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HomeMy WebLinkAbout040-470-01840-47-18 - WAYNE BIRD _ ` 9 Gold Creek Way, lot 18, out h ate Acres, Chico 0 g T� Permit��1,199-86B, P, E,M(new_ sing e fmily 40247-18 . DR. DAVE & DONNA NUNLEY` ContrL Bonita Pools 02� Permit#1840-88B,P,E(new s immi.y 0 40-47-18 .1237-89B NUNLEY;-David &,Donna r` 9 Gold Creek Way,, Chico; ContR: Langlas & Assoc. / �(addlcovered deck) 04047-0-018 00-100 NUNLEY, DAVID & DONN IN z 9 GOLD CREEK WAY, CHI CONT: FOUR SEASONS R REROOF i f i r i 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI4DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 538-7541 �R (Rev. 12/96) APPLICATION AND PERMIT f �l' ASSESSOR PARCEL NUMBER n W /(� ZONING BUILDING PERMIT OWNER .,11'1!7 & DONNA NUNLEY TELEPHONE 34:,-3318 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS '' FOLD CREEK WAY CHICO CA 95928 REROO 21940.00 CONTRACTOR'S NAME . , tj' SEASONS ROOFORG TELEPHONE 69.'-0418 CONTRACTORS MAIUNG ADDRESS 1;70 COHASSET RD STE. 10 CHICO CA 5973 CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS GOLD CREEK WAY CHICO Energy Plan Checking Fee $ $ PERMIT FEE=" S ..54400 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 pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF W/ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service EO.A OR LESS 2ooA 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 C-39 Lic. No. 659073 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. 4 134siness.and :Professions Code for this reason Main Service TO 46.00 WEE200A CU00A NEW CONST. DWELLING Occup. 3.5QF°. ORAoc�� & ACCO ET NON-RESID. 97.50 APPARATUS a SINGLE OUTLET CIR. OUTLET OR FORURES 20 ® 1.000 Ex. OCCU B Ex. Occup.,, oFlxuTe A oOR. 5.00 Temporary ervice 23.00 Mobile Hom Facilities 20.00 -Misc. Wirind i 23.00 - PERMIT FEE t 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 VILLANOVA Policy Number WC3 U983676 (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos provisions. 5/5/00 X �— Dete' _ Sig tan bre of ApI I Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ oca CONST. TYPE 74 OQ TOTAL FEE $ HAZ. D. FEES IMP PER CDF PARCEL PD HD ISSUE - This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Qh (�&,,Date V PERMIT EXPIRES ON ate Receipt No. t" r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ) 538-7541 !Mo (Rev.12/96) APPLICATION AND PERMIT L� (�/ ASSESSOR PARCEL NUMBER //(_ 6 ZONING BUILDING PERMIT DBEAV ID & DONNA NUNLEY T3 4 5 - 3 31 8 SO. FT. OCC. BUILDING VALUATION REROOF 2,940.00 OWNERS MAILING ADDRESS 9 GOLD CREEK WAY CHICO CA 95928 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTRACTORS MAIUNG ADDRESS 4950 COHASSET RD STE. 10 CHICO CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9 GOLD CREEK WAY CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 54.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M 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: REROOF W/ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LE Main Service p.., OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 C-39 Lic. No. 659073 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 VILLANOVA Main Service TO 46.00so CCU000A NEW CONST. DWELLING occuP. 3.5QsD. DWE200ALLING O ADFT. orS. ( MUTACCOUBTLEr NON-RESID. C @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q .50 Ex. Occup. o.FIXEDRaID1 E 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 $ Policy Number WC 3 0983676 (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos prov'sions. X _ !J' / Da D 5 / 5 / 0 0 Signa ure of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction s of structures ov 3 stori i ei t. Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 HAZ.D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON S C� Dale Receipt No. go WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � z PERMIT NO. 1199-$6B P E,M PERMIT EXPIRES- Z 7AV-7 OWNER WAYNE BIRD it CONTR. owner ASSESSOR PARCEL 40-47-18 9 Gold Creek Way, Chico LOCATION 3 / OFFICE COPY Address I GAS Meter By Date <' ELECTRIC Meter By Dates a. 4 OFFICE COPY Address GAS Meter By Date! (L ELECTRIC ' Meter By Date ' Temp. Power Pole h Called PG&E Temp. Elec. Service Called PG&E ` Tem;pGas Service. _ Called PG&E JOB FINALED (Date) 1 Signature V = OK t O-=' Not OK = Not Applicable MOBILEHOMES = Not Ready v MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location-Test=Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fell -Flex Connector ' 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test- Regulator -Connector' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater' 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit_ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V OK O p Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) Not -Ready Date UND LOOK Plans OK except #'s Date 5R&MING Continued IY`4ning requirements-Setba ks-EasementsProperty Line Firewall & Openings g., Main; Soils-Steel3W. Grnd.- / /" Ftg. Depth W. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel -.r/ /" Ftg. Depth fairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4 lg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 6K Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab i s< Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ter -Fireplace Ftg.-Steel 4. Glazing Area -Glass Protection -Skylights -Plastic 1,4rbj.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FNA (P!p6<I OK except q's Card -BI Date Card -BI Date Date P}[;'J4 ING (Permit) OK except p's E . Steps -Door & Sidelight Protection -Landings moke Detector - . ter HL; Vent -Access -Combustion Air IQW Furnace; Vents Comb. Air-Conjtector- In Garage; Above F-Ducts-Mech. Protection er Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting ///--- Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access est Tub & Shower, 2nd Floor -Tub Access . Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size &Anchors Stairs & Rails 0�ireplace or Stove; Clearances -Hearth I c. Outlets at Wood Panel; Int. & Ext. Card -BI ate Le �p Card -BI Date tt. Fi . & Appliance; Grnd.-Air Gap -Cooking Clearance _ Card -BI Date Card -BI Date le Outlets & Receptacles at Kit. Counter LE Date ICAL Permit OK except q's 6 rage Fire Door; Swing -Landing -Closer A C'. Duct in Garage -Damper F' ure & Transformer Clearance -Ins. Protection - Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- jn Garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled �<,Plb., Elec. & Mech. Equip. Listed for Location I< Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. ex Installed Close to Edge of Studs & C Equip. Ground made up w/Mech. Fasteners- &Water -Guard ulation-Foam-Looked in Attic ❑Yes Rails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen &Conductor Size _&/ feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ,z4--Fbn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance L ed under Floor El Yes Range Circ. ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated_ Neutral =,Yes 13No _ S vice -Riser uc Condtors & Ground-M_ain Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 7 Following instld.: Driv s ❑ No; Walks Yes ❑ No; Planters. Yes ❑ o Brown-Fi ' C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -Cothes Closet Light -Shower Light - - ---- Card B -I Date_ Card BI Date _ Card B -I Date Card -BI Date - • _Vencs Above Roof; Plb9•-Appliance-Fire I• -Clearance to O n s. 7�Water Well; Disconnect, Electrical, Plumbing W.,Rxterior Elec. Trim; G.F.I. Receptacle -Underground g ntilation throughout House Glass Protection Date MEC NICAL (Permit) OK except N's ns from Previous Inspections g4.s Te - eter Tagged Gas -Electric - .C. Ducts: Insulation & Support _ - ent Fan; Exhaust above Insulation ---1V __ K.Aondensate Drain & Overflow: Size & Grade _ urnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic _ Card -BI Date Card -BI — Date _Card Card -BI Date Card -BI Date Water & Se -C/O to Grade -HD Approval Energy Compliance ertificate-Other Certificates -- - Card -BI Date D Card -BI Date -BI rate Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK excep Comments at Final: 3_6./Sills; _Proper Material -R*_r ails Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 3 ft Stop in Walls (rat proof) ire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 40;tl Joi ng Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac. r s ShIhn.q.-Rfnq. �!F-ireplace Ties or Type A Flue -Fireplace Throat yttic Access: Size & Romex Protection -Draft Stop -Ins. Battles - _ ZB rm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing — ---_ -- (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office W &,n orrection of work is completed. If you have any question pertaining to this or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57. CORRECTION NOTICE t - T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. v � CrsJ' V✓h LA Fes. �I �iU til "Y7'� /Xie•✓ - h f n Inspector �� Date S COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ,-when correction of work is completed. If you have any question pertaining to this atter, or need addition explanati(�n, please contact this office immediately. •i(` Inspector Da COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 • Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this m�.tter, or need additional explanation, please contact this office immediately. ME 10 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �,,,,,er, or need �additional explanation, please Jcontact this office immediately. Inspector Date ; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. l� Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER • PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediatelv. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS it 196 Memorial i,o0 — Phone: 891-2751 �. "T "'►7 a5crc>� r Drive, Oro4ville — ��i '.'SSd Ar.At Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_ Date_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT 0 0, �,, '. ASSE SOR PAR E NUMBE ZONI ^ 'J BUILDING PERMIT owN R �� T LEPHON SQ. FT. OCC. BUILDING VALUATION OWN SMA ING DRESS 7 c C <0o CO AC OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace � � Q CON RUCT ON LEN k It rig UNKNOWN Total Valuation $ Filing Fee $ 0,00 LENDE 'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q ` Permit fee $ PLUMBING" PERMIT Filing Fee 10.00 Each Trap Z 2.00 ` Solar or heat pump water heater 20.00 LOT NO.SU 1 VISION NAME ut f C th S PARCEL MAP Water piping 5.00 S , 0(2 Each qas water heater or vent 5.00 ` USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 1 Building sewer 5.00 S �f Mobile Home I S I G W 10.00ea TYPE OF WORK New LA Addition❑ Remgdel❑ Utilities❑ Installation❑ Other❑ Describe work: ((tUl r`J\ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 /0.00, Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 44,t3S7/ Classification !� I ❑ 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)Wiring ❑ I am exempt under Sec. , Business and Professions Code for this reason NR ADDNST C DWEACCLLIN GOCCS. '/z2sgft NEW CONSTR. MULTI -OUTLET 2.SOea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e1 SINGLE OUTLET CIR. EX. QCCUp�OUTLETS OR FIXTURES BALI 30 EX. Occup. OUTLETS (FIXED PRESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 o15.00 Misc. Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating ` JA ` e pyl Cooling Hood 3.00 Ventilation r t 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 s i County in conseque a of the granting of this permit. 7, iQ�/ X DateGf Signature of Ap Icant - Owner [X Contractor E]Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ L TOTAL PERMIT FEE $ occu P. 7 S Sr. YPE '�� uS 7 FLo PARCEL PD HD, UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D/ Date %17— b �] J ! / l ,3 Receipt No. ' 7 O �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT net' E N E R G Y C E R T I F —IC A T I. 0 .•] LOCATION DE, :PT:I:3N Or INSVIATION ROOF Mattaria l Thic'kness(incheo). EXTERIOR WALL Materiall _ Thickness (inches)_ F&aj w CEILING Batt or. 131arlket'Type. Thlcicncc:a(inches)- -JJD 1 --- Louse F i.li Typc_ Minimum Tb l.ckne.S(Tnchre 2- FI."101 , F.!,EVAT] U Mnr:erIiil _ 7'}li.cialr:::tl�(incf�es) FLOOR, s; !.,A1}'. ..__._._.._�_...._._..____ Ma 1.eri-a1._ _ Tilickness(inc.hers) Wi.dth(inc'",c.$)__ FOUNDATION (•iA.W, Material Thickness (inches )___.._._._._—__- Brand Name Thermal Resist: Brand Nnnle & 1J d Thermal Resistance(t3 V'1--11up)r Brand Name_ Thermal itesistance(R V" iu) B."U'd Ninw _ Nun1L(:r ofP,:11;s �_ Wr., per k,3g 7- Thermal E'9i.:ta;:c. (►c Vc.l+lc>.1_�-_ Mand Namv---.— _ Thermal ltc. i t:,uc i•t: b and Br. ar.d Thermal I hereby certify that the above: insula tion was installed in tll,: -IbOVQ build i.ap, in conformance with the State of California Enerey R:equi.rc:•ments . ?';1t1!'.it'lr �.Cl;il.ticlt:;.t7PJ CSC'., FIRM MME/OWNER STATE COM:1'RACTOT;.'S l..Tr::hh::;r; W__'__ _. A,%1— SIGNATURE' OF INSTALIATION Alli'LICA'.I'pl< 1. cert-J.f:y tiv!. above: J.n.;ul.: L-;Oi. an! all. rC:qUlr<itl l'. c'll'i£; .i`i ::il.'.1'n 07• :le' ->i)CDar,-cut al -r ):ov, l .al;.atia1ci1;C to have a! ilv thy: State O+' Call!1 A.1.1 !]71i1:o� nt, ..:.:vi.ce:-, an"! ..:a•:`::: i.::�`. of t'r.lo yllality :;r are I I .i ..;11.1lpp•; ovcd by till! ;ii:.11 i l.[1.] 1. �:!L;!'L.1. (Please hrin.r SLGM-% OF tI _ :;RAL COidT( `t;T.(�).<; illy �?.i: '•,).`:'�L THIS C''!?; U ICATE; ZIUS';' 7.1d3FEC:';' 1(11d A;'I'IiOVAT, 1..11) A C(;PY SIi.A'Ll, li)s 't)S'1'i;i) '.J1971IIN ':!I:: lS1,lI1.;)1:N( M COUNTY OF BUTTE - DEPARTMENT OF2PUB�L;._.0 WORKS - BUILDING DI:VI510N , 7 COUNTY CENTER DRIVE - OROVILLE°CALIFORNIA 95965 - TELEPHONE: 916/,534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER lN� S�d1 (� �V1 �C{ A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (E* • I i _ Cy Building Inspector. Date S / At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED All items.have been submitted. . . . ./ Plot plans in licate riplicate. .� 151'�.jndC�. CT Iia %ghaa49 3. omplete plans in u lice/tri.plicate. U. .� . . :a�4. Complete engineered plans and.calcs. . . . . . . . . . Vz Plans with Energy Design Compliance Statement. . . . . . _Oq�'CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 tatement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9: Letter of signature authorizati ) . . . . . . AA1 anitation approval from .VI C. Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. .Pre-Inspec. request topate) Pre -Inspection for Required. Bu;lding Inspect r ,J--�ecord1cA�f�,t�rI Acknowl dment Statement . 9.10ther l onstructo approva required p or o occupant .t Whe you issue the per t, process as follows: Mail owner. Mail to contractor. Telephone. -ova and hold for pickup at office. Deliver w/inspector. Other �'� �� i3 ` r r Applicantu.c_ - . v Date i' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ti e f application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (C6)0r, Designer, Plans checked by. Plans approved by Other: Copy—DPW r) was advised of above required data by', Telephone Mail ✓ Other By A ���L�L Date 9 A1�?6 Date Date 22 TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance �Q _ �hP Yo, Owner,'Location APH Planiapproved for: sewage disposal �/ water supply Hold final for: water supply Final clearance O.K. for: water supply C� at Clearance for�hedroom mo� om . Other C41,90WI1 Note—,, Sanitarian date When recorded mail to . . . RECORDED IN OFFICIAL RECORDS OF BUTTE COUNTY CALIFORNIA Dept. of Public Works AT THE REQUEST OF 7 County Center Drive Oroville, CA 95965 M In VALLEY TITLE CO. E986 MAY 14 AM I 1, 2 7 . ELEANOR M.-BECKER� . Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTCLERA-RECORbE'R .FEE—D, FOR RESIDENTIAL DEVELOPMENT 86•,155293 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The•property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate.dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or.disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 18, as shown on that certain Map entitled, "SOUTHGATE ACRES SUBDI- VISION", which Map was filed in the Office of the.Recorder of the . County of Butte, State of California, -on September 27, 1979, in Book 72 of Maps, at Pages 15 and 16. TOGETHER WITH AND RESERVING THEREFROM a right of way for road and public utility purposes over Lewis Drive, as shown on said.Map. ntOT COAAPARED WIiN ORIGINAL DOCUMENT Date: May 13, 1986 PROPERTY OWNERS: fqAYNV BIRD State of California- ) On this the 13th day of May 19 86 , before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) WAYNE BIRD Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to _ the; within instrument and- acknowledged -that he executed the same for the purposes therein contained: IN WITNESS WHEREOF, I hereunto set my hand and official seal. j. r. otary Public Present A.P. No. I «» in row RESIDENTIAL ENERGY PLAN CHECK/I•NSPECTION SUMMARY FORM Owner Climate Zone Permit No. Floolk Area .Compliance path.:- Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget ❑ Other .. MIN - R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ❑ Roof/Ceiling ❑ Wall ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate.zones,'l, 14 & 16. ❑ (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. ❑ (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket . ❑ (F) Air-to-air heat exchanger. (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Q Total Bldg ❑ North ❑ East ❑ South - ❑ West ❑ Skyl igh'ts (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights ❑ (C) South Overhang. Length•of projection ft. Description ❑ (D) Moveable insulation: Area ft Description - (E) Thermal mass. ❑._ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location - ❑ Type - Area Ft.2 HC= R= MC= Location ' ❑ Type - Area Ft.Z HC= R= MC= Location . ❑ Type - Area Ft . HC= R= MC= Location ❑ Type - Area Ft. _ HC= R= MC= Location 7/83 FORM' `4 ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A)'.'- eating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr ` (heating capacity) ❑ "Heat Pump.. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar .,type (liquid or air) Collector: brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑` Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required.for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. Q (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1.005 of the UMC, 1976 Edition. 7/83 2 (6) DOMESTIC WATER SYSTEM. -FA)- Gas Only FORK 1 Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft :(backup heater type, brand and model number) (collector area) (collector orientation)- (collector tilt) ❑'. Location of Solar Panels ❑ Other (Describe) ❑ :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ❑ (C) PIPE INSULATION. The five -feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot-water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ❑ (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the. Energy Commission. (7) LIGHTING ❑ (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following:. Heating: Winter design temperature °, elevation ', heating load BTU • elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING -MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SI ATU F BUILDAG DESIGNER OR APPLICANT 3 ❑ (6) DOMESTIC WATER SYSTEM. -FA)- Gas Only FORK 1 Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft :(backup heater type, brand and model number) (collector area) (collector orientation)- (collector tilt) ❑'. Location of Solar Panels ❑ Other (Describe) ❑ :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ❑ (C) PIPE INSULATION. The five -feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot-water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ❑ (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the. Energy Commission. (7) LIGHTING ❑ (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following:. Heating: Winter design temperature °, elevation ', heating load BTU • elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING -MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SI ATU F BUILDAG DESIGNER OR APPLICANT 3 FORM i RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY ' Owner. CLL9S't'�/�•G- Climate Zone Permit No. C.)r Area 2375 �oa_�iN 'npliance path: Package UA ❑ B ❑ C ❑Point System ❑ Budget 910ther p0/NT5 MIN R -VALUE DESCRIPTION ' REQ 'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling r--30 F. fir, /NSy4 Wail ❑ Slab Floor Perimeter ❑ Raised Floor .(2) INFILTRATION: .❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air In€iltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weathers tripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket (] (F) Air-to-air heat exchanger (3) GLAZING• (A) Location Area Glazing %Floor Area Single Double Triple - F� Total Bldg '2 ,3 /¢ 33 North 21.o 0.88 C East South Gj2,o 2.19 West /02.7 ¢, 3Z ❑ Skylights --- (B) Shading Shading f Coefficient Description East WOO* ,Deli CWALX-_)'eA#iaS i ( � South ,&6, West ❑ Skylights io"400 (C) South Overhang Length Z of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass Type A- Ua - Area 2 .ZFt.2 HC -0,93 R• 2.7 MC= 7.'b Location 00000 Type A.- oglG/e - Area 9-i,oFt. HC- ,i26 R=_, / MC=j,.3 Location IBS. Type IM -0 - Area 2!M,OFt. HC- Z.25 R= D 83 i MC= 7„ Location j DType - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location [] Type - Area Ft. HC= Rs MC= Location 7/83 7/83 2 FORM ❑ (4Y MASONRY AND FACTORY-BUILT FIREPIACES shall be equipped with tit. Witting closeable metal or glass doors covering the entire opening >..ns of t eh ire ox; a com us n air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the '.. J outside of the building; and a tight fitting flue damper with a 1 readily accessible control. =F. T�iTED" L410 430 HOT t *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM ' (A)'Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) !_ ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) D Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector' orientation collector tilt rated y-intercept rated'slope Other lr OCA7 IF-116 V0 (describe) ; ��.` *l (B) Cooling Electric Air Conditioner . ��� x (brand and model number) (seasonal EER) k Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER . t Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat -on .its second stage, shall be required for heat pumps. �. (D)-AN AUTOMATIC SETBACK shall be'provided for all thermostats, except. those controlling heat pumps. , IWOO (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ' (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSUTATION.' All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive .tape or mastic to prevent air loss and shall be insulated .to conform to'" the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 (27) �(6) DOMESTIC WATER SYSTEM (A) Gas.Only Fol C3 *2 f-OKF% V �0 Gallons (brand and.model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) 13 Location of Solar Panels D• Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five let of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards .and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of'sizing heating and cooling equipment by Manual J, sizing. charts (form #4) or other approved methods, section 2-5352(g), and fill out the following:.--.. Heating: Winter design temperature 7113 °, elevation® ', heating .load7_%.%At�BTU elevation factor •D x heating load - maximum outlet -capacity gas -furnace. ?-%, ?D -o BTU Cooling: Summer design temperature 4 O °, cooling load 1501 BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. 'T DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATU OF B LDING DESIGNER OR APPLICANT 3 ZONE 11 OWNER f2US7"7' g42rJ POINTS PERMIT NO.. -"• ASSIGNED ACTL-AL 1. SL -XB - INSULATION NONE G% -5 2. P.AISED FLOOR - R-19 3. CEILING - R-30 4. WALL - R-19 L 5. NORTH GLAZING 6. EAST GLAZING, - 7. SOUTH GLAZING S. NEST CI•AZINIG - 9. SKYLIGHT - 10. SHADING (Exclude Overhang EAST - SOUTH - WEST - SKYLIGHT 11. HORIZONTAL SOUTH OVERHANG 12. • MOVABLE INSULATION - "TONE Q 2.4-3.6% -190 -Z &M% TAT' 2.5-3.6% % -2 1.6-3.6% Iffo -7' 2,/I O 2.9-3.6% 4-%-Z 4-,?2V;o " ¢ 0-1.3% ) � � .67-.82 .60eo O 1461- O .19-.42 (o- , 0 .13- .36 , 3<o O 37-.57 f �' 2 - INFILTRATION - INFILTRATION (Standard- )(Tight -+l2) d i4- to THERMAL MASS QST% iAy7•U44SF 17• h2 GAS FURNACE (SE) 71-76%9¢ e,, G> HEAT PUIIP (EER) 7.5-7.97. r3� DUAL PACK (SE, SEER) 8.0-8.3/71-76% ACTIVE SOLAR 60% 1IIN (NONE) ZONALLY CONTROLLED ELECTRIC SOLAR WITH GAS BACKUP (HW) OTHER - NO ELECTRIC (11W) � -� 90% 4rric- SPACP,,, M t3 W2�. 57bU� ITEMS SHOWN -S r f Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points 17n:•,ls- I R -Value of Insvlstlon 1 I R -Value of I. I I thin I I I Insulation I Points I Oepth,. _r 1 I I 1 Inches 1 0-2 1 3-4 15-0 1 7+ I t o -ill-s 1-5 I-5 I-5 1 112-13(-5 (-3 I-2 I-1 I i 16 - 19 I -5 j -2 I -1 1 0 1 20 + i -5 i -1 i +1 10.65I down I ( South + 4 + 4 +4 -15 I -10 I -6 1 INFILTRATION (Standard- )(Tight -+l2) d i4- to THERMAL MASS QST% iAy7•U44SF 17• h2 GAS FURNACE (SE) 71-76%9¢ e,, G> HEAT PUIIP (EER) 7.5-7.97. r3� DUAL PACK (SE, SEER) 8.0-8.3/71-76% ACTIVE SOLAR 60% 1IIN (NONE) ZONALLY CONTROLLED ELECTRIC SOLAR WITH GAS BACKUP (HW) OTHER - NO ELECTRIC (11W) � -� 90% 4rric- SPACP,,, M t3 W2�. 57bU� ITEMS SHOWN -S r f Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points 17n:•,ls- I R -Value of Insvlstlon 1 I R -Value of I. I I thin I I I Insulation I Points I Oepth,. _r 1 I I 1 Inches 1 0-2 1 3-4 15-0 1 7+ I t o -ill-s 1-5 I-5 I-5 1 112-13(-5 (-3 I-2 I-1 I i 16 - 19 I -5 j -2 I -1 1 0 1 20 + i -5 i -1 i 0, i +1 7/7/83 C below 3 i -12 3-4 I -8 5- 7 I -6 8 - 12 1 .4. 13 - 18 I 72 •19+ I 0 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points 19 22 30 38 49 Table 3-4a. Wall Insulation Pointe IR -Value of Insulation I Pointe 1 1 I I I 19 I 0 I 1 30 j +3 I I I I T.A1- 1-l_ u.... -.-r.-,-- r-.. - I Total I Z of Glazing Type I I I I ST. Dbi, Trpl, I Floor l u- I U- I U- I Ares 10.66 10.42- 10.41 I I 1 1.10 10.65I down I ( South + 4 + 4 +4 -15 I -10 I -6 1 1 8.8- 9.7 I - :'S_1 +1 I 4 1 +2 I ( 2.4- 3.6 1 -2 I 0 1 +1 I I 3.7- 4.8 I -4 I -2 I -1 I I 4.9- 6.1 1 -7 I -4 I -3 I I 6.2- 7.3 I -9 I -6 I -5 I I 7.4- 8.2 i -12 1 -8 I -7 I 1 8.3- 9.7 1 -14 I -10 I -8 I I 9.8-10.8 I -17 I -12 I -10 I 110.9-12.0 I -19 I -14 I -12 I 1 12.1-13.2 I -22 I -16 I -13 113.3-14.5 1 --24 ( -18 I -15 I 14.6-15.3 i -27 i -20 i -17 3-6. East-Faclne Glazing Pts. I 1 Glazing Type I - I Tota.t I of I Sngl, I Dbl, I Trpl, I Floor I (U - I (U - I (U - I I Area 1 1.10) 1 0.65).1 0.gI)I 1 0 I 1 up to 1.3 I +1 +3 1 +t 1 +4 1 1 +4 1 +4 I i 1.4-.2.4 I +1 I +2 I +2 I I 2.5- 3.6 1 -2 I o f 0 1 I 3.1- 4.6 I -S I =2 I -1 I I 4.7- 5.5 I -8 I -4 I -3 I I.5.7- -".� -10 1 _- 1 75 1 ( South 13 I '7.8- 8.7 I -15 I -10 I -6 1 1 8.8- 9.7 I -17 I -12 I -10 I ( 9.8-11.2 1 ( .43-.66 i -15 1 -13 I 111.3-12.71 1 0 1 -2 I -4 I -4 1 -S -18 1 -15 1 1 12.8-14.0 lam' -21 I -18 I 114.1-15.3 , .1.3 i 3.1 i 6.3 i 7.9 -24 1 -20 I I 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1, 0 1 0 1 0 1 0 .37-.3_I o f -1 I -3 I -6 I -7 CSB TT-- 3-7. South-Faclnq Glazing Pts TeDl�c 3-l_0. Shading Coefficient Points I I Glazing Iype I I SC by I I - Total I I I Orlen- I I Floor Ar- 2of I Sngl, Dbl, Trp1, Floor I (U - I (U - 1 (1: - I Area 11.10) 10.65) 10.41)1 Ipolnts looints Ioointsl 1 0 1 +3 1 +3 1 +3 1 I up to 1.5 I +2_1__+L_ 1 +2 1 I o I I.z l -4 I -2 I -2 I I 5.3- 6.5 I -6 I -4 I -3 I I 6.6-7.7 I -9 ( -6. I -5 I I 7.8- 8.9 1 -11 1 -8 I -7 I 9.0-10.0 I. -13 I -10 .I -9 110.1-11.5 ( -17 1 -13 I -11 I 111.6-13.0 I -21 I -16 1 -14 I 113.1-14.5 1 -25 I -19 I -16 1 14.6-16.0 i -28 i -22 i 19 Table 3-8. West -Facing Glazing Pts.' I 1 Glazing Type I Total 1 I ZoI I Sngl, Dbl. rp , I Floor I (U - I (u I (u - 1 I Area 11.10) 1 0.63) 1 0.41)1 I i eines 1 oints 1 otntsl o 1 +i 1 +6 1 +6-1 I up to 1.3 I +5 I +6 I +6 I 1.4- 2.2 I +3 I +4 I +5 I ( 2.1- 2.8 1 0 I +2 I +3 I 2.9- 3.6 I -3 I 0 1 +1 I o f -2 I I - 3.6 1 -10 I -6 1 -4 I 5.7- 6.2 1 -13 I -8 I -6 1 1 6.3- 6.9 I -15 I -10 i -7 I I 7.0- 7.6 I -IS. I -12 I -9 I I 7.7- 8.2 I -2a I -14 I -11 I I 8.3- 8.8 I -22 I -16 1 -13 I I 8.9- 9.5 I -25 I -18 I -13 i I 9.6-10.1 I -27 I -20 I -16 I 110.2-11.0 I -29 I -23 I -17 1 1 11.1-11.8 1 "-33 ( =26 I -21 I I 11.9-12.7 I -38 I -2'9 1 -24' I 112:8-13.3 1 -42 I -32 I -27 I 113.5-14.3 I -46 1 -35 I -29 I 14.4-15.2 i -50 -33 i -32 Table 3-9. Sk lipht Points I I Glazing type I I Total I I Z of T S_ns l, Dbl, I Trpl, I Floor l u- l u- I U- 1 I Area 10.66- 10.42- 10.41 I I 11.10 10.65 1 down I I up to 1.3 I -1 I 0 1 0 1 I 1.4- 2.2 1 -3 I -2 I -1 I I 2.3- 2.8 I -6 I -4 i -3 I I 2.9-,3.6 I -9 I -6 ( .-5 I I 3.7- 4.2 I '-It I -8 ( -6 I I 4.3- 5.0 I -14 I -10. I' -1.-8 I' I 5.1- 5.6'1 -16 1 -12 1 0 1 I 5.7- 6.2 1 -19 I -14 I -12 1 1 6.3- 6.9 I -21 I -16 I -13 I I 7.0- 7.6 I -24 I -I3 I -15 I I 7.7- 8.2 I -26 I -20 I -17 I I 8.3- 8.8 I -28 I -22 I -19 I I 8.9- 9.5 i. -31 I -24 I -21 I 1 9.6-10.1 I -33 1 -26 I -22 I I tation I I I I East I I 3.2�- I 1 0-3.1 I to 16.4 up 17.6 - 23.! i 6.3 I 0 -.19- I 0 I +1 I +2 I .20-.36 I 0 I 0 I +1 I .37-.66 I 0 I 0 I 0 1 .67-.82 1 0 I 0 I -1 j .83 up i 0 i -1 i -2 ( South 1 0 1 3.2 16.4 1 3.0 I ')•`. I I to I co I' to I to I .,p I I 1 3.1 16.3 I 7.9 I 9.3 I_ 1 0 -.18 1 0 1 +1 I +2 I 2 +) I .19-.42 1 0 1 0 1 0 1 0 1 ( .43-.66 1 0 1 -1 1 -2 I -2 I -! I .67 up 1 0 1 -2 I -4 I -4 1 -S West ( .1 1 1.6 17.2 1 6.4 1 9oi I to 1 to i to I to I up .1.3 i 3.1 i 6.3 i 7.9 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1, 0 1 0 1 0 1 0 .37-.3_I o f -1 I -3 I -6 I -7 CSB - 8 1 up 1 -2 I -4 1- -16 1 . 2 I I I I I Skylight 1 .1 I .8 11.6 13.2 1 4.1) I to 1 to I to I to I ti I.7 1.51T S_1 1 12 0-.12 10 I +1 I +3 I +6 1 +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 . I -6 I .58-.82 I -1 I -3 I -6 1 -12 t -, .63 up i -2 i -4 i -8 i -16 1 -20 Table 3-11. Horizontal South Overhane Points - 7 - Glazing I Length Out I Area, Z of Floor I I from Wall I I I It r' I 1 0-6.3 I 6.4 up I I I I I 0 - 0.5 -2 10.6 - 1.0 I -2 I -3 I 11.1 - 1.9 I -1 I -2 I I 2.0 up 1 0 1 0 I I I I I Table 3-12. Movable Insulation Points I Moveable Insulation') 1 I Area, I of Floor I Points I 0 - 3.5 1 0 I 5.6 - 11.5 ' +2 11.6 - 17.3 +4 j 17.6 - 23.! +6 i >23.6+ % +8 I GLAZING PLAN•TAKEOFF•SHEET 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) .. ✓ x e F¢, vim. 9,b ✓ x:' (c) x (d) x s (e) x a Total North Glazing (SQM. ) (a+b+c+d+e) TOTAL NORTH TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR NORTH GLAZING 21,0 2372 x 100 SQ.FT, SQ.FT. 3-7 South Glazing QU ITY SIZE AREA (SQ.FT.) (a) x (b) x (c) x (d) x = (e) x = Total South Glazing 52,0 (SQ.FT.) (a+b+c+d+e) TOTAL BLDG CONVERSION .- TOTAL % GLAZING FLOOR AREA FACTOR SOUTH GLAZING h�.o _ X315 x - . loo _ ?•/9. % SQ -.FT. SQ. FT: ::._........ - 3-9 Skylights QUANTITY (a) x b x i ( ) (c) x Total S (a+b+ TOTAL S:CYLIGHT TOTAL BLD ,GLAZING FLOOR AREA . i SQ.FT. SQ.FT. SIZE _ ights AREA (SQ.FT.) FORM 6 TOTAL EAST .TOTAL BLDG CONVERSION TOTAL % GLAZING* FLOOR AREA FACTOR. EAST GLAZING 1_(44 (o 2375 x 100 = !v, 93 % SQJT. SQ.FT. 3-8 West Glazing (a) Q�ITY x 4-050= � � (SQ.FT. SIZE ) (b) x 40400 = .D (c) V / x ow x7&& _ /2.7 (d) v7 -1- x oI �v o (e) x = Total West Glazing .= I oZ.'7 (SQ.FT.) (a+b+c+d+e) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR WEST GLAZING /02,7 2375 x 100 = 4.32 % SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING 100 = _ % `GW:VER rZUST7' 01AA 0 :?EalIT NO. 7/83 ToT� L G Liti21 NU A 9EA = 340, 3 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) .. (a) ✓✓ x Belo$ /Olo.lo X. (c) x 10030 a (d) x (e) Total East Glazing = / .!o (SQ,.FT. ) (a+b+c+d+e) TOTAL EAST .TOTAL BLDG CONVERSION TOTAL % GLAZING* FLOOR AREA FACTOR. EAST GLAZING 1_(44 (o 2375 x 100 = !v, 93 % SQJT. SQ.FT. 3-8 West Glazing (a) Q�ITY x 4-050= � � (SQ.FT. SIZE ) (b) x 40400 = .D (c) V / x ow x7&& _ /2.7 (d) v7 -1- x oI �v o (e) x = Total West Glazing .= I oZ.'7 (SQ.FT.) (a+b+c+d+e) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR WEST GLAZING /02,7 2375 x 100 = 4.32 % SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING 100 = _ % `GW:VER rZUST7' 01AA 0 :?EalIT NO. 7/83 ToT� L G Liti21 NU A 9EA = 340, 3 OWNER P/57Y 61,2p FORM 9 THERMAL MASS TAKEOFF SHEET PERMIT NO. -Thermal mass: Materials Which have the ability to store heat (typical types are masonry,. brick and ceramic tile). Thermal mass cannot be insulated from the interior of the building:i;'(Zf covered by can - pet; cabinets, or enclosed in closets the mass is considered, insulated).'::::. Thermal mass floors must have an exposed and .textured surface or'design'so that carpeting W not occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA A • _ Entry Floor ' x ¢D, o SQ.FT. '� Bath #1 Floor ' x ' 0,3 SQ.FT, " y Bath #2 Floor ' x ' 24,9 SQ.FT. Bath #3 Floor ' x ' •/¢SQ. ,5 FT. r Kitchen Floor ' x ' _ X8,7 SQ.FT. _AunrOR)' . Floor ' x ' 35 g SQ.FT. A - 4,11: Floor ' wvv. S: trbyx Fire lace ' X. x ' ' . • SQ.FT. ��� Fireplace ' x SQ.. . Bath #1 Counters ' x ' SQ.FT.Q. Bath #2 -Counters ' x ' . _SQ.FT. _SQ.FT. Bath 3 Counters ' x ' _ Kitchen Counters ' x ' SQ.FT. Wall Shield ' x ' SQ.FT. Walls ' x ' . ___SQ.FT. Walls '. X-1 ----SQ�FT. Walls ' 5Hwe5Qrrr5Tr2,64 ' x x ' � S /5-(0.7 sQ.FFT, @ E/4/ O Z ' x 4-353 FT. x _SQ. _SQ.FT. If compliance.-i—rhod..Froposed is other than the point system (where thermal mass point charts are' ava"llible), use calculation methods on reverse of th-is form -to show • thermal mass compliance. .. fd � ,Bp_ic.� � 9'x•0 7/83 TO Building Department FROM: Environmental Health. SUBJECT: Sanitation Clearance Owner Location �' APSE Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water.Supply Clearance for _ bedroom mobile home. Other m. )r NOTE *** S, tarian Date 1 1840-88B,P,E. PERMIT NO. 9 PERMIT EXPIRES OWNER DR. DAVE & DONNA NUNLEY tCONTR. Bonita Pools r ASSESSOR PARCEL 40-47-18 ! LOCATION 9 Gold Creek Way, Chico t Temp. Power Pole . Called PG&E— Temp. Elec. Service Called PG! Temp. Gas Ser { Called PGF JOB FINALED Signature = OK ° 0=Not OK Not'ApplNot Ready yable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME 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 Card -131 Date Card -131 Date Card -61 Date Card -131 Date 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -61 Date Card -131 Date Card -B1 Date Card -131 Date Date POOLS (Plans) OK except #'s *f;.✓J7 1. Setbacks -Easements �fnk�f2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men=Lining c,; Receptacles and Lighting, Dist es-GFI fi,Erec.; Pool Lighting; 15 volts - c.; Enclosures; Conduit Entries -Terminals -Listed Bonding; Metal w/5' -Circulating Equip. -Heater c.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9-44eefth-gepertment Approval Jf�y�10. Plumb.; Cir. Test -Water Supply Test ICard -B1 * Dat@)ECAla IXG-Ard-B1 Date Card -131 /rW Date,_IZ5/, Card -81 Date = OK 0 = NotRESIDENTIAL (Single and Duplex) - =Not Applicable , ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59, Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -131 Date Card -131 Date Card -131 Date Card -131 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -81 Date Card -B1 Date Card -81 Date Card -131 Date 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 -Meth. Protection 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) IK� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.AND PERMIT XIWIIT NO ASSESSOR PAROL^BER � zo y 1 BUILDING PERMIT OWNTE EPHONE SO. FT. OCC. BUILDING VALU ION VO OWNEr,�'S MAILING A�R *SS I� -- (e Lo`��/` CO AC 'A ' S N LEPHONE C fA OR' MAILIN AQDRESS,� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $' ring $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESSPermit A A4 fee $ t 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 STRUCTU SF�Duplex❑ Mobilehome❑ Other ION AAn SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK Newff Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 'f Contractor ELECTRICAL PERMIT F! I ing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 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 BuslnesS and Professions Code and my license is in full force and effect. License No.7i_"8 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 licenged 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. ,/2PSQft NEW CONSTR I.OUTLET NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. i EX. Occup OUTLETS OR FIXTURES 200030 FIXED APPLNS. Ex. Occup. OUTLETS (RESI DIRE A.) 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 Misc. Wiring g16 15.00 i Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subjeuchct to the W. C. provisions of the Labor Code, you must forthwith comply with s provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabil• ies, judgments, costs, and expenses which may in any way accrue against aid ount i consequence of the granting of this per 't. Date �' Signature of 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 $ TOTAL PERMIT FEE $ , OCCuP. CONST.TYPE SCHOOL I FZ P RCE PD HD Is3uE, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6 �� Receipt No.BY WNITE-D.P.W.. YELLOW-ASOCSSOR. PINK -INSPECTOR. OOLDEMROD-APPLICANT OWNER d• COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE,CALIFOjNIA 95965 - TELEPHONE: 916/538-7541 . PERMIT APPLICATION DATA SHEET Permit No. D11 I'1ck N f i n I PAA Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andlor 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 duplicateltriplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement., . . . . 6. School District "Fees Paid" Stamp n Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ . , , , , , . ,,9. Letter of signature authorization . . • Sanitation approval from C�Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail tdowner ❑.) _15. Improvements may be required. . . . ... . . . , . .. 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inepec. request to (Date) Required. Building In, 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. t When you issue the permit, process as fo, Mail to owne , �BF5if'iTiiP— ,. Telephone and hold for pickup at dRaoffi e,—Deliver w/inspector. Other L -- Applicant% 4P- 42Date ��< /g c k 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---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 40-47-18 1237-89B PE, NUNLEY,-David & Donna 9 Gold Creek Way, Chico I PEF ContR: Langlas & Assoc. (add covered deck) Owy Coirrn. - - -- - - ASSESSOR PARCEL LOCATION DAG Ear/�� Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service / Called PG&E / JOB FINALED (Date) Signature // AIj- = OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except Ws Date DEC ,COVERS,CARPORTS,G G S, (P )OK except #'s 1. Zoning Requirements -Setbacks -Easements . ! 4,.Zoning Require ents-S acks-E�ts 2. Soils; Special MH Support -Sketch ootings;s- -D -S cin onneCf�8-@te 1 3. Sewer; Location -Test -Fall -C/O -Concrete 3XDecks; Girders and/or Joists -Decking- racing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4)6Nood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. n., o umns- s / /"Nat. or/ /"L"ft./ /"LPG s 7. Utility ClearanceEtea' Card -B1 Date , Card -131 Date Card -B1 Date Card -81 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. ngs; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector ; 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 Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date le. Re Ext.; Steps -Doors -Landings Card -B1 Da -,1- Card -B1 Date Card -B1 DateS-'3o-y9 Card -B1 Date 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -131 Date Card -B1 Date Card -B1 Date Card -B1 Date ' p��e Cav LaC A, ,�ys = uK ^W,,-- Not -OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg•., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage;=Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9..D.W.V.; Fall -Fittings -Test -_2_w_ ay C/O -Sewer Test 10. Gas Pipe.; -Si ze-Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -81 Date Card -131 Date Card -81 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties- Purl in` --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. F,ire.,Protection. Framing_ 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date 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 -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ri �- 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 need additional explanation, please contact this office immediately. J /l0 `CYL' /La v x 4 I Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Califgrnia,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL BER ®� 17.- ZONING BUILDING PERT O NER n d' DN OLJ : CJS �t/(� 2 TELEPHONE SQ. FT. OCC. BUILDING VALUATION V O Q OWNER'S MAILING ADDRESS 8o C'r e �r C✓ � � I � 9�'�i 2 � CONTRACTOR'S NAME C fJC v1—�1't TELEPHONE S� CONTRACTOR'S MAILING ADDRESS 61-3- MR�SN LL- C -"f- Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a)L . -- Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ I -7-6 PLUMBING PERMIT Filing Fee 10.00 ,I tggo x (re -K Each Trap 2.00 CL Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP G-,< I Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Cet, T/r � a���,� sPECIFv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O.00ea TYPE OF WORK New Addition❑ Remodel El Utilities[] Installation❑ Other ❑ Describe work: PennitFee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00 j Main service 600V OR LESS 100 AMP OR LESS 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 No. `Q c/ a Classification El 1, as the owner, or my employees with wages as their sole compen- 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.a ,h�Sgft OR A.D.S. ACC. SLOGS. NEWCONSTR U TI -OUTLET 2,50 ea NON.E..BRA CH CIRC 1 5 POWER APPARATUS .&) SINGLE OUTLET CIR. ( EX. OCCUp\OUTLETS OR FIXTURES 2AL@30 eALO 30 Ex. Occup. OUTLETS FIXED PID ) LNS OR (RESI'D.)2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so As to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above 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 said County in conseq ence of the granting of this permit. X�� LU.r`►-t v� [{ ��—�-Q Date Signature of Applicant - Owner ❑ Contractor Agent El An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE ,?� OCCuP, 'CONST.TYPL scNooL FLooD PA a Pa ND s This permit is hereby issued under sions of the Butte County Code and/or work indicated ab ve for which I E TOR F PUBLIC By PERMIT EXPIRES Date - the applicable provi- resolutions to do fees have been paid. WORKS 4—M D to Receipt No. 32010 WHITE-D.P,W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT ' .rl��'' ,. •'t •�'�-:r�.yi.., ,•,I�. jf�1•'I''-�,��. at,;"�.+��.'�7ry�Y:'"�`hl.d:.^S"ti_.w.F}•�'lr'... *..rt�n,..•... '�'-'" •r' t'•.�c :..�: ., �. . :r• � + M L COUNTY OF BUTTE - DEPARTMENTj0F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI,LffL-,-CAL-Ik0'RNIA 95965 - TELEPHONE: 916/538-7541 + PERMIT APPLICATION DATA SHEET A 3. z Permit No. ' OWNER��►; .Q ± J�hAin/a L�I A _1 ,0 ,A a A. P. No. Proposed Building Usen/2u) CoriPre,% Building Inspector -- DateT�--'�i' 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........ y 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 .......'...... 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ 10. Chico Urban Area fees paid .......................................... 11. Park fees paid ..................................................... 1'� School District fees paid ................. 3. Sanitation approval from C In " [_ 7 Health Department ... "o— cT 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: ......... ;R 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -inspection for required .. , , Pre-Insperequest to p q . Building Inspector (Dade) 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 ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. I When you,-i-ssue the permit, process as follows: Mail to owner. Mail to contractor. Telephone31,/2- 9-7 2 S and hold for pickup at C it Ioffice. Deliver w/inspector. Other (� Applicant off-• �. L 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---nail—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by6�2 Date `Z� Plans approved by ee Date Sets of plans on hold in File cabinet • AP folder Copy—DPW TO Buildina.Department FROM: Environmental Health SUBJECT: Sanitation Clearance - -,- _ Owne Loca ion AP# Plan Approved for: Hold final for: Sewage Disposal Water Supply Water Supply. Final clearance O.K.,for: Water Supply Clearance for _ bedroom mobile home. Other NOTE * * * SaniiZari Date •a'„' l A '9E +JF. 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