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040-380-007
'. 040-38-0-007 MAGLISCHO, CHERYL 184 ESTATES DR, CHICO CONTR: ELY ROOFING REROOF/SF 93-529 B , '' `- 014'0__ 14'0_ _ 3 Q �.r MAGLISCHO, Ernie 910-72(B,P&E) 040-38-0-00740-38-7 95-0557 B,E � 184 Estates Drive , Chico CUNNISON Richard & Barbara �j CONTR: Holiday Pools.p-Chico, 184 Estates Drive, Chico. /,�1 �(ly (add close (New st►m+:ng pool) closet/SF) Tree,Const + 040-380-007 � � PERMIT ,�96-2 77 , M�AGLISCHO, E. 816-70B HAYES, Bob & Darci683-70P 184 Estates Dr., Chico - 79 8- OE Cont: Best Built Const.( , 0-38- j/ Partition Wall in Bedroom/S 184 Estates Dr., Chico CONTR: Chas. Priddy ,2 5 ada Way, Chico OSTEDSTERBOB , BO B - -by-1J61 (new single family) \ 1 84 ESTATE DRIVE, CHICO i ONTR: GARY WHITE EMODEL 040-3/0-007- 01-3131 SROUJI, ROGER 184 ESTATES DR CHICO INSERT 040-380-007, 03-0038 STROUJI, ROGER 184. ESTATES DR., CHICO CONT: SIERRA ROOFIN O RE -ROOF . � f a - - . lou"11 ��:-...., v.,��.R...�.,ny;,,}�,I'kr+M►�h�'°F.,a..,rC��vuVr,+�c,.�srt�...� �,�..:.�vr•w+�aer-Y^-�.rs+r.�r.�,�.��vM + �c+.s. �«^yi�. !fJ � 0410-380-007, 03-0038: ,;.. �, STROUJI,4ROGER 184 ESTATES DR.; CHICO ', CONT:. SIERRA ROOFING • 'RE-ROOFS '' . t• ,� , . ; . 1 j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville neCalifornia 95965 • Telephone (530) 538-541 , � v T (Rev.12/96) APPLICATION AND PERMIT l/ ASSESSOR PARCEL NUMBER 0q,O + o J�V , n/'\� W ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATIO .OWNERS g1PJ1.7NG,ADDRE', f G.t. S C 1� l G 0 ( \J CONTRACTOR'S`•NAME ' e�,�c. ��vo('� TELEPHONE -54 -fi b CGNiRACdOQ'S MAILJNG DR/1 2 I ,W / 1. `j' C5 z --'1 U ( C_ / CONSTRUCTION LEENNDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ vk - ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS *S / ' i I I tO Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑hUtilities ❑ Installation ❑ Other ❑ 11 Describe Work: ✓ v Ir /� � kcx *s - , o �' a ( � C G, e i� Q � c { l 0 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W - @20.00 . PERMIT FEE $ y rl �-Vi ! r ELECTRICAL PERMIT Fling Fee 20.00 800v OR LE S Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. ���, �! ,, L,�y/ License Class S 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' c mpensaon, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Lqbor Code, for the performance of work for which this permit is issued. My workers' mpens 'o insurance carrier and policy number are: Carrier [/N / Policy Number / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensatio lawIof Califor!)ra; and agpe that if I should become subject to the workers' comp cation p.66ftions, section 3700 of the Labor Code, I shall forthwi 4Y' 0 ly w' lrtvth'se pr vi' i ns. X _ f Date vim=—i? —� Si ture,; f A 5 plichnt'- ❑ Owner 4 Contractor ❑ Agent OSHA permit is required for excav tions over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 .NG OCCUP. SO NEW CONST. DW OR ADDNS. ( a Acc. BLD.. 3.50FT: NEW CONST.MULTI-OUTLET NON-RESID, C @7.50 POWER APPARATUS 8 BINDLE OUTLEr C,R. Ex. Occup. .UTLETORFO(TUR 20 (@ 1.00 BAL .so FIXED APPWS. OR" 5.00 Ex. Occup. ourLErs REBID. E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ HAZ D.� IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicaterbove for which fees h ve '"An By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. l - &' () Date (f Date c, Receipt No. � 5 /`dt7 WHITE-D.D.S.-B.D. CANARY=ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 38- 41 6g, 0 (Rev.12/96) APPLICATION AND PERMIT 6,1 ASSESSORPARCEL NUMBER fpm' �) (c ZONING BUILDING PERMIT OWNER ..{_.��^ � , r 1..r— �jg��� (05 SO. FT. OCC. BUILDING VALUATI OWNERS DRE l� T (f(� �2, CONTRACTOR''43rE� ��� �Q• T( CONTRACr`S ENZt�1y(L1NO DR S Z�� U CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ - ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ b,5 -C7 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS t✓-U(zo Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. susomsIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ei� r 6 ,�/�' ` �' 1� �[� 1 t �" '� ` 0 0 1 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ,� ` ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A"OOV OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. / l �. /p r, License Class 1 Y Lic. No. �J(^[ (/V•�hV(//J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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' Spnipensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the 1.4bor Code, for the performance of work for which this permitis issued. My worker ' m en iLXgr(ce carrier and policy number are: Carrier (% Policy Nu ber (The above sections need notbe completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensati law of Califor ' , aina e that 'rf I should become subject to the workers' p sato Ision section 3700 of the Labor Code, I shall forthw' o y e pr s. X _ Date l! Si ture pli ❑ O ner Contractor ❑Agent An OSHA permit is re wired for excav tions over 5'0" deep and demolition or construction of structures over 3 stories in heigh . Main Service TO ,000A 46.00so WEE200A NEW CONST. DWELLING OCCUP. SO OR ADONS. a Acc. BLnS. 3.5¢FT: t,�o"EN.RESID. MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. ouTLEr OR FIXTURES BAL O .50 Ex. Occup. ou�T,EE-DTSA ,,EES,D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE �C TOTAL FEE $ J HAZ, I D. FEES IMP I FLOOD I COF PARCEL pD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for whic fes ve been paid. �- / .I„ By %Date ( 5� (�( PERMIT EXPIRES ON (� / Date ReceiptNo. © Jc7`�C� WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT Name SROUJI ROGER M &HEATHER M Addr1 1184 ESTATES DR Addr2 I CHICO CA 95928 Addr3 Addr4 Comments 14038000700 CONVERTED 09/08/88 Creating D oc# 1970R 1620169 D ate Current Doc# 12001 R 0024785 D ate 0G/12/2001 Killing Doc# I . D ate Asmt D esc 184 ESTATES D R S uplCnt Zoning I R1 DwellF— Acres/S q Ft 10.48 N /C 040 Asmt # 1040-380-007-000 Fee # 1040-380-007-000 Status JACTIVE Status Date Tax 000 INORMAL OWNERSHIP TRA 0G2-151 Situs 1184 ESTATES DR CHICO Base D t 06/12/2001 Timber Preserve AgPres E tal F N otes r– 8 onds F multi Situs Flag1 Flagg F 910 MH F Asmt PP Pen rw Tax PP Pen Appeal Pending Split Pending Land S tructure Fixtures G roaring Total L&I Fix. R P MH PP PP E xemr)tI 91,800 204,000 0 0 295,800 0 0 0 0 Net 1 295,800 R!C#j T!R DtI R1C Stat I PHY I OWN I EXP I TAX I HON ATT 51T� APR. PCL _] 1- 1 M Find W/X - 040-"J')-00*" 01-3131 SROUJI, ROGER 184 ESTATES DR, CHICO .INSERT ps t i r COUNTY OF-ITI`E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovllle, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 11' j-3/5 ASSESSOR PARCEL NUMBER r ' Ot-1 ZONING BUILDINGPERMIT OWNER��•// �o v 1 TELEPHONE 5 y•/Oss SO. FT. OCC. BUILDING VALUATION .OWNERS HARING ADORES�� aJMy GGYY CONTRACTOR'S NAME O , N VVI TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace % LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ,3 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ItT.r�cs Energy Plan Checking Fee $ $ PERMIT FEE $ S ' LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF WDuplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Ofhe 1 Describe Work: /�s�.i� �• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 0 Mobile Home S G W @20.0_ :�:Aii PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service zo..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisipp of section 3700 of the Labor Code, I shall forthwith co7ly-w'th those pro�0i ions. f�� { O f X _ ^.---w-"""'° Date j ! Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADDNS. ( a ACC. BLD S. 3.5QFT: RE04INEW D. T.OUTLET @7,50 APPARATUs 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @'; Q FIXED APPLNS. OR 5.00 Ex. Occup. ounETs RESIO. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE /•- TOTAL FEE $ c j HAZ. I D. FEES IMP I FLOOD CDF pARC0. pD HO IS UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ��� By ...III Date PERMIT EXPIRES ON Dale ReceiptNo. WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT e))-315 ( ASSESSOR PARCEL NUMBER- �� -_ O�/ ZONING -BUILDINGPERMIT OWNER �a v TELEPHONE g5y-I� 3 SO. FT. OCC. BUILDING VALUATION OWNER'SIUNG ADDRx5ow - /lam L CONTRACTOR'S ME a!N// Ow / ' TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER EFireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ C///C� PERMIT FEE $ S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF �uplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel 13Utiliti/es;❑ Installation ❑ Other/�� Describe Work: ��SC-�Y Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE Main Service OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: l I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisi s of section 3700 of the Labor Code, I shall forthwith conn, h those pr isions. �') �I a' i X Date oc 1 Signature of Applicant -' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWEwNG OCCUP. sG OR ADONS. ( a ACC. BLDS. 3.5¢FT. HON-RESID. MULTI -OUTLET @7,50 POWER APPARATUS a SI NGLE OllILET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occu sru o .w Ex. Occup.OUTLETS RELrus ) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST.ATYPEI TOTAL FEE $ HA2. DIMP FLOOD CDF PARCEL PO HD Is U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. eeZ—""'b.te By PERMIT EXPIRES ON z, ate Receipt No. 55 WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT 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 P( 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: CONTRACTOR'S 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: 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• Pl ;:PERTYOWNE SOCIAL SECURITY )NUMBER: DATE: /C / /2 / NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their'license number on all permits for which they apply. �' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $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 if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for 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. I rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 14, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541„ PE0MIT NO. (Rev. 12/96) APPLICATION AND PERMIT *V,y5k/ ASSESSOR PARCEL NUMBER /�/7- 3 Q _,v—> r J 1�r� ZONING BUILDINGPERMIT i/ OWNERa +^►.j TELEPHONE SO. FT. OCC. BUILDING VALUATION �+ r OWN MA NG AD RESS^ Cn CTO ` ME TELEP`3/NE CONTRACTORS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �v Energy Plan Checking Fee $ $ PERMIT FEE $ _z. LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFT+Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Ilk Utilities ❑ Installation ❑ Other ❑ Describe Work: I&Z:� ( AC AA G_r„a 1 ���%( [ r 1 �,., ,/►�G Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR Main Service 20 A OR LESSS S 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 (full force and effect. �+y /1 License Class i 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 Main Service 200A TO 1000A 46.00 NEW CONST. / DWELLING OCCUP. OR ADONS. \ & ACC. SMS. SO 3.5¢FT. rN .IcOO,. ' muLT' ocyTcETuTS @7,50 POWER APPARATUS a sINOLE ounEr CSR. EX. Occup. OUTLET OR FDTTURES .00 BAL @ 1. 0 Ex. Occup. OflxuTL�Eors RM of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ . WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a�valuation of one hundred dollars ($100) or less.) .4e 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' mpensation laws of Cal' n' and agree that if I should become subject to the rkers' compensftion ro si s of section 3700 of the Labor Code, I shall rthwith comply Ith tho e p vi ions. XDate Signatu of Appllcnt - [I Owner Contractor ❑ Agent An OSHA permit is re uired for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE . TOTAL FEE $ HAZ. D. FEES IMP FLooQ PF PARC .. � PD HD U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have - By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 7-0, 'z?0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 10 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. If (Rev.121A) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ` T b7 ZONING BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWN NG AD RESS % •� V C CTO 'S NAME TE HONE 9� _.5,y yy C RACTORS LINO D CONSTRUCTION LENDER LENDER'S MAILING ADDRESS `- Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 7z ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING DRESS Energy Plan Checking Fee $ C PERMIT FEE $ Z LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)�-Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat puLnp water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel �k Utilities ❑ Installation ❑ Other ❑ Describe Work: 32V,- A CEJ 1 (n ' `r . 1.� `til Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W- @20.00 PERMIT FEE $ �� ELECTRICAL PERMIT Filing Fee 20.00 UE Main Service zoo, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is -!I full force and effect. License Class Lic. No. ��., 2:2,:76 OWNER -BUILDER DECLARATIONOUTLET LARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. N" RESD. MuLT,"Oc'LEr 97,50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu OR FIXTURES 20 @ t.0 BAL � .s5o Ex. Occup. o Os RD.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' mpensation lawtWe that if I should become subject to the rkers' compenction 3700 of the Labor Code, I shall rthwith comply X A A,, A Date Signatu of App Icnt - [I Own er ontractor ❑ Agin An OSHA permit is re wired for excavations over 60" deep and demolition or construction ctures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TrPE TOTAL FEE $ 9z HAZ. D. FEES IMP FLOO PD HD I SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON �! applicable provisions Resolutions to do work been paid. /Da e � TD.D.S.-B.D. DA tReceiptNo.1Qb0T70 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -:s;- Z- 040-38-0 040-38-0-007 MAGLISCHO 93 CHERYL 529 B 184 ESTATES DR, -CHICO, CONTR: ELY e ROOFING REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. w Q - S z cJ,) ASSESSOR P RCEL NY BERZONINGrr —0 /X" I - BUILDING PERMIT OWNER Chervl Aaszlischo TELEPHONE A 342-6596 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 164 Estates Dr Chico CA 95926 ZD00 560U CONTRACTOR'S NAME i�,lv RoofinR Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS N U Box 7U4 Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOWN X Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee - $ 1.55,00 Permit Fee ' $ b ] 5U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee *9, $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' Penalty $ BUILDING ADDRESS 164 Estates Dr - Cuico Permit fee $ PLUMBING PERMIT Filing Fee 15.00 ,d. �: = EaCti>Tra a•;.r'' 5 00 - Solar or heat pump water heater 20.00 -LOT NO. SUBDIVISION NAME it s � PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [91 Dupl❑ Mobilehome❑ Othlr SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewere.15.00 Mobile Home S]cG I W @1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other'Q Describe work: remove existing roo •ring & rep. ace W/shakes. - 26 sqs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fqS e, and effect. —; License No. OU /36b Classification y ;, ❑ 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 Prolessions Code for this reason OC CUP"') 3.64 sq.ft. NEW CONST. ( DWELLING OR AODNS. ACC. BLDGS. // NEW CONSTR. ULT I.OUTLET 5 00 NON-RESID BRANCH CIRCUITS)POWER APPARATUS el ( SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APNS. Ex. Occup. OUTLETS P(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. :a 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. Contactor - MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling I 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. 19 F e V l y 9 3 Date Signature of Applicant — Owner ❑ Contractor ElAgent13 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 $ 62 • 5V HAz 0FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- r sions of the Butte County Code and/or resolutions to do work.indicate abovelfor which fees have been paid. IRE' O F PUBLIC WORKS By ' _ Date 'y�1;7 PERMIT EXPIRES Date '3.. a7 — C t,/ Receipt No. . a WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538 5 APPLICATION AND PERMIT -F 13, PERMIT N0. —4:! � —Z nnEj1ZO ASSESSOR P�— J�O G/ BUILDING PERMIT OWNERELEPH0NE Cheryl Ma lischo 342-6596 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 184 Estates Dr Chico CA 95928 2800 5600 CONTRACTOR'SNAME Elv Roofing Inc -- TELEPHONE 343-7663 CONT ACTOR'S MAILING ADDRESS P 0 Box 704 Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOWN x Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 67. 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 184 Estates Dr — Chico Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ---JPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [:1 Installation ❑ Other'] Describe work: remove existing roofing & replace_ w/shakes — 28 sqs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOROR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a d effect. License No. 6073$6 Classification C-3 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( 3.6p sq.ft. DWELLING OCCUP. d\ OR ADDNS. ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS h) SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 20 @ 7i 0 46d EX. OCCUp. OUTLETS PIRESID IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 County 01 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ainst said County in cons u nce of the granting of this permit. X Date 19 Feb 1993 Signatur o Applicant — Owner ❑ Contractor [:] Agent [ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 82.50 HAz DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE i This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do `^for ate above fo which fees have been paid. O F PUBLIC WORKS'? BY Date —y—i7 PERIT EXPIRES Date— Receipt No. /&211;— WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT � FSB,! KG, 04000, 40 0 ,Oo Ji�-Y m Nj� s z P SIDENTIAL 040-380-007 PERMIT#96-2777 ' HAYES, Bob & Darci 184 Estates Dr., Chico s6 , Cont: Best Built Const. Partition Wall in Bedroom/SF r JOB FINALE Signature V=OK 0 = Not OK * = NottReay Applicable MOBILE DOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C/"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'Llt / /Nat. or/ /Lt./ /LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 7. Well Clearance & Disconnect 8. Utility Clearance 6. Carports; Windows -Doors 7. Electric Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date - MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandValve-Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6, Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits;Insp.Sketch 11. Cert of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2: Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip: Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK = Not Applicable " = Not Ready i RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ i' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts- Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protecticn 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date /tLECTRICAL (Permit) OK except #'s ixture & Transformer Clearance -Ins. Protection �2sa"El�c Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled installed Close to Edge of Studs & C.J. Ground made up w/Mech Fastners-Bend Gas & Water _28'� p ante Circuts in Kitchen & Conductor Size GFI . u feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No at-gi-EYLce-Riser Conductors & Ground -Main Disconect 2. Equip. Clearances Panels-Motors-Mech. Epuip. 3. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 4e Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 44. fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) _ gers-Post Caps -Anchors -Connectors ing. Joist-Rftr. Ties-Pullin-roff Brac: Truss-Shfing: Rfng. --ft-Replace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -�cirm. Windows or Exiting Doors -Sill Hgt. & Dimensions X54 -Garage Fire Protection Framing e--62=,Property Line Firewall & Openings -53-Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits <Z 3 tairs; Width -Headroom -Rise -Run -Landing -Fire Protection A6_Rllywood on Roof Overhang -Attic Vents -Rafter Outriggers --6e-9fding-Nailing Veneer --5-77-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -5&.-&azing Area -Glass Protection -Skylights -Plastic '%V"Stiear Walls; Nailing -Bolts -e@�-Biace Wall Panels 4 n`sulation-WaIIs-Ceilings 62. Infiltration-WallsAAUindows Date Card B-1 C„> Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: G h�IDENTIAL 040-38-0-007 95-0557 B,E CUNNISON, Richard & Barbara i 184 Estates Drive, Chico (add closet/SF) Oak Tree Const n i S' JOB FINALED (Date) — Signature J=OK O = Not OK =Applic .- No Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water: Location -Test -Easement Needed (Sketch) 5. Electrcity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances -- 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert.. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r� 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDER OOR (Plans) OK except #'s g- Setbacks- Easements- Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth e. reg., uarage; cons-aceerciec. urna.-r r reg. uepm Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped B. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ----- ---------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access ----------- - --------------------------- _ 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------- -------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. - Fixture & Transformer Clearance -Ins. - ---Protection --------------------------------------- --------------------- - - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------------ ---------------------------------------- -- ap 24. Size Boxes & No_ of Conductors_Stled ----------------- - 25. Romex Installed Close to Edge of Studs & C.J. --- 26. Equip Gro n ma p 'Mech. Fastners-Bond Gas & Water 27. 2 A Ii c Circuts ' Kitchen & Conductor Size/GFI ---------- ------------------------------------------------------ 28. Sub Wire Si ga. Cu or AI-A.C. Wire Size / ga. Cu or At --------------------------- - ----- ----- --- - ----------------------------- 29. Ran ga. or AI -Oven Circ. / / ga. Cu or Al. I sulate N at ❑ Yes ❑ No 30. S v" a-Ri r o tors & Ground -Main Disconnect -------------- -- --- -- -- - ------------------------------------------- 31. Equip. Cle r Pa Is-Motors-Mech. Equip. --------------------- ----- ---------------------------- -- ---- - - 32. -Clothes Cl--set-Light-Shower-Light-Spa Light -Shower -light-Spa Light ----- --- --- - --------------- -------- -- ------------------ -------------- ----- -- -- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------- -- ----------------------------------------------- Date Card B•1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------- ---------------------------------------------------------------- ____ 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38 Attic -Access-&. Platform if Furnance in Attic ------------------------------------------ --------------------------- --- --- Date Card B-1 Date Card B-1 --- ---- --- -- ----- - - ----- -- - -------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------------ 40. Watts S uds-Nailing Spa 'ng & Bracing -Plates -Sound 41. Bea all over it rs & Floor Nailing --- -Jtal'--------------------- - 42. Dra-top in W II t ro f) 43. Fires erre ili g Stairs -Chases -Tub ---- - iBf-- -- --------------------------------- ea ------ -- ea i e earing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 1.51. Property Line firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------------- 53. _Stairs; Width. -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------- 5�5. Si . Nailing Veneer 5-A Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 --------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------- ---------------------- 64. Bedroom Exiting ------------------------ I 65. ---------- ------------65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -------------- ---------------------- -- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------------- _71.- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer -------------------------------- 73.--A.C.-Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage_ Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 7;. ------------ --7 . Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth __ Clearance Looked under Floor ❑ Yes 80. Following instld._Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes C1No ------------------------------------- --- - --- 81. Stucco; Brown -Finish 82. A_ -C. Unit_ Disconnect_ Electrical, Plumbing --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -------------------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- -- ------------------ 86. ----------------86. Ventilation Throughout House ---------------------------------- 87- --.._..-------- --------------87. Glass Protection ------ ----------------------------------------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric ------------------------------- ____ 90. Water & Sewer Connected -C/O to -Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - ------ ---------------------------------- Date --------------------------------Date Card B-1 Date Card B-1 --------------- - ------------------ ------------ --- Date Card B-1 Date Card B-1 ------------------------------------------- Date Card B-1 Date Card B-1 Comments at Final: Transmittal Sheet Owner's Name: eS Date:2� A. P. #:(� �,�C3 d� Permit #: Transmitted Documents: ❑ Approved Plans ❑ Approved Plans with remaining items on Permit Application Data Sheet. ❑ Plans to pickup for corrections and revisions. ❑ Building Division A.P. File. Please return to the Oroville office within three (3) business Other: AX/4 D_ A/sem /IWZv� Process as Follows: ❑ Call and hold for pickup at.the ❑ Chico Office ❑ Permit applicant has. been called. Hold for pickup at the ❑ Chico Office ❑ Deliver with next inspection. CERTIFICATE OF COMPLIANCE:.RESIDENTIAL Page 1 CF -1R Project Title.......... The Cunnison Addition Date........ 03/24/95 Project Address........ 184 Estates Drive Chico Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 ,5 OS5 Building Permit ,( S :!�? "30 Plan Check Date Field Check/ Date MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -117 SF Addition GENERAL INFORMATION Conditioned Floor Area..... 117 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 90 deg (E) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade (Package D) Component Type Wall Roof SlabEdge BUILDING SHELL INSULATION Insulation Assembly R -value U -Value Location/Comments R-13 0.088 LEFT, BACK, RIGHT R-19 0.049 TO ATTIC R-0 0.720 TO EXTERIOR FENESTRATION # of Interior Area U- Pan- Shading/ Orientation (sf) Value es Description Window Left (S) 3.0 0.870 2 Drapes.Std THERMAL MASS Type S1abOnGrade Over- Exterior ver-•Exterior hang/ Framing Shading Fins Type None Yes Metal Area Thickness Exposed (sf) (in) Location/Comments No 117 4.0 TYPICAL HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Gas 0.780 AFUE Attic ACSplit 10.00 SEER Attic R-4.2 Setback R-4.2 S ` b 4 �� CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... The Cunnison Addition Date........ 03/24/95 MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 User#-MP1333 User -Energy Calculation Svcs. WATER HEATING SYSTEMS Program -FORM CF-�, Run -117 SF Addit.�on Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS COMPLIANCE STATEMENT This certificate of.compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Dave Provine Name.... Marty Runnells Company. Oak Tree Construction Company. Energy Calculation Svcs. Address. Address. 1907 Mangrove Ave. -Ste D Chico, California 95926 Phone... 916 343-4391 Phone... (916) 894-8466 / 246-9522 License. Signed.. Signed.. •t� 9� ate ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Cunnison Addition Date........ 03/24/95 Project Address........ 184 Estates Drive — Chico _ Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Fie C ec Date MICROPAS4 v4.02 File-95051ADD Wth=CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -117 SF Addition Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.301, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. 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. n N/A NA NA MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 Project Title.......... The Cunnison Addition Date....... MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 Program -FORM MF-: User#-MP1333 User -Energy Calculation Svcs. Run -117 SF Addit SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURT.:;S' MF -1R 03/24/95 on Design.- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. A)A 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank._ *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. Of 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 780-. thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. WA 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance tJ A with pilot < 150 Btu/hr.). LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling N/A fixtures IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Cunnison Addition Date........ 03/24/95 Project Address........ 184 Estates Drive Chico Documentation Author... Marty Runnells Building ]hermit Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -117 SF Addition Zone Type MICROPAS4 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 10.89 7.27 3.62 Space Cooling.......... 44.09 44.60 -0.51 Water Heating.......... 124.51 124.51 0.00 Total 179.49 176.38 3.11 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... Floor Area (sf) 117 sf Single Family Detached Addition Alone Front Facing 90 deg (E) 1 1 ReducedYear Slab On Grade (Package D) 1 936 cf 117 sf 117 sf 117 sf 2.6 0 of FA 8 ft BUILDING ZONE INFORMATION # of Volume Dwell Cond- (cf) Units itioned Vent Special Thermostat Height Vent Area Type (ft) (sf) ADDITION Residence 117 936 1.00 Yes Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Cunnison Addition Date....... 03/24/95 MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 Program -FORM C-21: User#-MP1333 User -Energy Calculation Svcs. Run -117 SF AdditJ.on OPAQUE SURFACES Location/ Comments LEFT BACK RIGHT TO ATTIC Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments ADDITION - New 5 S1abEdge 31 0.720 R-0 No TO EXTERIOR FENESTRATION SURFACES # of Area Pan- Frame Surface (sf) es Type ADDITION - New 1 Window 3.0 2 Metal Vent Area U- Insul Act U- Act Glass Solar Form 3 Surface (sf) value R-val Azm Tilt Gains Reference ADDITION - New 1 Wall 69 0.088 R-13 180 90 Yes None 2 Wall 104 0.088 R-13 270 90 Yes None 3 Wall 72 0.088 R-13 0 90 Yes None 4 Roof 117 0.049 R-19 0 0 Yes None PERIMETER LOSSES Location/ Comments LEFT BACK RIGHT TO ATTIC Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments ADDITION - New 5 S1abEdge 31 0.720 R-0 No TO EXTERIOR FENESTRATION SURFACES # of Area Pan- Frame Surface (sf) es Type ADDITION - New 1 Window 3.0 2 Metal Vent SC SC Interior Open U- Act Glass Int Shading/ Type value Azm Tlt Only Shade Description Slider 0.870 180 OVERHANGS AND SIDE FINS 90 0.88 0.78 Drapes.Std Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght ADDITION - New 1 Window 3.0 1 n/a 2 .67 n/a n/a n/a n/a n/a n/a n/a n/a THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments ADDITION - New 1 SlabOnGrade 117 4.0 28.0 System Type ADDITION Gas ACSplit 0.98 R-2.0 HVAC SYSTEMS Minimum Efficiency TYPICAL Duct Duct Duct Location R -value Efficiency 0.780 AFUE Attic 10.00 SEER Attic R-4.2 0.830 R-4.2 0.810 COMPUTER METHOD SUMMARY I Page 3 C -2R Project Title.......... The Cunnison Addition Date........ 03/24/95 MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 Program -FORM C -21t User#-MP1333 User -Energy Calculation Svcs. Run -117 SF Addition WATER HEATING SYSTEMS Number Tank in Energy Size Tank Type Heater Type Distribution Type System Factor (gal) Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS External Insulation R -value HVAC SIZING Page 1 HVAC Project Title.......... The Cunnison Addition Date..... 03/24/95 dd Project A ress........ 184 Estates Drive Chico Documentation Author... Marty Runnells Company ................ Energy Calculation -Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Permit P a_n CFie;c Date Field Check/ Date MICROPAS4 v4.02 File-95051ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Svcs. Run -117 SF Addition GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude.... .... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 117 sf 936 cf Front Facing 90 deg CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btuh) (Btuh) (E) Opaque Conduction and Solar...... 2133 734 Glazing Conduction ............... 112 63 Glazing Solar .................... n/a 30 Infiltration ..................... 592 194 Internal Gain .................... n/a 2100 Ducts ............................ 284 312 Sensible Load .................... 3121 3433 Latent Load ...................... n/a 687 Minimum Total Load 3121 4119 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. y " COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� -� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION VAL. 1200 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME RP.qT RTITTT CONST 899-6--31-4--PG TELEPHONE 892-132&- CONTRACTOR'S MAILING ADDRESS 117R PATRICIA DR, r.141(;O 95926 COSTRUCTILENDER UNKNOWN NON Fireplace Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 91-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS TRIXI RNKTRYXI` ]KNEXES 184 ESTATES DR, CHI PERMITTEE $ 72.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 L3190. 77 SUBDIVISION'S NAME BUTTE CREEK COUNTRY CLUB PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFX6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel & Utilities ❑ Installation ❑ Other ❑ Describe Work: BUILD PARTITION WALL TO ADD BEDROOM, ADD ELECT AND HARDWIRE NEW SERVICE EST Mobile Home S G W @20.00 PERMITTEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. 'jIO Z r It 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worke ; compensati insurance carrier and policy number are: Carrier . fJ n NEW CONST. DWELLING OCCUR OR ADDNs. ( & ACC. BL)S. ) SO. 3.5¢ FT. NEW CONST. ULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (ourlFT OR FIXTURES) BAL @ I:w FIXED APPLNS. OR EX. Occup. (OUTLETS (RES10.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 25.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number !117— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith epmply,with thgqe provisions. Date � I6 4 Signature of Ap-❑ ner 0 Contractor ❑ Agent X 7reuired An OSHA permit for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is DCC CONST. TYPE TOTAL FEE $ 97.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indic d a ov for ich feeshave been paid. �/� G BY Date PERMITEXPIRESON (Date) Receipt No 906() O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � -COW TYOF BUTTE - DEPARTMENT OFOEWELOPMENTSERVICES -BUILDING DIVISION �A 7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 PERMIT APPLICATION DATASHEET OWNER!�� 4 Dowev, / jP. No. VU - g W? Proposed Building Use ��• � Building Inspector �l.Liftiyh Date I -V-15_-90 At time of permit application, I was advised the following data must be submitted prior to mit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. .. ............. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ........................................... 6. Energy Design Compliance and supporting documentation . .................. f 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ............ 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13; Flood elevation letter (100 year flog) by California Engineer. . . 14. Sanitation and plot plan approval 6"y Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... ' . qu� Pre -Inspection re 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signatu"re authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... . 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed` and (B) Parcel meets zoning area and frontage requirements . ............... r' 31. Existing violations/expired permits . ................... :.................. 32. Plan check list . ...................................... r ............ 33. 34. W en you issue the r it, r ss as follows: Mail,l;Q,owner. Mail to contractor. Telephone �� and hold for pickup at ('yl office. Deliver with inspector. Other -44- U, "AO bLI) ' R Parcel Creationid Acreage /Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ` .2. Additional items required: pq-, 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 _ Date Plans checked by Date Plans approved by Date OZ. Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �y y P �B H. USE ONLY Plat Plan Anachad Floor Pim Annched Sent to B.D. / Owner Location APIs Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other WV4-1�n i„ p C,Q,Q z -b o rr 6y O X (o Hold final for: Final clearance O.K. for: ironmental Health Specialist 8/92 )2-) (::7-� (0 Date 18, C�4 COUNTY OF BUTTE- DEPARTMENT OF DEVE.1 OPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, 95965 - Telephone (916) 538-754 PERMIT NO. ` APPLICATION AND PERMIT �' D ASSESSOR PARCEL NUMBER 040-380-007 ZONING R1 BUIL G PERMIT OWNER RICHARD & BARBARA CUNNISON TELEPHONE 2 SO. FT. OCC. BUILDING VALUATION --9t R OWNER'S MAILING ADDRESS 184 ESTATES DR, CHIC0 99998 CONTRACTOR'S NAME OAK TREF CONASTRUCTION TELEPHONE 1898-1001 CONTRACTOR'S MAILING ADDRESS 3415 S1111EREELL RD_ STE 1-1 CHICO 95996 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 4-6�e- Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 184 ESTATES DR CHICO PERMITFEE $ lql.,qo� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT S'JBDN510N'SNAME P EL }APn :5a Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Additicn §P Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CLOSET — Mobile Home I S I GI W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( zooA TO I000A ) 46.00 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.,I 0��� License Class 3 LIC. No. 4 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 NEW CONST. DWELLING OCCUR OR ADONS. L & ACC. BLDS. ) S0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) ZL 0 I.50 �L 50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor�D WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have arid.; 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'6flthe 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor t Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ Icer ' that in the performance of the work for which this permit is issued, 1 shall no mploy any person in any manner so as to become subject to workers' C ensation la s of California, and agree that if I should become subject to the ars' com a sation provisions of section 3700 of the Labor Code, I shall rrthwith com I with th a provisions. n Date -a3 7S X _ _�Owne_r Signature of App icant- Contractor ❑Agent An OSHA permit is re wired for excava Ions over 5'0" dee and demolition or construction of structures over 3 stories in height. p fl Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 cD T. n TOTAL FEE $� .98 HAZ. I D. FEES IMP FL COF PARCEL PD HD .� RCE ISSUE This permit is hereby issued nder the of the Butte County Code and/or indicated above for which fees have BY 1 PERMITEXPIRESON applicable provisions Resolutions to do work been paid. /Date (Date) ReceiptNo. /,3 Jr 30 WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INS EC G DE OD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOFD.EV� ^PMENTSERVICES - BUILDI 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916fo8 .,PERMIT APPLICATION DATA -SHEET OWNER �?cy �.fiRl3.Ait�- CuNn/iS•�1 A. P. No. �O- 3 Proposed Building Use -FIX P t - Cktrg/ ' Building Inspector L Date(;q- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i DATE RECEIVED BY 1. All items have been submitted. ........ ;j .................................. 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered4plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings. _-*y .................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufactgrer's installation instructions, 2 sets. ........... , VgZ10. Fees of $o . .................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... Sanitation and plot plan approval C We o Health Department . ............ - 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .....•..... . 19. Driveway permit (construction approval required prior to occupancy)... 'Pr 4141 eon* regeeg-- 20. Pre -inspection for required. .. to Building Inspector (Date) 21°. Contractor's license information. (No., Name Style, Classification). .......... ,. `Certificate of Workmans Compensation Insurance. . C.4,t tiftL..:i .1.7.......... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent' on building use . ......................................... 28. Mobilehome utility clearance . .................................... :....... 29. Documentation of legal access . ................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .........I..... . 31. Existing violations/expired permits . ...................................... 32. Plan check list. .... . , ..................... . 33. 34. When yo}d issue the permit, proce s as follows: . Mail to owner. Mail to contractor. Ielephone rdge- 1 dmf and hold for pickup at CN., c,> office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution DdteJ Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit 1. Index permit for above items No. 2. Additional items required: not oge,Aed above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date j Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date - �� Plans checked by Date Plans approved by /�T r%, Date �� Sets of plans on hold in File cabinet AP folder Covv - Department of Public Works • f j E.H. USE ONLY Plot Plan Attached �cS Floor Plan Attached {{ 4?cS /\ v Seat to B.D. f� JJ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location APS Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other (' QST CrYA drecacincA y r Hold -final -for:- Z b- W:7V Final clearance O.K. for: NOTE: t / 4EVironmental''-ftealth Specialist E.H. USE ONLY L? Flow PI= AnmcW Scat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance —Payo' s Owner Location AP## Plan Approved for: Sewage Disposal Clearance for -bedroom mobile home. Other Water Supply:. Public Private Well Hold final for: Final clearance O.K. for: NOTE:S I' 3� En ironmental Yleaith Specialist Date 0 In7 FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at A.P. �`4� .0-3'8-00►7 for 1.105 does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site 'is in a flood -plain area, even though I am not required to comply with the flood plain na ment criteria. PROPERTY OWNER Richard and Barbara Cunnison. ADDRESS 184 estates j)rJ_., r hirn, CA 95928 PHONE NO. (916)343-2212 DATE 00 96 'Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which'equals or exceeds 50% of the market value of the.structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. I 2x6 R5 t6g roof deck , 'R cedar Shakes me d re -r 14 ce mei►' , 4x8 at 6' max center 1 daA �"i c IA 2x6 fascia typica bait up roo 4 7/8' cem piaster -- -- f ire block a5 req d him cairns as req'd ooa� for proper insulation • �t clearance cQ ^ I a A tlh- C -to � .- f� �fC� \C4 tl, 4' min concret - w/ 4 mil vapor Y barrier I _ _ ' • (�� jtaA Iine WA lin-e rt:,41�7e4 L . w 09 /elm Aoi-w 1 1 12'x12' cont footin w/ 2 -*4 rebar SECTION OA scale: 1/404-0 -1 lac n le.s c) co W 13' 2P8\1S ! O 6,0CLOSET �R!SSING r A OJ�O��\ 2P 1 S 1 P& 2S J e�� 1: '�' ✓� Z + 2868 0� , -- -- - -- -- 2'x12' cont footing w/2 -*4 rebar �� Q --------- ----------------------------------------- '-------------------....--- - .. -- - ----i b (N) cont slab Q Vxl8'xl2' deep post footings . --� beam IV; MASTER BDRM (D bldg FOUNDATION PLAN ( �, ticale. V4' -I' -O 3068 U- r. .y v � r i bOt 1'IA ►1. . , a -o