HomeMy WebLinkAbout042-030-02911
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MARY V. SCHAE -FER r. 42-03 -S-
n/s Alamo Ave. app. 400' southil of Bell
Rd . y Chico ___.... .U�-�- 7 -
Permit 2351-72B,P,E,M ,i �(�-'��
(new F
igle familsr.- V "`ttt
0-029 92-3233E
Z, John & Linda
amo Ave, Chico
rv/sf __
-0-029 -� �~ 92-3234B
EZ, John & Linda ��%ilamo.Ave, Chico�strucr_,:�r_eg2-3235BPEM
3-0-029NEZ, John & Linder
3036 Alamo Ave, Chico
detached rec room & office
3 -.2 - 9.L
042-03-0-029 98-1120 B
MARTINEZ, John
3036 Alamo Avenue, Ch -co
(reroof/comp)SF. -•
B08;0259 —SCANNED 0.42-030-029
MISCELLANEOUS • Re -Roof
RE ROOF 3 SQ'S COMP
3036 ALAMO AVE
MARTINEZ JOHN V & LI,
42-03-29 92-156
MARTINEZ,'•John & Linda ��
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3036 Alamo AVe, Chico V
AG ExemntioN'Permit 4
tree equip, mowers
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98-1120-B
4 MARTINEZ, John
3036 Alamo Avenue, Chico
(reroof/comp)SF
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT /� d
ASSESSOR PARCEL NUMBER ZONING
042-030-029 SR1
BUILDING PERMIT
OWNER TELEPHONE
SO. FT. OCC. BUILDING VALUATI 'N
.042-1687
OWNER'S MAILING ADDRESS
3016 ALAMO AVE CHICO
COMP
30 COM
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $ 1800.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ 41.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3036 ALA
Energy Plan Checking Fee $
�
CHTM
$
PERMIT FEE S61-00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF P Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat. pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: CP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home, ISI GI W1 @20.00
PERMIT FEE S
i
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200, OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
,%, 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( & ACC. BLDS. 3.5¢FT.
NEW
NON-RESiIOT RECTI"OUTCIRCUTETITS @7,50
POWER APPARATUS
8 SINGLE OUTLET CIT.
Ex. Occup. OUTLET OR FIXTURES BAL @ 1.50
Ex. Occup. ouTitDrs AE.s o.) E.1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Q I certify that in the performance of the'work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
v forthwith comply wi those provisions.
7 1 , `' ��
X Date , �' ( ?
Signature of Applicant-Vwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
L:; structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 61.00
HAZ.
D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
f (^
B� Date('(-��d
PERMIT EXPIRES ON �f a ^' 3 — /�
Dale
Receipt No. a` r' �''�
WHITE-D.D.S.-B.D. CANARY -AS S OR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-030-029
ZONING -
SR1
BUILDING PERMIT L
OWNER
JOHN V MARTINEZ
TELEPHONE
42-4587
SO. FT. OCC. BUILDING VALUATICYN
30 COMP 1800.00
OWNER'S MAILING ADDRESS
1016 ALAMO AVE CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'SMAILING ADDRESS
'
Total Valuation $ 1800.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 41.00
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Plan Checking Fee
$
BUILDING ADDRESS 3036 ALAMO AVE - -
Energy Plan Checking Fee
$
CHICO
PERMIT FEE
S 61-00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat -pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other
Describe Work: COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
-
000OR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. B:
SO
NEW CONST. MULTI -OUTLET
NON-RESID. C CI cu TS
@7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 100
sAL So
Ex. Occup. ouxTitDrs ALNSID.Oea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
—Cooling
Hood
6.50
Ventilation
PERMIT FEL
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
ers' co ensation pr Gisions of section 3700 the Labor Code, I shall
wit co p o provisions.
2 g
X ____ Date �✓ /
S'of App Ican - wner ❑Contractor ent
;SHHA
ermit is require for excavations over 5'0" d�%nd demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 61.00
Z.
D. FEES IMP
FLOOD
COF
pgRCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to d_ o work
indicated above for which fees have been paid.
B Date(
PERMIT EXPIRES ON (/ C) �L
Date
Receipt No. q,7-7771
WHITE-D.D.S.-B.D. CANARY -ASS OR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive-„Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PARCELNU--,9C(7—D 3o -® L7
tD�N�
BUILDINGPERMIT
OWNER i
TE 0e f��
SO. FT. OCC. BUILDING VALUATION
CONTRACTOWS NAW
TELEPHONE
CONTRACTORS IMIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENOER'S LWUNG ADDRESS
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 2 0. 0
Permit Fee
$
ARCHITECT OR ENGINEERS WAILING ADDRESS
Plan Checking Fee
$
BUILDING ADO RESS 36
(�
Energy Plan Checking Fee
S
b
PERMIT FEE _
LOT No.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
F ing Feel 20.0(
USEOFSTRUCTURE
SFO Alex ❑ Mobilehome ❑ Other
SPECT Y
Each Trn
7.00
Solar or heat pump water heater
1 23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK /
New O Addition O Remodel O Utlities 13 Installation O Other G__
Describe Work: �2�
Gas piping stem 1 - 5 oudete 15.00
Building sewer
15.00
Mobile Home ISI GI W @20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service pw Oq MESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I em exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
'
X Date
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO t000A 46.00
NEW CONST, DWELUNG OCCUP. s0
OR ADONS. ( a ACC. aLnS. 3.50T.
EW NST.
NONR6ID. MULTI.OUTLET CIRCUITS
@7.50
6 PSINGLE OUTLET CTR.GWER APPARATUS
Ex. Occup. OUTLET OR FIXTURES SAL° T.50
Ex. Occup. ouxTttis NESIo.1 EA, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
—Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES
HA2.
p. PEES
IMP
iL0p0
COR
PARCEL
PO
55�E
This permit is hereby issued under
of the Butte County Code end/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
ate
Receipt No.
WHITE -O 0 S B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
MUM
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signaUm
Please complete and return this information at your earliest opportunity to avoid unnecessary decay
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' NO O
2. I HAVEHAVE NOT D signed an application for a building permit for the proposed W6&
3. I have co!acted with the following person (firm) to provide the proposed construction:. ;:: ,,r�
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. ,r
4. I plan to provide portions of this` work, but I have hired the followingon to coo
P� rdmatq .
supervise, and provide the major work: ,
NAME:
ADDRESS: Cly
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL
DATE:
s
-NOTE: - - -=This Owner -Builder Verification is required by Section 198.31 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property .
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including,state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can conium that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE: This Owner-Bullder,Information is required by Secdon 19830 of the California &altls and Safety Code.
OVER
i
R ID NTII�
042-03-0-029 2-3234B _
v MARTINEZ, John & Linda
3036 Alamo Ave, Chico
shade structure
ga-3Z33
p.i�/ysZ-
��ta-
JOB FINALED (Date)
Signature
J=OK
O = Not OK
Not
= Not 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/ P L" ft.% /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except;'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except k'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 -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
E
'J 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-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -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 Sizer ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
----------------- -------------------------------------------------------------
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 11 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 a's
34. A.C. Ducts Insulation & Support
-----------------------------------------------7----------------------------------
35. Vent Fan: Exhaust above insulation
------------------------------------- --- - -- - - ---- -
36. Condensate Drain & Overflow: Size & Grade
----------------------- ------------
37.
---------
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. Sits. 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
I • T ` �.
>ingle & Duplex)
Date FRAMING (Continued)
45. 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 -& Subpanel_Breaker Sizes & Labels
-
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
_
73. A.C. Duct in Garage -Damper
--------------------------------------- -- -
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
-------------------------------------
75. Plb__Elec_ & Mech_Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex 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 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. Gas Test -Meters Ta ed; 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
----------------------------
Date Card B-1
Comments at Final:
Date _ Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-754
?� — 3233
CORRECTION NOTICE
= • a,� , W, l/2 n
PERMIT NO.
A routine inspection indicates.that the following violations of butte county Ordinances exist at the
above address and should be, --corrected. Please notice 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.
11
2e .15 3 3 2d= 9 -3a 3 y
a v C-
Date ' 1 Z 7 Inspector
REV 4/92
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
a 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 7,—
A
APPLICATION ND PERMIT
ASSESSOR PARCEL NUMBER
042-030-029
ZONING
SR 1
BUILDING PERMIT
OWNERTELEPHONE
JOHN
MARTINEZ
342-4587
SO. FT. OCC. BUILDING VALUATION
210 2,730
OWNER'S M ADDRESS
3036 ALAMO AVE CHICO 95926
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 45,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$' 7-2,S`D
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING5
3036 ALAMO AVE CHICO 95926
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 ❑ Duplex❑ Mobilehome❑ Other SHADE STRUCTURE
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
New] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: FREE STANDING SHADE STRTT(TT1RE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200A TO IOOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness
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. OR AODNS. l ( DWELLING OCCUP.&ACC. BLDGS. /
)
3.6Qsq.ft.
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
5.00
POWER APPARATUS &
SINGLE OUTLET CIR.
/
Ex. Occup\OUTLETS OR FIXTURES
20 @ 76
FIXED APLNS
Ex. Occup. OUTLETS P(RESID.)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�1 I shall not employ any person in any manner so as to become subject
Y�J 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 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 ree to save, indemnify and keep harmless the County of Butte against
all li lilies, judg n and expenses which may in any way accrue
nce of he granting of this permit.
a ai said Co my ` �A,
,F A�S 9�
Date
ignature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations ver 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
TOTAL FEE
$ �"'-�'
)+Az
DFEES
IMP
F o cDF
PARCEL
PD
Is E
This permit is hereby issued under the
Bions of the But County fie and/or
Work indica b e r hich fees
D F PUBLIC
By
PER EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
ate /Q —
Receipt No. 122779 60.00 Q
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -IN CTOR. GOLDENROD -APP CANT
.7\G'7' 'fl K'i�N1�Y1�"`N, ..,+.fit' iFR{'" Ti fn' `�'F' a.� _ ` �'v`. '.i �,�.�,,,�M{ICY �.� ./�'�r,:.t. -•
COUNTY OF BUTTE: PARTMENT OF-'�P QLIC WO {' BUILDING DIVISION
7 COUNTY CENTP�"DRIVE ®�OVILL�; CALIF®NIA 95955 - TELEPHONE (915) 536.7541
PERMIT APPLICATION DATA SHEET
OWNER )ON N � G,I N DA (AAK.•T 0,JEZ-
o
Proposed Building UsePAPE; ST UC, Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobileho d a anUy
anufacturer's installation instructions, 2 sets. .
Fees of $
is r - 2-�
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ........................ .
Flood elevation letter (100 year flo�d) y Calikornia Engineer ...................
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. ..............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Pre -Inspection request
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _).......
.... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ........................................
30. Documentation.of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list. ..............................
33.
U L S 7
34.
W,he u issue the ermit, ''ro�cc s as follows: Mail t9 �vyner. Mail to contractor.
V Telephone Wl and hold for pickup at Gt7 ` office. Deliver with inspector.
Other
Parcel Creation /� q
Acreage Applicant Date
Copy of Haz-Mat form.sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
to permit issuance: (Circle new item not checked 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 ounter by _ Date
Plans checked by Date Plans approved by Date <
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916:538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
UM 2�
ZO
BUILDING PERMIT
OWNE
(EJSJ15
TELEPHO E
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI LING ADDR
CONT A
TELEPHONE
CONTR'ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ,Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ a•5
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDi AD R5s� LAR _
/ Aa
permit tee
$ P
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 ❑ Duplex❑ Mobilehome❑ Other ��� S�/C��
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G JW I
@ 15.00
TYPE OF WORK
NXea Addition ❑ Remodel❑ Utilities'❑ Instal ation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20CATO t000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
'
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.S!
OR ACDNS. ( ACC. BLDGS.
3.60sq.ft.
NEW R
CONST. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 7600
11AL- 4F;
ED
Ex. Occup. OU LETS IPRESID )KEA.)
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.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature pp ❑ Contractor ❑ Agent ❑
Si nature of Applicant — Owner
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
S
TOTAL FEE �cgo
I I
HAz
1 0FEES I
IMP
FL000
COF
I PA CEL
I PD
I HD I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
l� rf U U
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�t2I -z
i B 4 I l¢
1
14-
1
t_�Ym�
ARCy�I�c .
PAUL M.
HENDRICKS
N0. C 9609
REN. 10-31-93 \Q,
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is
ARCH/T�c
.PAUL M.
HENDRICKS
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REN. 10-31-93
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REN. 10-31-93 Q
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'!I
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the Compliance
approach used. Items marked with an asterisk (*)May be superseded by more string -S compliance tequttements fisted
on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they ase shown elsewhere in the documents or on this checklist only.
DESCRIPTION I DESIGNER I ENFORCEMENT
Building Envelope Measures
• §2-5352(a): Minimum ceiling insulation R-19 weighted average.
62.5352ft Loose fill insulation manufacturer's labeled R.Value.
' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
12.5352(k): Slab edge insulation - water absorption rate no gmata than 0.3%. water vapor
transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality
standards Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climate Tortes 14 and 16 only.
§2.5317: Infnitration/Exftltration Controls '
L Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped; all joints and penetrations rauUted and sealed
12-5352(e): Special inrUcration barrier installed to comply with 12-5351 mats CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilm alowed.
HVAC and Plumbing System Measures
§2.5352(8) and 2-5303: Space conditioning equipment siring: attach calculations
02.5352(h) and 2-531 St Setback thermostat on all applicable heating systems.
' §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(bY- Exhaust systems have damper controls.
12-5314(c): Cas -fired space heating equipment has intermittent ignition devices
12-5314: HVAC equipment, water heater, showerheads and faucets certified by the CEC.
§2.5352(1): Water heater insulation blanket (R-12or greater) or combined interior/exterior
insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater).
12.5312(Exception 1): Pipe insulation on steam and steam condensate return tk recirculating
piping.
§2-5319(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inICL
Lighting and Appliance Measures
12.5352(j): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms.
62-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12.5314(a): Refrigerators, refrigerator. freezers. freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATENUMr
This certificate of compliance lists the Wding feats= and performance specifications needed to comply with
Title 24, Chapter -2-53 and Title 20. C3aptm2. Subchap%r4. Article 1 of the California Administrative code. This
cerdfcate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent pur lumr of the budding.
Designer
Name:
Titic/Fum - - -
Addr en:
Tekphone:
tic. 4:
(signature) (date)
Documentation Author
Building Owner
Nam=
raWFum-
Address:
Te e:
FS
(signature) (date)
Enforcement Agency
Name: Name:
Tideffi. n: Agascy:
Address: Tekpitort=
_C111116 ■11.7ujauvu
Single-
Single -
0.80
Number of stories
Family
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
.2
R-30
.2
-1
.1
R-38
0
0
0
U -value
4
U -value
-26
0.50
-176
-84
-S4
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
.9
-6
0.06
-11
.5
-4
0.04
-4
.2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Single-
Single -
0.80
R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-26
Rwalue
0.60
0.80
-153
-114
.76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
F2 tactor
0.90
Insulation In Floor
Number of stories
0.80
R -value
Number of stories
Two
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
.1
R-19
0
0
0
R-30
3
1
1
U -value
Number of Stories
-26
Rwalue
0.60
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
.34
.22
0.20
-43
-21
_14
0.10
-17
-8
.5
0.08
-11
-6
-4
0.06
-6
.3
.2
0.04
-1
0
.0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
F2 tactor
0.90
-4
Number of stories
0.80
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
d
3
R-11
-2
-2
-2
R-19
-1
-2
-2
•1. Slab Edge Insulation
4
40
"
Number of Stories
-26
Rwalue
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 tactor
0.90
-4
-3 -1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
iltration (Air Leakage)
Spedfimtion Points
Standard 0
6. Glass Heat Loss
Total
Exterior
Slab Floor
Raised Floor
Effective Percent Glass
U -value
Stories
Percent
(Percent Slays x SC)
Stories
.51 to
.41 to
.31 to 0.30 or
Glass Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
.3
3
9
15
21
-34
-7
-2
4
10
15
20
31
-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
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-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)
Exterior
Slab Floor
Raised Floor
Effective Percent Glass
Wall
Stories
Qmrcent t[law X SQ _
(Percent Slays x SC)
Stories
Effective
/CFA
One
Two
Three
%Glass
North
East South West
Skylight
18
5
1 4
1
na
16
4
2 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
A
.2 -4
-2
0
na = not allowed
1
-1
-2
IB. Shading (Shade Closed)
Exterior
Slab Floor
Raised Floor
Effecdve Percent Glass
Wall
Stories
Qmrcent t[law X SQ _
Multi
Stories
Detached
/CFA
One
Two
Three
%Glass
NoM
East
South
West
Slg6ght
18
.14
-48
-69
-64 ._.
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
.23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
.2
-9
-11
-10
-30
4
-1
-6
-8
-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
no . not alkmw
7
8
10
11
Interior
Exterior
Slab Floor
Raised Floor
Mass
Wall
Stories
Family
Multi
Stories
Detached
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
.2
-1
.1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
25
0
3
5
7
7
8
3.0
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
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
SiMile-
uedit
Wall
Family
Family
Multi
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
0.40
3
5
2
4
1
3
0.60
0.80
8
10
6
8
4
5
1.00
1.20
13
13
10
12
7
8
1.40
1.60
12
10
13
13
9
11..
1.80
10
12
12
200
10
11
13
11. Heating System
SE or tr'i.SPF
(awmes duets In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7. 6 4 3
Other 6 5 4 3 2 2
(assum
-25 or ,24 to
SEER less -15
8.0 -14 -12
8.5 -9 -7
8.9 -5 -4
9.0 -4 3
9.5 0 0
10.0 4 3
10.5 7 6
11.0 10 9
120 15 13
13.0 20 17
Eff
(SEER
Effective -25 or -24 to
SEER less -15
5.0 -30 -25
6.0 -12 -11
6.6 -5 -4
7.0 0 0
8.0 9 8
9.0 16 14
10.0 22 19
11.0 26 23
120 30 26
13.0 33 29
Zonal C
10 8
No Cooll
Stories
One -5 -4
Two + 3 3
Single -Family
Water
0,99
Sum of 14
uedit
or
Type
Type
25 or
-24 to
-14 to
-4 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
0.95
8.71
_ 20
18 ..
-15
. 13
-11
8
Effective SE or HSPF :
_
(SE or HSPF x duct efiidency)
Effective -25 or -24 to -14 In .4 to +6 to 16 or .
SE
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
0.80
7.33
25
22
19!
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7. 6 4 3
Other 6 5 4 3 2 2
(assum
-25 or ,24 to
SEER less -15
8.0 -14 -12
8.5 -9 -7
8.9 -5 -4
9.0 -4 3
9.5 0 0
10.0 4 3
10.5 7 6
11.0 10 9
120 15 13
13.0 20 17
Eff
(SEER
Effective -25 or -24 to
SEER less -15
5.0 -30 -25
6.0 -12 -11
6.6 -5 -4
7.0 0 0
8.0 9 8
9.0 16 14
10.0 22 19
11.0 26 23
120 30 26
13.0 33 29
Zonal C
10 8
No Cooll
Stories
One -5 -4
Two + 3 3
Single -Family
Water
0,99
Heater
uedit
or
Type
Type
less
j SG
None
0
or
Solar
12
HP
HWR
8
WS8
5 -
POU
8
SE
None
37
Solar
-1
HWR
18
-
WSS
-25
_
PQII
iQ
IG
None
5
Solar
7.:
POU
Z_
lE
None
-28
Solar -
8
POU
-10
Multi -Fart
Water 699
Heater Dredd or
Type Type less
SG None 0
or Solar 14
HP HWR 9
WS8 9
POU 9
SE None -45
Solar. 2
HWR -23
WS8 -25
IG None -8
Solar 6
POU - !_
fE None 30
Solar 18
POU -8
SEER
ducts In attic)
11 Of 710
r1410 110 +6 to
i .6 45 +15
•10 8 &
-6 -5 -4
-4 -3 -2
. -3 -2 -2
0 0 0
3 2 2
5 4 3
7 6 4
11 9 7
14 12 9
t,
bite S EER
rand efficiency) c7)
);n of 7-10
•1410 -410 46 ta
-5 +5 +15
21 17 -13
-9 •7 -6
0 0 0
16 or
more
4
-3
•2
-1
0
1
2
3
5
6
16 or
more
-9
-4
0
11.7•u1N2CMTYPE I MASS (UIMC + 4.2; le: exposed slab) {F
�-
0% 5% 10% 15% 20%. 2S% 30% 35% 40% 4S% W% 55% 60% lift 70% 75% 80% 85% 90% 05% 100% 105% 110% 115% 120% 125•;
0010 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2.5 2.7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 1
10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 1
20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 5 6 0
30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 26 2.8 3 3.2 3.5 3.7 32 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 50 ;
407. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9
50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.0 5.1 5.3 5.5 5.7 5.9 6.1 1
55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2
60% 1 12 1.4 17 19 Z 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.0 5 5.2 5.4 5.6 5.9 6.1 6 3
65% 1.1 1.3 1.5 1.7 1.9 22 Z4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6 4
70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 . 58 6 6.2 64
75% 1.3 1S 1.7 1.0 21 2.3 ZS .2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 S.5 5.7 5.9 6.1 6.3 6.5
8W. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6 4 66
85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 GS 67
9W. 1.5 1.7 2 2.2 Z4 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68
95%. 1.6 1.8 2 2.2 Z5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6,9
100% . 1.7 1.9 21 2.3 Z5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 8.3 6.5 6.1 7
105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7
110% 1.9 2.1 2.3 2.5 27 29 9.1 9.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.7 S.9 6.1 6.3 6.S 6.7 69 7.1
115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 S.1 5.3 S.S 5.7 $.9 6.2 6.4 All 6.8 7 7.2
120% 2 2.3 2.5 2.7 Z9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 6 6.2 6.S 6.7 6.9 7.1 7.3
125% Zt 2.3 2.5 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4
Point System Summary: Climate Zone 11
6 5
4
3
12 9
7
5
SCORE CARD
16 13
10
7
Measures
Point Scores
19 15
12
822 .
24 20 15
10
1. Ceiling Insulation
or
R -value [381
U -value (0.030)
intro) Adjustment
2. Wall Insulation
or
,
7 6
4
3
R -value [11J
U -value (0.098]
1:; System Installed
3. Raised Floor Insulation
or
R-value(191
U -value [0.037)
4. Slab Edge Insulation
or
-a -3
2 2
.2
2
-2
1
R -value 101
F2 factor [0.77]
S. Infiltration
Standard
0
Detached and Attached
6. Glass Heat Loss
- Unit Size (sQ
Type [double)
U -value [0.65]
% Total Glass 1161
Sum
1.6
1204 1700
22W
2700
7. Shading (Shade Open) .
to to 199
1 1699 21
to
2699
or
more
% Glass
SC
Eff. % Glass
0 0.
0
0
a. North
x
=
8 6
5 4
5
3
a
3
b. East
x
-
-
_
3 3
2
2
C. South
X
=
5 .4
3
3
dWest
X
-
-
-24 -18
-15
-12
.
.1 -1
0
0
e. Skylight
_
X.
_
-12 -9
-7
•6
=12 -9 .7
-10
6
8. Shading (Shade Closed)
-3 .2
.2
-2
% Glass
SC
Eff. % Glass
5 4
3
2
a. North
x
-
-
-
-19 •14
-11
-9
b. East
x
=
• 5 4
3
3
C. South
X
-
In (Individual units)
d. West
X
=
e. Skylight
x
=
7oowt�(6i7oo
10 10
10
220o
1199 1699
2199
or
mac
9. Interior Thermal Mass
TYPE 1 MASS AREA a 0
0 0
0
0
Interior W- ss/CFA
COND . FLOOR
AREA
7 5
4
3
10. Exterior Wall Mass
TYPE 2 MASS
AREA 8
5 3
4 3
2
2
2
2
�
Exterior Wall Mass
ND. L OR AREA
_
Sun 7-10
s 3
2
2
11. Heating System
x
=
5
1 1
-11
0
0
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency [0.78)
Effective SE or
-12 -8
-6
•5
(0.72(6.6]
HSPF [0.5615.15]
:; 8
-s
-
. .5
12. Cooling System
x
=
-4 -3
-2
1---2
Zona) Control? ( Y / N)
SEER (9.5)
Duct Efficiency 10.741
Effective SEER (7.03)
3 2
i
1
0 0
0
- 0.-
13. Water Heating
-15 -10
9 6
-8
4
-6
4
Type [SG]
Credit [none]
-a .3
-2
-2
Point Total:
��
Certificate of Compliance: Residential Climate Zone 11
Project Tido
Building Permit w
Project Address
Checked By/ Date
Documentation Author Telephone Enforcement Agency Use Only
BUU,DING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to &arage, r_,�pical, etc.)
Wall ..............
wau..............
Roof.............
Roof ............. _
Floor.
Floor. ............
Slab Edge .....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation ffl (single, double) (yolier blind, etc.) (xhadexE n, etc.) (whw) (metallwood)
North ( )
North ( )
East ( )
East ( )
South
South ( )
West ( )
West ( )
Skylight....... -
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc.) ($f) (inches) Locadon/Description (kitchen bath. -etc.) -
HVAC SYSTEMS Minimum
Type (furnace. air Efficiency
conditioner. heat pump) (SE. SEER.HSPF)
Maximum Furnace Heating Output:
T W TER SYSTEMS
Duct
Location Duct
(attic, etc.) R -Value
Btuh
Manufacturer / Model #
HO A Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Glass Area % Glass
BUILDING DATANorth
Conditioned Floor Area
Number of Stories
East
Slab/Raised Floor
Number of Units
South
[ ] Single Family Detached (SFD)
[ ] Addition Alone
West
[ ] Single Family Attached (SFA)
(] Existing Building
Skylight
[ ] Multi -Family (MF)
[ ] Existing -Plus -Addition
Total
BUU,DING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to &arage, r_,�pical, etc.)
Wall ..............
wau..............
Roof.............
Roof ............. _
Floor.
Floor. ............
Slab Edge .....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation ffl (single, double) (yolier blind, etc.) (xhadexE n, etc.) (whw) (metallwood)
North ( )
North ( )
East ( )
East ( )
South
South ( )
West ( )
West ( )
Skylight....... -
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc.) ($f) (inches) Locadon/Description (kitchen bath. -etc.) -
HVAC SYSTEMS Minimum
Type (furnace. air Efficiency
conditioner. heat pump) (SE. SEER.HSPF)
Maximum Furnace Heating Output:
T W TER SYSTEMS
Duct
Location Duct
(attic, etc.) R -Value
Btuh
Manufacturer / Model #
HO A Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
ACTUAL HVAC SYSTEMS
===================
Actual Output Manufacturer and Model #
Actual System Efficiency (Btuh) (or approved equal)
_______________ ___________ ________ -------------------------------------
Heating
________________________________Heating 86% _�Lennox pulse type
Coolinp 11.35 36000 b Lennox HS14-651
Cooling Coil Lennox 2-spee71
CET Maximum Output for Gas Central Furnaces: Btuh
WATER HEATING SYSTEMS
=====================
r
Tank
Capacity Manufacturer and Model # Enerqy
System Type (gal) (or approved eoual) Zredits
____________________ _________ ------------------------------------------ __
Storage, Gas 40 None
SPECIAL FEATURES/REMARKS
========================
glazing - dual w/ type E coatinq
COMPLIANCE STATEMENT
= ==================
IThis certificate of compliance lists the building features and performance
�'
,specifications needed to complv with Title 24, Chapter 2-53 and Title 20,
^Chapter 2, Subchapter 4. Article 1 of the California Administkative code.
This certificate has been signed by t! �al with overall design
^,responsibility and the building owner, who shall retain a copy of it and
:transmit the certificate to anv subsequent purchaser of the building. When
�thzs certificate of compliance is submitted fora0inqle building plan to
.be built in multiple orientations, all building conservation features
'which vary are indicated in the Special Features/Remarks section.
�
, DOCUMENTATION AUTHOR
f Name..'. p. m. hendricks NaQ....
. Company. THOMSON & HENDRICKS AIA Title...
. Address. 60 DECLARATION DRIVE Agency..
CHICO,CALIFORNIAA| 95926
�
� Phone... (916) 342-5669 Phone...
� Siqned Signed
John Martinez
,
3036 Alamo Ave
Chico
ENFORCEMENT AGENCY
(date)
'I /
= *** Building complies *** =
===============================================================================
GENERAL INFORMATION
===================
Conditioned Floor Area...., 912 sf
Building Type.............. Single Family
Building Front Orientation. Front Facing
Number of Dwelling Units... 1
Number of Building Stories. 1
Weather Data Type........,. FullYear
`
Floor Construction Tvpe.... Raised Floor
Number of Building Zones... 1
Conditioned Volume......... 9811 cf
Footprint Area....'........ 912 sf
Slab -On -Grade Area......... 0 sf
Glazing Percentage......... 28.5 % of FA
Average Ceilinp Heiqht..... 10.8 ft
Detached
180 deg (S)
Vent Special
# of Thermostat Height Vent Area
Units Type (ft) (sf)
_____ ____________ ______ _________
1.00 Setback 2.0 i.1 /a
�
Slider
Slider
0.65
180 90 0.77
drapes 0.37
2 Wood
Slider
USE
135 90 0.77
90 90 0.77
1
Window
110
2
Window
18
3
CO� UTER METHOD
SUMMARY
4
Window
18
Page 2
C -2R
== ===========================================================================
Prpject Title..........
5
3036
ALAMO AVE
1.10
0 O 0.88
Date........
09/02/92
, MICROCHECK
18
� 7
y
v1.00 File -P9217
8
Proqram-FORM
C-21::".'.
|
|
____________________________________________________________________________
18
User-THOMSON
it HENDRICKS
0
AIA
Run -RESIDENCE
|
�
~
OPAQUE SURFACES
'
===============
.Insul Act
Solar
Location/
Form 31::1,'
Sur face (
---- ------
f)
value
R-val Azmrh
Tilt
Gains
Comments
R e f erence
'
HOUSE
-----
----- -----
----
-----
--------------��
� Wall
276
0.076
R-18. 180
90
No
shaded
None
�
� Wall
22
0.076
R-18. 135
90
No
shaded
None
3 Wall
147
0.076
R-18. 90
90
Yes
tvp.
None
4 Wall
318
0.076
R-18. 0
90
No
shaded
None
5 Wall
181
0.076
R-18. 270
90
Yes
tvp.
None
2
" Wall
22
0.076
R-18. 225
90
No
shaded
None
7 Roof
924
0.035
R-30 0
0
Yes
flat clg
None
8 Floor
912
0.037
R-19 0
0
No
to crawlspace
None
F2 Insul
Factor R -"al
_..... .... ..... ..... ..... _____
0.720 R-0
Area#of
Surface (sf) Panes
[L__________ _____ _____
Location/Comments
______________________
cvr: to out
Vent SC Interior SC
Frame Open U- Act Glass Shade 51 s+
Type Type value Azmth Tilt Only Type Shade
________ ______ _____ _____ ____ _____ __________ -------
Area # of
____
2 Wood
2 Wood
Slider
Slider
0.65
180 90 0.77
drapes 0.37
2 Wood
Slider
USE
135 90 0.77
90 90 0.77
1
Window
110
2
Window
18
3
Window
61
4
Window
18
Slider
0.65
225 90 0.77
5
Window
28
1.10
0 O 0.88
None 0.88
�6
Window
18
� 7
y
Skyliqht
8
Location/Comments
______________________
cvr: to out
Vent SC Interior SC
Frame Open U- Act Glass Shade 51 s+
Type Type value Azmth Tilt Only Type Shade
________ ______ _____ _____ ____ _____ __________ -------
Area # of
____
2 Wood
2 Wood
Slider
Slider
0.65
180 90 0.77
drapes 0.37
2 Wood
Slider
0.65
0.65
135 90 0.77
90 90 0.77
drapes 0.37
drapes 0.37
2 Wood
Slider
0.65
0 90 0.77
draoes 0.37
2 Wood
Slider
0'65
270 90 0.77
drapes 0'66
2 Wood
Slider
0.65
225 90 0.77
drapes 0.66
1 Metal
Hinqed
1.10
0 O 0.88
None 0.88
VERHANGS AND SIDE FINS
=======================
---Window--
Area
�Surface (sf) Hqht Wdth
�___________ _____ _____ _____
HOUSE
1 Window
2 Window
3 Window
4 Window
5 Window
� 6 Window
------Overhang----- ---Left Fin--- ---Right Fin --
Left Rght
Dpth light Ext Ext E;t, Dpth Hqht Ext Dpth Hqht
____ ____ ____ ____ ____ ____ ____ ____ ____ -------
110
___
110
5.5 17
10
0
0
0
0 0 0
0 0 0
18
6 3
7
0
0
0
0 0 0
0 0 0
61
8 8
4
3
0
0
0 0 0
0 0 0
18
1.33 13
2
1
0
0
0 0 0
0 0 0
285
Is
2
5
18
6 21
05
0
8
13
0 0 0
0 0 0
EXTERIOR SHADING
Area Shabinq
SC of
Su�face
(sf) Type
Ext Shaw
-
____ ______
_______________
_________
HOUSE
OWindow
110 bldg
shade
0.15
:Window
18 50%
bug
screen 0.84
lWindow
61 50%
bug
screen 0.84
Window
18 50%
bug
screen 0.84
Window
28 50%
buq
screen O.34
61 Window
18 50%
bug
screen 0.84
'
T&ERMAL MASS
Area Thick
Heat Conduct-
Surface
Mass Type
(sf) (in)
Cap ivity
R -value
Location/Comments
_ ____________
______ _____
_____ ________
________
__________________________
H 0 USE
. InteriorHorz
28
1'0
24.0 0.67
R-0
tile
FNAC SYSTEMS
`
Minimum
Duct
Duct
' Duct
Svstem Typh
Efficiency
Location
R -value
Efliciency
�... ..... ���-------
------------
-------------
-------
--------------
`
OUSE
I
Ga0.860 SE Crawlspace
s A/C 11.35 SEER Attic
ISPECIAL FEATURES/REMARKS
R-2.1 0.78O
R-2.1 0.740
Effic- Standby Input
iency Loss Ratihg
___________ ______ ------------
Iglazing - dual w/ type E coating
Pilot
Size
(Otuh) Credits
________ ----------
0.03 43000 Btuh n/a None
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVJW E,;,CALIFARNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL LOSILIDING EXEMPTION PERMIT
,-PERMIT NO.
Z '-
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PAR?51 O
G
ZONING
OWNER \o tf ?LI�JO ^ n , J���
PHONE NO. `
OWNER'S ADDRESS 303 �L/t ��tCa
LOCATION OF BUILDING _
— /L
N OF
:
� 10
USE OF BUILDING
SIZE OF STRUCTURE %� X � v SO. FT.
TYPE OF CONSTRUCTI
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SI IJ�GO
(�2�r;,e7STRUCTION
ROOF COV I� / FLOOR /
ESTIMA
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:Ir"— �
FRONT S1->4 -,- SIDES REAR 15
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the buildins made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals to comply with t7ere 'n effec t at 'me and before occupancy.
Date Signature of Owner
Permit Fee - $50.00 The above descri AG Building is exempt 10dinq peGmit.
Receipt No.
FLOG PAR P.D. I ROOFI G ISSUE
Manager Building Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
I� Xt
COUNTY OF BUTTE -DEPARTMENTPF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL ALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER l / 44,4
Proposed Building Use Building Inspector 4 Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BV
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... T
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit. ....................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ..... .
Pre -Inspection requesf
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of -recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ...................................... ti
32. Plan check list . .....................................................
_ 33.
34.
When you issue the permit, process as follows: Mail to owner. Mil to contractor.
Telephone and hold for pickup at /office. Deliver with inspector.
Other
Parcel Creation �` 9
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Depf! Air Pol uti K Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail, Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder t•
Copy - Department of Public Works
C'Z. - 3 Z35--
THOMSON & HENDRICNS
ARCHITECTS AND PLANNERS
60 DECLARATION DRIVE, SUITE A • CHICO, CALIFORNIA 95926 • (916) 342-5669 • FAX (916) 342-7582
October 29, 1992
Building Division
Butte County Department of Public Works
441 Main Street
Chico Ca.' " 95928—
Re:
5928
Re: Martinez Additions, A/P No. 042-030-029
Building Permit No. 92-3234B
Gentlemen:
COUNTY OF BILME
BUILDING DEPT
r : , v n 1992
Please be advised that the shear plywood sheathing on the above structure may be
Douglas Fir grade Struct II or COX with exterior glue in lieu of the Struct I
indicated on the drawings. Plywood thickness remains the same.
If you have any questions, please contact our office.
Sincerely,
V46%1Z04WA4-)
Dave Dundas
Construction Administrator
Thomson & Hendricks
Architects and Planners
_- nn /W i r
cc: John Martinez
Wilk Construction
Oct29a.dd
Owner: 64, Owe G.//c. e
ENERCT CERTIFICATION
Permit/ f! .
303,6 -�Oyg; eland
LOCA7.`N A. P. 0
ROOF
MATERIAL_
THICKNESS
EXTERIOR WALL
DESCR:FT:ON OF INSULATION
BRAND NAME —
THERMAL RES. _
MATERIAL =ibe_glass BRAND NAME Certineed
THICKNESS 3 �� THERMAL RES. 13
CEILING
BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed
THICKNESS / D fl THERMAL RES. 3d
LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR -ELEVATED
'MATERIAL
'MATERIAL Fiberglass
,.. 4HICKNESS
,FLOOR -SLAB
0
INTE IQE WALL
MATERIiL Fiberglass
THICKNESS
BRAND NAME Certineed7-7 ..._=
THERMAL RES.
BRAND NAME Certineed
THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
HAWKINS IND.INC/dba SHASTA INSULATION LIC. #6507'_'2
Ihereb. certify the above insulation and all required items.as shown
on the building department approved plans -and attachments have been
installed as�r'qui ed by the State of California Energy Requirements.
All eq ip ev ces and materials are of the quality prescribed or
are, sp C V pproved by the State of Calif.
----- I.�.-------—---------------------------------
----�— `
F NAME/0 SER (PLEASE PRINT) STATE CONT. LIC/.
SIGNATURE OF_GENERAL COAT/OWNER DATE .
This certi-fics"te most be on file with the BalldinDept: 'prior "to
MMA —4.►a
Fietil
ww•♦—A _ .i
COUNTY OF BUTTE .
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
146.9'Humboldt Road, Chico, CA - (916) 891-2751
7 ,County Center Drive, Oroville, CA - (916) 538-7541
.747 'Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
I'M 11/PZ 2 3Z3�
0VVNER PERMIT NO.
A:routine'uispecfion1ndicates 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 con:pleted.Myodhave any questions pertaining to this matter, or need additional explanation,
Ir7�fi713:(:a'1
!Date Inspector «//00"
REV I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
F�. 7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
L
' 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 com feted. If you have ny question pertaining to this
matter, or need additional •exp an'at/ion, please ontact this office immediately.
i
Date 1 �� 6 Inspector
COUNTY OF BUTTE
-+• BUILDING DIVISION
DF,P..A,RTMENT OF -DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541-
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
s"-
OWNps PERMIT NO.
A route 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 couple d. if you have any questions pertaining to this matter, or need additional explanation,
please � ct this office immediately. '
6,C>" Q
`}A> a r/` !P
a o�),ye 4e o'o e
X'-'j04j 14/� 'e4eelf /
�I C. as ,Ole fe f-6 p'f�c21
C4// /o4. swo-e4- JO V,-$ /.,l -4( v 6fi�.�
I'r., rw-WI- .co .0 r .a d cGt o,�� ,.4 a0lR
VQ!� 1);c(c L v Leo-, re-4rAc &4
Date % LL
P" t(1w
5flil�/�
sr� V
i- LZ Inspector G'��
J
T
Q
� I�2y�i2
Y45 -/ is q ret e-,2CGA41L
1 n151DG 9 2 -- 31LM
R ID NTIAL aZ-'37,33
042-03-0-029 OUTS► 92-3235BPEM
MARTINEZ, John & Linda
3036 Alamo Ave, Chico
detached rec room & office
/o - '?c 3
JOB FINALE
Signature
.r
J OK ♦3 ��►
9; O OK
'=, Ready Not Applicable
kNot RESIDENTIAL (Single
'
Date- UNDERFLOOR (Plans) OK except #'s Date
Zoning-Setbacks-Easentents-Flood-Slope
x Ftg., Main; Soils-Elec.Qr " Ftg. Depth ---
2_1�tg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
fi! Ftg., Porches & Decks; Soils-Steel-la/Ftg. Depth --
�5l Stemwalls, Main; Steel-Blockouts-Wrapped ----
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Soecial Anchors
7. Slab; Steel -Wrapped
8. Pi s -Fireplace Ftg.-Steel
D W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
0. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
W ter Pipe; Test -Anchor -Regulator -Service Test
1 1 ctric; Underground
1 ienums & Ducts: Clearance- Mate ria l-SUDDO rt -Ins.
t�ders-Sills-Anchor Bolts -Joists -Vents -Cripples
& Ventilation
16. Insulation
Date I - 0 Z Card B-1 Date Card B-1
Date % i Card B-1 C -_5.J Date Card B-1
Date PLU GING (Perm i OK except ft's
k ater Htr n Access -Combustion A' -
--------- —�-� --- ------------------------
t YWater Pipe; Test & Anchor -Nail Protection
-------------- -- ------ --=---------------
is- ---
Test -Fittings & Anchor -Nail Protection
--------- -- — -----------------
i
• hoover Pan: Test, First Floor -Tub Access
--- --------
— ----------------------------
20. Test Tub & Shower, Second Floor -Tub Access
--- -- ---------- ------------------
21. Gas Pipe; Size & Anchors
--------- ------------------------- —--- --------------------.
Date j rd B_1 �'��- —Date -- Card B-1
-- 7 - ---- Card
B-1-----------
Date j 4 93 Card B-1 Date Card B-1
Date rELECTRICAL (Permit) OK except k's
! ure &Transformer Clearance -Ins. Protection
----- --- -- -----------
EI c. Receptacles Spacing -Lights & Switches at Doors
---------------------------------- ----
---------�-- �- ----------
u"Size Boxes & No. of Conductors -Stapled
------------ -- --------------
5 omex Installed Close to Edge of Studs & C.J.
------------------------------------------------------------
-
Equip<r i made-up w/Meth. Fasiners-8
t-F�. ppliance Circuts in Kitchen & Conductor Size!GFI
- -- - ----------------------------------------------
28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or Al
----------------- ----------------------------------------------------------------
Q9-BSnge Circ. ! i ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes 0 No
------
---------------------------------------- --------------------------------
---3&-5Z771'ce-Riser Conductors & Ground -Main Disconnect
------------- -------------------------------------
'equip Clearances Panels-Motors-Mech. Equip.
---------------------------------------------------------------------------------
-22--Qothes Closet Light -Shower Light -Spa Light
-----------Smo- -ke- -
Detec-- tor - - - - - - -
MGif Q. ,��
--_----- ---- ----- ----- --------------Y_ -- ----------------- -- ---
6
;Date / 2 Card B-1 CSS - Date Card B-1
------ - ----------------
-- - -----------------------------------
Date I C Card B-1 S'12 Date Card B-1
'Date MECHANICAL (Permit) OK except ft's
34. C. Ducts Insulation & Support
3 ent Fan: Exhaust above insulation
-------- -----------------------
is.........
- ------------- --- --- - -- - - ---- ---
- - 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
-----------------------------------------------------------------------------
-------- --- ------------- -- --------------------Card-----------------
Date f/_O& Card --1 -- -- Date Card B_1
Date Card B-1 Date Card B-1
Ai Date FRAMING (Plans) OK except tt's
r, Sils. Proper Material &Anchors --------------------------------
- --- -
-----------------
Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
- ----------------------------
Bearing Walls over Girders & Floor Nailing
------------ raft Stop in Walls---oof�---------------------------------
------------------- - --------- -
-V�11Sto
urrCeili Stairs -Chases -Tub------ - --------------ers & Beam -Size & Bearing.
:A,
&- Duplex)
FRAMING (Continued)
!rs-Post Caps -Anchors -Connectors
Joist-Rftr. ties -Purl' -root Brac-Truss-Shth
Ties or X,157Alilue-Fireolace Throat cleararTce 3
45 -Antic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
049,-adrm Windows or Exiting Doors -Sill Hgt. & Dimensions
_kLI-Gacage-f4re-Protection Framing
-- __ operty Line Firewall & Openings
xt. Doors -One 3 -Check Garage -3rd Story, 2 Exits
-----W6elth-Headroom-Rise-Run- Land ing-Fire Protection
4 ' ywood on Roof Overhang -Attic Vents -Rafter Outriggers
�5b-3i�irfg�daifing Veneer
6. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. -,Glazing Area -Glass Protection -Skylights -Plastic
cqL ,5_�Shear Walls: ing-Bolts
G� nsulation-Walls-Ceilings
----------- - --
Irifiltration-Walls-Windows
Date i� _ �_Card B-1 �� f- Date Card B-1
Date Card B-1 SK Date Card B-1
Date FINAL ns) OK except N's
Ext. Steps -Door & Sidelight P�qxeL<ion-Landings
rurnace; a s- rance-Comb. Air -Connector -
In Garag , ve Floor -Ducts -Meth. Protection
"15T_"room Exiting
5.G F.I. & Bath Fixtures & Tub Access -Spa
' . Elec. Trim & Subpanel; Breaker Sizes & Labels
------
-----------
&?-Stat_ & Rails
Fireplace or Stove: Clearances -Hearth
�_ C'(ec Outlets at Wood Panel: Int. & Ext.
-- - ; 8. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
�7 1. Elec. Outlets & Receptacles at Kit. Counter
- -- --- r"TT. Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
--------------
Vents-Clearance-Comb. Air-Connector-P.R.V.
In'Garage: Above Floor -Meeh. Protection
----------------------------- ----- - --
CSrPftf Elec. & Mech. Equip. Listed for Location--------------
�-
-"'7'rTlec. Receptacles in Garage; (G.F.I.)-Romex Protection
- ----7i1action-Foam-Looked in Attic 0 Yes OVO
87 Guardails &Deck Construction -Post Caps
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
---------------------------------------
-49 -r -o owing instld.: Drive 0 Yes ❑ No; Walks 0 Yes 0 No:
PjAp4ers 0 Yes 0 No
_____ ___ --- -----
-- _
--- - - - Stucco wn-Finish --
^ Unit Disconnect Electrical, Plumbing
8 is Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
,deen;
ter lleDisconnect, Electrical, Plumbing
--
xts�E erior Elec. Trim; G.F.I. Receptacle -Underground
-
-------------- --------------------------
Receptacle -Underground
-----------
-
ion hroughout House -- -- -- --------
Gla rotec-- -
__ __ns Correctiofrom Previous Inspections
Gest -Meters Tagged; Gas -Electric _
- ---ahatr=t�-
Sewer Connected -C/O to Grade -HD Approval
----------------- orgy Compliance Certificate -Other Certificates _
Date �) -ard B-1 Date Card B-1
-- --1- ------------------------- --
Date 'Z Z� Card - --1 _ _ _ Date Card B-1
Cat Card Card B-1 Date Card B-1
Comments at Final
J=OK
O = Not OK "
Not Readyagle 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./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
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
FICATE
y�\1uTE OF T14%,
2 A
KtTcn
Z
CONFORMANCE
/HE UNDERSIGNED MANUFA C TURER HEREB Y CER TIFIES
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at our plant in Drain, OR which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
Martinez
JOB NAME:
JOB LOCATION: ZO0Aalamo Calico '
CUSTOMER'S ORDER NO.
DATE 9'Je"MFGR'S ORDER NO. 9410-D
SIGNATURE
COMPANY Duco-Lam
TITLE O�lal_i_ty Control ADDRESS POB 297, Drain, OR DATE 7/31/91
AI TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
said company is capable of complying with applicable manufacturing and testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA
AITC Certificate No. 711826 A
AMERICAN INSTITUTE OF -TIMBER CONSTRUCTION
I,IG_21
C9) 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
•: i
r
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
042-030-029
ZONING
BUILDING PERMI
OWNER
JOhn & Linda Martinez
TELEPHONE
342-4587
SQ. FT. OCC. BUILDING VALUATION
912 R 49 248.00
OWNER'S MAILING ADDRESS
638 C 8,294.00
3036 Alamo Ave., Chico 95926
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace i A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 59 042.00
LENDER'S MAILING ADDRESS -
Filing Fee $ 15,00
Permit Fee $413.00
ARCHITECT OR ENGINEER
Thomson & Hendricks Inc.
LICENSE NO.
342-5669
Plan Checking Fee $206.50
Ener Plan Checking Fee
Energy g $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
60 Declaration Dri Chico 95926
Penalty $
BUILDING ADDRESS
Permit tee $ 654.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 4 5.00 20.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00 7.00
Each qas water heater or vent 1 7-001 7.00
USE OF STRUCTURE private Det. Offic
Gas piping system 1 - 5 outlets 1 1 5.00 5.00
Building sewer IT15.00 15.00
SF ❑ Duplex Mobilehome❑ Other & Rec Room
Mobile Home S I G I W 615.00
SPECIFY
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Rec. Room/Bath & Office
Permit Fee $ 69.00 =
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 BUSIneSS
and Professions Code and my license Is In full force and effect.
License No. Classification
Main service 200ATO1000A) 37.50
NEW CONST. OR ADDNS. / DWELLING OCCUPACC. BLDGS. // A
1 M V 3.64 sq•tt• 31 .(t70
NEW CONSTR NON.RESID BRANCH CULTI-OUTLIRCET
ITS � 5.00
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
❑ 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)
Ex. QCCUp. OUTLETS FIXED APP(RESID )REA.1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. �Virin g 15.0015.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee $' 61.90
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT Filing Fee 15.00
❑ 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.
Heating 1 9.00 9.00
S lit
Cooling 2 Ton 1 9.00 9.00
171 I shall not employ any person in any manner so as to become subject
y�l 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.
Hood 6.50
Ventilation 1 1 4.50 1 4.50
permit Fee $ 37.50
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 a ree to save, indemnify and keep harmless the County of Butte against
all li lilies, judgm s, c ts, and expenses which may in any way accrue
ag in aid Co my c n uence o the granting of this permit.
Mobile Home Installation Fee S
Energy Inspection Fee $40.00
occ CONSTTYPE TOTAL FEE $ 862.9
HAI 1)FEES IMP FL 0 CD PARCEL D HD Iss
✓�
X Date "���' 92
This permit is hereby issued under the applicable provi-
Signature of Applicant - Owner❑ Contractor ❑ Agent
sions of the to Con Code and/or resolutions to do
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
work indi t ab r which fees have been paid.
71F OF PUBLIC WORKS
122779
Receipt No. S Q
�?`73. a �-
WHITE-O.P.W.. YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
By Datel4-2G�
PE EXPIRES Date I
# COUNTY OF BUTTE - D PARTMENT OF PUBL�It W0 2KS - BUILDING DIVISION
't AN
7 COUNTY CENTER DRIVE 2 OROVILLE, CALIFORNIA 95965 - TELEPHONE (916��
PERMIT APPLICATION, ATA SHEET
OWNER --I AJ 0 A rKA lk–. ) fi E ,?,—
Proposed Building Use_gff UV l Q Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
' DATE RECEIVED BY
N '
1. All items have been submitted . .................... :.....................
2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans.; ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation. .
7. Statement of Intent for Non -Heated and A/C Buildings . ................ .:0Al")
8. Engineered truss details and layout in duplicate (required prior to plan check).
Mobilehomufa eG's'i Xsjallation instructions, 2 sets. ".......... /
Fees of $ ... ,4–�`7. &,. ....................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. .........................
Flood elevation letter (100 year floo�).by California Engineer. . .
14. Sanitation and plot plan approvals / C Q Health Department . ............
15. City of Chico plumbing permit .....
. . .
Plot plan and business license approval from City of Biggs/Gridley. , ............
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). . .
20. Pre -inspection for to Building
Ins requ� )
required. . to Building lnspedor. (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......
rrded copy of Agricultural Acknowledgement Statement . ..................
r of signature authorization .........................................
of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance.
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements ................
31. Existing violations/expired permits . ........................ ............
32. Plan check list . ......................................................
33 S
34
Wheny ou issue t it c s oas follows: Mail t Tyner. Mail to contractor.
Telephoned hold for pickup at C / office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant : - Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent ` -Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: '
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date6t Tzie
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO'
Buildinq Department,_
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_ An Z036 �1z-43-z9
Owner Location 2�Go AP#
Plan Approved for: Sewaqe Disposal Water Supply
Fold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for Other /c�evi� eco f looms/ah �or1 c�-
n T
7
NOTE * * *
COUNTY OF BUTTE - D#-PARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER --�0
PROPOSED BUILDING USE
L nlz,) iN 47-1 E
f��D177�
P. NO.
DATE '/7
REC. n
School Distric Fees (� l/ S� �1)L3
(paid at District Office) q U
Sheriff Fees
(paid at Building Department)
Residential .... X =$
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt.
Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
Ir units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
,4a 4. Recreation District Fees
(paid at District Office) ........
-293. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT
DATE
i •.t;'wiwwes^ rr%ry:iv:`^}j, % �A� T"a.iYyi�"�ir; t •• �i� a;c�y/r °F... y y: t�•,+�r �:c az `F^ja� +� ... a ,.9tr'el� z"d,)h tl, r w+u+cr •fir: r•s•
BUTTE COAT'Y SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District Building Department No.
A.P. Number—Qo39 Jurisdiction . 1= City [XICounty
Property Owner
Property Location/AddressYY-err)--
Subdivison
Residential Development
No. of Living MHi
Units
Commercial/Industrial
New
uildi g D partment presenta be
Lot No.
Ex Sq. Footage q )�_
Addition (Group R)
0 Sq. Footage
Addition (Including Exterior
(Floor Plans reviewed by School District Personnel)
District Identification No. _ 9300
Roofed Areas)
A/z C?_'
Date
��
1
___School District certifies that � ,1Q _�u3.—
(Applicant)
(Strre`t Address) (Phone Number)
(City) (State) (Zip Code) a
has complied with the requirements of Resolution No. by payment of $ [�
representing _ 9l,:2— _ _ _ square feet.
School District Rep
Paid by Check Number Remarks:
Bank Number
Paid by Cash
Date
If, subsequent to the a 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 Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
,...-...
5Z * " G12-, 2- 6
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSES
a�
ZOCJU IG��
BUILDING PERMIT
OWNER ) /
L P °NEc
SQ. FT. OCC. BUILDING VALUJkTION
OW� R'S MAI G AD/
CON�AC O •S N ME
TELEPHONE
/i
Q(
CONTRACTOR'S MAILING AOORESS
Fireplace
CONSTRUCTION LENDER
NKNO
UWN
Total VeduatlOn $
Filing Fee $ 15.0
LENDER'S MAILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee p
Energy Plan Checking Fee 90 4 $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING OADE s 117L ^�� �v C�
r7
Permit tee S , $ .
PLUMBING PERMIT Filing Fee 15.00
Each Trap 41 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00 7.49 /]
Each qas water heater or vent 7.00 7.00
USE OF STRUCTURE /1 1VA—�
S uplex❑ Mobilehome❑ Other V Y- IEE W/ wrn
SPECIE
Gas piping system 1 - 5 outletsI LL 5.00 q 0
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
N4 AdditionF Remodel❑ Utilitie ❑ Installation❑ Other ❑
Describe work: L1 le Adm 7W 44/
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 2orATO1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.k 3.64sq.ft.
DR ACDNS. (ACC. BLDGS. 15 r
NEW CONSTR. TI.OUT LET
NO N.R ESID BRANCH CIRCU ITS I @ 5.00
PO ER APPARATUS N
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 20 764
FIXED
EX. OCCUp. OUTLETS PIRESID IRE k I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ ,
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood
%50
Ventilation
Permlt Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant - Owner
9 PP ❑ Contractor ❑ Agent ❑
An OSHA
ion of structurestover r3Qstoe esoinehegh; ions over S'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $ r
occ
CONST TYPE
TOTAL FEE $
HAz
I DFEES I
IMP
FLOOD DF
WVHJY I 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. Q
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, LDENROD-APPLICANT
• T
PiRMIT'NUMBER B 2351-72B'p'�E'm
14
P
J.
iii
E
PERMIT EXPIRES 5 ZX - 73
GMary V. Schaeffer
• OWNER
CONTk: owner
I LOCATION (A.P. 42-03-21,
n/s 'Alamo Ave: app. 400' so. of Bel L Rd., Chico
C - , , / - r c 2 - I
At
A(
DATE REMARKS OR/ CORRECTIONS
/Va To %4 7ed., 7�
-") e- - /- �a -I � C lze-
vve'k-
r &
Lt
lG • cj / `i�7 � L �/ G
0 V �
CA C'
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a
- Z - 7f
0 d::7
Lam/
n�r 0 viol -t,
e
COUNTY OF BUTTE
t ! Department of Public Works
BUILDING INSPECTION RECORD
1 f'
Zoning
Setback �U - 7i�� ` 7-Z
Forms
Foundation 1--
q- -23
Piers & Girders —
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping &Test 7
Found. Vents _
Framing 73 -,5-
"i'M.
Plmg. Topout �� —%
Rough Elec. 3--:27'-
Wtr. Htr.
-
Furnace
Kitchen Vent
Firewall
Garage Vents
�-
Sanitation & Water'
EL CTRIC
GAS
BUILDING
T K-aary 2-,-U-'-7
_ Temporar 2 ' 75
Cert. of Oceu 1
Final --/�
Final "'�
e�
Final �'-�"/
DATE REMARKS OR/ CORRECTIONS
/Va To %4 7ed., 7�
-") e- - /- �a -I � C lze-
vve'k-
r &
Lt
lG • cj / `i�7 � L �/ G
0 V �
CA C'
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a
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0 d::7
Lam/
n�r 0 viol -t,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone' 534-4541-
APPLICATION
34-4541APPLICATION AND PERMIT
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Fireplace
Contractor /
Total Valuation
Mailing Address '—
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee
$
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
t
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
2
A. P. No. a — L) J pZ
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W. C. v
R/W
Encroachment
Lawn sprinkler system 2.00
W ADDITION ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 00
-�42-Main
service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water 1.00
Oven, Cook -top r space ease 1.00 00
Light fixtures
eps. itches &fix outlets
CONTRACTORS LICENSE LAW
am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
fHood(ExA:an
F.A. Furn. Motor 1.00I
p.cooer,gar.disp.orD.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. LJo �� Z % Classification U
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ,
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�I'fiave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
tate Fee for Str ng Motion $0.07/$1000 Evaluation
nstrumentation Program
$
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte tQ, enter upon the
above-mentioned property for inspectio uoses.
X Date
Signature of Permi ee or Agent
Receipt No. -3 6 _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolptions to do work indicated
above for which fees have d.
D E R UBLIC WORKS
By Date T —,S — 7 3
hermit Expires Date ��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOS %
7 County Center Drive — Oroville, California 95965 02 -/
Telephone:' 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 7 Date 17
Sign 01
re of Permitee or Age
Receipt No. 2 % C) _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date?— IoP- % Z
Building Permit Expires •Date f'Ir'7
BUILDING
Owner
SQ.FT. OCC. BUILDING VALUATION
Y-7 V G
Mai I i ng Address /f ,. A
�+
Fireplace 0 0 . a_z>
Contractor
Total Valuation t OCA
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
$
t, 0-0
$ PZ) E�
Building Address �1/ 4.o
/
PLUMBING
No. @
FEE
PERMIT FILING FEE J$2.00 �, Os Z>
�' S o +
Each Trap 1.50 S-0
C
Repair drainage or vent piping
1.50
Water piping1.50. l . v
Each gas water heater or vent 1.50
A. P. No. Z—�� —
Zoning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Fire Zone
Fire Dept.
n b%
Planning
Building sewer 5.00
Plans
Fees W. El R/W
I Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
$
$ 17,
ELECTRICAL
No. @
FEE
PERMIT FILING FEE $3.00 w-io
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (m a than 12)
USE OF STRUCTURE Single Family Q uplex ❑ Others ❑
Range, dryer or water eater 1.00•
Oven, Cook -top or space heater
1.00
Light fixtures
RLOcIFps.,swildres & fix tlets /019,19
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hod, Ex. Fan or F. A. Furn. Motor
1.00
cp
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No. @
FEE
PERMIT FILING FEE $3.00 3�
Heating
Cooling EugID
Ventilation
Permit Fee $ ,aro
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
In9lrumentoti qtr s om1On $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
$/�2. 9
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 7 Date 17
Sign 01
re of Permitee or Age
Receipt No. 2 % C) _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date?— IoP- % Z
Building Permit Expires •Date f'Ir'7
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: '534-4541
APPLICATION AND PERMIT
•vY.vv..�.•v•�r...a •��� v 11Ly vi UUu rU orllol UljUll UIC
above -men ' ned property for ins tion purposes.
X /-71
Date
gnoture of Permitee or Ag
,Rdbeipt No. /(_) / ��
White-D.P.W. — Yellow -Assessor — Pi
nspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for wh' fees habo paid.
OF PUBLIC WORKS
,,,� �
BY Date 5�
permit expires Dafe _ ��
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
iVG
Telephone No.
Fireplace
Contractor41 Z4G
Total Valuation
Mailing Address
Permit Fee
Checking Fee &/or Penalty
TeleVp NoPlan
Telep No.
Permit Fee
$
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent e3 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 ;.5 outjets
1.50
Each additional outlet 30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
NEW ADD❑ UTILITIES OTHER
ELECTRICAL
No.
@
F E^ON
PERMIT FILING FEE $3.00
_
AvIain service incl. 1 meter
34
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 21)Bbalio
Receps., switches & fix outlets 20 25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Profess' ns Code under the name
style of:CZ4//J A
�v / �Y�
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
` 3
License No. Classification--
lassific io❑
Misc. wiring
ElI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
at -have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL
No.
@
FEE
PERMIT FILING FEE % $3.00
eating UO r 1-7
_ Lt
Cooling
Ventilation
Hood 2.00
Permit Fee $
E=01
TOTAL PERMIT FEE
$ DL
•vY.vv..�.•v•�r...a •��� v 11Ly vi UUu rU orllol UljUll UIC
above -men ' ned property for ins tion purposes.
X /-71
Date
gnoture of Permitee or Ag
,Rdbeipt No. /(_) / ��
White-D.P.W. — Yellow -Assessor — Pi
nspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for wh' fees habo paid.
OF PUBLIC WORKS
,,,� �
BY Date 5�
permit expires Dafe _ ��
r
' 9
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION -ANNPERMIT
PERMIT N
A
ASSESSOR PARCEL NUMBER
042-030-029
ZONING
SR 1'
BUILDING PERMIT
OWNER
JOHN & LINDA MARTINEZ
TELEPHONE
342-4587
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3036 ALAMO-AVE CHICO 95926
CONTRACTOR'S'NAME
UNKNOWN
TELEPHONE
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
3036 ALAMOS AVE CHICO 95926
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFP Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities (j] Installation[] Other ❑
Describe work: SERVICE, TTPCRADF _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR OR LESS
18.50 18.50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professions Code and my license IS In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
DWELLING OCCUP.&\
NEW CONST.( ACC. BLDGS. //
OR ADDNS.
3.6Q sq.ft.
NEW CONSTR ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APPLNS.
Ex. OCCUp. OUTLETS (RESID )REA.1
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00-
Misc. Wiring
g
'15.00 15.00
Permit Fee
$ 48,.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also ag ee to save, indemnify and keep harmless the County of Butte against
all Iia hies, judgments, c ts, and expenses which may in any way accrue
ag n aid Cou ty 'n n ence o the granting of�this permitt..
X Date �2
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 48.50
rlAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
IS E
This permit is hereby issued under the
sions of the Butte County ode and/or
Work indica ab or hich fees
IR F PUBLIC
By •-�
PERMIT EXPIRES Date U-'
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 122779 48.50
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
A
COUNTY OF EUTTE �,PARTMENTN®F DELI WOFy� � BUILDING DIVISION.
7 COUNTY CENTER DRIVE`11", OROVILLE,;CALIFORNIA;95985 "TELEPHONE (918) 538.7541
PERMIT APPLICATION I'DATA SHEET
OWNER - %ORW "PA I V r -l- EZ7 �- A. P_,No K) 4 2 630 - 412'7
Proposed Building Use L�L�I Building Inspector DateYOZI(al 70 -
At timef mit 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 . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. ........... :............
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . .............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. ..•........... .
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. ... ... .
20.
Pre -Inspection for to Bussing ins reques�-
required. ..,o Building Inspector
(Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner ) ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . .........................:............. .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ........................................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31.
Existing violations/expired permits.
/'
LSSy I/ /7D./v .......................... .
33.
34.
When you issue thevermit,�process as follows: Mail to Q ner. Mail to contractor.
f /" Telephone 5 `C I and hold for at G �! � office. Deliver inspector.
pickup
_F7
with
Other
SS(Jit-, !.v V_
Parcel Creation
Acreage
Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date
By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Count r by
Date
Contractor, designer, owner, was advised of above required data by _phone _mail ou er by
_
_Date
Plans checked by Date Plans approved by
Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916'538-7541
APPLICATION AWPERMIT
PERMIT NO.
ASSESSO13 PA CEL NUMBER ^
(//J Z 3 0 `)
ZONIN
BUILDING PERMIT
OWN ,0 �^ ^_ ./ �
/
v �f^
,L, H E
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILI L A D E S
CONTR CT R'S N E
TELEPHONE
CONTR CTOR'S'MA. LING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $ 15,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING A�D�F+)E56�/ /_ C-0Permit
tee
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
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home ISI GJWJ @ 15.00
TYPE OF WORK
New F-1 Addition ❑ Remo el❑ Utilitie Instal lation❑�_Dther❑
Describe work: U
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
Main service 200A TO IOOOAI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUR.&) 3.64sq.ft.
OR ADDNS. ACC. BLDGS. /
NEW CONSTR UL I -OUTLET 5.00
NON-RE51D BRANCH CIRC ITS @
POWER APPARATUS &)
{SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 203761,
IiAL 4S4
FIXED
Ex. Occup. OU LETS PI RESIO )KEA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. IYirin g '15.00 j9 0
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said 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 3 stories in height.
Mobile Home Installation Fee S
i
Energy Inspection Fee $
'::-;'
OCC
CONST TYPE
TOTAL FEE S
HAz
I DFEES
IMP
I FLOOD
I CDF
I PARCEL
Po
I HD
I ISSUE
This permit is hereby issued under the applicable pro vii -
sions of the Butte County Code and/or resolutions to do j
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By DatePERMIT EXPIRES Date
Receipt No. /
a rl
WHITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
.. .w . �. vC r `.t. ,.�,Y r= 1L• �. _ �. �, .� r�. ir:. •�C� w�,� r*. -fi,. y e >, .. "'
��'�• � - tt //(/�—rj.�\,+o`.'�j'A'I i d � t1'tl, ` , �,M j k . t
>,•042-03-0-029 92-3233E
MARTINEZ, John & Linda
3036 Alamo Ave, Chico
elec sery/sf
73.a6_,
i
f '
r
1
:-;t�"^� � � �'^siy,�:.tit.-.� , ., .•'�',A�" : -�•,,� ; l �,�s. inn-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �+ �
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042--03p--ON
ZONING
SR 1
BUILDING PERMIT
OWNERTELEPHONE
JOIN & NDA : MARTINEZ
342-4587
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3036 ALAM7-AVB CHICO 95926
CON�TTRAA�CTCORRT'SPNAME
UNKN�OWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee$
Penalty $
BUILDING ADDRESS
3036 ALAMO AVE CHIQO 95926
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.R] Duplex Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑
Describe work: SERVICE UNRADE
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 200ATO1000A) 37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUPM 3.
ACC. OR ACDNS. ACC. BLDGS. I/
NEW CONSTR.ULTI.OUT LET
NON-RESID BRANCH CIRCUITS @ 5•00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
@ 761
Ex. Occup(OUTLETS OR FIXTURES
120
FIXED APPLNS.
Ex. Occup. OUTLETS (RESID )REAJ ! 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Iyirin g 15.00 •
Permit Fee $ 48.50
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
LIAJto 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
Coolin g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, cq$ts, and expenses which may In any way accrue
againti/s/aid Cou.ty,iin�con .jquence of, the granting of this permit.
tAJ Date /,Ze . �
Si nature of Applicant —r Owner
Signature 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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 48.50I
HAZ
1 DFEES I
IMP J
FLOOD
I CDF
PARCEL
I PD
I HD
IS E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indica ;'ab4em6�hich fees have been paid.
f �'' �+
IRE'T6FAF PUBLIC WORKS
E w"' Date /G 'u
PER MIT EXPIRES Date /G— .Z G
-
2277948.50BY
Receipt No.
WHITE-D.P.W., YELLOW-ASSESiSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I