HomeMy WebLinkAbout040-170-1141
FAILURE TO FINAL 60-640 SINGLE FAMILY
3/30/94 ........................... a
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40-17-114
MICHAEL D. SCHMALJOHAN _ pp
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1960 Reed Lane, Durham
PErmit#90-88A A ricultural Bldg Exemp {� p
TYPE IT PERMIT NO. PLAN NO. DAT REMARKS
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' P°��� Va 0-17-114
lmit#4023 88B,P,E,M(n single fam-
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40-17-114
Permit#3606-89P,E(relocate elec & gas)
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0407170-114 92-2594B [
SCHMALJOHANN, Michael
1960 -Reed" LN;`
complete/88=4023:&.89=3606v
` 040-170-114 01-2327
SCHMALJOHANN, MICHAEL-
t 1960 REED LN, DURHAM
ELEC SERVICE CHNG & REROO r
I U
PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
j DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT �I
f BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D -DEMOLITION
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COUNTY OF BUTTE - DEPARTMENTrOF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 1' APPLICATION AN® PERMIT C7/ �3, `,
ASSESSOR PARCEL NUMBER
040-170-114
ZONING
BUILDING PERMIT
OWNER
MICHAEL SCHMALJOHANN
TELEPHONE
529-6510
SO. FT. OCC. BUILDING VALUATION
22 ' 00
. OWNERS MAIUNG ADDRESS
16.215 SKYLINE DR RED BLUFF
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1320.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1960 REED L R
Energy Plan Checking Fee
$
$
PERMIT FEE
S 53.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF CK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other]
Describe Work: C SERVICE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
020.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service .OA OR LESS
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
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 6 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 H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith com ly with ose pro Bions.
----� Date 09-1-7-01
ignature of ppiicant - wner ❑ Contractor ❑ Agent
kAnOSHA ermit is require for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING UP. ffSO
OR ADDNS. ( a ACC. BLDS. 3.50FT.
R61D T.MULTI-OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FDRUREs 20 @' 00
aAL p .so
Ex. Occup.DUT { MED � galD) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PRE INSP 23.00
PERMIT FEE t $9.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 142.00MM�
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISSU
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.
to /6 Q /
Dete
¢qr0
Receipt No. 2
WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT
• -----
• yr wcvtLUPMEN I SERVICES - BUILDING DIVISION
� 7 County Center Drive Oroville California 95965 Telephone (530) 538-7541
(Rev. 12196) APPLICATION AND PERMIT PERMIT NC
�/3���
N!!t•OR IARC0. NUM6q
0 ZONING
BUILDING PERMIT
OEYNQR TNo
P� C. V/1 a. 0 010 SO. F. OCC.
DWNOs NO Z
LUATIONO
CONTRACTOR'! �/� •/-�'
r -11Y L � C) �.' Tie! NE
NrRACP ✓
COTOR 9 LM UNO AOORE!! Q
OONSTRUCi10NLENDER
UNDO" MNUNO ADORUI
Fireplace 0 v
ARCNrMCTORENODEEA uceNse No. Total Valuation b
Filing Fee S 20.00
ARCNrtECi OR ENOlIEfJ17 MAllrq AODREBs
Permit Fee S ��
rSF
G ADDRESS / O Plan CheckingFee S
(� �P Energy Plan Checking Fee S
$
SUSONgbN'SNAM6 PARCEL MAP PERMIT FEE _
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE Each Trap7.00
Solar or heat um water heater 23.00
Duplex ❑ Nbbllehome O Other
!PIECIFY Water piping 15.00
TYPE OF WORK Each gas water heater or vent 15.00
New ❑ Addition O Remodel O Utilities O sUpation ❑ Other Gas pipingstem 1 - 5 outlets 15.00
Describe Work:
_ , Buildingsewer 15.00
�� (/ I j C L, Mobile Home S G W
020.00
! PERMIT FEE S
ELECTRICAL PERMIT Filln Fee 20.00
— — — -�— Main Service 1 '111 F v
200A OR LES! 23.00
Main Service 200A TO IOOOA 46.00
NEW CONST. DWEUJJO OCCUP.
ADDNS.
A ACC. Bios. 3.500.
OR
OR AD SIo. ' MULTFOun u
@7.50
POWER APPAMTUS
8 S•IOLE OUTLET CII.
Ex. OCCU OUTLET OR :LCTIIRES 2001.00
I BAL. .SO
I
EX. OCCU. OVrUrS JAM.D OR
5.00
1 Temporary Service 23.00
I
Mobile Home Facilities 20.00
., Misc. Wirin
_ 23.00
Z
FEE
l �-( Z
*PERMIT FEE PAID � � MECHANICAL PERMIT Fling Fee 20.00
SRA - Heating
Cooling
SHERIFF Hood 8.50
OTHER Ventilation
PERMIT FEt S
Mobile Home Installation Fee S
Energy Inspection Fee S
oCC CONST. TYPE QT7
AMOUNT RECEIVED I Z O IKAZTOTAL FEE s
• D. fEW IMP 11000 COF PARCEL PO ND ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
*RECEIPT , M ! u gER Indicated above for which fees have been paid.
" TO ISE PVT INTO COMPPtnTRv By
Date
PERMIT EXPIRES ON
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 dela;
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
L' I personally plan to provide the major labor and materials for construction of the proposed
. . property improvement : YESV19 . NO 13 .
2. I HA►VEQ- HAVE NOT ❑ signed an application fora building permit for the proposed work.
3. I have contracted with the following person. (firm) to- vic�. be•.proposed construction:
• NAME. ..,, .. .,S.
ADDRESS: CITY:.
PHONE: CONTRACTOR'S LICENft 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: CONTRACTOR'S LICENSE NO. }
5. I will provide some of the work*but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE • 09— /7—Q/
NOTE: This Owner -Builder Verification is required by Section 198.31 and 198.32 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
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An appikation for a building permit has been submitted in your time listing yourself as the builder of property
improveamn specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and, to have'a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. t
If yowl pled to dofjp�uir own'work with the motion of various trades that you plan to subcontr ac4 YOU should
be aware of the following Information for your benefit and protection: '
s If you employ or otherwise engage any persons other than your immediate family, and the work (inchtdhig materials
and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer,. you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ 'there may be financial risks for you ifyou 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 Administra'tion). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by 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.
rely,
�6A- ,
M
IC
el C. Vi ira, C.B.O.
ger,Building Inspection
NOTE. This Owner -Builder Information Is required by Section 19810 of the CaWornia Health and Sujery Coda
OVER
PRE -INSPECTION REPORT
OWNER'. -.SC-
JMC,
cx V
LOCATION: -
( q-
b Q
&po
CONTRACTOR:
PRE-INSPETION FOR: ([`�,`�� 1 C �J �?rj,1Cp C'J
DATE TO INSPECTOR PERAHT HISTORY:( ) NONE
Building Description:
DATE: `" l
A.P. # .(��'�O� 00 "I
ZONING:
K AS FOLLOWS: 7 i?
BUELDING WSPECTOR'S REPORT
Ca�nma+ciaUUsage: .
ResidentiaU# of Units:
Currently Oocupied .
Abandone"acsnt
Electric:
Yes_ No
Condition of Electric
Gas:
Natural Propane
Obvious Problems:
Sanitation:
Electric currently On d Off
None Currently On Off
Plumbing Working
Well Working Potable Water
Obvious Sewagehoblems
ACTION RECOMMENDED: ISSUE: V HOLD FOR
Inspector:_. il��
Date ` . ((
A
4 ,
Sketch buildings on reverse�'and indicate location on property.
I
[W.
7:t
dl
Er ironmental Health
SUBJECT: Sanitation Clearance
Owner
; " z
Location r AP#
Plan Approved for: Sewage Disposal-�Water Suppl
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other 0 -
NOTE
Sanitarian
Date
I am aware of the provisions of Section 3700 of the California Labor Code. Compensation Insurance.
S \ 1 u ,
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PErmill
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40-17-11
PErmit#592-90B(Ist
renewal/40-23-88)
040-170-114
`a.VM-1-1
Mtu'
92-2594B
SCHMALJOHANN,
Mi'
chael
1960 Reed
LN,
Durham
comple*te/88-4023
&
89-3606
040-170-114
01-2327
MICHAEL
SCHMALJOHANN,
01
IRE
960
ED LN,
DURHAM
'�::P SERVICE
C HNG
REROOt;
ELEC
4��e --A' �-
- - Mo. Wl
py:
51�
Ron M. I
rl-a.m-
VIOLATION CHECK LIST
A.P. # 040-17-0-114 Address 1960 Reed Lane, Durham
Owner Michael D & Connie J Schmaljohn
Owner's Address Same
Owner's Phone No. 342-0918 Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
Failure to final 60-640 (originally started in 1988
Specific Plot Plan with C/V Noted _yes no Penalties Required
1st. Notice Sent 4/21/94 2nd. Notice Sent 6/21/94
ate Date
Comments and/or Determination
27 JuuE q+-
-f 0 r-A",n
Disposition
For Citation _ Citation
(Date) (Date).
Department Recommendation to Court
Court Action
Notice of Violation Recorded
Date)
MIM
Michael D. & Connie J. Schmaljohn
1960 Reed Lane
Durham, CA 95938
RE: Building Code Violation
1960 Reed Lane, Durham
Dear inr. and Mrs. Schmalajohn:
t Count
u to
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
June 21, 1994
A.P.#040-17-0-114
This is' a formal warning notice. Pursuant to Butte County Code (BCC)
Section -41-2, we sent you a courtesy notice dated April 21, 1994 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for constr-
uction of single family residence (60-640) in violation of the 1985
Uniform Building Code .as adopted by Section 26-1 of the Butte County
Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you 'contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten 10 days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact Scott
Rutherford or Michael C. Vieira in this .office .at the address or telephone
number listed above.
MCV:dms
Sincerely,
A xu�_
Mictfael C. Vieira, C.B..O.
Manager, Building Inspection
Michael D..& Connie J. Schmaljohn
1960 Reed Lane
Durham, CA .95938
BEAU
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
April 21, 1994
RE: Building Code Violation A.P. #• 040-17-0-114
.1960 Reed Lane, Durham
Dear Mr. and Mrs. Schmalajohn:
This is a courtesy notice to notify you that you are in violation of the
Butte County'Code, as follows, at the above referenced location:
Failure to obtain approval of previous corrections and failure to obtain
finalinspection. prior to occupancy and permit expiration for
construction.of single family residence (60-640).
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and pay .the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active. Code
Enforcement Program which provides an effective means_ of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of'Violation
including a description of the action necessary to abate -the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you.
Should you have questions concerning this matter, please contact Michael
Vieira or Scott Rutherford in this office at the address or telephone number
listed above.
MCV:dms
cc: Assessor
Yours very truly,
Michael C. Vieira, C,B.O.
Manager, Building Inspection
1
..2
3
4
5
�8
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
PROOF OF SERVICE BY MAIL
I am over the- age .of 18 and not a party, to this cause. I.am a
resident .of and . employed in the. county. ,where the. -mailing occured. --My-
business
-My-
business address is Building Division
Department of Development Services
7 County Center Drive
Oroville, CA 95965.
I served the foregoing SECOND NOTICE VIOLATION LETTER
(040=17-0-114) _
by enclosingg-a true copy in a sealed envelope and depositing said. envelope
in the United States mail with postage fully prepaid on 21st of June
19 94' and addressed as follows:.
Michael D. & Connie J. Schmaljohn
1960 Reed Lane
Durham, CA 95928
I declare under penalty of perjury under the laws of the State
of Calififornia that the' foregoing is true and correct and that .this
declaration was executed on 6/21/94
at Oroville California.
Mie el'C.-Vieira, C.B.O.
Manager, Building Inspection.
COUNTY OF BUTTE - DZ PARTMENT OF PUBLIC WORKS
7 County Center Drive - Orog*he.,C.aJifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PER IT NO/
ASSESSOR PARCEL NUM BE
/ f
ZONI
S
BUILDING PERMIT V.
OWN R
�C QE .•✓
C k M A ,� 01n a
TELEPHONE
it 2_ -)')ti 1 �
SO. FT. OCC. BUILDING VALUATION
,,,'
INe-GeAj�q
�RE�y J/%Q�//a.iE1 i�/�(J ��
14160 16e- 9 �3p'
77vv
410 a-5 �
o �
-•
CONTRACTOR'S NAME
0 t.�31 jv e- JW__
TELEPHON
�S �
$ k o 0 v5-6 d
o v��e��pyy
CONTRACTOR'S MAILING ADDRESS
�1
0 WV O-% 9-1
Fireplace Iff it
D
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
•QV F,
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ r0�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee l
$
Penalty
$
BUILDING ADDRESS
Permit fee
17410eG �N ,
PLUMBING OERMIT
Filing Fee 10.00
Each Trap
2,00
tfr Q,,R
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
55,00
Each qas water heater or vent
5,00 ®•p
USE OF STRUCTURE tGas
SF Duplex❑ Oth Mobilehome❑ V_ar!'2V C In�(O
SPIFY
EC
piping system 1 - 5 outlets
5.00
Building sewer
m
Mobile Hoe S G W
5.00
O.00ea
TYPE OF WORK
New .Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: R., 02 O X J 2 Jae
�eiaCalnedt agX.3%ca neA
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
�Na 1
Main service °o°V OR o AMP ORSLESS
10.00 /j}. &- D
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
ation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2,50 a. 5"b
NEW CONST. ���.11qq��oc `
OR ADDNS. ($2065.
NO N.RES,D NEW C R. .BRA CH CIRCUITS)
2.50 ea
POWER APPARATUS If
SINGLE OUTLET CIR. )
Ex. OCCU OUTLETS OR FIXTURES
P
8200509
eALO 30
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESIO.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
R_
15.00
Misc. Wiring
15.00
Permit Fee
$ ;
WORKMEN'S COMPENSATION INSURANCE
1 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
3,
,
MECHANICAL PERMIT
Filing Fee 10.00
Heating, p o Cz
6, �--o
e vu P Coo /ti—
/D o O
Coo g
od
3.00 3,010
Ventilation
�Co 3 e -'o
Permit Fee •
$
e*-mPa-T6T C2
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains aid ou se enc f t granting of this permit.
Date 12 12 ��
Signature icant - Ow Contractor ❑ Agent ❑ ('34 -1 Q
An OSHA permit is required for excavations over 5'0" deep and dem it%g/ c�set-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PER IT FEE
UUP-
cON�T.TYP
Y/
ISCHoo PA EL PD ND
su
This permit is hereby issued u der
ions of the Butte County Code nd/or
krrkindicated ,a ove for which
I CTO OF PUBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Q�
Date 0� O
Receipt No. 3 ,�r- dd 9.? 1�
WNITE-D.P.W., TEL LOW -ASD 0330 R, PINK -INSPECTOR, GOLDENROD -APP I ANT Q.
0
COUNTY OF BUTTE - DEPARTMENT 9F PUBLIC WORKS - BUILDING DW- Slj-4
- 7 COUNTY CENTER DRIVE - OROVILUE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
- OWNER !'1 P <' !r; ,44 n.I . I.., AJ A. P. No.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings .............. e gM2::)
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. M ilehome installation data including manufacturer's installation
'nstructions.......................................
Fees of $ ,�� .3� ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid................................ZT�.....................
12. _In 4 ,.. _An School District fees paid .................
Sanitation approval from �' ��� Health Department
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... Pre-Inspec. request to
Building inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ _
Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. _
L -----Telephone -2`9 19 ands hold for pickup at iE`" office.
Other Ats,yopenr_ 666, �I9 :�=6a-.I Ci
Mail to contractor..'
I
-Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitte prior t
1.. Index permit for above items No.
2. Additional items required:
Date 12 -/2 --A-*7Q
e_(CirAe`fleV item not checked above).
Contractor, designel wner, was advised of above required data -by _phone�nail—counter l
Contractor, designe n , was advised of above required data by phone_mall_counter� da
Plans checked Date >F lans,appr-oved by Date
a or
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinv Department
FROM: °' Environmental Health
SUBJECT: Sanitation Clearance
Owner ------ _.. --Location � APO
Plan Approved for: Sewage Disposal _�� Water Supply
Hold final for:
Final clearance O.R. for:
Clearance for _ _ _ bedroom mobile home.
NOTE * * *
Sanitarian
Water Supply
Water Supply
o
Other
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: c
Property Owner'--
Social Security Number .
Date /Z-12 '-M
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.
J
X
-
tc� ,A•`IY Jl'7 'h' R r� � ♦��� '�r''i'i n!Y °rn4•'T'.
4BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form•per Building)
A.P. Number '7- 11q Building Department No. r
School District N4kr City Q County ®'Jurisdiction
Property Owner iAA i C_ � a 1 e L AA Q_, 01 0�A a A/ A/
Project Location/Address k0 ¢ 0_J kAj , nu 1A 6 M
Subdivision. Lot Number
Residential Development: F��r
[ii�sq.
Footage 61q
# of Living MHI Addition (Group R)
Units
t.
Commercial/Industrial: a Sq. Footage r
New Addition (Including Exterior
Roofed Areas)
/.�_- /;_�- ;:R) '. e
Building DepartUent Representative Date
District Id No.
c�urham dlULZ/ e/ School District certifies that,
;(Applicant Name) (Phone Number)
(Street Address)
0119
..7",(City) (State) ! (Zip Code)
has complied with the requirements of Resolution No.
s
by the:,.payment, of $,, �`� representing square feet
• '. /P-titc. CJS 6,/�/ 1�� �•��
chool District Representative
Date
PAID. BY. CHECK NO .N REMARKS:*
BANK NO:'
rPAID BY CASH
.r
,
white -applicant, yellow -building department;, pink -school dist#ict
SCHOOL . FEE (5/88)
a
{
M
Retuzz�
'
�u
u�/��
|
n ` 4 89--003198
|
8e' c Fee
7.00
196-7 Reed
ane'
� � `
|
Check
7.08 .
,
9593R
Recorded
Official Records
|
'
./
County of
|
�~
« -�>`
Butte
|
( .
Candace J. Grubbs
|
Recorder
|
8:51am 31 -Jan -89
|
BG 2
Ret urn t,u 1) PW AGRICULTURAL STATEMENT OF ACKNbWI,EDC;I'-'
MNT
^
S(,,Lioo
26-8.1 o[ Oho Butte
County Code
'
requirca
U`is ackxowlpd&emenL
be recorded'
yrjor to
issuance of e building
permit.
The property described herein is adjacent .
|o ]and or included within an area zoned
(vr agri,u|Luro1 purposes, and residents
of Lhl» property may be* subject Lo incon-
veniences or discomfort arising from the '
usc of vgr}cuiLurul chemicals, including,
1)uc not. limiieJ to herbicides, pesticides,
uuJ [cr-Lilizera; and from the pursuit '
of a&riculLoral operations including, `
kuL not limiLeJ to cultivation, plowing,
spraying, pruning, and harvesting which `
occaaiooa|ly. generate dust, smoke, noise, and odor' Butte County has cnio|Jixh,'| :x,icv|
Iural zones which have as a priority use for productive ygriculLuru| purposes, .m'|
xiLhio said zones and on adjacent property should be prepared to ucccpL Such im"ov,xin(-('
or disconform from normal, necessary farm operations.
All that reoi property situate in the County of Butte, State of Culiforxi'I. J,s,ri|v,| o,
[oJ]ovo:
|)uLe: 1/30/89
3t.ute or Calif
) 3S,
CounLy of But te
32E EXHIBIT "A. ATTACHED HERETO
. NOTARY PUBLIC -- `
OFFICIAL SEA L
L. JOYNER
CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY :
� mhCommission Expires October 18,1$91 :
..............................................
- Fxoyje8TY OWNERS:
'�
On this the 3 day of -- , lg{�}, |x`['/r' m',
tbe undersigned Notary Public, personally oppeured----
.Michael D. Sclwalioham and Comie J. Schmaliohann
K-�Personally known to me' proved to me on the |x`s is
of satisfactory e"i'|eocr'
to he the person(s) whose name(s) are
subscribed to tbewithin instrument and '
executed the same for the purposes therein c"oL-�oc,|' |���t����
•
:.4:
88-38248 IIRI,t:R NU. 14.2928
EXHIBIT 'A"
The land referred to herein is described as follows:
All that certain real property
State of California, described
PARCEL I:
situate in the County of Butte,
as follows:
A portion of Farm Allotment 8, according to the Hap entitled,
"SUBDIVISION PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A
PORTION OF THE ESQUON RANCHO SITUATED NEAR DURHAM, BUTTE COUNTY,
CALIFORNIA, which Map was filed for record in the Butte County
Recorder's Office on September 17, 1918 in Book 8 of Maps, at
Pages 16 through L8, and -more particularly described as follows:
BEC INNING at a point on the North line of said Allotment No..8,
distant East -466.07 -feet from the Northwest corner of said Allotment
No.�8; thence East, 82.02 feet Along the -North line of said Allotment
No. 8;•thence South 010 02' East, 354.73 feet parallel with 182.01 terly
line of said AllotmehS No. 8; thence'South 89° 23' 30" West, 82.01
feet; thence North 01 02' West, 355.60 feet Parallel with the Westerly
line of said Allotment No. 8 to the point of beginning.
PARCEL II:
An easement for road and public utility purposes over the following
described property:
A portion of Farm Allotment 8, according to the Nap entitled, "SUBDIVISION
PLAN OFTIIE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON
RANCHO SITUATED NEAR DURHAM BUTTE COUNTY, CALIFORNIA", which,Mat
was
1918 inrBookrecord
ofnthe Maps,Battpagesn16 throughRecorder's
18. moreoffice
particSep
ularlyr 17,
191 ,
described -as follows:
BEGINNING at a point on the Westerly line of said Allotment No. 8, in
the centerline of Cummings Road, distant South 010 02' East, 330.55
feet from the Northwest corner of said Allotment No. 8; thence South
010 02' Eacst, 60.00 feet along the Westerly line of sad Allotment NO -
8 and the enterline of Cummings Road; thence North 89 23' 30" East,
548.03 feet;thence North OL° 02' West, CO.00 feetparallel with the
Westerly line of said Allotment No. 8; thence South 89 23' 30" West,
548.03 feet to the point of beginning.
EXCEPTING FROM said easement any portion thereof lying within the
bounds of ttie above described property.
AP# 040-17-0-114-0
END OF DOCUMENT
END OF DOCUMENT
..,:•.:,:...:...-;"'�^rs>.zw,n+•-?oltat, ��!xvr.�a.,raogp�yz}ne .. _ .. .. .: .. ...... .,.. ., .. ..• .<.. '''�.
1,oel-_ �
NofthStar
Engineering
Civil Engineers • Planners • Surveyors
January 10, 1989
County of Butte
Building Department
7 County Center Drive
Oroville, CA 95965
Re: Michael Schmaljohann
1960 Reed Lane, Durham, CA 95938
Gentleman:
I have investigated the flooding potential of the above referenced parcel.
The recently adopted flood insurance rate map indicates that this parcel
lies within a special flood hazard area inundated by 100 -year flood. No
base flood elevation has been determined for this particular area so it
was not possible to simply reference the safe finish floor elevation to'
an established datum. Instead, it was necessary to analyze the general
topography of the area in order to determine the depth of flooding on the
parcel in question..
The parcel lies in an area of old orchards and fields that are very flat,
with only a slight fall to the south. In general, any flooding that may
occur in this area will consist of shallow, sheet flows less than one foot
in depth. It should be noted that certain areas are bound to experience
flood depths exceeding one foot in depth in a I:0-0 year event and therefor
recommend the finish floor elevation'be established one foot minimum above
the surrounding original ground_elevation. The-finish--f-looreleva-tion-
-
shall be -one foot minimum -above' the-rnort'tiwest-`corner-of the- existing -car=`
I trust this provides the information necessary to process the permit,
however, please feel free to contact me should you have any questions.
S A •�
No. C34257
MA:d
Very truly yours,
NORTHSTAR ENGINEERING
ti
q
Mark Adams ,
RCE 34257 Exp. 9-3 "91�
a
20 Declaration Drive
Chico, CA 95926
(916) 893-1600
AFFIDAVIT OF COMPLIANCE
WITH COUNTY ORDINANCE 2277
(ADDITIONAL DWELLING IN
SINGLE FAMILY RESIDENTIAL ZONES)
Applicant /�/�/n� O��Q�n Date
Zone AP # ����`�" ��`/ . Building Permit #
do declare, that the dwelling
(Building Permit # ) at address (present) IWO e,l
Z,—sa a on AP # 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 640
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.
Signe ��-
Dated
NON-RESIDENTIAL BUILDINGS
ENERGY CONSERVATION STANDARDS
Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings
I %% Qr�I 1a-117 _, owner of the building to be constructed as a
(please print
under `f023 008' at
p (bldg.permit no.) (location)
� eot �s� r/ic,� Ce, lcS`S38 , hereby certify that I
--»
do=t intend'to heat or cool this building in such a manner as to be subject to
other than the mandatory sections of the State Energy Requirements.
I understand that if I do heat or cool this building in the future, that I
will be subject to the energy requirements in effect at that time.
I understand that if I change the use or occupancy of this building in the
future, that'I will be subject to the energy requirements in effect at that'.time
for that specific occupancy.
I also understand that if I become subject to the energy requirements in the
future, it may be necessary to redesign and/or alter (1) the building envelope,
(2) the insulation requirements of the heating, ventilating, and air conditioning
systems, (3) the heating, ventilating, and air conditioning equipment, (4) the
service water heating, and (5) the lighting of the building to comply with the
regulations.
I understand that any of the -.'above changes will require me to 'obtain the
necessary permits, inspections, and approvals from the Butte County Building
Department,
n
Signature of Building
Mailing Address /9�0 /La
Telephone No. <���) 3qz
RESIDENTIAL PLAN CHECKING GUIDE
(S.F. , DUPLEX & MISC. ONLY)
Bldg. Permi���
OWNER A. P. #
GENERAL
�. zoning requirements: (sideyards and number of permitted living units).
"1*4. Valuation.
~, Plans signed by designer.
Energy Design and Compliance.
Existing violations on property.
PLOT PLAN
'*,*f1. Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FTfV1R PT.AN
7/85
1. Complete to scale plan with dimensions.
`e Required windows for light and ventilation (Sec. 1205).
`g. Required windows for second exit (Sec. 1204).
"T. Skylights (Chapter 34 & Sec. 5207).
�. Human impact glass (Sec. 5406).
. Required room sizes, ceiling heights (Sec. 1207).
G.F..C.I.'s in baths, garage and exterior outlets (Article 210-8).
�. Light fixtures,switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
!9. Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures. '
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3''0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough':to construct building.
2. Floor construction details complete enough:to construct building.
Elevations and wall construction details complete enough to construct building.
�4 Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
\Q! Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
�J. 'Exposure'I plywood on exposed locations and overhangs..
-.2.. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
-4. Guardrail details (Sec. 1711 & 3306(j)).
_-._ Brick or stone veneer (Chapter 30).
Exterior.plaster - weep screeds (Sec. 4706).
�. Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D)
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
Garage door or porch header sizes.
�. Adequate bracing.
"14-. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
-1-1-+ Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
'-14. Wood stoves, clearances, alcoves & 1 -hour shafts.
'*-45. Combustion air for fuel burning appliances.
16. Noise requirements on duplexes.
17. Adobe soils - special foundation design.
"'�8. Retaining walls requiring design.
�9. Unusual shape, size or split level house requiring lateral design.
7/85
TYPE OF WORK
Jew % Addition❑ Remodel[] Utilities❑ Installation[] Other[]
)escribe work: ..0 X -3 2 u7e-JI )a.0
5ht o CDve
`7 A / " = F r r�-Al C e
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
ation, 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
WORKMEN'S COMPENSATION INSURANCE
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.
K? I shall not employ any person in any manner so as to become subject
l� to the W. C. laws of California.
lotice to Applicant: If after making this statement, should you become subject
o the W. C. provisions of the Labor Code, you must forthwith comply with such
Irovisions or this permit shall be deemed revoked.
certify that I have read this application and state that the above information
s correct. I agree to comply to all County Ordinances and State Laws relating
D building construction, and hereby authorize representatives of the County of
iutte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
11 liabilities, judgments, costs, and expenses which may in any way accrue
gaiaid ou se enc f t granting of this permit.
Date 121 -12 --ft
ignature-.4/icant — OW Contractor ❑ Agent ❑
.n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Dn of sTructures over 3 stories in height.
ieceipt No.itO _ 3 ( (,
N1TE-O.P.W., YELLOW -ASSESSOR, PIN K•INSPECTOR. DENROD-APPLICANT '
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 8000 AMP OV OR R LESS 10.00 /d. e- v
Main service EA. ADD'L 100 AMP 2.50 r}.5 -O
OR AD�Ab -W.2 LLING S 4A4.t$.y\ ft
- BLDGS. �Mtl
APP
e
Ex. OCCUp( OUTLETS OR FIXTURES
- DI-PARTMENT OF PUBLIC WORKS
PER IT NO.
2.00
vill California 95965 - Telephone: 916/538-7541'
10.00
Mobile Home Facilities
15.00
IC I -ON AND PERMIT
15.00
CoQjfng
AF%'
53ESSOR PARCEL NUMBE�— , — /DN_BUILDING
3.00
Ventilation
PERMIT
Permit Fee
$
_3
C Q
'
ELEPHONE
qi/�'
SO. FT. OCC. BUILDING VALUATION
MAI ING AO RESSCNTRACTCR'S
A�oWNER'S
l
,
OCCI:P.
�%_
CON ST.TwYP/
✓ ,V
SCNOO F
NAMETELEPHO
NO
a�/y�J
erp/t.,Ov
e-T�i(�
�� jjL �t 1
o e,'J I �� 3
ONTRACTOR'S MAILING ADDRESS
Fireplace rl "
D
ONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
10.00
ENDER'S MAILING ADDRESS
Permit Fee
$
RCHITECT OR ENGINEER
LICENSE NO.I
P.an Checking Fee
$
c..a
Energy Plan Checking Fee
$
RCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
UILOING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
2.00
Alf AlI LC-.IA�
Solar or heat pump water heater
20.00
OT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
S. o -o
Each qas water heater or vent
5.00
C2p -p
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
I e-4
F ❑✓f Duplex❑ Mobilehome❑ 0th �tr�t�1 r`
c
J��ID
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
Jew % Addition❑ Remodel[] Utilities❑ Installation[] Other[]
)escribe work: ..0 X -3 2 u7e-JI )a.0
5ht o CDve
`7 A / " = F r r�-Al C e
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
ation, 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
WORKMEN'S COMPENSATION INSURANCE
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.
K? I shall not employ any person in any manner so as to become subject
l� to the W. C. laws of California.
lotice to Applicant: If after making this statement, should you become subject
o the W. C. provisions of the Labor Code, you must forthwith comply with such
Irovisions or this permit shall be deemed revoked.
certify that I have read this application and state that the above information
s correct. I agree to comply to all County Ordinances and State Laws relating
D building construction, and hereby authorize representatives of the County of
iutte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
11 liabilities, judgments, costs, and expenses which may in any way accrue
gaiaid ou se enc f t granting of this permit.
Date 121 -12 --ft
ignature-.4/icant — OW Contractor ❑ Agent ❑
.n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Dn of sTructures over 3 stories in height.
ieceipt No.itO _ 3 ( (,
N1TE-O.P.W., YELLOW -ASSESSOR, PIN K•INSPECTOR. DENROD-APPLICANT '
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 8000 AMP OV OR R LESS 10.00 /d. e- v
Main service EA. ADD'L 100 AMP 2.50 r}.5 -O
OR AD�Ab -W.2 LLING S 4A4.t$.y\ ft
- BLDGS. �Mtl
APP
e
Ex. OCCUp( OUTLETS OR FIXTURES
ISAL3S 0t
Ex. DCCUp. OUTLETS FIXED P(RESID )REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ OL,
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating .0 le e; C. re)
e ve' Cr• e,
n
CoQjfng
J,iood
3.00
Ventilation
3'.'-'o ,-o ,
Permit Fee
$
_3
C Q
Mobile Home Installation Fee
$
Energy Inspection Fee
TOTAL PERMIT FEE91110
l
,
OCCI:P.
�%_
CON ST.TwYP/
✓ ,V
SCNOO F
PA EL PD
NO
i39UE
This permit is hereby issued u der the applicable provi-
sions of the Butte County Code'and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
i
BY Date
SERMIT EXPIRES Date ;
J131615k-L J.UCU LV--
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541
APPLICATION W PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
040-170-114
ZONING
A-5
BUILDING PERMIT
OWNER
Michael Schmal'ohann
TELEPHONE
342-0918
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
1960 Reed Lane Durham 95938
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 1-5.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $30.00
PLUMBING PERMIT Filing Fee 15.00
1960 Rped Lane, Durham
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFEX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Permit to Complete Work Started
Under B.P. #4023-88 & 3606-89
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 00V OR SS 18.50
Main service 200A TO t000A, 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. Classification
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
OCCUP.tr` 3.6Q sq.ft.
NEW CONST.( OR ADONS. DWELLING ACC. BLOGS. /
NEW CONSTR ULTI.OUTLET @ 5 00
NO ESI D• BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(06TLETS OR FIXTURES 20 @ 76d
FIXED APLNS.as
Ex. Occup. OUT ETSPIRESID IREAJ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. IVirin 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.
tetshall not employ any person in any manner so as to become subject
o the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said 6o ty i s uenc of th Ing of this permit.
X �La• to 7-2-.3-92,
Signature of Applican — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
DCC
CONST TYPE
TOTAL FEE $30.00
HAz
11 FEES
IMP
FLOOD
F
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do I
work indi a abov or which fees have been paid.
I OF PUBLIC WORKS
By Dat;�2�/-YID
PE M T EXPIRES
Receipt No. 117623
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
T'+(
1.
COU -OF BUTTE - DEPARTIMENt-OF P�JBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
Proposed Building
Building Inspector
rmit application, I was advised the following data must be submitted prior
L-01 1.
r
2.
3.
4.
5.
7.
8.
9.
10.
11.
` 12.
13.
14.
15.
16.
17.
18.
19.
20.
N 21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
All items have been submitted. ...............
Plot plans, 3/4 sets, signed by preparer of plans.
it processing and/or issuance:
DATE RECEIVED BY
Complete plans, 3/4 sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............�"
Hazardous Material Form . .............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ..................... .
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof$ ..........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . ............
Cityrof Chico plumbing permit . ...................................
.
Plot plan and business license approval from City.of Biggs/Gridley. ....:.........
Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage. ......... .
Driveway permit (construction approval required prior to occupancy).
Pre-Inspedion req. uest
Pre -inspection for required. . to Bonding lnspedor(Date)
Contractor's license information. (No., Name Style, Classification) . .............. 'r
Certificate of-Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ) ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applic Date ^'2 �'Z
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by - Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by - Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovlllet Callforniq 96065 - Telephone: 916.538-7541
APPLICATION AND PERMIT
A9 990R0,10
O- `� -4A
N _
BUILDING PERMIT
N
U
MON
2 1
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
M Q t5q 3
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ <O
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$ 0 , C)O
PLUMBING PERMIT
Filing Fee 115.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.00
Mobile Home S I G W
615.00
TYPE OF WORK
NewLI Addition❑ Remodel❑ Utilities❑ In��jjtallation❑ Other❑
Describe work: �4m � � l'�1Qt'e_Tr, ux)V-IC
,t -A t3y)0Aey- 0 z3 -ag It
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
3 o(p _ nn
'O _I
Main service 200AORLESS
18.50
Main service 20CATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I,as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING oCCUP.tr\
OR ADDNS. ACC. SLOGS. fI
3.E¢sq.tt.
NEW CONSTR. MULTI -OUTLET
NON.RESID, BRANCH CIRC ITS
5.00
POWER APPARATUS tr
(SINGLE OUTLET CIR.
tAP
Ex. Occup(ouTLETs OR FIXTURES
761
FIXED APPLNS.
Ex. Occup. OUTLETS ((RESID )REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant – Owner
9 PP ❑ Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
I TOTAL FEE
$
I
HAz
1 0FEES I
IMP
FLOOD
I CDF
I PARCEL
PD
HD
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. en. neNRnn-PPI iIANT
COUNTY OF BUTTE - Deoartmenc of Public Works
7 County Center Drive, Orovlle, 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 andmaterials 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 Securit Number
Date 2- 3 - 92_
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-
mitced to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
40-17-114
ZONING
A5 I
BUILDING PERMIT
OWNER
MICHAEL SCHMALJOHANN
TELEPHONE
342-7918
SQ. FT. OCC. BUILDING VALUATION
1St Renewal
OWNER'S MAILING ADDRESS
1960 Reed Ln., Durham CA 95938
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NonC
UNKNOWN
Total Valuation is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1962 Reed Ln., Durham
Permit fee
$
PLUMBING PERMIT
FiiingFee 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 Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S r G I W
110-00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other}❑
Describe work: 1xkxRaKgkxR1xmf _
1st Renewal of #4023-88
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FiiingFee 10.00
600V OR LESS
Main service I00 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUsIneSS
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
ation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
oR ADDNST ACCL'BLDGOCCUP,Bi) S.
2yz�sgft
NEW CONSTR. MULTI.CUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS tr
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20®soa
eAL030
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESI D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IVirin g
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
QKL�shall not employ any person in any manner so as to become subject
o 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 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 liabilities, judgments, costs, and expe ses which may in any way accrue
again )FIC my ' se nce t granting of this permit.
22
Date QJ —0,?— ^/90
Signature of plicant — Ow Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 162.00
E
rlAz
CUA
PARK
SCHL
PAR
Ho
ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work i 'cated above fo which fees
DIREP7,0 PUB
Zia
y 2
P MIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
RKS
at P �k )9(9
3/9
Receipt No.
WNITE-D.P.W., TELLOW-ASSCS;0R, PINK -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) gey
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 r City
Phone / Contractors License No.
1
5. I will provide some'of th k but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: c%G
Property Owner
Social Securi Number (
Date O 3 - O -:Z -�90
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.
r. , /
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
P(/MIT N�
ASSESSOR PARCEL NUM R
_
ZO N
j
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNEfR'S MAILING ADDRESS
6�
CONTRA CTOR'S NAME
TELEPHONE
CON RACT 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS //
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�K Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 -�
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New Addition❑ emodel❑ Utilitie ❑
,�M ❑ Installation Other
Describe work: /�f-C �-��'�� �-��� _
Permit Fee
du
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUPM
OR ADDNS. ACC. BLOGS.
, h2sgft
NEW CONSTRMULTI-OUTLET
NON.RESID BRANCH.CIRCUITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
P
SAL®30
5AL&30
Ex. OCCUp. OUTLETS PI RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 /.
5=0
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.
AI shall not employ any person in any manner so as to become subject
o the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sa�Coun" c=equen of he granting of this permit.
1/1 �OA�� � /Q'—Atl—,?%
�� Date
Signature of pplicant — OwndrYGl Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ o s®
HAz
I CUA
PARK
SCHL
FLD
PAR
PD
WE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
IRE TO F PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
vo
Date
Receipt No. 40-
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -~Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916 -538 -7541 -
An 'owner -builder" building permit has`been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement '(yes or no)
2. I (have/have not) X 1.1� 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 N/4
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 _ /V /A
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: c
Property Owned_, �G
Social SecurityNumber
Date _ ZO—z•9eN z
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.
Michael Schmaljohann
1960 Reed Lane
Durham, CA 95938
Dear Mr. Schmaljohann:
'' ffutte, Co
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
CCiUN'fY CENTER DRIVE .. OROVILLF. CALIFORNIA 959G5.339/
TELEPHONE: 19161 536-7541
FAX: 1916) 538-2140
August 10, 1993
RE: Building Permit #92-2594
Expiration Date 7/24/93
A.P. #040-170-114
With reference to the above subject, our records indicate that your building
permit expires on the above date and your permit falls into the category marked
below:
(v 1 Permit work started, but not completed. Permit may be renewed for 2 the
U original building permit fee (plus a $zo.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 within 30
days of the expiration date, all work must cease until a new building
permit has been issued. For your convenience, we are enclosing a renewal
application form and 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.
No inspections have been made on permit work. Inspections are required
to verify code compliance. We are unable to renew a permit where the
work has not been started and inspected prior to permit expiration.
After expiration of your permit, no work may be started until a new permit
has been issued.
If our records are in error or should you have any questions concerning this
matter, please contact the Chico office.
Thank you for your prompt attention concerning this matter.
Yours very'truly,
JFG:hla j J.F. Glander
cc: Building Inspector Manager, Building Inspection
Attachments: FJ Renewal Application
Owner -Builder Information
Owner -Builder Verification
Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307
°v. •1�..r�.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUhDWNG EXEMPTION PERMIT
IT NO./
S/s
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral 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.
ASSY4SOR PARCEL NO.
ZONING
It
OWNE(RR t
PHONE NO. p�
OWNER'S ADDRESS
Q , gag
LOCATION OF BUILDING
' D
USE OF BUILDING
SIZE OF STRUCTURE I _
/ D X
= SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE
OTHER (Specify)
TYPE OF SIDING
ROOF CO
RI G
FLO TYP
ESTIMATED COST OFC NS RUCTION.
V�
$
AG Buildings shall comply with the building front,
side, and rear yard requirements of the applicable County
Ordinances as follows:/
FRONT�L SIDES
S�
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.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date / Z Z '— � � Signature of Owne
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. �D Director of Public Works
By Date x `r Z3 -9T
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTMEJyTn0F~PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE= OROVILLE Z;ALI.F614y1A.95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION .DATA SHEET
j n . / Permit No.
OWNER
Proposed Building Use
0
Building Inspector ' " Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
�1. All items.have been submitted. . . . . . . . . . . .
•� �rM
2. Plot plans in duplicate./triplicate, signed by preparer of plans. `
3. Complete plans in duplicate. /triplicate, signed by preparer of plans. f
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . , , . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health
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
q
17. Pre -Inspection for Required. Building Inspector (Date) L
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. '
20. Plot plan approval from city of -�
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone sand hold for pickup at office, Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
r
i;
g. PERMIT NUMBER - B - 1816-72%P,E,M
r
P
µ E
1.PERMIT EXPIRES
owNER Sharon Toohey
;°CONTR:. Fred Aisthorpe, Chico
t
k LOCATION (A.P. 40-17-114 )
Reed Lane - Lot 42 Durham'
t,
-73
Y
I
COUNTY OF BUTTE
Department of Public Works
C �d
U
6ii Gard! s ac ic, q
BUILDING
INSPECTION RECORD
Zoning
Setback �7
ZL �ti.. �'`Z-
Forms_ 4 - -2 J—
Foundation ZG -72
Piers & Girders
Fireplace
Rgh. Plumbing 412- :->I-'- Z?�
Bond Bea
JJ • � 6 t9
Lath &* aster / A.
Rein. Steel
Gas Piping & Test -7
F
Framing 2 -IR--7
Plmg. Topout
_�"4-
Y v -7 L
Rough Elec.
Wtr. Htr. _ G ^ 7
Furnace
Kitchen Vent
;o well
Garage Vents
Sanitation & Water
ELECTRIC
GAS !`
BUILDING
Temporary f 1 % ` 7 3
Temporary
f % % ' %
/
Cert. of Occup. 3 `�
Final
Final
/.�
Final
DATE
REMARKS OR CORRECTIONS
C �d
U
6ii Gard! s ac ic, q
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Oroville, California 95965 �/
Telephone: 533-1230, Ext. 259 �
`, M
APPLICATION AND PERMIT
the uutte County Code and/or resolutions to do work indicated
X o -A Q �y above for which fees have been paid.
Datey r��/'Z DIRECTOR OF PUBLIC WORKS
Signature o Per ee or At '
�O By Date
Receipt No. _ (�
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Building Permit Expires Date- '%-7 3
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address'714 .
P
Q
Contractor
Fireplace
Total Valuation
Mailing Address
`
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $00
(FEE
p
Building Address
PLUMBING No. @
PERMIT FILING FEE $2.00 U
Each Trap 1.50 Q�
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater>r vent 1.50
A. P. No. '— --Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept. dJIV—
Planning
Building sewer 5.00
Plans
Fees �
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
F
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE$3.00 O
r6
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Family ® Duplex ❑ Others ❑
Sub- anal or less) (more on 12) ,
ange drye or water heater 1,00 00
Oven, Cook -top or space heater 1.00 ,
Light fixture
, swi ches & fix outlets r o
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:
x. Fan r F.A. Furn. Motor 1.00 ,
&Evap.
cooler ar.disp. D.W. 1.00 6
Air conditioner or heat pump '�"
Water pump Le
Misc. wiring
License No. e Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ gr
I/x
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 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. @ FEE
PERMIT FILING FEE $3.00 r0
Heating -
Cooling 4067
Ventilation
Permit Fee O
G
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 ourooses-
sjtate Fee for Str ng Motion
fnstrumentarian f�rograrn $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
-
This permit is hereby issued under the applicable Drovisions
i -
of
the uutte County Code and/or resolutions to do work indicated
X o -A Q �y above for which fees have been paid.
Datey r��/'Z DIRECTOR OF PUBLIC WORKS
Signature o Per ee or At '
�O By Date
Receipt No. _ (�
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Building Permit Expires Date- '%-7 3
TMW 0
(�
PERMIT NO
PERMIT EXF - (`re`'1 '- 1 --qS
7T
OWNER MICHAEL SCHMAL-1014ANN
c
t
CONTR. nwnpr
ASSESSOR PARCEL 40-17-114
1,?42-
LOCATION 196d Reed Lan,-, durham
T
.7, 2 Z _,� �_ L, o c k ova - wfT –�—
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E —
4j�as Service />ei) �� o.
Called PG&E��4
�v
JOB FINALED (Date)
Signature
N
Post-it"routing request pad 7684
ROUTING - REQUEST
Please
/-V
A
❑ READ
To
0 -HANDLE
E]APPROVE
�, r
Pew 155L) e5
and
�Q s
❑ FORWARD
❑ RETURN
❑ KEEP OR DISCARD
c
❑ REVIE/^ ITH ME
b
�Q/� ��
C,44- -
Date
From
TMW 0
(�
PERMIT NO
PERMIT EXF - (`re`'1 '- 1 --qS
7T
OWNER MICHAEL SCHMAL-1014ANN
c
t
CONTR. nwnpr
ASSESSOR PARCEL 40-17-114
1,?42-
LOCATION 196d Reed Lan,-, durham
T
.7, 2 Z _,� �_ L, o c k ova - wfT –�—
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E —
4j�as Service />ei) �� o.
Called PG&E��4
�v
JOB FINALED (Date)
Signature
N
= OK
0 = Not OK
r •'"
' = Not ReadyMOBILE HOMES
MISCELLANEOUS
yable
Date MOBILE HOME UTILITIES (Plans) OK except #'s
,pate
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
'2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
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.- r
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors,
/ /"Nat. or/ PV ft./ P'LPG
7. Utility Clearance
7. Elea - - - - - -
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1 Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1 Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easeme is
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector }
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch'
4. Elec.; Receptacles and Lighting, Distances-GFI `
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI _
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Card -B1 Date Card -B1 Date
Boxes- Enclosures-Panel boards -Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card=B1 Date
•
i
t
=0K' .
0 =Not OK
- = Not AppGable RESIDENTIAL (Single and Duplex) Aug£ 7, fxx-
_ 140ady
Ii. !Z1111
Date UNDERFLOOR(Pl�ns��OK except #'s�fjt��{ Date FRA ING (Continued)
Ping -Set ks;-Easefne l-"$+arpe }5 ngers-Post Caps -Anchors -Connectors
/ tg., Main; -S le rn`cP-//J /" Ftg. Depth
Main
I-Wra
W.V.; FtRYFittil'igs 2 wKC/ ewer Tes
ig<qfas Pipe; Size -A chors
P' Anchors -Regulator -Service Test
1 lectric; Qnderground
Ple u rid G - erial-Supprt-Ins.
i rd -S' -Ancho olts-Jo' s -V s -Cripples
15AInsulation
Card -131 Da Card -61 �' Date - cTj
Card -131 Da i Card -131 Date
Date PLUMBING (Permit) OK except #'s
ater Ht. %Z; Access -Combustion Air-
e (SD& Anchors i 'rote
LkfB D.. � es Fttngs & Anchors- N i Protects
9sn;st First Floor-Tub—c—cess
- c ss
®Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -B1 Date ./^fft Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
xture & Transfor ction
ec. Receptacles Spacing -Lights & Switches at Doors
ize Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
2 u w/Mech. Fastener o a r
7C3A_2_A2eIiance Circuts in Kitche Conductor Size/G.F.I.
2Wubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AI
ange Circ. 1,61 ga.(C or AI -Oven I.
Insulated Neutral Y&_,— No
30)(Service-Riser Conductors & Ground -Main Disconnect
34-Egif� ICLq�ces Panels-M04eF6-AAe6br Egt*ip.
32.ight
Smoke Detector
Card-131DateF_/y Card -131 Date
Card -131 Date7 Card -131 Date
Date MECHANICAL (Permit) OK except #'s
A. ucts Insulation & Support
_. ent Fan; Exhaust above insulation
Drain & Overflow; Size & Grade
37-fvrna�itent; Access -Comb. Air -Return Air Vent -115 outlet
3&._A#+e-Arc91Y& Platform if Furnace in Attic
Card -81 DateCard-B1 Date
Card -B1 Date Card -B1 Date
Date FRA NG (Plans) OK except #'s
3 ills, Proper MEterial & Anchors
✓ IIs - ail(y>EfSpacing & Bracing—Plates-Sound
earing Walls over Girders & Floor Nailing
dg?praft Stop in Walls (rat proof)
C4Y Fir tops; Furred Ceilings -Stairs -Chases -Tub
ender & Beam -Size & Bearing
47AFireplace Ties or Type A Flue -Fireplace Throat Clearance
4XAttic
Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49
dr . Windows or Exiting Doors -Sill Hgt. & Dimensions
—/Cpdiarage
Fire Protection Framing
Doors -One 3' -Check Garage -3rd story, 2 exits
5
- - e-RFeteetivn
55,6iding-Nailing
lywoo 0 of Overhang- ti-Raftek.9trlggers
Veneer
56Atycco
Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
s
sulation-Walls-CIg.
SOkWiltration-Walls-Wndws
Card -B1
Dat and-131
Card-131
Da Card -131 Date
Date FIN#L (Plans) OK except #'s
E.Steps-Door & Sidelight Protection -Landings
Smoke Detector
66'Furnace;
Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
_ edroom Exiting
G F.I. & Bath Fixtures & Tub Access -Spa
ec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
6& -fireplace or Stove; Clearances -Hearth
6
utlets at Wood Panel; Int. & Ext.
i 4ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
r 7
7
ec. Outlets & Receptacles at Kit. Counter
arae ire Doo Swing-Landin se
uct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
7
Ib., Elec. & Mech. Equip. Listed for Location
7e
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
7,7Tnsulation- Foam- Looked in Attic ❑ Yes
7 .:p
uard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
96
Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8+.-e=co; Brown -Finish
A.C. Unit; Disconnect, Electrical, Plumbing
911—Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
O enings.
ater Well; Disconnect, Electrical, Plumbing
&Kfiixterior Elec. Trim; G.F.I. Receptacle -Underground
-,lentiJ6tion throuqhout House
Protection
8' o rectio from Previous Inpections
11-3c74A(,has Taft -Meters Tagged; Gas -Electric
(S)6Water & Sewer Connected -C/O to GradeftlD Approves
nergy Compliance Certificate -Other Certificates
9z. Hooting Gertiticate
Card -B1 13 Date//_3704q Card -131 Date
Card -B1 (r— Date Card -B1 Date
Card -131 CA" Date g4fd��jjCard-B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Tq
FROM:
SUBJECT:
Buildinct• Department
Environmental Health
Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal _ Water Supply
Hold final for: Water Supply=
Final clearance O.K. for:- ° `'
<nrtt', ���� s Water Supply
Clearance for bedroom mobile home.` Other
r
NOTE *** pf
Sani arian Date
. � ....-.T ....S ..- ._ r
�� �;
. �, � .
'• �1�f
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1
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' � �• � � '.
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. �.: r'•�• y..r 4.. ' .. o .r:!+�..2•. 3.irr.-c.^r+'f�:F'' , .� #.^
s. ` COUNTY OF $UTTE - DEPARTMENT OF%PUBLIC WORKS ' e
l N .
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
....../// 7'.
r 1APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ,• 'D - t
•-- +' "� It
ZO N
.. BUILDING PERMIT
OWNER t .t. �
?.G Et �
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
6 6-� 1J
CO TRACTOR'S NAME
TELEPHONE
CON RACT 'R'S MAILING ADDRESS _
Fireplace
CONSTRUCTION LENDER l�
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
t -
Permit Fee
$
ARCHITECT OR ENGINEER
`
LICENSE NO.
r
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
4
Penalty
$
BUILDING ADDRESS tt #
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME t` PARCEL MAP,
,NISI t
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome i, �.Ot`her1�' r ,
�y SPECIFY r r t
Gas piping system.l-- 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF`WORK
New ❑ Addition ❑ * +emode1 ❑ 1',' ii Iitie ❑
.,�_ ❑ Installation $Other
Describe work\, - FCOC�Q� 7=---� tiG�� 4 t�— � _
S: s
Permit Fee
$ ao
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
..
Main service _1000 AMP OR ORSLESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
-
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. BLDGS.
/zQsgft
NEW CONST R.❑ OUTLET
NON•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS .&)
OUTLET CIR. )
,
Ex. Occu o
Occup(OUTLETS OR FIXTURES
z0®eoe
.0050t
FIXED APPLNS.
Ex. Occup. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 1 ou .
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
.. to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. ` .
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County' co sequence of he granting of this permit.
��/0.-Av-
000;��( Date
Signature of�pplicant — Own6Xl Contractor El Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overr��3rrstories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
E
TOTAL FEE
HAz
CUA
"HL
PAR
PD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
IRECTOR<6F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do e
have been paid.
WORKS
VQ
D
/r//at�/e
Receipt No. d_y—
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 9'16.'538-7541
APPLICATION XND PERMIT
PEflMIT N0.
171 ��_A
ASSESSOR PARCEL NUMBER
040-170-114
ZONING
A-5
BUILDING PERMIT �-
OWNER
Michael Schmal'ohann
TELEPHONE
342-0918
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1960 Reed Lane Durham 95938
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILIr4G ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
1960 Reed Larip, Durham
PLUMBING PERMIT
Filing Fee 15.00
Each Trap5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
77[
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF EX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - S outlets
5.00
Building sewer
-15.00
Mobile Home S G I W
615.00 - -
TYPE OF WORK
Newer Addition El RemodeIC Utilities❑ Installation[ Other
Describe work: Permit to Complete Work Started
Under B.P. #4023-88 & 3606-89
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
'1
I_ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. Classification
.S__4_, 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 I am exempt under Sec. , Business and Professions Code
for this reason
Main service 20GA TO 1000Ai
! 37.50
NEW CONST. ( DWELLING OCC'UP.&\
OR AODNS. ACC. BLOGS. /
NEWCON5TFL ULTI-OUTi_ET
NON.RESIG-. BRANCH CI!?C' ITS
3.54 sa-tt-'
a� 5.00
(POWER A=PARATUS &
\SINGLE CUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
120 75r
=i <EO APP L:•: S. OR
Ex. Occup. 6LE Ts IRESID.I EA.1
.3.001
Temporary service
15.00
Mobile Horne Facilities
I 15.00
Misc. Wiring
g
i 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.
r- I have placeo on file with the County of Butte Building Department
U a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
r,( 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 sucn
provisions or this permit shall be deemed revoked.
Contractor
j
MECHANICAL PERMIT
Filino Fee 15.00 �
Heating
Cooiing
j
Hood
5.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above iniormation
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 1
all liabilities, judgments, costs, and expenses which may in any way accrue I
against said County in consequence.of the.granting of this permit.
'- - —Bate - / =
�.g'nature of A licant�_' '--
pp Owner � Contractor i Agent CJ
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height. I
Mobile Home Installation Fee S
Energy Inspection Fee S
occ--rcor„rrvPE
,TOTAL FEE $30.00
I ?i .� CFEES :MP F10011
; I
C5FPARCEL I PO i0
I
ISSUE
This permit is hereby issued under the applicable provi-
sions or the Butte Count Code and/or resolutions to do
y
work utdi e + abov or which fees have been paid.
I OF PUBLIC WORKS
By Dat
_ _
PE M T EXPIRES Date ��74
Receipt No. 117623
�
WHITE-O.P.W., YELLOW -ASSESSOR. PiNx-INSPECTOR..
_ cntnrRnn-,PPi ICAIT
�t .. >rn.c•m�vr••r �:r +Ae n-± I t�,. 4 ..'K �[I - � � r r }.��. .� .Isx,.r �.itt•.n:1ri kv r a <
1•COUNTY OFIBUTTE ,DEPARTMENT OF PUBLIC WORKS
PERMIT NO
7 County Center Drive - Oroville; California'95965 Telephone: 916/538-7541 l`
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONI G'
� � •I
OWNER- 1, N r ^--• •+ - -TELEPHONE
z
Al d 0e�r -5c 14 � y r .�
SO. FT. OCC...' 1 BUILDING VALUATION
OWNER'S MAILING A DRESS
19 6 e XZvm 91`gi e'`�.
0 e P f-
� s
CONTRACTOR'S NAME i
I - T E 1..E P H 0 6E7 �/P
f Q .,rr� o / a
1-0 V I�MiI^ oiyf�/..... ei� i:! �✓ !/ �
CONTRACTOR'S MAILING ADDRESS: .�,. •.•+�--.w+.w►•••--•- -
Ps+. / �t, �"�. /'
`. -•:•A t
Fireplace
CONSTRUCTION LENDER, ��_w.r _...- ... �i�•r.l.. UNKNe WN
_ s` '
Total Valuation t'-$ \ Q
LENDER'S MAILING ADDRESS "'•tit•- - , +,w -
t
Filing'Fee r $ 10.00
a
Permit Fee $
ARCHITECT OR OR ENGINEER X t LICENSE NO.
P'u
Plan Checking Fee r '
ei $ �•,r•e d
ARCHITECT OR ENGINEER•SMAILING +ADDRESS -
Energy PIan'Cliecking Fee $ �..�
Penalty " 1 $ '
BUILDING ADDRESS -
Perflilt,fee {' :,^ /. a $ - t ---V
PLUMBING PERMIT Filing Fee 110.00
Each Trap 2.00
Cl�G! •
Solar or heat pump water heater 20.0,0 i
LOT NO..
SUBDIVISION NAME ,' •,•, f -` PARCEL MAP
Water piping .5.00 •, ;'a-•0
�'
+ �`
Each pas water heater or vent r 5.00 l •,o
USE OF STRUCTURE
'��
Gas piping system 1 - 5 outlets 5.00
SF LJ Duplex❑ MobilehomeQ Oth ��rylaefiC "�- -�
��n
Building sewer3,'J 5.00
SPECIFY -�`ra• _.�
Mobile Home''','- .S .G- W. 0.00 ea
TYPE OF WORK
' Remodel '
New . Addition ❑'+
❑ Uti Iities'❑ Instal lation ❑ Other ❑,
, Pernit Fee
Describe work:- - u, %A% a7 o X
r
COntfadtor:°:�
_Ie 4ae L4 Jtix34- Oil l X 3;L'. 0 :r.cuc e I
ELECTRICAL PERMIT Filing Fee 10.00
-� -
li.t:• fr+S � - ;�i�"R ^� a• + �{li`,�f7:, r €
Main service 60ov'OR.LESS
100,AMP. OR, LESS 4— 10.00,..O
-
LICENSE LAW , {) ;'
'Main s .yIce�-EA..,AD0',-L„100,AMP
0f yCONTRACTORS
NEW CONST. WEL IN 0 aI
declare under penalty ofperjury (check one): S ”
•OR ADDNS. ,U-NN2�.N1d9GS., ft.'NEWCONSTR.
❑ I am licensed under provisions of Chapt. 9,-Div.3 of the; BUSIneS$
U TLOUTL TNON-RESID°eBRA CH.CIRC ITS ea
f ��I•V-`POWER APPARATUS e)and
$8212
Professions Code and my is in full force and effect.,
lSINGLE OUTLET CIR-
.license
1 ��
No. Classi-fication
�.Ex.-OCCUOUTLETS.OR-FIXTURES 30L"icense
p� 0 ..
�a
' 1, as the owner, or my employees with wages as -.their sole cXompen-
FIXED APPLNS. OR \
Occup.
Ex. .OUTLETS.{RESIDJ EA./- 2.�0
Satlon, will do the work,and,the structure-i-s'not.iMended or offered
Temporary service 10.00
for sale. (Sec. 7044) j• o
s ElI, as the --•
..Mobile,Home Facilities 15.00
owner, am exclusively contrecti,ng with licensedlcone.,.
nt actors.
(Sec. 7044) i = ,; L.
Misc. Wiring r. 15.00
❑ I am'exempt under Sec.—, Business and,Professions Code"
i•
for this reason
Permit Fee - - $ ,
WORKMEN'S COMPENSATION INSURANCE
Contractor,
I declare under penalty of perjury (check one):
•'�, MECHANICAL PERMIT Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating r) 14, 4;-0
❑ I have placed on file with the County of Butte Building Department
e va P CDC 1/0,0 O
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling 3 7'16'.
I shall, not employ any person in any manner so as to become subject
Hood 3,00 5, -0
to the W. C. laws of California.
Notice to Applicant: If after making this statement, -should you become subject
Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee 3 - $
provisions or this permit shall be deemed revoked.
C-o"Mr (2
I certify that I have read this application and state that the above information
Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
to building construction, and hereby authorize representatives of the.Countyot
Butte to enter upon the above-mentioned property for inspection purposes. i
TOTAL PERMIT FEE ~;
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
occu P. CONST -TTP 5CH 00 PARCEL PD N, 3S
I/ J
again said Cou ty ns 4enc ^of thg granting of this permit. d,
fX Date 12 ��� ;p
YY
This permit- is hereby issued der the applicable'provi-
sions of.the Butte County Code�and/or resolutions to do
Signature.•o'f A' phcant - O r Contractor ❑ Agent ❑ ( work indicated bove for which fees have been paid.
.,An OSHA permit is required for excavations over 5'0" deep and demolition or construct -f
ion of structures over 3 stories in height.
T CTO OF PUBLIC WORKS
%Receipt
No. `�5) ad ��//O —
By °/I/
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APL CANT
/DDate
PERMIT EXPIRES Date
.. 111< T3'�-�,i1{�'-':•ays,: 'Y-,:�!�rer^+^:..:•:+�t a `�j Y'j , • *�;..-'. - ;.i. �y�..�;�,:� a-�,�; ,.
L (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
40-17-114
ZONING
i(A5
t BUILDING' PERMIT,
OWNER- '- �J' f 1 '�
MICHAEL SCHMAIJOHANN
TELEPHONE
342-7918
SO. FT. .. OCC. 'BUILDING VALUATION
' -st
e"wa
OWNER'S MAILING ADDRESS -
1960 Reed Ln., Durham CA 95938
CONTRACTOR -5' NAME
Owner 1 I ► - r'' ,,
TE LEPHONE
CONTRACTOR'S MAILINGjADDRESS I
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$ •
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1962 Reed Ln, Durham
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME ti
PARCEL MAP
-
Water piping 1
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE -
SF [J Duplex Mobilehome❑ Other ' '
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I 1
110-00e
TYPE OF WORK
New F-1 , Addition Remodel❑ Utilities Installation[] Otherj❑
Describe work:
R
1st Renewa of #4023-88
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
' `.,rte •� i
Main service 60 OV OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
CONTRAC RS LICENSE LAW '"�
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license IS In full force and effect.
License No. Classification
as the Owner, Or my employees with wages as their sole compen-
dation,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 oeeuP.es
OR ADDNS. ( ACC. BLDGS. I
2V20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS 6:
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@6'0¢
9AL@�o
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
z
15.00
s
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.
l shall not employ any person in any manner so as to become subject
`te 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again t id C .unty ' @ seqpence th granting of this permit.
/ftp2 q
Date UJ / t�
Signature of plicant — OW r Contractor EJAgent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
162.00
HAZ
I CUA I
PARK
SCHL
I FLD
I PAR
170
1 ISSUE
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work i icated above which fees have been paid.
DIREM-MOF PUBORKSion
y z"'M
IT EXPIRES Date %3t9
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
u
'�a•A"�''` - rw�sc" �*":£w��gr-r-tr v- �+° ti�z'�i�'%"``r;,�=.F _`',.��-�'
7
4
-Butle couni.
LAND OF NATURAL W,.EALTH AND 3EAUT`f
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965
Telephone:
RONALD D. MGELROY
January 31, 1991 °`p"'' Director
Michael Schmaljohann RE: Building Permit No. 592-90
1960 Reed Lane 'Expiration Date 2/3/91
Durham, CA .95938 (A.P. No. 40-17-114 )
Dear Mr. Schmaljohann:
With reference to the above subject, our records indicate that your Building Permit
expires on the above date. .Building ,permits are valid for one year and should
construction be started but not completee'oy the expiration date of the permit,: the
permit shall be renewed for 1/2 the origiaal.Building Permit Fee (plus a $10.00
."Filing Fee"). The renewal permit w.ill.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'pemi,it 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 cgmpleted 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
22
'F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Chico 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-6307
L:UUIV 1 Y Ur Du i 1 c -c-f- ,,
- Oro% LLa�Qalif55965 - Teleahor.e: 916/538-75 1
ornia
7'Courity Center Drive
APPLICATION AND PERMIT
ZON' S
iES50 R\PARCEL%NUMBE
BUILDING PERMIT
TELEPHONE
SQ, FT. OCC. BUILDING VALUATION
N R
. l
,NcR'S MAIL�ING AOpRESS - �J.�
ti 6 G /G ectr�JAr i7a .� 95 .S ✓/
0-0
-e
T ELEPHONS:�<- &
AC7CR'S NAME
•^
, 1,7R
)NTR gCTCR'S MAi LINA ADDRESS
Fireplace rf "
UNKNOWN
Total Valuation $
)NSTRUCTION LENDER
Filing Fee
10�:•;'
00. '•
ENDER'S MAILING ADDRESS
Permit Fee
`''°a'''•�
LICENSE NO.
Plan Checking Fee $
gCHITECT OR ENGINEER
Energy Plan Checking Fee $
,
RCHITEC:T OR ENGINEER 5 MAILING ADDRESS
Penalty $
..
Permit fee i fid"
U ILOING ADDRESS
'
PLUMBING PERMIT Filing Fee 10.00
G� �ti --
Each Trap
Solar or heat pump water heater
20.00
It r
5.00 -
PARCEL MAP
,OT NO. BDIVISION NAME
SU
Water piping
Each qas water heater or vent
- -.
5•� O�
_
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
.req � n
�plex❑ 0th
Building sewer
S G W
5.00
0.00 ea
;F Mobilehome❑ � SPECIFY
Mobile Home
TYPE OF WORK
New Addition Remodel❑ Utilities❑ Installation[] Other [, --I
Describe work: �� e2 O
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Permit Fee
Contractor
ELECTRICAL PERMIT
600V OR LE- '
Main service 100 AMP OR LESS
Main service EA, ADD'L 100 AMP
NEW CONST. ( g2atr4 OC'
OR ADDNS 4C�GC EK.1�+
NEW rONSTR. Mu"TI-OUTLET
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the eusin!as(POWER OUTLET
SINGLE OUTLET CIR.
and Professions Code and my license is fnrro �^ effect. Ex. Occup(ouTLETS OR FIXTURES
FIXED APP LNS. OR
Lice ns D i%4 EX. OCCup. OUTLETS (RESID.1 EA.)
G/ ( mpen
$ /'C;L f 6-0
Filing Fee 1 10.00
10.00 /d. o'v
2.50 1 a, S-0
2.50 ea
2.00
I I, as th ffered Temporary service : 10.00
ation, 1 ,, /��� 15.00
for sale. / _ -tL) L'-" -% � ntract- Mobile Home Facilities
❑ 1, as the O (� , Misc. Wiring 15.00
ors. (Sec / 4Jt �[.13c-G6�! s
Jyp,) (*?c�L� Curie
❑ I am exe! j /� r tT b 4z t't LD 1 Permit Fee $ '
for this r}a�t�7 p�ur,'! / y Contractor �'
t !� 10.00
,j7U��/ �I;+ v�L� MECHANICAL PERMIT Filing Fee
I declare under pe fc/ riZ 6' fro
J �� l� lf�.�j�•/ Heating .� d v !� d
The perm! L jC.vef 1D,0 0
I have C a Certif I" 14 U �'� i icate Coolfilg 3J 6'B�
of Conse �?'((' �jdf��'l ` s 3.Q'fl
t(�I shall n ject �16od 3.00
I
1L Ventilation °
�`" °0-0to the W. �;,�f(.�/��'�
Notice to Appllcansuch, Permit Fee $
to the W. C. provis rG C2 T
provisions or this
Mobile Home installation Fee S
tion f �.a
I certify that I ha v ting Energy Inspection Fee $ 3
is correct. I agree t e ounty of
to building construe TOTAL PER IT FEE $
Butte to enter upon t eabove-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against occu— coNsSTTTP scNoo
F PA CL PD NO I SU
all liabilities, judgments, costs, and expenses which may in any way accrue Y/
againsaid ou se enc f t granting of this permit. 1 , This permit is hereby issued u der the applicable prov f
l� Date 12 l; sions of the Butte County Code nd/or resolutions to -?..
,.- rk indicated a ove for which fees have been p
❑3e3�
Signature icant - Ow Contractor ❑ Agent jt - ��DI CTO OF PUBLIC WORKS.
L. r .
An OSHA permit is required for excavations over 5'0" deep and dem It' c s ct-
ion of structures over 3 stories in height. B y Date
_c
3eceipt No. /Cr PERMIT EkPIRES Date
R, PINK -INSPECTOR. GOLDENROD -AP P 1 ANT
HITC-D.P.W.. TCLLOW-ASSE35D
rim
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS + .
196 Memorial Way, Chico — Phone: 891-2751
V �. 7 County Center Drive, Oroville — 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.
P1 IF-
:E X-�i�t�
0 %2C2-A_I P)�
I!src—L
JA r AN 5,
-11
Date Z__Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
u/0Ak 1,-)0AAld Uy23-8A
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
RMIT F.x-P1(ZE% 2 S-0�
1r,JAL, r21111T W11nl 10 NAy5_ FE RAI iT
V.111 c 1),1% Sv'./T TO Cobr FNFoRCEIti►-ENT AFEE(Z
1 o ),,,A ,
'2, p\ \,I QVgm,\tt 10 C 30" IVi j i�_ T IIt
LVA,:j2C0 0r05-6
Date--] -1(e Inspector
REV 11/91
ra'1�.-kfi,`•'� ` r .2iy+9"�'z.:r< _ Ts �- r F7eF �n[�`zt`r....;A`+s�,w..'l:+dK1at"X+rw,�i.�. vti+-l±f,iY�b�'v:�t7"F;+�,�a'Si'r r.^v"`.�i i
` COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
` 1469 Humboldt Road, Chico, CA - (916) 891-2751 `
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise; CA - (916) 872-6307
CORRECTION NOTICE
I /
I*" W �n -Q S C rn k ( 4 O ,'1 OL yl 4/023-98
�k- OWNER' PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
����- -57'02 3 8$
12-er•rLia ( S9!2 - 9V
9--3-71
6Zeff��-
K Q I
aged
IF 1-j
_;
Date - ��] "�{ Inspector
REV 11/91
M
4COUNTY\,OF BUTTE �.
;bEPARTMENT`OF PUBLIC WORKS
' 196 Memo aftay, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
r 747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION, NOTICE
OWNER �— PERMIT NO.
1
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.
C7 ��
D K.J • £. T�/L�O� i• C g' T�
J/17
i // U�c��rr od,�c M.���rf �vo2
ID , AJ7r Iti
100,/i2� Lc/Ci �� •'T�j,�/ r S(,c �i'Lf CJS //
010a /
�oyl of �,ti _ l�i�� �va
Inspector_ Date
ti
— d �"
0 NER rtHMiT 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 correctio -of work is completed. If you have any question pertaining to this
matter, eed additional explanation, please contact this office immediately.
Inspector
/Z
COUNTY OF BUTTE
- f- . HTMENT OF PUBLIC WORKS
v
196'IMemorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
0 A .";'j
w
J
— d �"
0 NER rtHMiT 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 correctio -of work is completed. If you have any question pertaining to this
matter, eed additional explanation, please contact this office immediately.
Inspector
/Z
COUNTY OF BUTTE
=a 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
C(ARECTION 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
matter,, or need ditional explanation, please contact this office immediately.
Inspector Date__ 6 --'ne —'E7
_ _ . -- ---�---,"v^c-+-Fya•4"v �p'R�, ` 9+r'ii'-.;�,�'+�3;�?r•a-+}•:•.3r:.=x,...�:..:r:.n4
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: 8.72-6307
CORRECTION NOTICE
R
T
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 ntact this. office immedi ely.
-'sk- rYP
Inspector Date
�ti:. r^ . --. ,- .i"'. �l��+rsi"$"�--^^a"'.•-' '._7'".T`�„'^'.=.'p�r+'"Y'+fftn...+.�s.vr.r.;a[-z:-ii'VfrJ-�'+`.i4't"fi:S:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
M 196 Memorial Way, Chico — Phone: 891-2751
r 7 County Center Drive, Oroville — Phone: 538-75/14
747 Elliott Road, Paradise— Phone: 872-6307 1i
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 rrection of work is.completed. If you have any question pertaining to this y
matt or need additional explanation, please contact this office immediately.
r
_ _ s > U r • pec£ r ? p�,cry��o-/e
4,4 /S
v u / >�
Inspector Date
r�
. , , a � .- ..+y'-N(7/l7� Fr4M.i�c'a�..+yT d��fra"a1/'b"ta{t'�."'Y�• h�tY� e y+s �'F�`4T1Y�Ce�M
COUNTY OF BUTTE
.I DEPARTMENT OF PUBLIC WORKS z
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541 Z
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
.J
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 corr ion of work Is completed. If you have any question pertaining to this T'
matter or need additional explanation, please contact this office Immediately.
rsa
4,11
3� a%; I.3. 114
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
j q - 196 Memorial Way, Chico — Phone: 891-2751
7 Count•yCenter Drive, Oroville — Phone: 538-7541
w 7�Ehliott Road, Paradise — Phone:A72-61307
CORRECTION NOTICE
t
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Pleasenotify this":office
d'4. *-
when correction of work is completed. If you have any question'pertaiing,to'this
matter �r nged P¢ditional explanation, please contact this office immediately.
X
.moi% ..
___._- •.r�v ---. �....a.. .. -.. � �a�"V�fr-yyr—•-•v �.s.•.--rr. r( -1.r .... .-.. _.._ _._ '"Y
COUNTY OF BUTTE
f ` ` DEPARTMENT OF PUBLIC WORKS
c, 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER V PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist a /the above address and should be corrected. Please notify this office
when orrection of work is completed. If you have any question pertaining to this
mat r, or need additional explanation, please contact this office immediately.
1 y o
�Lr��
6J 7
D
az,)
Inspector Date
J' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
r;1. 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
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
matter; or n ed additional explanation, please contact this office immediately.
;S iV " Y141 �W_' �
� 1
Inspector Date
BUTTE COUNTY
DEVELOPMENT SERVICES
Complaint Form
Complaint Date: _3- 30-
Owner:
p-Owner: —M 1 C ( 4 EG A t'
Address:
Complaint
Location:
VIOLATION TYPE:
COMPLAINT•
A.P.# Q- 1 - .4-r
Zoning:
Supervisorial District:
Taken Bv:
BUILDING HEALTH PLANNING
PERMIT HISTORY ON FILE: NONE
FIELD INFORMATION:
TENANT: Address:
CAUTION•
AS FOLLOWS:
Description of Violation: —C
Yes No
OTHER COMMENTS:
Approximate Building/Mobile Home Size:
Approximate Building/Mobile Home Age:
Under Construction
Built by/for:_ Present Owner Previous Owner _ Occupied
Has Power Has Gas- Has Sanitation Facilities
_ Written Notice Given & Attached Person Contacted
Describe Action Taken: �1101/Gf— y-Uou-r AAJY
�S
POA/.5 9- _
ACTION_ RECOMMENDED:
Information Only, File Hold for Days
30 Day Letter Complaint Unfounded
10 Day Letter/y Other
By: Date: .3-.3o
COMPLAINANT:
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS•
i
t .qI
r
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (91.6) 872-6307
CORRECTION NOTICE
OWNERPERMIT NO.
A routine inspection indicates that the following violations of Butte. County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or -need additional explanation,
please contact this office immediately,._
Certificate of Compliance: Residential Climate Zone 11
GS
HVAC SYSTEMS MinimYum,° ,Duct .•
rn
Type (furnace, gr Efficierky Location Duct output Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic,'etc.) - R -Value (BM (or approved equal)
. ,-^.
Maximum Fumace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) 1
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
t
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain theae'measuies regardless of the compliance
approach used Items marked with an asterisk (•) may be superseded by mom stringent eompliarmoe mQuirements listed
on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R•19 weighted average.
42.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to
exterior mass walls).
62-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 permlmch.
12.5311: Insulation specified or installed mats California Energy Commission (CEC) quality
standards. Indicate type and form. -
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. _
§2.5317: Infiltration/Exfmlt adon Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage -
b. Doors and windows certified.
c. Doors and windows weatherstripped. all joints and peneuations caulked and sealed
§2.5352(e): Special infiltration barrier installed to comply with §2-5351 mom CEC quality
standards. .
§2.5352(d): installation of Fireplaces
1. Masonry and'factory-built fireplaces have:
a Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control -
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
62.5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
•
12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC _
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. ;
§2-5314: HVAC equipment, water heaters. slowerheads and faucets certified by the CEC. e
§2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating r
-
piping. — -- _
§2-5313(d): Swimming Pool Heating
1. System has:
a On/off switch on heater.
b. Weatherproof instruction plate on heater:
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
t
02.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts cenified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the Califon -da Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, whoU
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
f Designer B 'Idi O'00"i
I tC6 1''
IF
Nana:
j Twe/Furn
Address:
i
Telephone
I Lic. 4:
(signarurre) (date)
Documentation Author
Name:
Title/Ftttn
Address:
to ng wner'
Name
Addmu: O fiecat /-,ft,�*
r ,rha. — . C4.
Tckphone 3412 —"991P
(signature) (date)
Enforcement Agency
Name:
Atemy:
Tekphone:
9
R7— /.a -�
;BUILDING DATA
Conditioned Floor Area _ --M
Number
of Stories
Glass Area % Glass
North _
East
Slab/Raised Floor
Number
of .Units
South
Single Family Detached
(SFD) [
] Addition Alone
West
[ ] Single Family Attached (SFA)
. [
] Existing Building
Skylight e9
Total od
Multi -Family (MF)
s
[
]Existing -Plus -Addition
BUELDING SHELL INSULATION
Component Insulation
Location/Comments
Type R -Value
(attic. to garages typical. etc.)
Wall ...... :....... ,
Wall .......:.....
Roof.............
Roof .............
:
-
Floor .............
`;
,Floor.........
�c
Slab Edge.....
I
GLAZING,---,-----
Shading Devices
'
Glazing Area
Glass Type
Interior Exterior Overhang Framing Type
Orientation (sf)
(singly double)
(roUer blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood)
r
North
North
East G -a
East ( )
SOUCh (tr4
South ( )
West (�
M
•
West ( )'
Skylight.........
THERMAL MASS
-;�-
Ty-pe/Covering
Area -
Thickness
'� --.,(slab/exposed,
tile. etc.)
(sf)
(inches) Location/Description (kitchen, bath, etc.)
R
GS
HVAC SYSTEMS MinimYum,° ,Duct .•
rn
Type (furnace, gr Efficierky Location Duct output Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic,'etc.) - R -Value (BM (or approved equal)
. ,-^.
Maximum Fumace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) 1
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
t
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain theae'measuies regardless of the compliance
approach used Items marked with an asterisk (•) may be superseded by mom stringent eompliarmoe mQuirements listed
on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R•19 weighted average.
42.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to
exterior mass walls).
62-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 permlmch.
12.5311: Insulation specified or installed mats California Energy Commission (CEC) quality
standards. Indicate type and form. -
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. _
§2.5317: Infiltration/Exfmlt adon Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage -
b. Doors and windows certified.
c. Doors and windows weatherstripped. all joints and peneuations caulked and sealed
§2.5352(e): Special infiltration barrier installed to comply with §2-5351 mom CEC quality
standards. .
§2.5352(d): installation of Fireplaces
1. Masonry and'factory-built fireplaces have:
a Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control -
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
62.5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
•
12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC _
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. ;
§2-5314: HVAC equipment, water heaters. slowerheads and faucets certified by the CEC. e
§2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating r
-
piping. — -- _
§2-5313(d): Swimming Pool Heating
1. System has:
a On/off switch on heater.
b. Weatherproof instruction plate on heater:
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
t
02.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts cenified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the Califon -da Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, whoU
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
f Designer B 'Idi O'00"i
I tC6 1''
IF
Nana:
j Twe/Furn
Address:
i
Telephone
I Lic. 4:
(signarurre) (date)
Documentation Author
Name:
Title/Ftttn
Address:
to ng wner'
Name
Addmu: O fiecat /-,ft,�*
r ,rha. — . C4.
Tckphone 3412 —"991P
(signature) (date)
Enforcement Agency
Name:
Atemy:
Tekphone:
9
1. Ceiling Insulation
2. Wall Insulation
Single -Single
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
�
-32
R-
-17
-8
-51
0
34
0
R-3030
1
-1
-1
BUJ
0
0
4
0.50
-176
-84
-54
0.30
-102
-49
732
0.10
-26
-13
-46
0.08
-18
-9
-36
0.06
-11
0
-4
0.04
-4
.2
- 1
0.02
4
23
1
0.00
11
5
7
2. Wall Insulation
3. raised Floor Insulation
Single -Single
-48
-42
Number of stories
-64
-55
Family
Family
Multi -
R -value
Detached
Attached
Family
-17
-68
0
-51
0
34
0
-11
R-13
1
.
2
1
R-19
8
6
4
1.1 -value
1
19-��
1
U -value
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
36
.24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
•14
10
0.00
24
18
12
3. raised Floor Insulation
Controlled Ventilation Crawlspace
Insulation In Floor
-48
-42
Number of stories
-64
-55
Number of stories
One
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
. 3
.2
-1
-2
0
0
.1
R --JT-
x{ 30'
3
1
19-��
1
U -value
-90
Number of Stories
-26
-- - 0.60 .
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46'
-30
0.30
-69
34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
'
-48
-42
Number of stories
-64
-55
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-1
3
R-11
-2
-2
-2
R-19
.1
.2
-2
4. Slab Edge Insulation
4
-
-90
Number of Stories
-26
R -value
One
Two
Three
• R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
29
-58
-20
0.90
-4
3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S. Inriltration (Air Leakage)
Specification Point's .
Standard 0
6. Glass Heat Loss
Total
'
-48
-42
-69
-59
-64
-55
LI -value
%Glass
Percent
East
South
51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23 .
-40
-11
-4
2
8
15
- 22
37
-9
3
3
9
15
21
-34
-7
-2
4
10
15
20
31 .
3
0
5
10
16
19
-29
-4
1
6
11
16
123
9
11
12
12
5.5
5
8
1
3 J
8
12
17
16
-20
0
4
9
13
17 .
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
3
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8_
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Percent Class
(percent Plast x SC)
Effective
'
-48
-42
-69
-59
-64
-55
a
na
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
123
-2
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1.3
-3
0
2
3
4
1
2
4C2-)
3
2
4
C
2
.
2
1
1
3
3
•3
2
0�
-1
1
1
'-1
25
3
1
-1
,1
7
-11
2
0
-1
.6
-4
-2
0
na = not allowed
. 2
5
7
9
fB. Shading (Shade Closed)
Effective Percent Glans
(Percent glaat x SC)
%GctW
lass North East South West Skylight
18
16
-14
-12
-48
-42
-69
-59
-64
-55
a
na
14
12
-10
-8
35
-29-
40
-3�
a
11
10
.7
-6
-26
-23
36
31
33
-29
na
-74
9
8
-5
-5
-20
-17
-27
-23
-25
-21..
-05
-56
7
6
-4
-3
-14
-11
-19
-15
-18
.14
-47
-38
5
-2
-9
-11
-10
7
-30
23
4
3_
0
-6
4�4
8
-6
19
2 _
1
'1
y
1
�
4
3
-4
0
0
2
1
2
2
0.9
9. Interior Thermal Mass
Interior
Single- :
Slab Floor
Raised Floor
Wall
Mass
Family
Stories
Mass
Detached
Stories
FamOy
/CFA
One
Two
Three
One
Two Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
25
0
3
5
7
7
8
3.01
15
4
.6
8
8
9
.3.5
. 2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
' 10
12
13
13 I
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
.13
14
14
8.5 7
10
12
13
• 14
15
10. Exterior Wall Thermal Mass
Exterior
Single- :
Single -
Wall
Family
Family
Multi
Mass
Detached
Attached
FamOy
0.00
0'20
0
3
0
.0
0.40
0.60
5
8
4
6
3
4
0.80
1.00
10
13
8
10
5
7 I
1.20
1.40
13
12
12
13
8
9
1.60
1.80
10
10
13
12
11
12
200
10
11
13
11. Heating System
Zonal Control Adjustment
System Type
Resistance 10. 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling System
SEER
(assumes ducts In attic)
Sum of 7-10 y.
-25 or .24b .14b .4b +610 16 or
SEER less .15 -6 +5 +15 more
8.0 -14 -12 -10 .8 3 -4
8.5 -9 -7 -6 -5 -4 '3
8.9 .5 -4 -4 3 -2 -2
9.0 .4 3 -3 -2 -2 -1
9.5 0 0 0 0 0 0
10.0 4 3 3 2 2 1
10.5 7 6 5 4 3 2
11.0 10 9 7 6 4 3
12.0 15 13 11 9 7 5
`13.0 20 17-- 14-- 12 9 6
Effective SEER
(SEER x dud eMclency)
Sum of 7-10
Effective-25of -24 to .141c .410 +6 b 16 or
SEER less .15 -6 +5 +15 more
5.0 30 -25 -21 -17 -13 -9
6.0 -12 -11. -9 -7 -6 -4
6.6 -5 -4 -4 3..:02 -02
7.0 0 0
8.0 9 8 6 r4 3
9.0 16 14 12 9 7 5
10.0 22 19 16 13 10 7
11.0 26 23 19 15 12 8
12.0 30 26 22 18 14 9
13.0 33 29 24 20 15 10
I Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2- 2 1
Single -Family Detached and Attached
SE or ASPF
Unit size (sQ
U -value [0.030]
(assumes ducts In attic)
'1199
R -value [11J
1200
1700
of 114 d��r
2700
Heater
Credit
_Sum
25 or -24 to -14 to -4 to
+6 to 16 or i
SE
HSPF less
-15 -5 +5
+15
more
0.72
6.60 0
0 0 0
0
0
1
0.75
0.80
6.88 3
7.33 8
3 3 2
7 6 .5
2
4
3
0_0
•7.79 13
11 10 8
7
9
5
7
0.9
0.95
8.25 17
8.71 20
15 13 11
1S 15 13
11
8
HWR
Effective SE or HSPF
5
4
(SE or HSPF x duct eMciency)
3
Effective -25 or
-24 to -14 b -4 to +610 16 or
SE HSPF less
-15 3 +5 +15 more .
0.30
2.75 -73
-64 -56 -47
.38
-30
na
3.41 -45
-39 -34 -29
-24
-18
0.40
3.67 -34
-30 -26 -22
-18
-14
0.50
4.58 -10
-9 -8 -7
-5
-4
0.56
5.13 0
0 0 0
0
0,
0jis 5
5 4�1
3
9
2 !
7
0.
0.80
17
7.33 25
15 13
22 19 16
13
10
0.90
8.25 32
28 24 20
17
13
1.00
9.17 37
32 28 24
19
15
Zonal Control Adjustment
System Type
Resistance 10. 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling System
SEER
(assumes ducts In attic)
Sum of 7-10 y.
-25 or .24b .14b .4b +610 16 or
SEER less .15 -6 +5 +15 more
8.0 -14 -12 -10 .8 3 -4
8.5 -9 -7 -6 -5 -4 '3
8.9 .5 -4 -4 3 -2 -2
9.0 .4 3 -3 -2 -2 -1
9.5 0 0 0 0 0 0
10.0 4 3 3 2 2 1
10.5 7 6 5 4 3 2
11.0 10 9 7 6 4 3
12.0 15 13 11 9 7 5
`13.0 20 17-- 14-- 12 9 6
Effective SEER
(SEER x dud eMclency)
Sum of 7-10
Effective-25of -24 to .141c .410 +6 b 16 or
SEER less .15 -6 +5 +15 more
5.0 30 -25 -21 -17 -13 -9
6.0 -12 -11. -9 -7 -6 -4
6.6 -5 -4 -4 3..:02 -02
7.0 0 0
8.0 9 8 6 r4 3
9.0 16 14 12 9 7 5
10.0 22 19 16 13 10 7
11.0 26 23 19 15 12 8
12.0 30 26 22 18 14 9
13.0 33 29 24 20 15 10
I Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2- 2 1
Single -Family Detached and Attached
or
Unit size (sQ
U -value [0.030]
Water
'1199
R -value [11J
1200
1700
2200
2700
Heater
Credit
or
i b
to
to
or
Type
Type
less
1699
2199
2699_
more
SG
None
0
0
0.
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2 t*
45%
POU
8
5
4
3
3
SE
None
37
-24
-18
-15
.12
125'
Solar
-1
-1
-1
0
0
2S%
HWR
-18
-12
-9
-7
-6
WSB
.25
-16
-12
-10
-8
POU
-18
-.12
-9
_7
-6
IG
None
=5
-3
-2
-2
.2
Solar
7
5
-4
3
2
POU
3 _
2
1_
1
1
IE
None
-28
-19
-14
-11
-9
0.2
Solar
8
5
4
3
3
1.6
POU
-10
-6
-5
-4
-3
3.9
3.3
Multi-Fanlgy
(individual units)
3.9
4.1
4.3
4.5
Unit size (s
5
5.2
Water
56
699
700
1200
1700
22M
Heater
Credit
or
b
to
b
W
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0'
or
Solar
14
7
5
4
3
HP
HWR
9.
5
3
2
2
WSB
9
4
3
2
2
4.8 'S.1
POU
9
5
3
2
2
SE
None
45
-23
-15
-11
-9
13,
Solar
2
1
1
0
0
3.B
HWR
-23
-12
-8
3
'-5
WSB
-25
-13
-8
•6
-5
1.1
QQU
_23
-12
-8
-6
-5
IG
None
-8
-4
-3
.2
; .2
4.1
Solar
e
3
2
1
1
5.6
5.6
_ POU
1_0
0
_0_
0__
IE
None
30
-15
-10
-8
-6
2.7
Solar
18
9
6
4
4
4.2
4.3
POU
-8
-4
-3
-2
-2
Interior MasSICFA
t T7V9 2 PASS
41.7•uteC•..21
or
R -value [381
U -value [0.030]
e- I 1 or
R -value [11J
4 Trrd I MASS (UIMC & 4.2. te: ex -posed blab)
or
R -value [ 191 -
U -value 10.0371
or
R -value [01
F2 factor 10.771
Ie.tpet.d .tab,,
•/
- -
- 11
double]
U-value10.651
t
40%
45%
50%
55%
60%
659.
70%
75%
80%
85*/.
90%
95%
100% 105%
110*/.
115% 120%
125'
0%
S%
20%
2S%
30%
35%
0.8
17
48
4.2
4.4
4.6 '.4.8'
58
5.2
5.4
`10%
0.2
0.4
0.6
0.6
1.2
IA
1.6
19
ZI
13
14
1S
17
2.7
19
2.9
3.1
3.9
3.3
3.3
3.5
3.5
17
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
20%
0.3
0.6
0.7
0.8
0.9
1
1.1
1.2
1.4
1.4
1.6
1.6
1.62
1.8
2
2.2
2.2
14
16
18
3
3.2
3.5
3.7
3.9
4.1
43
4.5
4.7
4.9
5.1
5.3
5.6
50
30%
O.S
4.8 'S.1
5.3
5.5
5.7
5.9
6.1
50%
0.9
1.1
1.3
1.51.7
1.9
11
13,
25
17
38
32
3.4
9.6
3.B
48
42
1,4
46
SS%
0.9
1.1
1.4
1.6
1.8
2
2.2
14
2.6
18
3
3.2
3.5
3.7
39
4.1
4.3
4.5
4.6
4.7
4.8
4.9
S
5.1
5.2
5.3
5.4
5.6
5.6
5.8
5.9
6
6.1
6.2
6.3
60%
1
1.2
1.4
1.7
1.9
11
2.3
2.5
2.7
19
3
11
3.2
3.3
3.4
3.5
3.5
3.8
3.6
4
4
4.2
4.3
4.4
4.5
4.7
4.9
5.1
-
5.3
5.5
5.7
5.9
6.1
6.4
65%
1.1
1.3
1.5
1.6
1.7
1.6
1.9
2
2.2
2.2
2.4
2.5
2.6
17
2.8
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
58
6
6.2
64
701/.
75%
1.2
1.3
1.4
13
1.7
1.9
11
2.3
15
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
BOY.
1.4
1.6
1.8
2
12
2.4
16
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.8
4.0
S
5.1
5.2
5.4
54
5.6
5.6
5.8
5.9
6
6.1
6.2
63
64
65
66
67
85%
1.4
1.7
1.9
2.1
2.3
15
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
5.8
69
6.2
A
6A
66
6
955YY
2
2.2
2.5
17-
29
3.1
3.3
9.5
9.7
9.9
4.1
43
4.6
4.8
S9
5.2
5.4
5.6
6.2
6.7
9
'
9
100%
16
1.7
1.8
1.9
11
2.3
15
18
3
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5S
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
.
2
2.2
2.4
2.6
18
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.2
5.4
5.4
5.6
5.7
5.8
5.9
6
6.1
6.2
6.3
6.4
6.5
6.6
6.7
68
69
7
7.1
110*/.
1.9
2.1
2.3
2.5
17
19
3.1
3.3
3.6
3.8
4
4.2
4.3
4.4
4.S
4.6
4.7
4.8
4.9
5
5.1
5.3
5.5
5.7
5.9
6.2
6.4
'6.6
6.8
7
7.2
115%
2
2.2
2.4
2.6
2.8
3
9.2
3.4
3.6
3.8
4.1
7.1
T3
7.4
1255%
2
11
2.3
15
2.8
39
3.2
3.4
3.6
3.8
49
4.2
4.4
4.6
49
5.1
5.3
.
55
5.7
59
6.1
6.3
6.5
6.7
79
7.2
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
Measures
or
R -value [381
U -value [0.030]
e- I 1 or
R -value [11J
U -value [0.098]
or
R -value [ 191 -
U -value 10.0371
or
R -value [01
F2 factor 10.771
Standard
•/
- -
- 11
double]
U-value10.651
% Total Glass [161
Point Scores
. 0
0
Sum 1.6
7. Shading (Shade Open)
%Glass SC Eff. g'o Glass
a. North x•77 - JAMS
b. -East x - -
c. South x = -
.`` d. West x = �-
e. Skylight x =--
8. Shading (Shade Closed)
%
Eff. %Glass
a. North x -- = 4
Aky
b. East x
c. South x.. -
d. West x
e. Skylight �-_ x
=
9. Interior Thermal MassTYPE 1 MASS AREA %_ FOND. FLOOR AREA
InteriorIvr�ss/CFA '
lU. Exterior Wall hiaSS - TYPE 2 MASS AREA $ 3'
Exterior Wall Mass ND. FLOOR AREA Sum 7-10
11. Heating System . S x
Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 HSPF ive S or
(o.7Z/6.6]
12. Cooling System
Zonal Control? ( Y / N) S [9.5] x Duct Effictcr►aY (0.741 Effective SEER [7.03]
13. Water Heating
Type [SGJ Credit [none]
Point Total: ��
3Xw-
�k
. Y a
28 -Q tl QUER: Z SUPPIAT5
SEQ�!--;1.56558 FURNISH R CDPY OF THIS DESIGN TO; ERECTION CONTRRC'QR,��_
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