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041-540-013
` E. 41-54�-'13 204,-91B, Pil �.41-54-13041-54-0-0.13 1-4149 �>DR,4403 WOODRGAS LIN F92-3633 B,EJOHNSON, GeneL.conv attic area t�o closet/sf �B08-0297_(�CVJPeb 041-540-013MISCELLANEOUS Re-RoofRE ROOF 55 SQ'S COMP4403 WOODROSE DRATTERBURY KENNETH G)' � - � ' � ` � ) � ' ~^ ~ 4 ^ & m ' ; d' �I ,r- I u'i,ll-fit .RESIDENTIAL,9 9,/ z tt�041-54-0-013 92-3633 B,E I JOHNSON, Gene I 4403 Woodrose, Oroville conv attic area to closet/sf /144 t 1 JOB FINALE 1 Signature 4O O = Not OK NApplic ot 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. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / /" L-ft. / /"Nat. or/ /"L"ft./ P'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 r -- 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- Bea ms- 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 -Panel boards -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 'd OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 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 -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 ---------- -------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------- --------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------------------------------------------------- - ------------------------- - 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------------------------------- 30. ------------ ----------- - - --- - - - 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 ------------------------- ---------------------------------------------------- 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 -------------- 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. 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. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) .15. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 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 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 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 -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 --------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa --------------- ---- 66. Elec. Trim & Subp anel: Breaker Sizes & Labels ------_________ ------------- 67._Stairs & Rails 68 Fireplace or Stove: Cibarances-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-A1ech. Protection ----------- ---------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------- ----- ----- 77. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------- ----------------------------------------- 78. Guard Rails & Deck Conslruction-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: Plbg.-Appliance-Fireplace.-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 Inspections -- - -- ---- -------- -------89. ------------- 89.Gas -Test -Meters Tagged; Gas -Electric ---------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ------ ....--------------------------------- Date ------------------ -- - Card -B-1 Date Card B-1 --------Card_-B-1------------__Date - Card B-1 -Date Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3633 • ASSESSOR PARCEL NUMBER 041-54-0-013 ZONING qR 9 BUILDING PERMIT OWNER Gene Johnson TELEPHONE 873-1825 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO Box 1075 Ma alfa 95954 192 attic to R 20 3 840 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 52-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4403 Woodrose Dr Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF CL Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 615.001 TYPE OF WORK New ❑ AdditionU Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: convert attic space to closet Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 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. Classification 1, as the owner, or my employees with wages as their sole compen- ki sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) • El 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 200ATO1COCA) 37.50 NEW CONST.( ACC. BLDGS. DWELLING OCCUP.&� 3.6Q sq.ft. 1 6.72 NEw CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FV I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and ep harmless the County of Butte against all liabi ies, judgment ts, expenses which may in any way accrue against i County in conseq en f the granting of this permit. q X Date _%40 — 13— / L— Signature of Applicant — ner ® Contractor ❑ Agent ❑ An OSHA\ permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ c CONSJJYPE jAN TOTAL FEES 115.50 NAz DFEES IMP FLOG CDF PARCEL PD RD IS UE This permit is hereby issued under the sions of the B tte C u y Code and/or work indi d o for which fees I R OF PUBLIC BY PER EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date,,V i Receipt No. 126148 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s:4 �., 4. COUNTY OF BUTTE r, PARTMEN7�QR-RUBLIC WO ' 'BUILDING DIVISION 7 COUNTY CENTER -DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-75410 PERMIT �APPLICATION DATA SHEET OWNER 6 L-AlL- UOhiAtJSO IJ P. No.�`7� Proposed Building Use OST% X0,0/77d10 'N, Building Inspector 4c",- te 40 r.�( At time of permit application, I,was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 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. Y 6. Ener Design Compliance and su ortin 'documentation . .................. 9Y 9 P PP. 9�:.- 7. Statement of Intent for Non -Heated aiiNA C{Buildings. ..................... . 8. Engineered truss details and layout in duplcate)(required prior to plan check). .... 9. Mobilehome data and manufacturer's installation4instructions, 2 sets. ........... 10 Fees of $ .. ; mpact fees as s o schedu ............. 0; t 4 12. Califo is Department of Forestry plan approval/fees. ........................ ood elevation letter (100 year flood b California Engineer. . . *14. Sanitation and plot plan approval��Health Department. .../�.'�`� 42. 5. 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). .. :. . Pre -Inspection reque-fs 20. Pre -inspection for required. . to'Building Inspector (Date) 21.; Contractor's license information. (No., Name Style, Classification). ...... `a -"� ... . 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 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 t` and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue theM'-/V6and tprocess as follows: Mail to owner. Mail to contractor. Telephone hold for pickup at offic. Deliver with inspector. Other Parcel Creation 3/9 Acreage Applicant' Q" 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 1. Index permit for above items No. 2. Additional items required: hecked above). 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 Count Date Plans checked by Date Plans approved by, . Date Sets of plans on hold in, File cabinet ..;y. AP folder Copy - Department of Public Works %...- I - .- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION ANO,PERMIT PERMIT NO. • ASSESS R P R , EL NI,J=B t 6•— 0/3 ZONING 5' BUILDING PERMIT OWNER Jo /40,50 TELEPHONE SO, FT, OCC. BUILDING -VALUATION OWNER'S MAILING AD RESS D l 4 M Al- //q CA OQ _ A k ne 0 CONTRACTOR'S NAME W TELEPHONE t CONTRA OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is " Filing Fee 15.00 LENDER'S MAILING ADDRESS I Permit Fee Plan Checking Fee ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 'Penalty $ • BUIL•DI NG ADDRESS �-1 - �(% OO Q It? 0$ g 0 Permit tee S PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. lJ SUBDIVISION NAME PARCEL MA/!P ��V Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities Installation❑ Other ❑ Describe work: _: .. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR A OR 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 and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR AOONS, l ACC. BLDGS. I l. NE w CONSTR '-'ULT'-OUTLET NON' BRANCH CIRC ITS @ 5.00 (POWER APPARATUS tr1 SINGLE OUTLET CIR. ./ Ex. Occup(OUTLETS OR FIXTUR.EES) 20 76d FIXED APLINIS EX. Occup. OUTLETS P(RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. VVirin g 15.00 Permit Fee 3 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 Ceriificate 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 of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA over S'0" deep and demolition or construct- ion of structures t overr 3q stories inheight. Mobile Home Installation Fee S Energy Inspection Fee S coN PE TOTAL FEE $ ,Az DFEES IMP FL0�CJ9/ G' CDF P EL uE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No._l a 1y? WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 36)-" , COUNTY OF -BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity toavoid unnecessary delay in process.ing.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 y s or no) 2. I (have have not) - ,-- signed an application for a building permit for the proposed .work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City .Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name, - Address Phone Type of Work Signed: Property Owner Social Security Number — © DateZ— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �yr'%7►i&*T4*'6#T-,CV71 `.,w-carr•c+: +ir ' +.;:1 f�1Zfi. 'ynfi- "" '�VT.n"•$ YgL' A' � •�!� C,ysji'�'!", ''�h r i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) W4tKSchool Districtl./f'dX/ Building Department No. BOG_ ti A.P. Number 5)�(�� Jurisdiction 0 City , County �o� G�o/C 1 Property Owner U%"- N — Property Location/Address 0/20 Subdivison Lot No. Residential Development 0 C/ 14V,��/6A) . , No. of Living Units 1'lAM lqly'lC Commercial/industrial " *UK New �a Sq. Footage 19 ?— ' Addition -.. (Group R) ; 1 ,Sq. Footage 1 Addition �., (Including Eiderior ` Roofed Areas) Date (Floor Plans reviewed by School District Personnel) } 4 District Identification No. '930 5 9 School District certifies that n. (Applicant) «. (Street Address);, (Phone Number) (City) / (State) ,n1 (Zip Code) has complied with the requirements of Resolution No. 0 by payment of $ representing` square feet. 9 Z� Date Paid by Check Number Remarks: Bank Numbertzw " Paid by Cash`. If, subsequent to the School District Representative signing,this Butte County Schools Impact Fee , Certification Form, the School District is notified by the applicable Local Planning'Agency that this project is being reviewed under the California Environmental Qualiti Act (CEQ.A) this project may be subject to arlrlitinnal cchnni faac to fidly mitinata itc imnact nn tha cchnni rfi'ctri'-t,4-`cchnnlc White (applicant), Yellow (building department),,Pink-(school district) a 4,� t feeformmkf (4/92) .-M L.H. USE ONLY 19u1 1'I�m Nuchccj�' Fluor 1•I:u, nuachvd Sun bi B.U. 1 TO: Building Department FRO•',A: Environmental Health e SUBJECT: Sanitation Clearance 031-R,ne, -ITLI,3 (j0djN3e 11-6 y — Owner Location AP# Plan Approved for: Sewage Disposal i,� Water Supp Public Priva e Well e oe—":we. Other9 wag-inea Hold final for: Final clearance O.K. for: NOTE: 1 /% Environ 8/92 eAh Specialist Date I ..!RESIDENTIAL 17' 41-54-13 2295-91B,P,E M JOHNSON, Gene 4403 Woodrose Dr, Oroville (new sf) Eq 3 ---- 9j N2 �J 61A Dlio— A- -41, 2 -S 9/ OFFICE COPY • Address GAS Meter By Date Meter B JOB FINALE Signature 6: r. . %�j2� 1 f nvner : Z h.•0 J-0 L2_7jC_ _ Permit No.01 oC L r ENERGY C E R T I F ICAT._I0N 4403 Woodrose Drive Ma alfa Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATT; 11 Thickneee(inchee) 64 -- Brand Name Thermal Resistance (R Value)_______ Brand Name QWENS-CORNING Thermal Resistance(R Value) R1___9 CEILING Batt or Blanket Type FIBERGLASS BATTS BrTlermmaalleResistan Resistance(R Value) R3 0 _ Thicknese(inches) 9�" rnRNING Loose Fill Type FIBERGLASS Brand Name - Minimum Thicknes,(Inches) 12 3/4" Number of Bags 14 Wt...per bag Rlb. Area covered(ft. ) 900 Thermal Resistance(R Value) 30^ FLOOR, ELEVATED Material FIBERGLASS BATTS• 6411 Thickness(inches) FLOOR, SLAB Material Thickness(inches) ---------- Width(inches) Brand Name OWENS-CORNING Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value)_____T_ ____FOUNDATION WALL Brand Name Material Thermal Roeistance(R Value)_. Thicknese(inches) I hereby certify that the above insulation wad installed is the above building in conformance With the state of California sporty Requirements. . LOE KE IN5111ATION CO., INC. FIRM NAME/OWNER STATE CONTRACTOR S LICENSE NO. May 29, 1992 - 8IG URE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items ae ehowa as the Building Department approved plane and attacUmente have been installed ae required by the State of.California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. Ge,"Z_ A VF111RH/OWNER ease rint) STATE COONTRACTOR18 LICENSE NO. OF QE L CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING• ,January 1984 J=OK O = Not OKNot , = Not Readyable MOBILE HOMES ,• ' Date MOBILE HOME UTILITIES (Plans) OK Except #'s 1. Zoning Requirements -Setbacks -Easements 2. Softs; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ` 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance t 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 I 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 1 O O = Not OK = Not Applcable Not. Ready RESIDENTIAL ' = Date U -ND FLOOR (Plans) OK except it's a Z ing-Setbacks-Easements-Flood-Slope Ft , Main; Soils-Elec. Grnd.- Ftg. Depth fFtg., Garage; Soils-Steel-Elec. Grnd. 6F " Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5 e walls, Main; Steel -Bloc kouts-Wra pped . St ails, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab; Steel -Wrapped (Single .& Duplex) 8. Pie Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test t 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11;,,Water Pipe; Test -Anchor -Regulator -Service Test 12. EI cfric; Underground 1 . Pie ums &Ducts; Clearance -Material -Support -Ins. G .ders-Sills-Anchor Bolts -Jo' ?`Vents -Cripples Access & Ventilation 16. Insulation Date/ rC fCard B-1 Date Card B-1 Date! V Card B-1 Date Card B-1 Date PLU GING (Per it) OK except ti's 6 ater Htr., t- ccess-Combustion Air -Baffle ---------- ------ - ----------------------------- Ll; -Water Pipe: Test & Anchor -Nail Protection ------------------------------------------------------ P W.V.: Test -Fittings & Anchor -Nail Protection ------------------- ------- ------------------- _ _. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Seco d Floor -Tub Access as Pipe: Size rs" -- Date --� .gLCard B-1 Date --- ---Card e_t------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's Fixture & Transformer Clearance -Ins. Protection - - _-- � Receptacles Spacing -Lights _& Switches at Doors ------------ 2 e Boxes & No. of Conductors -Stapled ------------------- Romex Installed Close to Edge of Studs & C.J. --------- - --------- -------------- -- ------- - - - - - - -- --- --- _ 2 quip. Ground made up w/Mech. Fastners-Bond Gas & Water 27 Appliance Circuts in Kitchen & Conductor Size/GFI -------- ------ --------------- --------- ----------------------------- 22. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At s 29. Range Circ ! r 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. ---------- --------------------------------------------------- --- td7. Clothes Closet Light--Show-er--Li--ght-Spa Light --- - ------------------------------------ ------------------------------ -------- -- �moke Detector Date Card B-1 Date Card B-1 --------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except #'s 4. A. C. Ducts Insulation & Support Vent Fan: Exhaust above insulation f Condensate Drain & Overflow Size & Grade ........... --------- `GJ -- ------ --------------------------- - - - -- -, Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------------------------- 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 ti's 9�. �Sils. Proper Material & Anchors ---------------------------------------------- Walls Studs -Nailing. _ - - Spacing&Bracing_ Plates_ Sound Bearing Walls over Girders & Floor Nailing -- 42. Draft Stop in Walls (rat proof) --------- - - --- - ----------------------- ire ----------- - -- ---- -------------------------- - ----- ire Stops; Furred Ceilings -Stairs -Chases -Tub ------------ Headers & Beam -Size & Bearing Date FRAMING -(Continued) engers-Post Caps -Anchors Connectors BKV-Ing. Joist-Rftr. ties-Purlin-root Brac-Truss Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat clearance CAe"Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 949--Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing W__12;;et ine Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 5 tairs: Width -Headroom -Rise -Run -Landing -Fire Protection &.&�plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ---------------------- 6W__5t_-cco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protect on -Skylights- Plastic ------ - ear Walls; Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------- -Date,Z .? _Ct ward B_1 - Date 2-4/"1,4Uard B-1 ice. Date g. p2., f?—Card B-1 -�J�1 Date Card B-1 Date FIN (Plans) OK except ti's E steps -Door & Sidelight Protection -Landings ------------ Sm`eect— rjy"e-r'�urn-ace; Vents- Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection 6 edroom Exiting G F.. & Bath Fixtures & Tub Access -Spa . Ir m & Subpanel: Breaker Sizes & Labels ------------ - -- ----- - --- Stairs Rails 6 place or Stove: Clearances -Hearth ------------- Elec. Outlets at Wood Panel: Int. & Ext. /7 tit ixt. & Appliance: Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter arage Fire Door: Swing -Landing -Closer -- ---------------- - ----------- --- --------- ----- -- uct in Garage -Damper Wtr. Htr., Vents -Clearance -Comb. Air-Connector-P.R.V. rage: Above Floor-Mech. Protection Plb. Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulatio m -Looked in Attic ❑ Yes ---- and Rails & Deck Construction -Post Caps Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth _ _Clearance Looked under Floor ❑Yes 80 Following instld. Drive es o; Walks ❑ Yes Planters ❑ Yes No 1 ----------------------- ----- -u co: Brown ----------------- ----------------- --- — A C. Unit: Disconnect, Electrical, Plumbing Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to - -- Op ings ell; Disconnect, Electrical, Plumbing Ext r Elec. Trim; G.F.I. Receptacle -Underground ---- -- - ---- - — Vent' tion Throughout House - - - - -- d Protection _ - - Corrections from Previous Inspections Jae Ga Test -Meters Tagged Gas -Electric Wat & Sewer Connected -C/O to Grade -HD Approval — Energy Compliance Certificate -Other Certificates Date j( 0, yard B-1 Date _Card B-1 - Date ard B-1 Date Card B-1 Date Card B-1 Cate Card B-1 Comments at Final: COUNTY OF BUTTE { ' DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r iC Wool M/1 IMP -1 Z Date O 3 Inspector REV 11/91 COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERL49T NO ' A routine inspection indicates that the following violations of Butte County Ordnancese klat the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additionalexplanauan, please contact this office immediately. Q /J�- -/1� /-'-1 -!5; C,.,GX11_ Dated . Z) .�2 Inspector �p.4 REV 11/91 `� n. r^ '-.'."..i�n'�^"__-."",. .:.ylM ..ft, .C, , a . - ... .� ..• - -rte:.--�':.'1+�Ln.. i.2":e �.rW: � .• ti."``-... a^Y .�. .�. S i' COUNTY. OF BUTTE DEPARTMENT OF.PUBLIC WORKS 1469. Humboldt Road,,Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERkW NO. A routine inspection indicates that the following violations of Butte County Ord-inanceseust at r the above address and should be corrected. Please notify this office when correction of work �y. is completed. If you have any questions pertaining to this matter, or need additional explanation, - please contact this office immediately. po r til y t� 44 41 o i V ,!7 Be '-vC> 14-7- M Ica 25� :d 0 t d r(.ke_ 4-es1 ati ) W y- . c ,oto f "".:;k tet., --- Date 2 7 - !22 Inspector ?'.`. REV 11 /81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Centek Drive - Oroville; Califorrila 95965 - Telephone: 916/538-7541 - APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 41-54-13 ZONING SR -5 BUILDING PERMIT OWNER rt C1�NE..,�TOHN50N L 3o"E SO. FT. OCC. BUILDING VALUATI ' OWNER'S rA,LING A.DDR ESS P.O. BOX 1075 MAGALIA CA 484' CONTRACTOR'S NAME TELEPHONE 10LO.10 ,. C, 13,364 CONTRACTOR'S MAILING ADDRESS Fireplace "A" X2 3.000 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Q 3 Filing Fee $ - 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE 7 LICENSE NO. Plan Checking Fee S $ 296-50 Energy Plan Checking Fee $ 15.00 LL ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4403 WOODROSE DRIVE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP _ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea. TYPE OF WORK New J] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 BBQ Permit Fee $ 73.00 Contractor ELECTRICAL PERMIT FiIingFeel 10.00 • Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): _ ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am -exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd OR ADDNS. ( ACC. BLDGS. /1Osgft_7} 5 NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea $s POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200506 .AL990 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee 8 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F%71 I shall not employ any person in any manner so as to become subject "`- to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor �/ , MECHANICAL PERMIT FiIingFee 10.00 Heating_ ,K 14T Cooling 2- i T 2 6.00 12.00 Hood 3.00 Ventilation.00 ___9.._0.0 Permit Fee $ 46.00 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 again said Count cc equence of the granting of thi permit. %� Date 9 Signature of Applic - Owner ❑ Contractor ❑ A ent An OSHA permit is required for excavations over 5'0" deep and de iti con ion of structures over 3 stories in height. 0 Mobile Home Installation Fee $ , Energy Inspection Fee $ .00 co STTY, E TOTAL F $-. Az. _ I cuA PARK sc cDF I PAR PD VHDJISSUE. This permit is hereby issued unoer the applicable provi- sions of t e Butte County. Code and/or resolutions to do work in_dic ted a ve for which fees have been paid. -`- TO 1^' LIC WORKS By Date ��6�� PERMIT EXPIRE ,Date Receipt No. 94519 351 - 50 P_ C- 4( 1 6 08 7�' l WHITE-O.P.W.. YELLOW -ASSESSOR. PINK-INSPECTOR./GOLDENROD-APPLICANT „- ; tr - .. -v - -7 -ti�.c y ,.-�, +�-•. ..r,,,,.—...r....— -r r • ,.� ,w., -,,.;,'Y'. -w -t M,V\�.u...yl,.r--.+r.r. COUNTY OF BUTTE - DEPARTMEA-. 0 PUBLIC WORKS - BUILDING DIVISION ,. .0 7 COUNTY CENTER DRIVE - OR�WALIFORNIA25965 y`TEL&HONE: 916/538-7541 � �� "PWIT-APPLICATION "DATA SHEETs'' Permit No. 7 A L. OWNER ,�Y E/�N ' _ t7 �Xt� SOJA L t A. P: � No. i ,,, Proposed Building Use &-YA A ijr,- Building.lnspector IK(3 Date r -c"t At time of permit application, I was advised the following data must be subm permit processing and/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted........; .............I'll........... . 2. Plot plans in duplicate/triplicate, signed by preparer of' -plans .. , , tF._ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans andic-alcs, with wet signature�on pl 5. Hazardous Material Form .....•....... q .130 4;P5 ..... d.4... 6. Energy Design Compliance a d sup orting documentation ......... 7. Statefnent of Intent for Ndh edt�nd ���Buildings .............. �+ Engineered truss details and layout in (required prior to plan check) 7- 1. l 9. Mobilehome ins �allation data i,Odininstallation � nst^r.�ctiioons . �. ....... �: 10. Fees o $ J 11. Ch.icl�l�rbayt' Pe6s(! . ......... .................. �I. `�• 12. Park fees t I .............. >'. ........................ 13. School/Dfirlctfees paid ..... -9 ......... 14. San lion pproval from _n 2 �f-U) Health Department -2 J i 15. Citytaf Chico plumbing permit. ................................ 16. Plot plan and business license approval from City of '(see City for other requirements) 17.. Planning approval for (A), Use:— ri .) 8 I mprovements may be required. Contact Land Development:SecUoe, L"l 19. Driveway permit (construction approval required prior, to occupancy)- 20. Pre -Inspection for i; required.► .. Pre-Inspec. p request to , i' n-, Building Inspector (Date) 1-21. Contractor's license information (No„ Name Style, Classiicatio t -, 22. Certificate of Workmans Compensation Ins r-�ce-- -... . .' �i23. Owner -Builder Verification (Given to owner 0 Mail to ow, �,r ❑) �... s 24. Recorded copy of Agricultural acknowledgment Stateme t .. . ��., i6 do F - x{26, APO 27. ' When you issue the permit, process as follows: Mail to owner,.- Mail to contractor. Y� Telephone �7 3- lC2$and,hold for'p°ick p t office. Deliver vv/;inspector. r Other=ter-' `.-` •`""' . Applicant -tic.: -. .Date % / Copy of Hdz-Mat form sent Health Dept ZLre Dept:• -- Air Pollution Date Copy of plans sent Health Dept. iJeDept. Date______a By ' i The following data must be submitted prior to permi issua ce: (Circle ne ite ec ked `above). 1. Index permit for above items No. 2. Additional items required-: Contractor, designe o e , was advised of above required data by_phone�naiI—counter bye_ --date Contractor, sjpne , ner, was advised of above re iredata by phone_mail_counter by ate Plans checked by LS Date � Nrt�l �� - 71 —7ate e / Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner 4Y4�03 6)0,/-ase location AP �k 'L� has been issued for the abpve, property. Driveway permit date si ature TO Buildina Department Fiom*: Environmental Health SUBJECT: Sanitation Clearance -- Y -�' , �_ .:� ,- � '. 1.7 I � , , ` ~--`�i.'f � �, ,f '> 1... l/ `! �=�J f 1 . � f! l , � .l_ 1 y Owner Location AP# Plan Approved for: Sewage Disposal Water Supply, Hold final for: Water Supply 7inal clearance O.K. for: Water Supply bedroom mobile! ho Other Clearance for NOTE Dati Sanitarian -1 3s� 4�0 (C?C�? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. /1 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONIN 4T t _S /r (3 s -R s BUILDING PERMIT OWNER /' ^r '` CS�!`� � �O �1 N50 N TELEPHONE SO. FT. OCC. BUILDING a:1 Ly 3 /VALUATION Iq OWNER'S 4%AAI LING ADDRESS o S o K l0 7 5 MA& -Al I A CA 559V q 6>q M 8 1 1 z CONTRACTOR'SNAME 'T - TELEPHONE ,:9 1 3 CP CONTRACTOR'S MAILING ADDRESS Fireplace "/ Y? 3 O o 0 CONSTRUCTION LENDEFj/ UNKNOWN Total Valuation $ I 9 b LENDER'S MAILING ADDRESS - Filing Fee $ 10,00 Permit Fee $ 579,5.0(o ARCHITECT OR ENGINEER UU��IV` LICENSE NO. Plan Checking Fee $ L / D. J Energy Plan Checking Fee $ s, Oo ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Lt 63 oCdC'051r Dc c,4 Permit fee $ �S�j PLUMBING PERMIT Filing Fee 10.00 Each Trap % 2.00 a ,00 Solar or heat pump water heater 20.00 a 0.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF..5F7r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5, po Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 3 %cJ f A Permit Fee $. -0— Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 16.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. F -1I, 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 EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N OR ADDN5. ( ACC. BLDGS. , IS 2/z¢sgft NEW RESID,CON5TBRANCH NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES e20050tALO 30 IX D EX. Occup. OU LETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 0 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. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating PUAI OACK FIT-_ 8 Ae 2 (11(7G 12.00 Cooling 2 - Z'1Z -roAJ z 1600 12.00 Hood 3,00 _?.00 Ventilation 3 -00 1 .o0 Permit Fee $ 00 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 consequence of the granting of this permit. XThis 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 $ 3o .0o occ CONST TYPE / 9K TOTAL FEE $ UJ HAZ. CUA I PARK SCHL I FLD I cDF I PAR PD ; HO. I Issue permit is hereby issued unaer the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. "?Y25 - 35%-5a- WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) t Bldg. Permit # OWNER A.P. # GENERAL Plan Checker __S / Zoning requirements: (sideyards and number of permitted living units). Valuation. / Plans signed by designer. Proper description of work on application. Existing violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). -�:�Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN ! � Complete to``scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). /Required windows for second exit (Sec. 1204). v Skylights (Chapter 34 & Sec. 5207). ' v►jl.. Human impact glass (Sec. 5406). j.r Required room sizes, ceiling heights (Sec. 1207). l7�GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 9. Locations of water heater, -heating and cooling equipment, other electrical or gas equipment. ki-O:�arage firewall, door size, and closer (Sec. 503(d)(3)). ���Fireplace ��3'0" exterior exit door (sec. 3304 (f). and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). PYt—.-Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Q 1. Standard bracing or engineered design'(Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Foundation plan complete enough to construct building. 4. Floor construction details complete enough to construct building. 5. Elevations and wall construction details complete enough to construct 6. Roof construction details complete enough to construct building. — . Fireplace construction details and calcs if necessary. 8. Rafter ties or bearing ridge beam. 9. Garage door or porch header.sizes. 41 -9 -.-Stud heights. _1�i: Adobe soils - special foundation design. Retaining walls requiring design. 32 Special Inspection required. building. 12/90 _ RESIDENTIALPLAN'CHECKING GUIDE M MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). rterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). x Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 4-1 'Attic access and ventilation (Sec. 3205). A-2- Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. r11►.—Noise requirements on duplexes. 15. Energy design. r �Flashing at all exterior openings. CDF responsible area requirements. i P Wye _ V? Cr 6. 7� T RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX &'MISC. ONLY) Bldg. Permit OWNER A.P. # Plan Checker 12/90 GENERAL Zoning requirements: (sideyards and number ofpermitted living units). luation. Plans signed by designer. oper description of work on application. Existing violations on .property. tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Yomplete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions, -on- creation map, ustible, and foundations). FAU & FAS road set -back. . Building or utilities across lot lines FLOOR PLAN (noise, CDF, fire sprinklers, non -comb - (Record form). `r F._Human mplete'to scale plan with dimensions•. ` quired windows for light and ventilation (Sec: 120.5). _ quired windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and'exterior-outlets (,Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment: _ Locations, of water heater, heating and cooling 'equipment, other electrical r gas equipment. . . Garage firewall, door.size, and closer (Sec. 503(d)6)). - 3'0" exterior exit door (sec. 3304 (f). rplumbing replace and wood stove location, alcoves,and clearance. oke detectors (Sec. 1210). fixtures, water closet clearances and shower size. STRUCTURAL DETAILS leG�reiG Standard bracing or engineered design (Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Foundation plan complete enouglitto construct building. 4. ..'Floor construction details complete enough to construct building. 5. Elevations and wall construction`"details complete enough to construct building. 6. Roof construction details complete enough to construct building. -7'-" Fireplace construction details and calcs if necessary. 8. Rafter ties or bearing ridge beam. 9. Garage door or porch header sizes. yl$: Stud heights. --Y Adobe soils - special foundation design. .�� Retaining walls requiring design. especial Inspection required. # GENERAL Zoning requirements: (sideyards and number ofpermitted living units). luation. Plans signed by designer. oper description of work on application. Existing violations on .property. tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Yomplete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions, -on- creation map, ustible, and foundations). FAU & FAS road set -back. . Building or utilities across lot lines FLOOR PLAN (noise, CDF, fire sprinklers, non -comb - (Record form). `r F._Human mplete'to scale plan with dimensions•. ` quired windows for light and ventilation (Sec: 120.5). _ quired windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and'exterior-outlets (,Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment: _ Locations, of water heater, heating and cooling 'equipment, other electrical r gas equipment. . . Garage firewall, door.size, and closer (Sec. 503(d)6)). - 3'0" exterior exit door (sec. 3304 (f). rplumbing replace and wood stove location, alcoves,and clearance. oke detectors (Sec. 1210). fixtures, water closet clearances and shower size. STRUCTURAL DETAILS leG�reiG Standard bracing or engineered design (Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Foundation plan complete enouglitto construct building. 4. ..'Floor construction details complete enough to construct building. 5. Elevations and wall construction`"details complete enough to construct building. 6. Roof construction details complete enough to construct building. -7'-" Fireplace construction details and calcs if necessary. 8. Rafter ties or bearing ridge beam. 9. Garage door or porch header sizes. yl$: Stud heights. --Y Adobe soils - special foundation design. .�� Retaining walls requiring design. especial Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 12. uardrail details (Sec. 1711 & 3306(j). ick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). is access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. 15. ergy design. LI -.-Flashing at all exterior openings. -1-A—CDF responsib e /wt v v��V,, ii psi' rte' RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) 11(3 : Bldg. Permit # `JWNER A.P. # GENERAL Plan Checker Zoning requirements: (sideyards and number of permitted living units). 2 luation. Fl-gn�s signed by designer. roper description of work on application. Existing violations on property. son data sheet..(W.C., fees, Health, Developer Fees, License law, etc). T. Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb- . Building or utilities across lot lines (Record form). 3 FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1.205). - Required -windows for second exit,(Sec.�1204). e�__kylights.(Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). //---Required room sizes, ceiling heights (Sec:•1207).- GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). lLight'fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment.. locations of water heater, heating and cooling equipment, other electrical r gas equipment. ).__Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f). 3place and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). +. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. hree story building requiring engineered calculations and plans. ndation plan complete enough to construct building., loor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building L& ----Roof construction details complete enough to construct building. A' Fireplace construction details and calcs if necessary. 4*ClrRafter ties or bearing ridge beam. j.0'Stud rage door or porch header sizes. heights. dobe soils — special foundation design. -+.—Retaining walls requiring design. it-1Sp�ecial Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails . (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). of covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). • A.tic access and ventilation (Sec. 3205). 1 Underfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances - L.P.G. requirements. .kir-Noise requirements on duplexes. �rgy design. shing at all exterior openings. CDF responsible area requirements. oK TPIt 9—i/-4/ Lerwicate o>i t;ompuance: Aestaerntiat _ climate Gone 1i ProjectTlW _ 9.7 Q1 w Budding Permit I Project Addr . /` S � P ly Checked By M" Documentation Author Tekphonqf Fstfotcaneiit Agency Use 0* `+ BUILDING DATA Glass Aria North:.,°b Glas:...,.:.. ,... r: L Conditioned Floor Area Uii Number of Stories East Slab s Fl Number of Units South , n ed SFD West— (�� gle Family Detach ( ) [ ] Addition Alone -��.�. �Z ( ] Single Family Attached (SFA) (] Existing Building Skylight '15 ' ( ] Multi -Family (MF) (. ] Existing -Plus -Addition Total . BUI ,DING SHELL INSULATION Component Insulation Location/Comme:xts Type R -Value (atric, to garage, =ice. etc,)'" Wall .............. E19_ Wall .............. Roof ............. _ Roof ............. Floor ............. i Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Orientation Area Glass Type Interior . Exterior Overhang FramingType ype (St) (single. double) (Toler blittd, etc.) (shadescreen, etc) (yew) No rzh ( ) ° (metalhvood) North ( ) East East ( ) South ( ) 1_ y South ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exuosed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc.) HVAC SYSTEMS Ivii:.imum Type (furnace, air Efficiency conditioner, heat DumD) (SE SEER_14SPM Duct Location Duct (attic, etc.) R -Value Output �u�cc p4,c /9 hfi c, f.?V �— 01 ��?5' ivy Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # " System Type (storage gas, etc.) Caoacitv (or annmveA eminn SPECIAL FEAT ES/REMARKS (Add extra sheets if necessary) Manufacturer /Model # (or approved equal) al Featu I. Ceiling Insulation Insulation In Floor Number of stories Number of stories Single - R -value One TWO Three R-0 -103 -9 32 R-19 -8 -4 -2 R30 •2 -1 .1 R38 0 0 0 U -value 0 R -t3 0.50 .176 -84 -54 0.M -102 -19 32 0.10 -26 -13 -8 0.08 -18 -9 -6. O.C6 -11 .5 -4 0.04 -4 .2 .1 0.102 4 2 1 O.CO 11 5 3 0 0 0.08 2. Wall Insulation Insulation In Floor Number of stories Raised Floor Single- Single - R -value One Two Family Family Multi - R -value Detached Atta ed Family R-0 -68 -51 34 R-11 0 0 0 R -t3 2 2 1 w..:..__.�. R-19.._._.:......8 .__._.. 6......:__.4. -6 ... -.0-value .. .. .... .-.. ,......_ .2 0.C4 :---76 -- 0.50 -91 38 -6 0.30 -47 -as .24 0.10 0 0 0 0.08 4 3 2 _.. : Us 9 7 5 0.04 14 11 7 0.02 19 14 10 _ . 0.00 24 18 12 --3. Raised Floor Insulation _ U-vaius Insulation In Floor Number of stories Raised Floor Number of stories -444 R -value One Two Three R-0 -.17 a -s R-11 -3 2 -1 :. R-19 0 0 0 R-30 3 0.20 _ U-vaius Effective Peremt Clan Number of stories Raised Floor Fl -Value -444 -70 46 _t 0.50 -120 -58 38 0.40 -95 -46 Sb 0.30 -69 34 •22 0.20 -t3 .21 -14 0.10 -17 -8 .5 0.08 -11 -6 -4 0.06 -6 -3 .2 0.C4 -1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawls -pace S.Infiltratioa (Air Leakage) SpWA=60n Points Standard 0 6. Glass Heat Loss Total Effective Peremt Clan Number of stories Raised Floor Fl -Value One Two Three R-0 -11 .7 -5 ' R-5 .4 -4 3 R -it .2 .2 •2 R-19 .-1 .2 -2 :i 4. SlabEdge Insulation -10 4 40 -90 37 -' -14 Number of Stories 8 R•vaJue One Two Three ' R-0 0 0 0 R•5 8 5 2 R-7 8 6 3 F2 facmr -12 3 5 0.90 -t 3 .1 0.80 1 .1 0 0.70 2 2 1 0.60 6 4 Z 0.50 9 6 3 0.40 12 8 4 S.Infiltratioa (Air Leakage) SpWA=60n Points Standard 0 6. Glass Heat Loss Total Effective Peremt Clan Single. Raised Floor (percent U -value North East Percent ':West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 •121 -53 39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 .2 6 13 2S -49 -15 -a .1 7 14 25 -46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 . -40 •11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 _.18 : -26 -3 2 - - 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 ..:..is -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) ERective Prreent Class (pesesat glass x SC) Elfe cin Effective Peremt Clan Single. Raised Floor (percent %Glass North East South ':West Skylight 18 5 1 4 1 na 16 -.4 --Z.- 5 .. 1 ..::. na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 . na 10 2 3 5 2 1 9 . 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 ' 6 1 3 4 2 3 5 _ 1 2 4 2 3 4 0 2 3 1 3 3 0 1 .-.2 1 3 2 0 0- 1 0 3 1 .1 -1 ,1 .1 2 0 -1 .2 -4 .2 0 na = not allowed & Shading (Shade Closed) ria . not elk.•wed 9. Interior Thermal Mass Interior Effective Peremt Clan Single. Raised Floor (percent gia9 x SC) Sbries Masa Stories AttadW ICFA One Two Three Nodi East South West Skylight 18 -14 -48 •b9 -64 na 16 •12 .42 -59 -55 na 14 -10 35 -50 -46 rta 12 -a -29 -40 37 na 11 -7 .26 36 33 na 10 -6 .23 31 -29 -74 9 -5 -10 -27 -25 -65 8 -5 -17 .23 -21. -56 7 •4 -14 -19 718 •47 6 3 -11 -15 .14 38 5 2 -9 -11 -10 30 4 1 3 3 -7 -23 3 0 -4 -5 -4 •16 2 1 1 2 .1 •9 1 1 1 1 1 -4 0 2 3' 4 3 0 ria . not elk.•wed 9. Interior Thermal Mass Interior Stab Floor Single. Raised Floor Mass am FDemd ed Sbries Masa Stories AttadW ICFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 at a -s 3 •1 o a 0.3 -7 -4 .2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 •5 -Y1 0 2 3 3 1.1 -4. - :-1, i 1 3 4 4 1.3 -9 0 ;2 3 4 5 1.5 3 1 2 .. , 4 5 5 2.0 -1 1 4 5 6 7 25 0'° 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 it 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 - 14 15 10. Exterior Wall Thermal Mass Exterior Single.. Single. Sum of 1.6 wag am FDemd ed Fainily Masa -24 to AttadW family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 .4 0.80 10 8 5 1.00 13 10 7 120 13 12 8' 1.40 12 13 9 1.60 10 13 11..., 1.80 10 ... 12 12 2C0 10 11 _ 13 11. Heating System SE or 13SPF (assumes duets In attic) Zonal Control Adjustment System Type Resismnce 10 9 7 6 4 3 Other 6 5 4 3 2 2 • -Stories One Two + . Sing[ Water Heater lire Type Ty SG Noi or Sal HP • HW WE PC SE Noi Sol HW W; PC IG Nor Sol; POi tE Nor Sol PO 13 Water Hearer Ge Type Tr SG Nt or Sc HP H' 59 P' SE Nc H1 YI _ P1 IG Nc Sc P1 IE Nc Sum of 1.6 •25 or -24 to -14 to -t to +6 to 16 or . SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 095 8.71 20 18 15 13 11 8 Effective SE or HSPF (SE or HSPF x duct efflciencT) Effective -25 or -24 to -14 b .4 to +610 16 or SFE HSPF less -15 .5 +5 .15 more 0.30 275 -73 -64 -56 -47 38 30 na 3.41 45 39 -34 -29 -24 .18 0.40 3.67 -34 -30 .26 -22 .18 .14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.60 7.33 25 22 19 X16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 14 19 15 Zonal Control Adjustment System Type Resismnce 10 9 7 6 4 3 Other 6 5 4 3 2 2 • -Stories One Two + . Sing[ Water Heater lire Type Ty SG Noi or Sal HP • HW WE PC SE Noi Sol HW W; PC IG Nor Sol; POi tE Nor Sol PO 13 Water Hearer Ge Type Tr SG Nt or Sc HP H' 59 P' SE Nc H1 YI _ P1 IG Nc Sc P1 IE Nc Ig Syst:m SEER -t -3 (usumet ducts In attic) -4 b . Sim of 7-10 16 or -15 .5 r-24bPIA In, lb +6b 16 or -15 1 -6 +5 +15 mon .12 -10 -8 -6 -4 -7 -6 -5 .4 a .4 -4 -3 .2 -2 a -3 -2 -2 -1 0 0 0 0 0 3 3 2 2 1 6 5 4 3 2 9 7 6 4 3 13 it 9 7 5 17 14 12 9 6 j 14 9 ERedve SEER 20 15 (SEER x-Uct eRidene7) tonal Control Adjustment .%% of 7--10 -t -3 s -24 to -14 b -4 b . +6 b 16 or -15 .5 +5 +15 mom -25 41 -17 -13 -9 -11 -9 -7 -6 -4 .4 -4 -3 -2 -2 . 0 0 0 0 0 8 6 5 4 3 14 12 9 7 5 19 16 13 10 7 23 19 15 12 8 26 22 18 . 14 9 29 Z4 20 15 10 tonal Control Adjustment i 8 7 6 4 3 'o Cooiin; System Installed -12 .t -t -3 -2 -2 3 .i; 2 2 2 1 -Family Detached and Attached 21 iUnit size (so 2S .1339 12.'0,.'' 1700 2200 2700 fit or. t n to to : or e less ! 1699 2199 2699 more t14 06 OJ 1 1.2 r 12 'l 8 6 5 d 1 8 5 4 3 3 1 5 3 3 2 2 J 8 5 4 3 3 1 -37 -24 -18 -15 -12 r -1 -1 .1 a 0 i -18 -12 -9 -7 -6 3 -25 .16 .12 •10. -a 1 -18 __12 -9 -7. -6 1 -5 -3 -2 -2 -2 ' 7 5 4 3 2 ' 3_ 2 1 1 1 1 .28 •19 14 -11 .9 r. 8 5 4 3 3 1 -10 -6 -5 .4 a IIU-Family (individual units) 1.5 1.7 Una Size ($Q 22 699 700 1200 1700 2200 61 or In to 10 or Iea6 1199 1699 2199 more 7e 0 0 0 0 0 ar 14 7 5 4 3 IR 9 5 3 2 2 ;8 9 4 3 2 2 U 9 5 3 2 2 7s 45 -23 -15 -11 -9 ar 2 1 1 0 0 Ji. -23 -12 -8 a '-5 ;8 •25 •13 -8 -6 -5 U 23 _12_8 43 a -5 1e -8 .4 .3 .2 •2 ar 6 3 2 1 1 U 1 0 0 0 0 9 40 SS ,0 a a V 18 J 9 6 4 4 a -i -3 -2 •2 0711 57G 10x 1Sx 2076 2576 M 35x M 4% 507: M M $A 70% 73% 80% 0% 90% 95% 1007- 1057- 1107 115% 120% 125- 0% InteriorMass/CFA TM 7 PAM 0.4 I1. 7•ut7t•.. 11 (e.•9-e.a •I�et { 7Ype 1 mss (VI11C " 1.2. 1ft • •1-D1 sed 0711 57G 10x 1Sx 2076 2576 M 35x M 4% 507: M M $A 70% 73% 80% 0% 90% 95% 1007- 1057- 1107 115% 120% 125- 0% 0 02 0.4 0.6 0.6 1.1 1.3 13 1.7 1.9 21 23 2S 27 29 32 .13 14 3.6 1.6 4 4.2 4.4 -4.6 4.8 5 53 107- 02 t14 06 OJ 1 1.2 1.4 1.5 1.9 21 23 25 27 29 11 15 17 4 4.2 4.4 4.6 -4.8- S 52 5.4 20% a3 06 48 1 1.2 1.4 1'9 1.8 2 22 -W 27'29 = 4,19 31 13133`17 i9 4.1 4.3 4.5 4.8 S 52 5.4 56 Sax 23 01 a9 1.1 1.4 1.6 1.8 2 22 24 . 26 28 , 3 '32 15 .17 19 4.1 . 4.3 4.5 4.1 4.9 5.1 5.3 5.5 58 407. Q7 U 1.1 1.3 1.5 1.7 19 22 24 26 28 3 12 14 16 18 4 4.3 4.5 4.7 4.9 3.1 5.3 5.5 5.7 59 50% R9 1.1 1.3 13 1.7 19 21 23 23 .27. 3 12 14 38 18 4 42 4.4 4.6 4.8 it 5.3 15 5.7 5.9 6.1 S5% (19 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 13 17 19 4.1 43 .4.S 4.7 4.9 11 53 56' 5.8 5 62 60% 1 12 1.4 1.7 1.9 21 23 25 27 29 3.1 33 3.5 38 4 42 4.4 4.6 4.8 S 12 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.3 1.7 1.9 22 24 28 28 3 12 3.4 36 3.8 4 4.3 4S 4.7 4.9 11 53 55 5.7 5.9 6.1 64 1 70% 12 1.4 1.6 1.1 2 22 25 27 29 3.1 13 15 3.7 3.9 4.1 4.3 4.6 4.8 S 5.I 5.4 5.6 58 6 62 64 75% 1.3 13 1J 19 21 23 23 27 3 32 14 16 18 4 4-2 44 46 4.8 5.1 5.3 _ 15 _5.7 19 . 5.1 6.3 63 y 601: 1.4 1.8 1.8 2 22 24 26 28 1 13 1S 11 39 41 4.3 4.3 4.1 49 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 19 21 23 25 .2.7 29 11 13 3.5 18 4 4.2 4.4 46 4.6 S 52 S4 5.6 59 6.1 63 6S 67 907-' 1.5 1.7 2 22 24 28 28 3 3.2 14 3.4 18 41 4.3 4.5 4.7 l9 11 53 . 5.5 17' 5.9 6.2 64 66 68 95% 1.6 1.2 2 22 25 21 29 31 33 15 17 19 11 4.3 4.6 4.8 S 12 5.4 5.6 18 6 6.2 6.4 6.7 6.9 1007. 1.7 19 21 21 25 28 5 32 3A 16 18 4 42 It t6 4.9 5.1 13 SS 17 19 41 8.3 6.5 6.7 7 105% 1.8 2 22 26 26 28 3 13 15 17 19 4.1 4.1 43 4.7 4.9 it 5.4 59 5.8 6 6.2 6.4 6.6 So 7 1IV. 1.9 21 23 25 27 29 11 13 36 3.8 4 4.2 4.4 4.5 4.8 S S2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 26 28 3 12 14 3.6 18 4.1 4.3 4.5 4.7 4.9 11 13 5.5 5.7 S9 6.2 6.4 6.6 6.8 7 72 120% 2 23 25 27 29 11 13 15 3.7 19 4.1 1.4 4.6 4.8 S 12 14 16 So 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 21 23 25 28 3 12 14 16, 18 4 4.2 4.4 4.6 49 11 13 15 S.7 5.9 6.1 R3 63 6.7 7 7.2 ',7.4 Point System Summary; Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures 30 or R -value (381 U -value (0.0301 or R-value(11 U -value (0.0981 '= 0 or R-value(191 U -value (0.0371 or R-vahle (01 F2 factor (4771 4 Standard Type(dooblel U-vaLue (p.651 _ ..%G $C a.. North 11 x 7 7 b. East x = c. South 3 • x = d. West _� .7 x = e. Skylight J. 7 x = 8. Shading (Shade Closed) Point Scores 0 i O fi�6 %ToU1G1au(161 Sum 1.6 Eff. % Glass Sum i•l0 -r3- f/ 3 Point Total. �� % G SC Eff. % Glass a. North &_T x b. East x = 2 5"� �. c. South x . '7 e. Skylight %, X 1.3/ 9. Interior Thermal Mass TYPE 1 t31ASS AREA lncuiatNusKFA 0 COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA 9 Hztenor Wall Mass ND. r L OR .AREA 11. Heating System x of Zonal Control? ( Y / N) sE ar F Duct Efficiency (0.781 Effective SE or (0.771661 HSPF (0-5415.151 12. Cooling System r• y X i = 4,19 Zonal Control? ( Y / N) SEFR 19-51 Duct Efficiency (0.741 Effective SEEM (7.031 13. Water Heating T (SG1 Cmd16 (cone) Sum i•l0 -r3- f/ 3 Point Total. �� Mandatory Measures Checklist: Residential MF -IR Nor>= Lo -rise residential buildings arbject to the Standards inter cautaio there —we, regard or the compliance: approach used. Items maned wvtn an umnsk (-) may be suDcsedcd by mor= stnngmt eomplianee requirrataw fsmd On the C—f— of Compianot. When Ns checklist is incorporated into t!x permit doeumaus• the fealum nonrdAw be conssdcmd by all parues a binding minumum component pedormance s9mficwons for the mandatory mcnam whether ttrcy are stuo-m elscwhve in the documents or on Nis choWist only. DESCRIPr1oN DESIGNER I 01FORCEMeff Building Envelope Measures • 12.5352(a): Minimum coling msulation R-19-cightcd avenic. §2.5352(br Loose fill immiauon manufactwer•s labeled R -Value • 42.5352(c): Minunae wall inwlaoon in framed walls R• I I wetghted average (does aero apply to cstena mass -'alts)_ 12-5352(k): Slab edge insulation - .rater absorption ore no pester than 0.3%. water vapor transmtsstott rate no greater than 2.0 pwWurch. 12-5311: Insulation sponfied or installed meets California Energy Commission (CF.C7 quality standards. Indicate type and form. §2.53520r Vapor borrows mandatory in Climate Innes It and 16 only. 12.5317: InfiltrntwtlEafltration Controls a Doors and windows bet-= condnwned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. C. Doors and --lows-=duersmppcd-. all joints and pencamons caulked and seakA 42.5352(c)- Special imfilcu on barrier installed to comply with 42.5351 m ocU CEC quality standards. 42.5352(d): Installation of Fireplace 1. Masonry and factory -built rMLaccs have a Tight rutIng. closeable metal or glass door b. Outside air intake with damper and control c. Flue damoer and control 2. No continuous burning gas pilots allowed. H VAC orad Plumbing System Measures 42-53520 and 2-5303: Sparc conditioning equ i; , siring: an—h oksdations 12.5352(b) and 2-531 k Setback duerrrmosim an Ali applicable heating systems- §2-5316(ar Duets cormnsctcd• insaikd and instlated per Chapter 10. 1476 UMC. §2-5316(br Eahaua systems have damper controlz 62.5314(c): Gas rued space heating equipment has intermittent ignition devices. 12-5314: HVAC equipmw¢• water haters, showcrheads and rauc- certified by the CEC- §2.5352(ir Water huts insuiasion bl=ker (R• 12 or$tater) orcombined intuioyuterior insulation (R-16or greatert rust 5 feet 0f pipesclosest to tank insulated (R-3 or grater). §2.5312(Eaeepion rr Pipe insulation on steam and steam condensate return & recirculating piping. 12.531R(dr Swimming Pool Hating 1. System has: a. oNoff switch on hats. - b. Wcmhcrproof instruction plate on hats. - e. Plumbed to ala- for solar. 2. 75 percent thermal eirieieney. 3. Pool cover. 4. Time clock. 5. Dircetiona( water inlet. Lightint and Appliance Measures §2.53520x Lighting - 25 lurme stwraa or grater for general lighting in kitchens and bathrooms. 12.5314(c): Gas rued appliances equipped with intermiaent ignition devices- §2.5314(a)- Refrigenmors• refrigerator-freezem free =% and 0umoracers lamp ballasts ccmirted by the CEC- Indicate make tad model number. COMPLIANCE STATEMENT This cut ficyte of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Clmptcr 2. Subct=pmr 4. Article 1 of the California Administrative code. This certificate hat been signed by the Wiviaual anon overall design responsibility and the banding owner. who shall retain a copy of it and transmit the certificate to airy subsequent purdi ser of the budding Designer Nam= TuWFtmc Addr=c Tckp)tene Lic. /: (signaquc) (date) Documentation Author Name: Titk/Fum Address: Building Owner Name: Tidc Fu= Address: i Telephone (signature) % (date) Enforcement Agency Name Agency: CHRIS 'GERRIE s' 1229F9: MERIDIAN RD. JOB SHEET N0. (p CHICO, CALIF. 95926 ENGINEER —�-- 916 896 0303 DATE PE 44732 DESIGN 'OF JOHNSON RESIDENCE A P N . 4 -1 54 ._.-.-ROLLING HILLS- ESTATES'.. _ - ORVILLE-CALIF'.:. TPT 3. le--rz D 1 rJ G� �(u'li A PPROVED O ° o ,e� -� r -�ar 4/Ze �� ov . 44732 m® 0 J�°oo CIVIL0°°��@ 4 Iry -CHRIS GERRIE 12298 MERIDIAN RD. JOB SHEET N0. 2 CHICO,- CALIF: 95926 i ENGINEER G� 916 896 0303 DATE PE -44732 DESIGN of JOHNSON RESIDENCE !�0%AG5 C r CHR'IS GERRIE J�- 12298 MERIDIAN RD. JOB CHICO,. CALIF: 95926 SHEET NO. ENGINEER l✓: 916 1 V c S 9n 6 030 DATE j PE 44732 DESIGN OF JOHNSON RESIDENCE ---- •-- • �y� � i jos �(--�,� � (J - U - �,�-rR� . . ..._ _ . .1� - Zv �,o • =�:� _ G- y �,. •,, Z fes. �- _ _ . Ung � l rv�• . - . _.. - - -- - - - 1��Z'L��/� Gf Cog . �(% �-5 D��) •J;' l �� !. IGS t� S" = . I S'� � � �- 3 c�c . / I� 1 107 :3 = Vs�� e CHRIS GERRIE J� 12298 MERIDIAN RD. JOB CHICO,.CALIF; 95926 SHEET NO. ENGINEER 916 896 0303 DATE .. - ' PE 44732 DESIGN OF. JOHNSON RESIDENCE 'CHRIS GERRIE 12298 MERIDIAN RD. JOB CHICO, CALIF.- 95926 ENGINEER 916 896 0303 PE 44732 DESIGN OF JOHNSON RESIDENCE SHEET NO. )5 DATE 6—P- `J • 'CHRIS GERRIE 12298 MERIDIAN RD. _ 'J JOBHEET NO. � J¢ CHIC0j CALIF.-CAL IF95926 i ENGINEER 916 896 0303 DATE .. PE 44732 DESIGN of JOHNSON RESIDENCE CHRIS GERRIE 1.2298 MERIDIAN RD. Joe J� C H I C O; CALIF.- 95926 SHEET N0. �_ ENGINEER G./ 916 896 0303 DATE PE 44732 DESIGN OF. JOHNSON RESIDENCE - 7s, r rA\ So - - - - - ---------- L)7 vy6-12A 0A --71PA . �\- 0 7 A . ND L Po;d t3FSA t�� CHRIS GERRIE JOB 12298 MERIDIAN RD. CHICO,. CALIF.- 95926 ENGINEER 916 896 0303 PE 44732 DESIGN OF JOHNSON RESIDENCE SHEET NO. DATE 'CHRIS GERRIE JOB Jg' 12298 MERIDIAN RD. SHEET NO. CHICO,. CALIF: 95926 Q ENGINEER lJ^ 916 896 0303 DATE >� PE 44732 DESIGN OF. JOHNSON RESIDENCE l I L e s Z -- Q \J L vt Y CA � J \J Z�eturn to DPWAGRICULTURALSTATINENT OF AC'CJOWLEDGEMNT FOR RESIDENTIAL DEVELOPMENT 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 incon- SEP 16 1991 veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, r` and fertilizers; and from the pursuit 91-038178 M 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 agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or.,discomfort from'normal, necessary farm operations. All that real property. -situate in the County of Butte, State of California, described as follows: SEE -ATTACHED LEGAL` DESCRIPTION Date: Sept. 13, 1991 PROPE JOAWSON GLENORA JOAfiSON State of CA ) On this the 13thday of September , 19 91 before me, the SS. undersigned Notary Public, personally appeared County of Butte Gene A. Johnson and Glenora Johnson Pam�eaa�a�■■a�m■®mmm■■■■■■.■■ DODIE HULTZ h ■ -q NOTARY PUBLIC -CALIFORNIA Personally known to me . Proved to me on the basis Butte County . ■ of satisfactory evidence. MY Commission Expires Feb. 3,1995 :o be the person(s ) whose name(s) are immon subtu ■B■■mem®meemoomm Mubscribed to the within instrument and acknowledged that t e y executed the same for the purposes therein contained. IN WITNESS 141iEREOF, I hereunto 'set my hand and official seal. Present A.P. No. 41-54-13 Dodie Hultiotary Publi IWIVElc_It A 1'llicriml UY itYC 2, AS SIIONII Oil TIIAT CFRTAt11 PARCEI. HAP, HEMA A iti)1(TIUII OF S1:4:11011S 26 Alit) .15, TUH11SHIP 2J 114)R111, RA111iS 3 rAST, 11.11.11, i I1., 11111CH PAHCI:1, MAP WAS RECORDED IN T'1iC orricE Or 'run Rf;1:U1111t:1t uF 711E (.YH1IITY OF B11'ITE, STATE Or CAI.IFORt11A, UN JAIIUARY 25, 1911, IN NOUK 37 Or HAPS, AT PAGE(S) 70, AND MORE PARTIC111ARLY DESCRIBED AS FULLAHSI c' It1111F.11ClIld AT THR 1111RTHEAST CORNER OF SAID LOT 2, Allt) 8011111110 1'11t:11cr St)U'i'li O 1)FG. 004 10" EAST AI,OIIG THE EAST LI118 Or SAID LOT, A VISTAIICE OF 1395.70 FEET TO A PowT 1N T118 CE11TUR1.1N8 OF A 60.00 FOOT ROA4 RESERVATIOttt T11EtICE ALOIIG SAID CEIfTER1,1118 NORTII 89 DEO. 59' 30" WEST, 451.31 FEET AIID SOUTH 78 VEG. 27' OO" NEST, 911.26 rccT TO 111E TR(16 POINT OF BEGJIiIIIIiG FOR TIIE PARCPI, IIEREIII DI;Sc:lt(Belli TIIENCR FROM RAIU TRUE POIIIT Or BEGIIIIIINC IIORT11 78 DEC. 27 0U" EAS'C, 345.00 FEET1 TIIEIIC8 SOUTIi 0 DEG. 00, 10" EAST TO A PO111'I ill 111K SOUTH LAIR. OF SAID LOOT 21 T11E110E SOU711 69 11EO. 031 26" HEST AIiOIIG SAIF) SOUTH I.I11B TO A POINT THAT BEARS SOUTH O UFA. 001 10" EAST FROM TIIF. POINT Or BEOINIIIIIGI THENCE NORTH O DEG- 00► lo" NtS'C Ju T118 POIIfT Or BEGIIINING. ItESERVIII4: T11F.REFRO11 A NON-EXCLUSIVE EAST-Kcirr FOR ROAD AIID PUBLIC UTILITY PURPOSES OVER 7119 SOLMIERLY AIIU NORTHERLY 30 FEST. F.XCEPCI110 T11SRF.rROM Al.t, MINERALS, INCLl)DING GAS, OIL Alln OTHER IIYUROCARBONS I.YI11G UNDER THE MEREIH DESCRIBED PROPERTY BELOW A UEPIII Or 500 FEET MOM THE SURFACE. 1 AI(c LL -ILL 1 A 11014-EXCII)SIVE F•ASEMEIIT POR ROAD A11U PUBLIC trrXLIY'Y PURPOSES OVER PARCELS 1, 2 Alit) 3, AS SHOWN ON TIIAT CERTAIN PARCEL MAP, BEING A YORTIOM OP SECTIONS 26 AND 35, TOkMS'RIP 21 IIOR'I1i, RANGE 3 EAST, M.1).a. i N., H11ICIt PARCEL MAP WAS REOORIIEU III TILE OrFIC8 OF t 11IR RECORDER OF 711E COUNTY Or BIITCB, STATE Or CAI,IIPORHIA, ON JAIIUARY 25, 1971, 1N BOOK 37, AT PAGE(S) 70. PARCEL/1112 i A NOII-SXCJJIS1VS EASEMEirr rOR ROAD Alit) PUBLIC UTILITY PURPOSES AS, SHOWN Off 711AT CERTAIII RECORD OF SURVEY HAP, BLIJIG A PORTION or SI.'CI'IOIiS 26 AND 35, TOWIISIIIP 21 HOR111, RANGE 3 FAST, M.O.H. i M., NIIICII RECORD OF SURVEY MAP WAS RECORDED Itl Tne Orr1Ca Or Tim RELVRDER OF TIIF COUtITY OF BUTTE, STATE Or CALIrORIIIA, Off DECEMBER 19, 1974, III ROOK 57, AT PAGS(S) 75 AND 76. t:Xl:[:Nrl11Q TucRRrROM Am. TIIAT POR'T'ION LYII/Q 1/1 711 1 19 THC DO1UIIn3 Or PARCEL I, UEOCRIIJEU AUOVE. IYUIL'E LSI Yi A 11011-EXCIJJSIVE EASEMPIIT rOR ROAD AIIU PUBLIC UTILITY PURPOSES OVER PARCF.IS 10, 11 AIIU 12, AS SIIONII Oil TIINT CERTAIII 190UMUARY iatIK MUI)TricAnoti BY PARCRL MAP, b8I110 A PoRTIVH Or acc izoilS 26 Alllt 35, TOMIISIIIP 21 IIORTII, RUNGS 3 EAST, M-U.D- i M-, WilI" PAR470. MAY WAS immmitimu IN Tim OrrICK Or TILL RCCORDaR or TIIK LmU117'Y Or igri tE, STATE Or CALUORNIA, Off JUI16 8, 1981, 1N DOOK 9.1 Or MAPS, AT I'AGE(S) 12 A110 13. A HI)N-•EXC1,11SIVE t1:ASzMZ11T rOR I11ORG88 A11D EGRESS Alin 1'IIBLlc 1rt'11.1'Cir.A OVER PARCFIA 23, 24 A11U 25, AS 1J11oMN Off TIIAT CEFetAlll PARCEL IIAP Or A UOUIIVARY !.1146 MODirICATIOH, RE1110 A PORTIOII OF HY.c;t'7l)tl 35, 1-OIf119111P 21 HOR711, RANDS 3 EAST, "-t)-B- i H-, MIIICII PARCE'I, NAP HAS RBcoaneD IN THS OrrIC6 or 111E RrcoRDER or TNI! (111I11TY IIF fun -CE, STATE Or CALIrORl1IA, OII M.ARCII 5, 1961, 114 BOOK 01 OV MA", AT PAGE(S) 99- F, BUTTE COUNTY SCHOOLS DtVELOPMENT FEE CERTIFICATION FORM oy/- .5 � O/ - 0/3 s' (One Form per' Building) TO 1/0-00-6 A. P. Number -_ �3 Building Department No. School District d/& -;City n County ® Jurisdiction _ t Property Owner G'�ye . b`1�Soa i ^ .Project Location/Address 1,)©cs r0SP D r i V,P_ Subdivision Lot Number Residential Development:22 S(� -7 a,J q. Footage JO # of Living,. MHI Addition y (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor' Plans '"re�vewed�,b'ySchool Di trct 'Personnel) District Id No. 9 20 31�6� School District certifies that a Q.�� 73-105 (App Vi cant Name) (Phone Number) G% q 0 3 i ar o(/t,�. )) ria a (Streets Address) (City)' (State)„ (Zip Code) w has complied with the requireme t ,of Resolution No. 0 19— 9 0 by t'he payment of $4 / .i.representingsquare feet. F: 1 USUool District Repr entative Date PAID BY CHECK NO. BANK NO Q (J —7,0,3613-7 PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller Callfornla 95965 - Telephone: 9161'538-7541 APPLICATION AND PERMIT ,PERMIT N0. ASSESSOR PARCEL NUMBER 41-54-013 ZONING - sr 5' _ BUILDING PERMIT OWNER GENE JOHNSON TELEPHONE 873-1825 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 1075 MGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER J LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4403WOODROSE DRIVE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF i Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: GAS PIPING FOR WATER HEATER & FURNACE B.P. #2295-91 Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1DDOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p pfOVISIOnS Of Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. l ACC. / 3.6Qsq.ft. I-OLITLET NEW CESI., RANCH CIRCUITS) NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.� I 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 Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 liabi ities, judgments, costs, and expenses which may in any way accrue agains d Count nse ence of the granting of this permit. X �_ �_ 9 - Date Signature of A lic - owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 20.00 HAz DFEES IMP FLOOD CDF PARCEL PD H D ISS This permit is hereby issued under the sions o e ktteCnty Cod an war In cat for w R F B PERMIT EXPIRES Date applicable provi- � /or resolutions to do es have been paid. WORKS 9/ Date / Receipt No. 1171119c) WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING • $l2 - 5 BUILDING PERMIT OWNER- %- �'Ne J nlSa n0 913 —0y S. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS o U o f' ,5 5 CONT ATO R 'S�'NN A��(Q r - WA/ WAg/1, r - CONTRACTOR'S CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS - Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /'� U J v lJ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S• ego Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK11 New U Addition����❑ RRemodel ❑ Utilities ❑ Installation❑ OtherCo Describe work: ' %i(FAp-&; rcir.)AC SEE .R 46 ZZ q5 011 1 Permit Fee $ o �� Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000At 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F]I,-as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.OR ADONS. 1 ! ACC. BLDGS. DWELLING OCCUP.&) 3.60 sq.ft. NEW CONSTR. MULTI -OUTLET NON -R E510. BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 U 76d A EX. Occup. OUTLETS P(RESID )REA.� I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej 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 g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ZDV HAz 1 DFEES I IMP I FLOOD CDF I PARCEL PD FI ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. ! U 33S ( WNITC•D. P. W.. TCLLOW-A4 RI11ew P- --P111 Win. ne..nnn_.oe. �r�..r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orov blle, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. 5 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the.proposed property improvement (yes or no) .lzgy 2. I(ave have not) signed an application for a building permit for �7iero osed work. P. P 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name. Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of -the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner C� �— Social SecyTity Num er Date �rc-r� T� 9 1 1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. s ' -381 78 JS Re urn to DPW _ AGRICULTURAL STATEMENT OF AC'GT0W=L`MNT d' Recorded I Check 8.00 FOR RESIDENTIAL DEVELOPMLNT Official Records Section 26-8.1• of the Butte County Code 1 requires this acknowledgement be recorded but not limited to herbicides, pesticides, prior to issuance of a building permit. — — -- ----- ---- -- - -- - -- - - The property described herein is adjacent 91-038178 1 Rec Fee 7.00 to land or included within an area zoned I STF 1.00 for agricultural purposes, and residents ' Recorded I Check 8.00 of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 9:54am 16 -Sep -91 I XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All Shat real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: Sept. 13, 1991 X JOfW. ON GLENORA JO SON State of CA ) On this the 13thday of September 19 91 before me, the SS. undersigned Notary Public, personally appeared County of Butte ) Gene A. Johnson and Glenora Johnson can anam ®ODIC HULiZ h o mq NOTARY PUBLIC -CALIFORNIA Personally known to me. Proved to me on the basis ® Butte County .of satisfactory evidence. c t,:yCommission Expires Feb. 3,199s io be the person(s) whose name(s) are 02000mom Dubscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 41-54-13 Notary Publi Dodie Hultz EN® OF DOCUMENT t 91 -381 78 J. rnls�:e)1_it A voirr1U11 or im 2, AS S110N11 Olt THAT CFRTAtII PARCEI. 14AP, RE1114 A N'mri'IUll OF 511:1'1'1011S 26 Alit) .15, TOW11SHIP 21 11OR111, PAIlli6 3 EAST, 11.1►. 11, i 11.0 111111:14 PARCEI, MAP HAS PRCONI)EU 1N T11E Orf-ICE Or T11K NEIUiIit};It OF 1111: LXAINTY OF BU'CTE, STATE Or CAIATORIUA, OH JA11(lARY 25, 1911, 111 Nt>UK 37 OF HAPS, Al' PAIGE(S) 70, Alit) MORE PARI'1COIARLY DESCRIBED AS rULLOWSI V0I111FIICItl(: AT THR 11011 HEAS'r CORNER OF SAID IAT 2, Alit) 111111111110 7'IIf:IlCr SUU'1'11 O 11F.0. 004 loft EAST AbOlil; THE EAST L1119 OF SAID IA7', A 1)l8'1'A1106 or 1395.70 FEET TO A Powr IN. TUE CENTtR1.111E OF A 60.110 FOOT NUAU RESERVATLOII) TtIEIiCE ALANG SAID CEIITERLtNE NORTH 89 DEO. 59' 30% NEST, 451.31 FEET AIID SOUTH 76 DEG. 27' 00" NEST, 911.26 rf:ET To THE TRUE POINT OF BEGIIIIII14G FOR 771E PARCF,1. IIEREIII I iscit1RE11) Timicn FROM RAIU TRUE POINT Or BEGINNING 11011T1 78 DEC). 276 no" EAST, 345.00 rEETf TIIEIICIi SOUTll 0 DDG. 00• 10' EAST 1'O A POIIIT IH 11IK SOUTH LINF. Or SAID LOT 21 TileNCE SOUTH 69 UEG. 031 26" WEST At.0110a SAID 5011TH 1.I119 TO A POIIIT THAT BEARS SOUTH O UEG. oof Ill" EAST FROM TIIF POINT or BE01N111NGI 711EJICZ 110111711 0 DEQ. 001 ~ Z lo" WES'C 711 "L9 POINT OF BEGII4N1110. W ItESERVIII(: TIIF.REFROII A NON-EXCLUSIVE EASrAElrr FOR ROAD AND PUBLIC 0:* H UTILITY YUlNP06ES OVER 7116 SOUT1161ILY A14U NOMIF.RLY 30 FE6'P. V 0 F.XCEP:'1110 T11811F,FROM ALL MINERALS, IRCIAJIDING GAS, OIL Alin OTHER A LJ IIYURUCARSONS LYING UNDER THE HEREIN UESCRIBED PROPERTY BELOW UEP171 OF 500 FEST FROH THE SURFACE. _ZZQ p PARC LL-ILL OW i wmo A 11014-EXC11)SIVE EASEHEIIT FOR ROAD • Alit) PUBLIC trTILIT'Y PURPOSES u ce O. OVER PANCCIA 1, 2 AND 3, AS SHOWN ON TItAT CERTAIII PARCEL MAP, uj p BEING A PORTION OP SECTIONS 26 AND 35, TONMSRIP 21 IIORTH, RANGE 3 p� EAST, M.U.B. OL iN., WHICH PARCEL MAP WAS RBOORDED Ilf TI1E OFFICE OF 111F. REcY)RUER Or TIIF COUNTY OF Btr7-r8, STATE Or CALIFORNIA, UN JANUARY 25, 1971, IN BOOK 37, AT PAGE(S) 70. YAl2 1. 111rf A HOII-EXCIJISIVE CASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS, SHOWN 011 "LAT CERTAIII RECORD Or SURVEY HAP, BEIIJG A PORTION OF :1)1;,11+t• SECI'IOIIS 26 ANO 35, TOWIISIIIP 21 NORM, RAI" 3 FAST, M.O.H. i M., WIIICil RECORn OIC SURVEY MAP WAS RECORDED III imc Orrlca Or TIIB REIX)ROER Or '1'118 COUIITY OF BUTTE, STATE Or CALIFORIIIA, Off DECEMBER 19, 1974, 111 BOOK 57, AT PAGES) 75 AND 76. vxcerr1f10 TIICRErpom A1,f, TIIAT PORTIO" LY11/0 MLT11L11 T111! DOU)IDS Or PARCEL I, VESCALIJEU AtK)VE. • reHr�l�tYi A (1ol1-l;XCla)S1VB EASEMP..Irr FOR ROAD Alit) PUBLIC UTILITY PURPOSES OVER PARCF.I.9 10, 11 ANU 12, AS 6110WIl Off THAT CERTAl1I "I"W►RY 1.111K MUl11rlcATlofl DY PARCK16 MAP, U1311f0 A POaTIOH or BECTIONS 26 Alit) 35, 7.0WIISIILP 21 NORTH, RANGE 3 EAST, M.U.a. i M., WIILCII . PAHCUI, MAP HAS af:UORI)EU IN Tfia OrrICK Or T11C RL=FtDRR or Tim CuU11TY OF lilrl're, STATE OF CALIFORUTA, ON JUIIE e, 1984, 1H DOOK 9'1 Or MAPS, AT PAGE(d) 22 AIID 13. 1'AliS:1r1LYt A NoN-•EXCIaiS1VS Y.ASZHZ3rr R'OR 1NORLSS A)IR EGRESS A)1D VIIIIIAC U'rlla,vir•A uvf:R PA[tcr.18 23, 24 AND 28, AS SIIOWII Off 'IIA')• Cf:R'tA1N PAHCEJ, I1AI' Or A UUUIIDARY LINE MomrIcAT1OH, HVIII0 A PORI-1011 OF bY.CI') 0N1 35, 1110141111111P 21 HOIn'll, RA110E 3 CAST, M.U.B. i ti-, WH ICH PARCEI. HAP WAS RBCORDEO III THE OrrIC6 Or TIIF RECORDER Or THE (.`t)tlitTY (IF BiR're, STATC OF CAL1rOR1I1A, ONO -MAIICII 5, 1981, 111 BOOK 91.UF NAPS, A7 PAGE(S) 99. EN® OF DOCUMENT w �3 mj.fir.. OS fe�� ? a O O1E O f RESIDENTIAL 41-54-13 .20Q-91B,P,E JOHNSON, Gene & Glenora 4403 Woodrose Dr, Oroville (workshop & carport) 4 OFFICE COPY Address NIL-� v nnt,. ELECTRIC Meter By Date' JOB FINALED (Date) e/l Signature A J=OK O = Not OK Not- = Not Ready -Applicable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 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 s Date DECKS COVERS, CARPORT ARAGES ns)OK except #'s Zoning Requirements -Setbacks- asements t t?.-Plotings; 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. arports; Windows -Doors Electric 8. Frmg; Si nchors- s -R s -basses iding; Nailing -Veneer -Stucco -Mesh woof; Shthg-Roofing z.ozYI-Ext.; Steps -Doors -Landings , b Date Card B-1 Date �/ �ryCard B - Date and B-1Date Card B-1 Date f OOOLS (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 -Panel boards -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 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) DateUND COOR (Plans) OK except H's ' --Lo,piri g -Setbacks- Ease rnents-F o d -Slope g., Main; Soils-Elec. d.-/ ' Ftg. Depth 3g. Garage; Soi feel-Elec. Grnd.-/ ' Ftg. Depth 4. Ftg^rch Decks; Soils -Steel-/ /Ftg. Depth Ste Main; Steel -Bloc kouts-Wrapped walls, Nrage; Steel-Blockouts-Wrapped Hold Downs a Special Anchors 7. Slab; Steel-Wrapp 8. Piers- Fireplace Ftg.- el 9 .V.; Fall -Fitting -Test- Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchor yard gas piping: size -test 11. Water Pipe; Test-Anchor-Regu tor -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materia upport-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 a'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 Date Card B-1 Card B-1 DateCard B-1 ---------------- -------- ----- Date Card B-1 Date ELECTRICAL (Permit) OK except ft'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. Fastners-Bond Gas & Water - ------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - -------- ---=------------------------- 28. Subfeed Wire Size ga Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / I 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 ------------------------------------------------ ----------------------------------- Date Card -B-1 Date Card B-1 -------------- ------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ----------------- --------------- - ------- --- -------------------- - - - - --- - -- --- ---- 35. Vent Fan: Exhaust above insulation --------------------------------------------- ------------------------------------- 36. -------- ------------------------------------------- 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 fr's 39. Sils. 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. Headers & Beam -Size & Bearing •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 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 55. Siding -Nailing Veneer --------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- 58. Shear Walls; Nailing -Botts _____________ 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 4'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 Exiling _..---------------------- ---- 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 -Lancing -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; (3.F.1.)-Romex Protection •----------------------------------------- 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 Floo ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: o_81Planters ❑ -Yes--[:] No - 81. . Stucco Brown -Finish ---------------------------------- ----- 82. A.C. Unit: Disconnect. Electrical, Plumbing - - --- - ----- ------------------------- - -- P 83. Vents Above Roof; Plb9Aliance-Fire lace. -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. --88. Corrections from Previous Inspections - ---------------------------------------- 89 Gas Test -Meters Tagged; Gas -Electric -- - - - - - - - - - -- -- - -- - -- ------------- ------------- 90. Water & Sewer Connected-C/C to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------- -------- - - ------ -- - ----- --------------------- ----- -- Date Card B-1Date Card B-1 - -- - ---------- ------------- -------- ------ ------ Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 'CORRECTION NOTICE -10A-As 1 2v�2-71 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. i Date %z InspectorA!'-/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ._t 41-54-01 ZONING -s�. BUILDING PERMIT °bene A. and Glenora Johnson TELE'PHON SQ. FT. OCC. BUILDING VALUA, O AI 'S MAILING ADDRESS P.O.x CONTRACTOR'S N AM Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Non I- UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Norip LICENSE NO. Plan Checking Fee $ 79-9-5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 247.75 PLUMBING PERMIT Filing Fee 10.00 4401 Wnndrnqe Dr-, nrr)Arille Each Trap 4 2.00 8.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME Rolling HIlls EStates PARCEL MAP Water piping 1 5.00 5.00 Each pas water heater or vent 1 5.00 1 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other Work Shon 5 ECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Workshop & Carport Permit Fee $ 38.00 Contractor ELECTRICAL PERMIT Filing Fee 110.00 V OR Main service loo AMP ORSLESS 110.00 Main service EA. AOD'L too AMP 1 1 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1,a th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING CC� UP.E! , OR ADDNS. ( ACC. 8LOGS./L ) X 20sgft 16.80 NEW CONSTFLMULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS el SINGLE OUTLET CIR. Ex, OCcup(OUTLETS OR FIXTURES 20050t SAL@ 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 /0160 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ A0� 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. ❑ Ishall 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 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 li fifties, judgments, c ts, and expenses which may in any way accrue again aid Cour., In conuence of the granting of this permit. �. Date �� _ Signature of Applic t — Owner Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" dee and demolition or construct- ion of structures over 3 stories in height. • ^/ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $325.05 3-;Z5oS 5 HALcuA PARK SCHL FLD EDF PAR This permit is hereby issued under the applicable provi- sions of the Butte Cou ty. Code and/or resolutions to do work indicated abov or which fees have been paid. DI C F UBL WORKS B Date —% —�/ PERMIT EXPIRES ate ^- u /. Q Z7 0 -- & DO Receipt No. Q4071 �--"-- WNITE-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT - --..OWNER ,Us.. -�+..i"iw�'rr�' n•r kir— w+.....r-..-„,y.-.... Y ;-�».�.-.- ::.� ,.r,,,,, .,1,�,'�*wru�.r--amu----.. COUNTY OF BUTTE - DEPARTMENTOFPU43LIC-WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHO NF• O1R/SQRJSAI .�� PERMIT AP F'LICAYIQNDATA SHEE .,rj , Proposed Building Use r �� o Bui (ding Inspector `At time of permit application` I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ::]Z13. School Qi Ict fees paid .............. 14. Sanitation approval from O PC? v I 6L Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: " 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector adate) 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 Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. _ 27. When you issue the /e�rmit, process as follows: Mail to owner. Mail to contractor. Telephone '/ ” and hold for pickup at n Qoffice. Deliver w/inspector. Other A Applicant ate 4� — -:10 — 47 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 n w 'tem not checked above). 1. Index permit for above items No. Le -c2 2. Additional items required: Contractor, deslgn owner, was advised of above required data by phone__rnail_counter by -.date Contractor,' design er, was advised of above required data by—phone—mall—cby date T Plans checked by Dam, Plans approved by Date _ Sets of plans on hold in—,/ZFile cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance -'� Owner Location AP# 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 �-- ,, n NOTE *** VAJ Sanitarian Dat l� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r. 3c�avn^ nnc. t. NU©t_©/� TO 1p�G (�J) O oER n r an ���� 0 TELEPHONE A. °� OM�I//JJER6MAILINSA.DDR %fit t L! CONTRACTOR'S NAME TELEPHONE - BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION y0 C TRACTOR'S MAILING ADDRESS Fireplace .Total Valuation $ 2OCRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARC ITECT OR ENGINEER _ LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ —a ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ BUILDINGADDR�,ss� —25 t (�(lD0 r vi Penalty Permit fee $ $ 2. — PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 $r© LOT NO=Pv( l j NAME PARCEL MAP f, QTS � n l �l [- E OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other n SPECIFY Solar or heat pump water heater Water piping 20.00 5.00 Each qas water heater or vent Gas piping system 1 - 5 outlets 5,00 yr 5.00 Building sewer Mobile Home S G W Mea, TYPE -OF WORK New ] Addition ❑ Remodel ❑ Utilities Installation Other ❑ Describe work:Ly ' (9 Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑- I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 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) Main service EA. ADO'L 100 AMP 2.50 NEW CONS . DWELLING occu OR AODNS. ACC. BLDGS. 1/2¢SQft NEW CONSTRLPFULTI.OUTLET `�SJD BRANCH CIRC ITs 2.50 ea POWER APPARATUS eN (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETs OR FIXTURES 20050t IIALO 30 Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 — ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Mobile Home Facilities 15.00 Misc. Wiring 15.00 for this reason Permit Fee Contractor $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 300 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 Count of Butte to enter upon the above-mentioned property for inspection purposes. Y 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. Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST TY1 TOTAL FEE $ HAL CUA PARK SCHL FLO I CDF -5 PAR PD I HD. ISSUE permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have beenpaid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT FmpFc n�t0 I X DateThis 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. Receipt No. WHITE-D.P.W.. YELLOW-ASeEs R. PINK -INSPECTOR. GOLDENROD-APai,if.�NT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, 4oville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. Ihave'have not). _ signed an application for a building permit -for a proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner �r,•e-�'-� Social Se rity Number Date o NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. f o' �/iJ• �/ �- 5-q- 0/3 TO Huildinc Department FROM: Environmental Health SUBJECT : Sanitation Clearance J=L W` S�- 13 Owner Location AP# Plan Approved for: Sewaqe Disposal �� Water Supply P` Hold final for: Water Supply sinal clearance O.K. for: Water Supply Cleafance for bedroom mobil h.omel Other NOTE * * * Sanitarian at COUNTY 'OF BUTTE DEPAR71,4ENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 534-4206 January 17,. 1977 James T. Fry Re: AP 41-12-39 P. 0. Box 00 Paradise, CA 95969 Enclosed please find a copy of the Certificate of Compliance issued by the Butte County Board of Supggisors �, which was recorded on January 4. 1977 , in Book 2133 , Page 220 , in the Office of the Butte County Recorder._ Should you have any questions regarding this.matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works McLaren Parker Assistant Director MP/db Enc. 7,PEPlTUP"N TO:• anning 21205 CERTIFICATE -OF COMPLIANCE Issued to JaM—s T. Fry P. 0. Box 00 Paradis-, CA 95969 OFFICIAL. RECORDS EUTTE CobhTY-C',LIF ncCORO RF^!Ic-Tc r COUNTY (' BTM p J:AH q 832. AM 197 . L;;;iSE Ki_li+_N?EnF COURTY RECO;,OER �0 R� FEE This Certificate of Compliance is hereby issued. by the County -of Butte to certify that the land .division which created- the parcel. of property id-3ntified below complies with applicable nrovisions of the 'Subdivision .•dap .Act and of Chapter 20 of the Butts. County Cods.. 1. Property location: south sides of Pant' Rd.., approx. 12 -mi. -as.t of .Clark Rd. (S:tata--Hwy 191.), 2. Assessor's Parcel. Number: 41-12-39 Paradises. Description: All thatcertain. property located in the County of Butte, State of California., more particularly described as follows: : A .portion of Lot 2, as shown on that curtain Racord of -Survey Map of a portion of S-ctions 26 and 35, T21N, Ray, MDB&M;. which 1 abp was r.ecordad in th- offic- of 'the R -corder -of th County of Butt- on January 25.,. 1971, in .Book 37 of` Maps, at"pag- 70, and mar -.particularly d -scribed as follows: Commencing at .the ..N:-: corner of said Lot. 2 and running. than-, S 00 00' 10" 2 along, the* E line of said Lot, a distances of 3195.70 ft. to a point in the c-ntarlina of a 60.00' ft. road r -servation; th-nca.alongg said c-ntar- lina N 890 59' -30". W 451.31 ft, and S 780 27' 00" W 911.26 ft, to the truce point ofb-ginning for th- parcel h -r -in dascribod; th-nc- from said tru- po int of ,b -ginning N 780 27-' 00" _T 345.00 ft; thence S' 00 00' 10" r to a ppoint in the S lin- of said -Lot 2; th„nc- S 690 03' 26” W along said S. lin- to a goint that b -ars S 00-00'--10"-• T from -the point --of b -ginning; th-nc-- N 0 00' 1011-W to th- point of b -ginning. Issuance of this certificate is conditional upon the follow- ing conditions which have been imposed pursuant to Butte County Coda Chapter 20-48 and Govornm-nt Cod-, Section 66499.35 (b), ' to protect the public health and public safety. Ld SNE County of Butte Bcare. of Supz�rv_sors CC 0 0 ro Bv Vi. PLOT PLAN 4�1 _ ., Environmental Health Nov 0 21992 oroville, California c t PLOT PLAN 4�1 _ ., Environmental Health Nov 0 21992 oroville, California 0r;I •. Q LLJ ( ) OQ. ,Q �.- LL :O cry W 'Z < ` LLJ 0. C) LLJ Q U� W< -� Lf), cf) Z d ► w W •. x - 0 , - _j _ J 01 e w z 0 01 CI - C.0 < c�0 t �� I¶yI li0l III p E w 'butte County mrnvironm ental ea in Date DRAWN 10 H S �N c EC)CS D UDATE JULY SCALE,, JOB ND. N. 41- 54 -13 SHEET -�-1 3 D 3 t yy 3 �o Environmental Health d�os1 v� Nov 0 21992 t^roville, California OF l 0 fl H E E TS J 1 _ s t �� I¶yI li0l III p E w 'butte County mrnvironm ental ea in Date DRAWN 10 H S �N c EC)CS D UDATE JULY SCALE,, JOB ND. N. 41- 54 -13 SHEET -�-1 3 D 3 t yy 3 �o Environmental Health d�os1 v� Nov 0 21992 t^roville, California OF l 0 fl H E E TS J J013- 3 127 JiiH fi THIS E2LPA Q FRUli ix7 IT ii `iWt . S 'QI NS UtS ITTEA BY' TR(� WR i[3R CkiGAE% 2X4 FIR -LARCH i1 BOT 0140 2X4" FI3R--L,hRrH- '- 1 TC X- OC U -Rt 0..2<3 6.66 i2_52 18' 37 24i- 22 30.07-31.7i WEBS, 2X4 FZ�-LAsc4 - STAMARO BG x-ttac ;l:-F� o _ 2 9,:59' 19.37 27 ] 4 3 a:. 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