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HomeMy WebLinkAbout040-140-05440-14-54 Doyle Spain /S Rd.,app. 6/ 10 mi.S.of Durham Es L Oro Hwy Permit #4594-77B,P,E,M(new single family) 40-14-54 Permit 40-84B,P,E,M(new single fa i y) 40-14-54 Permit#1559-85B( t renewal/\5/?-84 40-1454 Permit #1435-86B(2nd renew" 1 40 4) 40-14- Permit#1679-87B(3rd ren al/1540 84) 40-14-54 ff Per 4th renewal/15�(➢- ) �PerZt#1944-89B(to 40=14-54- complete SF) WOW I I , I I� w PERMIT NO. i PERMIT EXPIRES OWNER DOYLE SPAIN CONTR. owner ASSESSOR PARCEL 40-1454 LOCATION 9139 Esquon Rd, Durham Ott, Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service w. Called PG&E r JOB FINALEI Signature ice, J= OK O= Not OK - = Not Applicable MOBILEHOMES "MISCELLANEOUS -41 Date MOBILEHOME UTILITIES (Plans)OK except q's lDateEj0 CKS, COVERS, CARPORTS, ETC. (Plans) OK.except #'s=• 1. Zoning Requirements -Setbacks -Easements -'� 1-Zon'i'g Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size=Depth-Spacing-Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) ! 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date -41 } 0 = Not OK - = Not Applicable *" = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) o ing requirements -Setback - asements Line Firewall & Openings �iProperty tg., Main; Soils-Steel-Ele d.- / /" Fty. Depth _j9 --Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- f /" Ftg. Depth 0. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer a.. emwalls, Garage; Steel-Blockouts-Wrapped-SlabTTQ . Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access rs- teel :-6,4-Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test hear Walls; Nailing -Bolts G8.-9ns Pipe; Size -Anchors figl-Water Pipe; Test -Anchors -Regulator -Service Test _lei 11,:7._ 11. Electric; Underground - lenums & Ducts; Clearance -Material -Support -Ins. fa-.-'Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI ; Date Ilo Card -BI Date Date FIN (Plans) OK except q's Card -BI Dat Card -BI Date Date &MBING (Permit) 0 ept q's . E Steps -Door & Sidelight Protection -Landings 5 Smyke Detector 14 ater Ht.; Vent Acce Combustion Air W-Turnace; - Vents -Clearance -Comb. Air-Connector- In -Garage; Above Floor-Ducts-Mech. Protection .)(d,1ilWater Pipe; Test & Anchors -Nail Protection ILI &' .W.V.; Test-Fttngs & Anchors -Nail Protection 5Y$&drbom -0' Exiting —17--Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access ' %fiest Tub & Shower, 2nd Floor -Tub Access 61 ec. Trim & Subpanel; Breaker Sizes -Labels 44) -ear Pipe; Size & Anchors "62--Statrs& Rails --eS---Ftrefrtace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 it-Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except q's 6 Elec. Outlets & Receptacles at Kit. Counter �B7—garage Fire Door; Swing -Landing -Closer uct in Garage -Damper _24 --Fixture &Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In rage; Above Floor-Mech. Protection c. Rec ptacles Spacing -Lights &Switches at Doors S e No. of Conductors -Stapled Ib., Elec. & Mech. Equip. Listed for Location eceptacles in Garage; (G.F.I.)-Romex Protec. 2 omex Installed Close to Edge of Studs & C.J. 4 Equip. Ground made up w/Mech. Fasteners -Bond Gas 7 Insulation -Foam -Looked in Attic ❑Yes ppliance Circuits in Kitchen & Conductor Size Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 7¢�FaTfowing ins Id.: Dri es ❑ No; Walks Yes ❑ No; P ters Yes No 28. Service -Riser Conductors u -Main Disconnect 7 7 Stuc o; B n -Finish .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. /� iEquip. Clearances; Panels-Motors-Mech. Equip. _IQ --'Clothes Closet Light -Shower Light ell; Disconnect, Electrical, Plumbing 8 Ferior Elec. Trim; G.F.I. Receptacle -Underground' Card B -I Date Card -BI Date g ., 8f'—G! V lation throughout House Protection Card B -I Date Card -BI Date Date ME HANICAL (Permit) OK except q's 8 Corrections from Previous Inspections a -Meters Tagged; Gas -Electric �J 31 A.C. Ducts; Insulation & Support 8 Water &Sewer Connected -C/O to Grade -HD pr 4641 3 . Vent Fan; Exhaust above Insulation . Energy Compliance Certificate -Other Certificates 4.Condensate Drain & Overflow; Size & Grade 4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI {7 Dates 'A 1 7T Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR NG Plans OK except q's 3 . §4AIs; Proper Material & Anchors alls; Studs Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 1. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng.-Rfng_._ Fireplace Ties or Type A Flue -Fireplace Throat ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bgpn. Windows or Exiting Doors -Sill Hgt. & Dimensions ,417 Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) -COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 0 /gyy-3?9 OWNEA PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A N 1 N Is 4-w-04 t w e.— Inspector�'Date�- TO FROM: SUBJECT: ,�YBuilding Department Environmental Health Sanitation'Clearance ner Location Ary • t. Plan Approved for: Sewage Disposal ._ Water Supply Hold final for: Water Supply Final clearance O.R. for: =1�I �� Water.Supply Clearance for bedroom mobile home. Other NOTE *** tarian y, Date [l r t r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 .7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 • CORRECTION NOTICE OWN R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector • • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_A— Date --2//7 lUn l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOAKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this maltdr, or need additional explanation, please contact this office immediately. Inspector_,.__ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this atter, or need additional explanation, please contact this office immediately. fil I) I fL r, —I, u W " 1-'" l I,--- &V. Inspector_ _, Date • COUNTY OF k.piil-Tll , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Pf one: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ' CORRECTION NOTICE _ S.ati. OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this .goer, or need additional explanation, please contact this office immediately. Inspector_ __ Date Building Owner Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION ROOF Material 0;4 USI//�� /ON Brand Name lam-; e Thickness(inches) Thermal Resistance ( Value) EXTERIOR WALL Material .SyV c C O Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material t.0 Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name 0— Thermal RsVsta (R Value) Brand Name l." Cis /0 �e X Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name C 'V�e)(_ Thermal Resistance(R Value) Brand Name Thermal FOUNDATION WALL Material Al C� �' �f� Brand Name Thickness(inches) X77` Thermal Resistance(R Value) Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAMEWNE STATE CONTRACTOR'S LICENSE NO. -QAn SIGNA OF INST_ TION APPLICATOR ATE I hereby certify the required features, devices, and equipment, a::$ shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC`'FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE -NO. nI- SIGNATVAE OF HVAV, CONTRACTOR OWNER DA THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 Doyle Spain P,O.Box 373 Durham, CA 95938 Dear Mr. Spain: '47 'Elf #10 LAND OF NATURAL W L•A.jLTH ArJD BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Biil) CHEFF, 7 COUNTY CENTER DRIVE • OROVII LF, C,�I IFORNIA 95965 Telephone: (9161-SS-J-�'Sd•! _5 "311. .7.,5,f I May 7, 1987 RONALD D. McELROY 'r Deputy Df,ecto, RE: Building Permit No -1540-84 & renewals Expiration Date 6-18-87 (A.P. No.40-14-54 ) With reference to the above subjert, our; record;; il,dicate that your Building Permit expires on the above date. Building permits :Ire valid for one year and should construction be started but not completed by the f:!xpiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the 'Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works ,J.F, Glander JFG:aj Chief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector -, Chico 1, 307 Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd,/872-'r46+—,—E*t; 57 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION'AND PtRMIT PERMIT NO/. d0 '0 , ASSESSO PA / E NUMB55 zOjC�ING „/ - BUILDING PERMIT YLE SPA/A/ TELEPHO 3q,s-�Eq IONO SQ. FT. OCC. BUILDING VALUA a2a60. Ri OWROMAD 60X DUR uv✓/1a7C :2041 60 CONTTRACTOIR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ^ ^ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 130- fro ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ! $ 5 /W $ . Vv j! ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 121,01 Q'D BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Wa43t,,D S / Each Trap 5 2.00 Solar Water Heater 20.00 btt,6 _ Water piping 5.00 ,Q77 LOT NO. SU IV N NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFE' Duplex ❑ Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 , 09 Mobile Home S I G I W 10.00 e TYPE OF WORK New IV AdditionQRemodel❑ Utilities ❑ Installation❑ OtherEJ ❑ Installation❑ Other ❑ Describe work: ©© -;0 Permit Fee $, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OR LESS 1000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. OWE OR ADDNST ( ACCL I GCUP.&\ / 21/4sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR(MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS &' N NON.RESI D. SINGLE OUTLET CIR. 20050a Ex. Occup(DUTLE TS OR FIXTURES BAL030 FIXED EX. OCCUp. OU LETS P(RESID.)REA.) 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): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. j�A I shall not employ any person in any manner so as to become subject '9 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 I,,z (;.(6 Cooling 0,.(,, ,00 Hood 3.00 ^31616of Ventilation permit Fee $ S,(rjj 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. 1 also agree to save, indemnify and keep harmless the County of Butte against ities, Judments, costs, and expenses which may in a y way accrue against s id Cou yin copse u nce of the granting of this permi Date Signature of A, PI cant — Owne Contractor ❑ Agent E]work An OSHA per it is required for excavations ov r 5' ��a�ld demolition or construct- ion of structure over 3 stories in height. C% 7 Mobile Home Installation Fee $ I '30, D� ^ TOTAL PERM FEE $ 461`�Q OCCUP. GROUP TYPE OF CONST. PARC, PD ND IBs This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIR OR OF LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.�(� / �.UQ WHITE-D.P.W.. YELLOW-ASS[SSOR. PINK-INSPECTO . GOLDENR D -AP LICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAI;IF,ORNIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use Permit Fee Based Upon Building Inspector PERMIT APPLICATION DATA SHEET Permit No. -� A. P. No.. X0 -11---5y Complete Contract Price J/ DPW Valuation Other (Explain) Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . Sanitation approval from DtL6 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. Mobi lehome Installation Data. . . . . . . . . . •Pre-Inspe .request to (Date) 17. Pre -Inspection for ff Required. B�;1-11 ,9 i 5P ctor 8. Other t� ��GC Fi $ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant icant pp Date f Copy of plans sentHealth Dept., Fire Dept., Other Date During the plan checking process, the tollowing data must be submitted prior to permit issuance. (For required items not checked above at time 010 plication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail /X Other 1-1 � By c�. .4 Date Plans checked by !OLaleA j Date Plans approved by Date Other: Copy—DPW N I GE T0: Buildin; Depart nt FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance 913 9 sn. `fo ner Location qp ff- plann sewage disposal _ water supply Hold fi or: water supply Final clearance O:K. for: Clearance for Z� bedroom m 11hom ther r water supply anitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.i of the Butte County Code requires -this acknowledgement be recorded prior to issuance of a building permit. OFiIgiA�R�G�if�O�. PART SHOWNd. MAY I$ 12 19a+! ELEAtft;ii r•: . 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 arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: The South 169.5 feet of the North 847.5 feet of Farm Allotments Nos. 33 and 34, as shown on that certain Map entitled, "SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO, SITUATED NEAR DURHJNM, BUTTE COUNTY, CALIFORNIA", which'Map was recorded in the office of the Recorder of the County of Butte,State of California, September 17, 1918, in Volume 8 of Maps, at pages 16, 17 and 18. TOGETHER WITH a non-exclusive easement 15 feet in width for an irrigation ditch, together with the right to maintain said ditch, over and along the East 15 feet of the North 678 feet of said Allotment No. 34. ALSO TOGETHER WITH'a non-exclusive easement 20 feet in width for an irrigation ditch, together with the right to maintain said ditch, over and along the North 20 feet of said Allotment No. 33. rto P Ty 0WAJEES State of Calif. ) On this the 18th day of May , 19 84 , SS. before me, the undersigned Notary Public, personally County of Butte ) appeared ■ LUCY t'. PERSHALL • e n ■ NOTARY PUBLIC -CALIFORNIA • • eutteCounty • • My Commission Expires Jan. 2, 1938 • ■ o ■ DOYLE T. SPAIN known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained.' IN WITNESS WHEREOF, I hereunto set my hand and official seal. -Z. No?fir)Public LUCY A. ERSHALL Present A.Y. 1\0. 040-14-0-054--0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your ` earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. X1. I personally plan to pro ide the major labor and materials for construction of the proposed proper rovement (yes or no). 2. I (have/have not) signed an application for a building permit for the prop sed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors,License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name. Address Phone Type of Work X S igr. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- 7 ORKS7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 ' DATE June 11, 1984 Doyle Spain P.O. Box 373 Durham, CA 95938 With reference to the above subject: " Attached is: OTHER RE: Building Permit #1540-84 A. P. # 40-14-54 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs, Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot -plans in " Structural details in Complete plans and calcs in by registered engineer or architect. X Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1�[ OTHER NOTE_ We are unable to qualify dwelling for State Energy law, Will require r reduced glass area and a method of heating water that will produce 0 pointe Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Acting Director of Public Works .F. Glander Chief Building•Inspector jCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT rPERMIT NO. J ASSESSOR PARCEL UMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUAT N WNE SM ILINADD ESS rC ONTRA E O 'SN MTELEPHONE CONTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ on ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 bEach Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. JVBDIVISIJN NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex ❑ Mobi lehome ❑ Other SPECIFYI Building sewer 5.00 Mobile Home S I G I W I I 110-00e I f TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: ,�J/ /� /� — J 5� j�1� �A CJi T P��I� I Is-li[J R`T' Permit Fee — $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service t00 OROR LESS 10.00 Tv���� Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& .1 OR ADDNS. ( ACC. BLDGS. 21 CONTRACTORS LICENSE LAW I declare under pen ty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Businesszo@soa and Professions Code and my license is in full force and effect. License No. Classification 91 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 NEWCONSTR. ULTI.OUTLET NON •R ESID BRANCH CIRC ITS 2,50 ea NEW •CONSTIPOWER APPARATUS .&) & NON -RES ESD. R (SINGL E OUTLET CIR Ex. Occup(o BA TS OR FIXTURES L@ 300 FIXXEEDD APP LNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare under q5enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st id Coun in copse nce ofrthe granting of this per it. y Date �� ignarure of p Iicant — OwnerL Contractor ❑ AgentE' An OSHA perm is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ _751 00 OCCUP, GROUP I TYPE of CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF LIC r BY PE IT EXPIRES Date_. the applicable provi- resolutions to do fees have been paid. WORKS Date —lU Receipt No. CIOU WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)�. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City. Phone Contractors License No. 4. I plan to provide portions,of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:;% Property Owne-r<i�� Social SuriMtub mer Date i� d.. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE ITNO ASSESSOR PARCEL L MBER (� ..,,-O ZOIGIN 5 BUILDING PERM OWNER oG S TELEPHONE 315 5& SQ. FT OCC, BUILDING VALUATION OW E 'S MIN ADDRESS O Lv In 6_1 9513 CONTRACTOR'S NAME TELEPHONE LA,) /V 4 /— _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ` r ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ '7 SO PLUMBING PERMIT Filing Fee 10.00 3 N Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 I bile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: �lbxr5 �r-AA.1 E r e,✓ (��fn3-C 1, �F,,., see nor,,,.. �`� 1511.0-0-4J.ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 L` •%'1 /6 _ QQ Main -service iao0v oR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTOR (CENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Q 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N /t OR ADDNS. ACC. BLDGS. z¢sgft NEW CONST R. U TI.OUTLET 2.50 ea NON.RESID ;ANC.CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCCup�OUTLETS OR FIXTURES SALO ALe30 Ex. OCCUp. FIXED APPLNS. OR OUTLETS (RES( D.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring . g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ave, indemnify and keep harmless the County of Butte against all bilities j dgments, osts, and expenses which may in any way accrue gains said o my in co a uence of the granting of this pe mit. - Date Signature of plicant — O ner ® Contractor ❑ Agent An OSHA per tis required for excovations Over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE . OCCUP. CONST.TYPC SCHOOL FLOOD PARCEL PD No Is5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI (TOR O LIC By AUV �w PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /Q.1A (1)919-7 Receipt No. q// © q WHITC-D.P.W., YELLOW -ASSESSOR, PINIL-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan'to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work - Signed: Property Owner Social Se urit Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to.issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT i PE�iM4TNO. -� A SSOR PA CEL NUMB R ZONING BUILDING PERMIT O�f1J ,p t/ it TELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER' AILING A DRESS G (CLQ-,/az CONTRAC TOR'SNAME TELEPHONE ACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 57,e 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS B Permit fee !$ $ PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 igtW214 &44,1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -Mobile 5.00 Home I S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OthWN:[ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 S AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsine$S and Professions Code and my license IS In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.ei)/zQsgft OR ACDNS. ACC. BLDGS. NEW CONSTFiMULTI-OUTLET 2,50 ea NON.RESID BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL93t Alo so FIXED APPLNS. OR Ex. Occup. OUTLETS (REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood ' 3.00 Ventilation Pelt Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' 'lities, judgments, costs, and expenses which may in any way accrue agai st aid Coun n consequ ce of the granting of this er t. X Date Signature ofp licant — 0 er1K Contractor 1:1 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ . OCCUP. CONST.TYP! SCHOOL I PL000 PARCEL I PD NO I T3S_UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT� B PU ,/ B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. C RKS Date I A43 Receipt No. WHITE-O.P.W., TELLOW-ASSESSOK. PINK-INSPr.CTOR. GOLOENROO-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) (9 S 2. I (have/have not) &,q ✓ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed Property, Owner Social Se ur't umbeii W 4.5D - Date 60 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to�our office before we are per- mitted to issue the permit. II V _ J 1 1 , It COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER 44 0 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION O NER 5 MAILINGIADORES wic ONT A T S E TELEPHONE O TRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fe $ jQQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME [PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: _ 3mLn��,� / �� �'P� !�` f- r� �� _ y[ "� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ��500V Z s OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen y of perjury (CheCk.One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ACC. BLDGS. ( DWELLING OCCUP.a) yzdsgft OR ADDNS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20050tSAL030 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare and penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' bilitIes, judgments, costs, and expenses which may in any way accrue agai s said C unty in co; equencg,of the granting of this per it. X Date Signaturepplicant — 54V Owner � Contractor ❑ Agent An OSHA p it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CO.ST.TYPE _[_71.000 PARCEL PD f ND I [!ISTE This permit is hereby issued under sions of the Butte County. Code and/or work Indic above for which IRE PUB By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS / Data Receipt No. 0S WHITE-D.P.W.. YELLOW-ASSE330R, INR -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works f 7 County Center Drive., Orovdile, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property • provement (yes or no) 2. I (have/have no igned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ✓�! Social S rity tuber,0✓ Q Date ' s NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPART fkNT OF PUBLIC WORKS P MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -5 S _ APPLICATION AUD PERMIT AS ESSDR PARCEL NU BER ZONING BUILDING PERMIT o ER TELEPHONE SQ. FT. OCC. BUILDING VALUATION NE MAI LIN ADDRESS CONTRACTOR'S,qeNAME TE P ON ONTRAC OOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit FeeZZ $ 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking F115e $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ L00 PERMIT Filing Fee 10.00 AO J 6PLUMBING —Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 5 I ISION AME PAR EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 *JWONTRACTORS LICENSE LAW I declare under pea y of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ADDNS. ACC. BLDGS. , /20sgft NEW NON•RESID R. BRANCH CIRCTITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu AL@ Occup(OUTLETS OR FIXTURES 6zL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare and enaity of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. KI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above informationrergy 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 againstUP. ments, costs, andexpenses which may in any way accrue all I' bi�douu" agai s in conse� enc, of tj�e granting of this per i . X Date ( Signature of plicant — Owner �. Contractor ❑ Agent ❑ An OSHA per it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. bile Home Installation Fee Inspection Fee $; TAL PERMIT FEE CONST.TYPEJ I IFLOODIPARCELI PD [WIDT'g-SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECT =ate BY PERMIT -PIRES Date the applicable provi- resolutions to do fees ve been paid. KS R/� �i`7 Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 3 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, ®rovile, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/L�t) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ City Phone Contractors License No. 4. I,plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Da" SocialSec rity umbEU Date 5'✓ i . NOTE! This Owner -Builder Verification is sent to you as required'by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are I per- mitted to issue the permit. AFI_ID.AVIT OF CO_iPLIANCE. WITH COUNTY OPDINANCE 227.7 (ADDITIONAL DIAELLING IN SINGLE FM-ILY RESIDENTIAL ZONES) 6- y C Ap1)1icant Date ZO M/4�—--g 9ldg. Permit N r_''`!moi! .othat the dwelling uild' g�'Jermit v _) at address (present) on AP`s,` is intended for the sole occupancy- of one adult or two—adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 610 square feet. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Sion Date AFTI DAVIT OF COMPLIANCE WITH! COUNTY Of?DI' ANCE 2277 (ADDITIONAL M'.ELLIT;G IN SINGLE FAMILY USIDENTIAL ZONES) Applicant `--- Date 14� Z APL/ -.P — - l dg . Permit k _ I '� — ' _ do declare, that the dwelling (Bui in P mit ) at address (present) 'den AP J� �. %C�`- (rJ -., ®fps intended fo the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 610 square feet. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Signed Dated RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. A.P. A. GENERAL ' L/ Zoning requirements (sideyards and parking). °� Valuation. Signature by R.C.E. or Architect (if required). B. PLQT PLAN Complete parcel size and dimensions:" v Setbacks, sideyards, easements, etc. Other buildings or structures. -110 Grading, fills, drainage. Permit # C. FLOJOR PLAN omplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1405). '. -uired windows for second exit (Sec. 1404). owable glazing for energy requirements (20% max. per State law). �.quir'ed an impact glass (Sec. 5406). room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles echanical equipment. for maintenance of Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1`� rage firewall, door,size, and closer (Sec. 503(d)(4)). . 1�- 3'0" exterior exit door (Sec. 3303d). X12 �jFireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS � undation plan complete enough to construct building. oor construction details.complete enough to construct building. ations and wall construction details complete enough to construct building. -Roof construction details complete enough to construct building. eplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISC NEOUS ITEMS TO LOOK OUT FOR CX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). c -or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706 & 4708). per roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. ��Adequate bracing. Living area over garage - complete 1 -hour separation required including'supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). etl) ��ak z&71 I-- . ❑ *2 (6) DOMESTIC WATER SYSTEM (A) Gas Only (brand and model number) Heat Pump w/Electric Backup Gallons (tank size) Active Solar FORK 1 Gallons (tank size) (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) (collector tilt) ❑ Location of Solar Panels Other Slss �c"w �'el re Pe- oC (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 T2O-14O8(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 not 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 O?Z °, elevation S""f - ', heating load //. L BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU ASSIZINQ Cooling: Summer design temperature/Del °, cooling load ,��,,SU0-i-eNG N4AY VAD-CFn'Ct *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 SI NATURE F BUILDING DE GNER OR APPLICANT 3 13 ❑ *2 (6) DOMESTIC WATER SYSTEM (A) Gas Only (brand and model number) Heat Pump w/Electric Backup Gallons (tank size) Active Solar FORK 1 Gallons (tank size) (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) (collector tilt) ❑ Location of Solar Panels Other Slss �c"w �'el re Pe- oC (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 T2O-14O8(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 not 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 O?Z °, elevation S""f - ', heating load //. L BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU ASSIZINQ Cooling: Summer design temperature/Del °, cooling load ,��,,SU0-i-eNG N4AY VAD-CFn'Ct *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 SI NATURE F BUILDING DE GNER OR APPLICANT 3 _ rV FARM 1 �r ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight 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)"'.7 -Heat ing ❑ Central Gas Furnace /, (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 ❑ Electric Air Conditioner (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. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. 1 ' ❑ (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 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM 9 I Owner%d�, fp��� Climate Zone Permit No. �1ASIPecl- Floor Area Compliance path: Package ❑ A ❑ B ❑ C 6 Point System ❑ Budget 0 Other MIN R -VALUE DESCRIPTION REQ' D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling ® Wall 13 ❑ Slab Floor Perimeter ® Raised Floor A AA (2) INFILTRATION• ❑ (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. ® (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripoed. Tight - the above standard features plus: r3U17E COUNTY ❑ (D) Continuous infiltration barrier "UILDI ❑. (E) Electrical outlet plate gasket N ��, ❑ (F) Air-to-air heat exchanger (3) GLAZING: " V� .(A) Location Area Glazing %Floor Area Single Double Triple ® Total Bldg ,/ 602 ® North CTA ,B _ ® East all ❑ South ® West �y x ❑ Skylights (B) Shading Shading Coefficient Description 13 13 0 A 0 7/83 East South l L West Skylights (C) South Overhang Length of projection _ 2 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. HC= R= MC= Location Z E 11 POINTS OWNER e" ASSIGNED ACTUAL PERMIT N0. 1. SLAB - INSULATION NONE 2. RAISED FLOOR - R-19� 3. CEILING - R-30. (� 4. WALL - R-19 5. NORTH GLAZING - 2.4-3.6% rSi6 • 6. EAST GLAZING �� }� 2.5-3.6% S^r'7- 0 7. SOUTH GLAZING - 1.6-3.6% 8. WEST GLAZING - 2.9-3.6% 9. SKYLIGHT - 0-1.3% 10. SHADING (Exclude Overhang) EAST .67-.82 I! SOUTH-" . 19- . 42 WEST :7� .13-.36 .SKYLIGHT - .3J -.57r-- 11. HORIZONTAL SOUTH OVERHANG 2' U 12. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12)�- 14. THERMAL MASS SF v� 15. GAS FURNACE (SE) 71-76% 16. HEAT PU11P (EER) 7.5-7.9% ys + 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% 13. ACTIVE SOLAR 60% MIN (NONE) --------- 19. ZONALLY CONTROLLED ELECTRIC �- 20. SOLAR WITH GAS BACKUP (HW) 21. OTHER - NO ELECTRIC (HW)� I3 ITE11S SHOWN - ZERO POINTS Table 3-1. Slab Floor Points 7-"'r, able 3-2. Raised Floor Points Insula- I R -Value of Insvlstion I I R -Value of 1 I I Dept 1 Ineulatioo 1 Depth, __7 i I Inches i 0- 3-4 ! s-6 I 7+ 1 j --- I I I I 1 1 I below 3 10-111-5 I-5 I I-5 I i s -i I 12 - 15 I -5 ( -3 i -2 -1 I 1 8 - 12 11§-191-5 !-2 I-1 I I 1 13-18 I 20 + I -5 I -1 1 0 1 +1 1 __ x.19+ Points Table 3-3a. Ceiling Insulation Table 3-7. South -Facing Clazin Pte Table 3-10. (Shading Coefficient Points Points 1 I Glazing Type I 1 SC by I I.R-Value of Insulation ( Points 1 1 • Total I I 1 Orten- i Z Floor Area I of i Sngl, Dbl, Trpl, l tat an I I Floor I (U - I (U - I (U ( 19 1 -4 1 I Area 1 1.10) 10.65) 1 0.41)1 I 22 1 -2 1 I I oints 1 oints I ofntsl I East I 1 3.2 1 I 30 -- I o I +3 + 4 3 1 1 0-3.1 I to 16.4 up I 38 +2 I up to +2 +2 I +2 I i I I 6.I I I 49 I +4 I i 1.6- 3.6 I -1 I 0 I o I I I I 3.7- 5.2 I -4 I -2 I -2 I I I 5.3- 6.5 I -6 1 -4 i -3 1 1 0 -.19 I 0 I +1 I +2 I 6.6- 7.7 I -9 I -6 I -5 1 1 .20-.36 I 0 i 0 I -1 ( 7.8- 8.9 i -11 1 -8 1 -7 I I .37-.66 1 0 I 0 1 0 I 9.0-10.0 1 -13 1 -10 .1 -9 I 0" 1 -1 Table 3-4a. Wall Insulation Pointe 110.1-11.5 I -17 I -13 I -11 1 ( .83 up 0 1 -1 ( -2 1 11.6-13.0 l -21 I =16 1 -14 I I 1 R -Value of Insulation I Pointe ! 1 13.1-14.5 1 -25 1 -19 I -16 I 1 I 1 14.6-16.0 I -28 I -22 1 -'.9 1 1 South 1 0 1 3.2 16.4 ( 8:0 1 9.6 I I I I 1 1 I to Ito I' to I to I up I 11 -7' 1 1 13.1 16.3 1 7.9 19.5 I 1 0 1 Table 3-8. West-FacingGlazin Pts. 1 3o j +3 j j Total Glazing Type 1 l o `18l o l +i I +2 I +2 I +3 I .19-.4z l o l 0 1 0 1 0 1 0 I Z of I Sngl, I Dbl, Trpl, 1 .43-.66 1 0 1 -1 I -2 I -2 ! -3 1 Floor I (U - I (U • I (U - I i '67 up I 0 ( -2 1 -4 I -4 I -6 Table 3-5. North -Ficin Glazing Pts I Area 11.10) 1 0.65) 10.41)1 T--"`� I 1 oints I gents 1 ofntsl West 1 .1 11.6 1 3.2 1 6.4 1 9.0 I I Glazing Type 1 p +6 +6 +(, 1 to 1 to I to I to I up 1 Total I I I up to 1.3 I +5 I +6 I +6 I 11.5 13.1 1 6.3 1 7.9 1 1 Z ofSngl, Dbl, Irpl, 1 1.4- 2.2 I +3 I +4 ! +5 ! I I I I 1 I Floor l u- I U- I U- 1 1 2.1- 2.8 I 0 1 +21 +3 I 1 Area 10.66 ! 0.42- ! 0.41 I I 2.9- 3.6 I -3 1 o f +1 ! 0-.12 1 0 1 +1 1 +3 1 +6 1 +7 I 11.10 10.65 1 down I I 3.7- 4.2 I -5 I -2 I 0 1 .13-.36 I 0 1 0 1 0 I 0 1 0 0 a 4 4 4 + 4 I 4.3- 5.0 I -8 1 -4 ( -2 ) .37-.57 I 0 1 -1 1 -3 I -6 I -7 ( 0.1- 1.2 ! +4 ! +4 ! +4 I 1 5.1- 5.6 I -10 I -6 1 -4 -.E2 -1 1 -3 1 .-6 I -12 I -15 1 1.3- 2.3 1 +1 I +2 I +2 1 ! 5.7- 6.2 I -13 I -8 1 -6 1 .83 up -2 1 -4 T -8 i -16 1 --20 1 2.4- 3.6 I -2 1 0 1 +1 1 I 6.3- 6.9 I -15 1 -10 I -7 I I 1 1 I I I 3.7- 4.8 I -4 i -2' I -1 I I 7.0- 7.6 1 -18 I -12 I -9 -3 I I 7.1- 8,2 1 -20 1 -14 ! -11 1 Skylight 1 .1 1 .8 1 1.6 13.2 1 4.0 -5 I 1 8.3- 8.8 i -22 I -16 1 -13 I I to I to I to I to I to 1 7.4- 8.2 i -12 I -8 I -7 1 1 8.9- 9.5 I -25 I -18 I -15 I 1 7 1 1.5 13.1 1 3.9 15.2 1 8.3- 9.7 1 -14 I -10 I -8 I 1 9.6-10.1 1 -27 -20 ! -16 I iT- I 9.8-10.8 1 -17 1 -12 I -10 1 ! 10.2-11.0 1 -29 1 -23 I -17 ! 0-.12 1 0 1 +1 I +3 I +6 I +7 110.9-12.0 I -19 I -14 1 -12 I ! 11.1-11.8 I -35 I -26 1 -21 I •13-.36 1 0 1 0 1 0 1 0 1 0 1 12.1-13.2 I -22 I -16 I -13 I 111.9-12.7 I -38 I -29 ! -24' ! .37-.57 1 0 1 -1 I -3 1 -6 I - ( 13.3-14.5 I -24 I -18 I -15 I 112.8-13.5 1 -42 ! -32 1 -27 ! .58-.82 I -1 ! -3 ! -6 1 -12 I -, 14.6-15.3 i -27 i -20 i -17 i 1 13.6-14.3 1 -46 I -.35 1 -29 1 .83 up 1 -2 I -4 1 -8 1 -16 1 -20 114.4-15.2 ( -50 I -33 1 -32 i I I I l I I ! I I ! Table 3-11. Horizontal South Overhane Points Table 3-9. Skylight Points I South Glazing Table 3-6. East -Ficin Glazing Pts. I Length Out I Area, Z of FloorT- T I 1 ( Glazing Type I I from Wall I I I 1 Glazing Type I I Total I I I ft j- -1 Total I I I Z ofSngl. I Dbl, Trpl, 1 1 0-6.3 1 614 up 1 1 Z of I Snsl, Dbl, Trpl, I Floor - l u- 1 Q- I I I I I Floor 1 (U - 1 (11 - I (U - I I Area I 66- 10.42- 10.41 i 0 - 0.5 -2 -4 Area l 1.10) 1 0.65).1 0.41)1 1 11. 10.65 I down I 10.6 - 1.0 I -2 1 -3 I 1 1 oints I ofnts i oints! 11.1 - 1.9 I -1 I -2 I 11 0 -fe + +4 +� I up to 1.3 I -1 o I 0 I I 2.0 up I 0 I 0 I I up to 1.3 I +3 I +4 I +4 I i 1.4- 2.2 I -3 I -2 1 1.4- 2.4 I +1. I +2 i +2 I 1 2.3- 2.8 I -6 1 -4 I -3 1 Table 3-12. Movable Insulation 1 2.5- 3.6 1 -2 I 0 1 0 1 I 2.9- 3.6 1 -9 I 1 -5 ( Pointe I 3.7- 4.6 I -5 1• -2 1 -1 I I 3.7- 4.2 I -11 1 -8 i -6 I I 4.7- 5.6 I -8 1 -4 ( -3 i I 4.3- 5.0 I -14 1' -10 -8 1 I Moveable Insulation") I I 5.7- 6.7 1 -10 I -6 1 -5 1 1 5.1- 5.6 1 -16 I -12 1 -10 I I Area, Z of Floor I Points 1 1 -7 I 1 5.7- 6.2 1 -19 I -14 1 2 1 1 1 1 1 7.8- 8.7 ( -IS 1 -10 I -8 '1 1 6.3- 6.9 I -21 I -16 I - I 1 I 8.8- 9.7 I -1.7 1 -12 1 -10 1 I 7.0- 7.6 I -24 I -19 I -15 I 0- 5.5 1 0 I 9.8-11.2 1 -21 I -15 I -13 I 7.7- 8.2 I -26 i -20 I -17 I 1 5.6 - 11.5 1 +2 i 111.3-12.7 i -25 i -18 1 -15 1 i 8.3- 8.8 I -28 I -22 ( -19 I 1 11.6 - 17.5 I +4 I ( 12.8-14.0 1 -28 I -21 I -18 I 1 8.9- 9.5 I -31 i -24 I -21 I 1 17.6 - 23.5 I +6 I 14.1-15.3 I -32 I -24 I -20 I I 9.6-10.1 I -33 I -26 I -22 I I >23.6+ 1 +8 i. -t------ I-- - I---- - ------j--A- .-- J-- Table 3-13- Infflttation Control Fer.tares Points I Control Features 1 Points 1 T- I I I Standard I 0 1 I 1 I 113.9 air changes per hr I I I I I Tight i +12 0.6 air changes per hr 1' I i I I Table 3-15. Cas Furnace Without: Refri¢eratlon Cool!re Points I Seasonal Efficiency I Points I i (SE), t 1 I I 71-76 1 0 1 I 77 - 82 1 +2 1 I 83 - 88 1 +4 1 1 89 - 94 ) +6 1 95 up i +8 I 8.8 - 9.1 I Table 3-16. Peat Puma Points I Energy Effic!ency I Points I I Patio (EER) 1 1 I 7.5 - '.9 . I +3 I I S.0 - 8.3 _ I +6 f l I 8.4 - 8.7 I +9 I I 8.8 - 9.1 I +12 I 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 1 +24 I 11.6 - 12.3 I +27 I 1 12.4 - I 13.2 I I +30 1 1 Table 3-17. Cas Furnace With Refriveration Coolin¢ Points 1Refrigeracion1 Gas Furnace I Cooling I SE ; 1 I171-177-183-189-195 I 1 761 821 881 941 up 1 1 8.0 - 8.3 1 0l +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +•41 +61 +91+10 1 1 8.8 - 9.2 1 +41 +61 +81+101+12 1 1 9.? - 9.7 1 +61 +81+101.121+14 1 1 9.8 - 10.3 1 +81«la1+121+141+16 1 1.10.4 - 10.9 i+lol+L2i+1:1+161+18 I 1 11.0 - 11.6 1+121+141+161+•181+20 1 1 1 1 I 1 1 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) - INTERIOR THERMAL MASS POINTS MASS DWELLING ARFA SQUARE FOOT AREA 1,000 1,500 2,000 1 2,500 I 3,000 , 3,500 1,000 I 4,500 5,000 1 SQ. FT. I A 8 C D A 8 C 0 A 8 C D A 8 C D A 8 C D A 8 C 0 A 8 C D A B -C D 11 -j- c 0 5o 2 2 2 2 2 2 2 01 2 2 2 0 0 0 0 0 0 0 0 0 0. 0 0 0 0 0 0 0 0 0 0 0 0.0 0 O 100. 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. 0 0 0 ISO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 7 2 2 2 2 2 2 2 2 2 0 2 t 2 0 2 2 2 0 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 Z 2 2 2 2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2' Z t 0 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 Z' 2 2 2 2 2 2 2 2 2 2 300 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 2 350 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 7 2 2 T 2 400 14 14 12 8 10 10 8 6 B 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 1 { 2 4 / 2 2 4 4 2 2 500 18 i8 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 2 4 / 4 2 4 4 4 600 22 20 18 12 14 1{ 12 8 12 12 10 6 10 10 8 6 8 8 6 1 8 G 6 4 6 6 6 / 6 6. 4 2�. 6 6 4 2 1 700 1 24 ZI 20 i! 18 16 1>f 10 14 14 11 D 10 10 10 6 10 10 8 6 8 8 6 1 8 6. 6 4 6 A 6 41 6 6 5 7. i 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 I ? 6 6 < 8 6 6 41 6 6 6 s I 900 28 28 74 16 122 20 18 12 16 16 14 10 14 1! 12 8 12 12 10 6 10 10 3 6 I a 8 '8 4 0 8 6 4, 8 8 6 -c 1,0.0 30 JO 25 18 ?2 20 20 11 18 18 16 10 II 14 12 8 17. 10 6 12 10 1010f086 8 8 0 41 8 6 41,100 32 32 28 .0 74 24 22 14 20 20 18 10 16 16 i! 8 1112 4 14 12 8 12 12 10 6 10 10 10 6 10 10 8 EI 1J r f 1.200 31 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 112 'it 12 10 6 10 10 B 6 10 in 8 61,'300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 lu 14 1/ 8 14 12 12 8 12 10 6 12 10 10 6� 10 ;o F. 6 I 1,400 34 34 32 24 28 28 26 18 24 24 20 ld 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 I' :G E, ,0 10 10 E I 1,500 136 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 1816 10 16 16 14 8 14 14 12 tl 17 12 10 t.1 li IZ 1 e i 2,000 34 34 32 22 30 30 28 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 -16 i4 G 14 14 12 E 2,500 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22. 14 22 22 13 12 20 2G 18 !'-I 19 I; 16 'U 3,000 34 32 30 22 30 30 26 18 28 76 24 16 124 24 22 14 22 22 20 14, 23 1 li i 3,500 32 32 30 20 30 30 26 ld 28 28 24 16 26 24 22 14 I `4 ,4 20 14 4,000 32 32 30 20 ! 30 30 26 18' 20 28 24 iE 2(Y Z5 2z iF 1,500 132 32 28 20 30 30 26 Itj 5,003 72 t7 zi 201 13 'u 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•.13; Factor -7.3 8) 1. 5%' Concrete Slab: HC -14.106; 5•.458; Factor•7.1 wood stove C t. 8- Solid F1 ed Block: HC -20.63; R-1.93; Faceor•6.1 #33 poinEs'(no back up) 2. 8` Solid Filled Block With Both Sides Exposed To Conditioned Air, Casablanca fan + 1 point NOTE: Use all square footage directly exposed to conditioned air forThermal',Hass Area: IIC-10.164; R-.965; Factor -6.1 0) 1` Thick Concrete/Tile: HC -2.55; R-.083; Factor -3.7 Table 3-19. Zonally Controlled Electric Resistance Space Reatin¢ Points I Points for this measure w!11 I Table 3-20. Solar Dater Heatinz With Cas Backun Points I be completed after the CEC 1 1 has approved an Alternative I I Component Package for Resistance I I Ueat. I Table 3-18. Active Solar Space Hestine with Cas Pointe Net Solar Fraction I Points (NSF), % I - 1 I I I 0-6 I 0 l I 7 - 14 I +2 I 1 15 - 23 I +4 I I 24 - 30 1 +6 I I 31 - 39 I +8 1 I 40-47 I: +10 I I 48 - 55 1 +u 1 I 56 - 63 I +14 I I 64 - 71 ( +18 . I' 72 up I +20 I 1 1 I tifamtl (er unit olnts) oor Area fpe Net Solar Fraction (NSF), ; r unic, ft 2. 1 Cas Only i 0 Beat Kamp 1 i 0 - I Resistance Backup I I 1 Meeting the Require- I 1 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 2,r00 and u 0 0'1 +1 +1 +3 +2 +4 +4 +6 +S +7 +5 +8 +7 +10 +9 All others (pe, build ngpoints) 8U0-899 0 +5 +10 +14 +19 +24 +:9 +34 900-999 0 +4 +9 +13 +17 +11 +26 +30 1.00D -F, 199 0 +4 •1.7 +Il +15 +19 +22 +26 1,209r1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +16 2,000-2,999 0 +2 +3 +5 +7 +8 +10 +ll 3,000 ar.d us O +1 +3 +4 +5 +7 +9 +10 I Table 3-21. Othstr Water Eeatlne Pts. I System Type I I Points I I I 1 Cas Only i 0 Beat Kamp 1 i 0 1 Solar with Electric 1 I Resistance Backup I I 1 Meeting the Require- I 1 menti Its Part 'a i 0 I EleccrLt Resistance I 1 1 Daly -40 ) GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) (aj _ x 4.0,0 C/o = 52- _ (b) x = (c) x = (d) x = (e) x _ Total North Glazing = 32 _ (SQ.FT.) (a+b+c+d+e) TOTAL NORTH TOTAL BLDG GLAZING FLOOR AREA G3� x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR NORTH GLAZING FORM 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) �_ x ua 16 (b) —� x (c) x = (d) x = (e) x = Total East Glazing 3t,; (SQ.FT.) (a+b+c+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING 100 0 7.e 3 c- x 100 a % SQ.FT. . SQ.FT. 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) (a) x = (b) _� x = (c) `x, _ (d) x \ _ (e) x \ _ .'.:Total South Glazing (SQ.FT.) (a+b+c+d+e) \\ TOTAL SOUTH TOTAL BLDG. GLAZING ' FLOOR AREA --, u - x SQ'.FT. SQ.FT. CONVERSIONAL `/. FACTOR SOUTH ZING 100 = '/ 3-9 Skylights QUANTITY SIZE AREA (a) x = (b) x = (c) x = Total Skylights = (a+b+c) TOTAL SKYLIGHT TOTAL BLDG GLAZING FLOOR AREA SQ.FT. SQ.FT. OWNER PERMIT NO. 7/83 (SQ•FT. ) (SQ.FT.) CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING x 100 = 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) —_ x (b) x (c) _ L_ x Lli, vd = (d) x (e) x = Total West Glazing --� (SQ.FT.) (a+b•+c+d+e ) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA- FACTOR WEST GLAZING ,. _ x 100 SQ.FT. SQ.FT. 1+b 6) uv �3� f.�Sqy 7% PERMIT NO. 4594-77B,P,E,M r PERMIT EXPIRES OWNER Doyle Spain !C". CONTR. noner ���g� C 40-14-54 d LOCATION (A.P. ) y W/S Esquon Rd. app.6/10 mi.S.of Durham -Oro Hwy, f 4!� . T` 1 6 Temp. Power Pole Called PG&E Temp. Elec. Serv. n/ Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Dat (Signature) 3`: r CERTIFICATIONS As required by the State regulations, -both the builder' and the insulation applicator must sign a card certifying that.:the proper "R" values for all insulation locations have been installed. An example of a certification card, which is furnished by the builder or insulation applicator is shown in Fig. 13. THIS IS TO CERTIFY TWIT INSMTION HAS BEEN %NSTALLED IN CONFOR'JM WITH THE CURRENT ENERGY REGULATIONS. CAL fORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: u may/ Yeeum or r rac o. �f �•C/ EXTERIOR WALLS Manufacturer Thickness/Type d R value CEILINGS Batts: Manufacturer " ' Thickness R Value Blown: Manufacturer . Thickness.. . ... Sq. Ft. CoveredaR value FLOORS Manufacturer.: Thickness/Type R value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer/? Thickness/Type R value GENE CONTRA R Uw-J_, LLICENSE NUMBER BY TITLE DATE INS IWCONTRACT R ENSE NUMBER _ BY` TITLE DATE_ ...Fig. 13 8-14 ;A 1 CERTIFICATIONS As required by the State regulations, -both the builder and the insulation applicator must sign a card certifying.that the proper "R" values for all insulation locations have been installed. An example of a certification card, which is furnished by the builder or insulation applicator -is shown in Fig. 13. THIS IS TO CERTIFY THAT INSU4ATID4 HAS BEEN INSTALLED IM CONFO&MANCE WITH THE CURRENT, ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: EXTERIOR WALLS Manufacturer l92 s Thlckness/Type R Va CEILINGS Batts: Manufacturer70 to ifni'"a Thickness R Value •....• Blown: Manufacturer . Thickness.No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS .• . Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Fig. 13 . 8-14 R value NUMBER �) ` ATE cJr1' 7 NUMBER ATE � �iCJ Y u�� Y �� o r .. �� . _ ..� - + ., ' -. J � ' .. t ��. �- � 4 .� �. � � - � , � _ ♦ \ i �� s �_ - 1 COUNTY OF BQAfTE —' DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD UILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil PipingV pp Forms Parapets ? 1 1st Floor S -� Main Bldg. Restroom Finish 2nd Floor . Footin sWindows — % s= 2 3rd Floor Stemwall Slab z SidingTo Root Sheathing out Water Piping 7 Piers a Z Roofing --% Sewer 'f�--/S-- • Garage Fdn. Vents ,— / Fixtures Footings �, Stemwall . Garage Vents "'—�— Insulation --I -- Water Htr. Heaters " Slab Q Carport Footin s Slab Prov. for ph sically handica ed Conformance of ex. structure Final ; A I Gas Piping I Temp. Gas — Sanitation Patio Footings FIREPLACE Footin A# Final X-1-1"-5-----, ELECTRICAL MasonryWalls Throat�- Rou h ���� —7 % Relnf. Steel Final -J Fixtures l Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh iz —�J MECHANICAL Gird. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath / 5--�$' Ventilation Permanent Door Closer Final Final MOSILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS oN 0 - v ACA. An ry us a made on 45 i ime you v it the job site.)& TO: Building DeparUment FROM: Environmental Health RE: Sewage and/or Water Clearance A �b Sha f. t � , Has been approved for: Era DT �S f.LOCIATIO d ` 4ZCD'/`t SS AP NIABEER . Sanita.ri n Date 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Qrovi;lle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. sf X Date / �ioqtu,e of Pe,.ity or Agents Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated, above for which fees have been paid. DIRECTOR F PUBLIC WORKS BY Date -7 ilding permit expires Date �7 J' BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address r .Tele hon Fireplace F Contractor Total Valuation i Mailing Address / Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ '0' LQ 116 Building Address (,L} — PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 (y Each Trap 1.50 r W Repair drainage or vent piping 1.50 Water piping 1.50 Loning Verification QWJ Each gas water heater or vent 1.50 A. P. No. — L-' '-� Zo Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fiw<W` S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 �Q© EQA ParkingParcel Plans Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. s Rec c pd Parrovol Plapprov ns al Permit Fee $ & j NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE i PERMIT FILING FEE $3.00 Main service 101V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family g]"� Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. / I O CUP. &) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & D. (SINGLE OUTLET CIR. NON-RESIR CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25¢ BAL@1 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 00 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 , 00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 4JI, TOTAL PERMIT EE A authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. sf X Date / �ioqtu,e of Pe,.ity or Agents Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated, above for which fees have been paid. 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