 6.1 I -7 I I -3 I 1 6.2- 7.3 I -9 I -6 I -5 I I 7.4- 8.2 I -12 1 -8 ! -7 ! 1 8.3- 9.7 I -14 I -10 I -8 I I 9.8-10.8 I -17 I -12 t -10 I 110.9-12.0 ( -19 I -14 I -12 I 112.1-13.2 I -22 I -16 I -13 I 113.3-14.5 I -24 I -18 1 -15 I 14.6-15.3 i -2; i -20 i -17 Table 3-6. East-Facin¢ Glazing Pts. I 1 Glazing Type I - - '-I Total I I I Z of I Sngl. Db1, I Trpl, I Floor I (U - I (U - I (U - I Area ( 1.10) 1 0.65).1 0.41)1 IsIpo+4s t+�;�� I 1 up to 1.3 1 +3 1 I +4 I -T I 1.4- -+1 I 1 +2 1 I 1 2.5- 3.3.6 1 I -2 I 0 0 I 0 I 1 I 3.7- 4.6 I -5 1 - -2 1 -1 1 1 I 4.7- 5.6 1 -8 1 -4 1 -3 1 I I 5.7- 6.7 l -10 I -6 1 -5 1 I I 6.8- 7.7 I -13 I -8 I -7 I I I 7.8- 8.7 I -15 I -10 I -8 1 1 8.8- 9.7 i -1.7 I -12 I -10 I I 9.8-11.2 I -21 1 .-15 I -13 ; ( 11.3-12.7 1 -25 I -18 •I -15 I 112.8-14.0 I -28 I -21 I -18 I 14.1-15.3 I -32 I -24 I -20 I in¢ Pts Table 3-10. Shadine Coefflel-r v„t.,r. r I f I I I I Total I Z of I I Floor I Area 1 I I ' Glazing Type Sngl, I Dbl, I (U- I (U - I 1.10) 1 0.65) 1 ointa -1points I 2. P.AISED FLOOR - R-19 42, 14 3. CEILING - R-30 +3 4. WALL - R-19 I tZ 5. NORTH GLAZING - 2.4-3.6: 6. EAST GLAZING - 2.5-3.6! 7. SOUTH GLAZING - 1.6-3.6% V e S. WEST GLAZING - 2.9-3.67 _�7 9. SKYLIGHT i - 0-1.37 ♦ 5 10. SHADING (Exclude Overhang) 1 EAST - .66 / �G 1 -6 1 SOUTH - �{r�'j .19-.42 E C` 7.8- 8.9 1 WEST - 71 .13-.36 f L G -7 I .SKYLIGHT - 0,5'. 37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 2- 12. MOVABLE INSULATION - NONE ..�- 13. INFILTRATION (Standard=0)(Tight=+12) s� 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-767 16. HEAT PU1iP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% WOOD STOVE S WATER HEATER A-% OTHER _ TOTAL POINTS = -able 3-1. Slab Floor Points 17ncula- I R -Value of Insulation I I tiun I I I Depth, -T Inches 10-2 1 3-4 ! 5-6 I 7+ I I 1 I I I I 1 0- 11 I -5 I -5 I -5 I -5 I I 12 - 15 1 -5 I -3 I -2 ( -1 1 I16 -19I-5 i-2 I-1 10 1 I 20 +' I -5 I -1 1 0 1 +1 I x/7/83 -•4r` Table 3-2. Raised Floor Points r I R -Value of I I Insulation I Points I 1 1 below 3 I -12 I 3-4 I -8 I 5- 7 ( -6 I 8-12 I -4' I 13 - 18 1 72 19+ i 0 Table 3-3a. Ceiling Insulation Table 3-7. Points T R -Value of Insulation I Points 19 1 -4 22 I -2 30 ( 0 38 I +2 49 I +4 Wall Insulati R -Value of Insulation I Points h -Facing ClazinR Pte I I Glazing Type 1 I Total I ! Z of I ST. Dbl, Trpl, I Floor I U- I u- I U- I I Area 10.66 1 0.42- 10.41 1 I 11.10 10.65 I down I O 1 a4 1 +4 +4 I 0-1-1.2 1 +4 ! +4 I +4 I I 1.3- 2.3 1 +1 I +2 I +2 I I 2. - 3.6 I -2 I 0 1 +1 I I 6.8 I -4I I -1 I 1 4.9- 6.1 I -7 I I -3 I 1 6.2- 7.3 I -9 I -6 I -5 I I 7.4- 8.2 I -12 1 -8 ! -7 ! 1 8.3- 9.7 I -14 I -10 I -8 I I 9.8-10.8 I -17 I -12 t -10 I 110.9-12.0 ( -19 I -14 I -12 I 112.1-13.2 I -22 I -16 I -13 I 113.3-14.5 I -24 I -18 1 -15 I 14.6-15.3 i -2; i -20 i -17 Table 3-6. East-Facin¢ Glazing Pts. I 1 Glazing Type I - - '-I Total I I I Z of I Sngl. Db1, I Trpl, I Floor I (U - I (U - I (U - I Area ( 1.10) 1 0.65).1 0.41)1 IsIpo+4s t+�;�� I 1 up to 1.3 1 +3 1 I +4 I -T I 1.4- -+1 I 1 +2 1 I 1 2.5- 3.3.6 1 I -2 I 0 0 I 0 I 1 I 3.7- 4.6 I -5 1 - -2 1 -1 1 1 I 4.7- 5.6 1 -8 1 -4 1 -3 1 I I 5.7- 6.7 l -10 I -6 1 -5 1 I I 6.8- 7.7 I -13 I -8 I -7 I I I 7.8- 8.7 I -15 I -10 I -8 1 1 8.8- 9.7 i -1.7 I -12 I -10 I I 9.8-11.2 I -21 1 .-15 I -13 ; ( 11.3-12.7 1 -25 I -18 •I -15 I 112.8-14.0 I -28 I -21 I -18 I 14.1-15.3 I -32 I -24 I -20 I in¢ Pts Table 3-10. Shadine Coefflel-r v„t.,r. r I f I I I I Total I Z of I I Floor I Area 1 I I ' Glazing Type Sngl, I Dbl, I (U- I (U - I 1.10) 1 0.65) 1 ointa -1points I I Trpl, (U - 1 0.401 ofntsl I o +s +3 +g I I up to 1.5 I +2 1 +2 I +2 I I I 1.6- 3.6 1 -1 I 0 I 0 1 I 3.7•- 5.2 I -4 1 -2 I -2 I I 5.3 6: I -6 I� I -3 I 1 6.6- -9 1 -6 1 -5 1 1 7.8- 8.9 1 -11 I -8 I -7 I I 9.0-10.0 1 -13 1 -10 .I -9 I 110.1-11.5 I -17 1 -13 I -11 I 111.6-13.0 ! -21 1 -16 I -14 I 113.1-14.5 I -25 I -19 1 -16 I I .7 11.5 13.1 13.9 15.2 T 14.6-16.0 I -23 I -22' I -'.9 I Table 3-8. West -Facing Glazing Pts. I I Glazing Type I I Total I 1 Z of I Sngl, I Dbl, Trp1,1 I Floor 1 (U - I (U - I (u - I I Area 1 1.10) 10.65) 10.41)1 I I oints I oints I otntsl o 1 +6 1 +6 1 +6 I up to 1.3 I +5 II +6 I I 1.4- 2.2 1 +3 I I +5 I I 2.1- 2.8 I 0 1 +2 I +3 1 I 2.9- 3.6 I -3 I 0 1 +1 I 3.7- 4.2 I -5 I -2 I 0 1 I 4.3- 5.0 I -8 I -4 I -2 I 5.1- 5.6 I -10 I -6 1 -4 I 5.7- 6.2 I -13 1 -8 1 -6 I 1 6.3- 6.9 1 -15 1 -10 I -7 t 1.0- 7.6 1 -18 I -12 I -9 I 1 7.7- 8.2 I -23 I -14 I -11 t I 8.3- 8.8 I -22 I -16 1 -13 1 I 8.9- 9.5 I -25 I -18 I -15 I 9.6-10.1 ! -27 -20 I -16 1 110.2-11.0 1 -29 I -23 I -17 111.1-11.8 I -35 I -26 I -21 1 111.9-12.7 I -38 I -29 I -24' I 112.8-13.5 I -42 1 -32 1 -27 1 13.6-14.3 I -46 I -35 1 -29 I 114.4-15.2 I -50 I -33 1 -32 I ( I I I I Table 3-11. Horizontal South Overhane Pointe - I South Glazing I Length Out I Area, Z of Floor I 1 from Wall ( I I ft T 0-6.3 i 6.4 up I 0 - 0.5 1 -2 -4 10.6 - 1.0 I -2 I -3 I 1 1.1 - 1.9 1 -1 I -2 I I 2.0 up I 0 1 0 I I I I I Table 3-12. Movable Insulation Points Moveable Insulation'l Area, Z of Floor I Points I I I I I 0 s.s I 0 I' 1 5.6 - 11.5 I +2 I I 11.6 - 17.5 I 44- 17.6 4 17.6 - 23.5 I +6 I >23.6+ 1 +8 1 I SC by I 1 Orten- I Z Floor Area tation I East 1 I 3.2�- I 1 0-3.1 I to 1 6.4 up 6.3 I 0 -.19 1 0 I +1 I +2 I .20-.36 I 0 ( 0 I ♦4 I .37-:66 1 0 I 0 ! 0 1 .67-.82 I 0 I 0 ! -1 .83 up i 0 i -1 i -2 1 South 1 0 1 3.2 1 6.4 18.0 ! 9.6 I I to I to Ito I to I up I 13.1 16.3 17.9 19.5I I 0--18 1 0 1 +1 1 +2 1 ++22 IT +3 1 .19-.42 1 0 1 0 1 0 1 0 1 0 I .43-.66 1 0 1 -1 1 -2, I -2 -3 1 .67 up .I 1 0 1 -2 I -4 1 -4 I -6 West I .1 1 1.6 1 3.2 16.4 19.0 I to I to I to I to I up 1.5 i 3.1 i 6.3 i 7.9 0-.12 1 0 1 +1 1 +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 1 -3 I -6 I -7 .58-.82 I -1 I -3 I -6 1 -12 1 -15 .83 up I -2 I -4 1 -8 I -16 I --20 I I I I I Skylight I .1 1 .8 1 1.6 13.2 1 4.0 I to I to I to I to I to I .7 11.5 13.1 13.9 15.2 T 0-.12 1 0 1 +1 I +3 I +6 I +7 -13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 10 1 -1 I -3 1 -6 I -58-.82 I -1 I -3 I -6 I -12 1 -. .83 up I -2 I -4 I -8 1 -16 1 -23 I I I I I Table 3-9. Skylioht Points Glazing Type I I Total I I I Z of T Sngl, IDbl, I Trpl, I Floor I U- l U- I U- I I Area 10.66- 1 0.42- 10.41 I I 11.10 10.65 I down I I up to 1.3 I -1 I I 0 1 I 1.4- 2.2 I -3 I -2 I -1 I 1 2.3- 2.8 I -6 I -4 1 -3 I I 2.9- 3.6 I -9 I -6 I -5 1 3.7- 4.2 I -11 I -8 I -6 I I 4.3- 5.0 I -14 I -10 I -8 I 1 5.1- 5.6 I -16 I -12 I -10 I I 5.7- 6.2 I -19 I -14 I -12 I I 6.3- 6.9 I -21 I -16 I -13 I I 7.0- 7.6 ( -24 I -18 I -15 I 1 7.7- 8.2 I -26 I -20 I -17 I I 8.3- 8.8 I -28 I -22 I -19 I I 8.9- 9.5 ( -31 1 -24 I -21 I ( 9.6-10.1 I -33 I -26 I -22 I ��---�-----I---- 1. Table ] 13- Inf!ltiation Control Ftatvres Points IControl Features I Points I T-- 1 I I. Standard I 0 1 ! I I 11.9 air changes per hr 1 1 T- I 1 I Tight I +12 I I I I 1 41.6 air changes per hr I' i I I Table 3-15. Gas Furnace W thouc _ Refrigeration Cool_r._ Points I -Seasonal Efficiency I Points I I (SE), t I I I 71 - 76 I 0 1 1 77 - 82 I +2 I I 83 - 88 I +4 I 1 89 - 94 I +6 I 95 up i +8 Table 3-16. Feat Puma Points 1 Snergy Efficiency I Points I I Patio (EER) I I I 7.5 - 7.9 I +3 1 I S.0 - 8.3 I +6 1 I 9.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 1 I 9.2 - 9.6 I +13 1 I 9.7 - 10.2 I +18 I I 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I I 11.5 - 12.3 I +27 I I 12.4 1 - 13.2 1 +30 I I 1 Table 3-17. Cas Furnace With l- Refrigeration Cooling P !Refrigeracfoal Gas Furnace I Cooling I SE 761 821 881 94 8.0 - 8.3 1 01 +21 +41 +61 +8 1 8.4 - 8.7 1 +21 +41 +SI +91+10 1 8.8 - 9.2 I +4{ +61 +81+101+12 1 9.1 - 9.7 1 +61 +81+tOI•121+14 1 9.8 - 10.3 1 +3111()1+121+141+16 1 10.4 - 10.9 1+101+12i+1 s1+161+18 1 11.0 - 11.5 1+121+141+161+191+20 1 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) INTEpiOR THERMAL MASS POINTS MASS DWELLING ARFA SgUARE FOOT AREA 1,000 1,500 2,000 2,500 I 3,000 3,S00 4,000 I 4, Soo S,000 1 SQ. FT. A B C D A. B C D A 6 C 0 A 8 C 0 I A 8 C 0 A B C D 1 A B C D A .. _ 50 00.. ISO 200 253 307 350 400 503 600 700 270 900 t,e.D l,;ou 1,200 1.300 1,400 1.500 2,300 2,50'0 J. Coo 7,500 4,030 4,500 _ 5.003 1 0 I I 7 - 14 I +2 1 1 15 - 23 I +4 I I 24 - 30 I +6 { I 31 - 39 • I 40 - 47 { : +10 I 1 48 - 55 { +12 I I 56 - 63 I +14 I I 64 - 71 I +18 I I 72 up I +20 I ft2. r I ony i -40 ; I � G B 0.9 10-19 2 2 2 2 2 2 2 01 2 2 2 01 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0-01-0 0 0 0 010.3 +8 +10 0 0 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0.0 900-999 0 0 0 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 +6 +9 +12 +15 +18 +21 1,500-I,g99 0 +24-5 +7 1 +9 +12 +14 +Lc 2,1)()O--1 .919 42 +3 +5 +7 +8- +10 +ll 3,06:0 A:.d uo -0 0 ++ +3 +4 +5 +7 +3 +10 1 2 2 2 2 2 2 2 2 2 2 2 0 2+Z 2 OI 2 2 2 01 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2 2 i 2 Z 2 0! 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2I 2 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2. 2 2 2 14 14 12 8 10 IG 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2( T 2 2 2 14 14 )2 8 10 10 8 6 8 8 6 4 6 6 4 4 6.6 4 2 4 4 4 2 4 4 4 2I 4 1 2 2 I 4 4 l 2 IS 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 < 4 2 4 4 4 j 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 I 6 6 4 2I 6 6 4 1' 24 24 20 14 IB 16 14 10 14 14 12 II 10 10 10 6 10 10 8 6 8 8 G 4 8 6. 6 4 A b 5 41 6 6 5 2 1 1 26 14 22 16 20 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 I ^ 6 6 4 8 6 6 4I G 6 b 28 28 24 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 Is 6 41 B 8 6 t i 30 JO 25 IB ?2 124 2II '20 14 18 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 I 8 8 0 4j 3 a C 4 i .12 32 28 2O 24 22 14 20 20 18 10 16 16 14 B 14 114 14 12 8 12 12 10 6 f0 la 10 6 10 10 8 41 1J e e + � 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 12 8 '12 12 10 E 10 10 8 61 1n In 8 6 74 34 32 22 28 26 24 16 22 22 20 J2 IB 19 lE 10 iv 14 14 8 14 12 12 8 12 12 10 6 12 10 10 EI 10 10 r. v 34 34 32 24 28 26 26 18 24 24 20 14 20 20 11 12 18 16 14 10 14 14 12 8 14 14 12 8 I IZ 12 ;G 6. 10 13 13 5 36 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 16 16 14 8 14 14 12 a 12 12 10 61 ;2 12 1.-. 1 6 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 le is G 14 14 12 e I 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22. 14 TT 22 19 :2 20 20 18 !:•� is 1, it, 'o 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 22 22 20 141 :2 :3 :_ 12 32 32 30 20 30 30 26 ld 126 28 74 16 26 14 22 ti! 'a :4 20 14 ' 32 32 30 20 70 30 26 18 ! 20 2tl 24lE 25 2b 22 If 32 32 28 20 130 30 26 It 32 12 T+ i 231 1J ;' Y b In i A) 1. 3's Concrete Slab: HC -8.93; R•.29; Factor•7.3 2. 3 3/4" Thick Common Brick: IIC=7.125; R•.iJ; Factor -7.3 81 1. "' Concrete Slab: NC•14.106; 1.•.458; Factor -7.1 C) 1. 8" Solid Filled Block: HC•20.63; R-1.93; Factor•6.1 2. 8` Solid Ftlted Block With BotA Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to canditloned air for Thermal',Nass Area: IIC-10.164; R -.96i; Factor -6.1 0) 1` Thick Concrete/Tile: HC•2.SS; R•.083; Factor.3.7 Table 7-19. Zonally Controlled Electric Resistance _ Space Heating Points ' I Points foe this measure w!11 I Table 3-20. Solar Hater Heating With Gas Backua Points I be completed after the CEC 1 I has approved an Alternative I I Component Package for Resistance I I Beat. Table 3-15. Active Solar Space Heatine with Cas Points Net Solar Fraction I Points (NSF), % I I 0-6 1 0 I I 7 - 14 I +2 1 1 15 - 23 I +4 I I 24 - 30 I +6 { I 31 - 39 I +8 I 40 - 47 { : +10 I 1 48 - 55 { +12 I I 56 - 63 I +14 I I 64 - 71 I +18 I I 72 up I +20 I wood stove #33 points -(no back up) ca.sablanca fan + 1 point Multlfamil (per unitpoints) ! Heating Pts. ( System Type i Points Floor Area I Gas Only I I 0 ) I Net Solar Fraction (NSF), Z I 1 0 1 I I perunSt, I I I Reilstance UAckup I I 1 herting the Require- I I menti to Part 2 1 I 0 1- ft2. I 1 I I I ony i -40 ; 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +l +3 +4 +6 +7 +8 +10 2X00. and u 0 *1 +2 +4 +5 1 +6 +7 +9 All others (pe building paints) _ BUO-899 0 +5 +10 614 +19 +24 +2+9 � +34 900-999 0 +4 +9 +13 +17 +i1 +26 +30 1.0M. -1,199 0 +4 •+7 +11 +15 1-19 +22 +26 1,20(,-1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-I,g99 0 +24-5 +7 1 +9 +12 +14 +Lc 2,1)()O--1 .919 42 +3 +5 +7 +8- +10 +ll 3,06:0 A:.d uo -0 0 ++ +3 +4 +5 +7 +3 +10 1 Table 3-21. Other Water ! Heating Pts. ( System Type i Points I Gas Only I I 0 ) I I Beat Pomp I I 1 0 1 I I I Solar with Electric I I I Reilstance UAckup I I 1 herting the Require- I I menti to Part 2 1 I 0 1- I Eleecric Resistance I 1 I I I ony i -40 ; �-6oso �© j SoS-;5 uo %�/z° "o eFo . �� 93 �4�9 4°0 3 �• 3, S 1 —Ya ya lam. to glo 4/,o 30 oc� . `7�� 02 y31- fy �v t'd 3 7- o �•�®G / d Lfa 4/4-&3 %� _ t. CHECK LIST FOR A PERMIT .2 -two 'sets of plans. ---2-two sets of plot plans i .2=.two energy calculation, papers -one heating and airconditioning print out sheet I I . Know A.P. Number 27" 7 TS - /0.? Size of air conditioning Ci -n n; n1 n_ -+-i r- 11 nanf_ l l�n', r 9 n n