HomeMy WebLinkAbout042-110-029FAILURE TO FINAL SINGLE FAMILY-42-11-29
1/12/93 , D NIEL.HEAL
12206 Meridian Rd,� Chic
Permit#1821-86B, P, E,M(ne sing�+e roily)
42-1 -29
Permit#219-89B,P(to comp e e- SF)
d� 042-11=0-029
HEAL, Daniel 4, -3360 B
12206 Meridia ' oad , ' Chicon
(To-comple 219-89)SF
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COUNTY OF BUTTE
41 BUILDING DIVISION <_
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307 F
CORRECTION NOTICE
OWNER _ PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
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Date 2 -z2 -q 3 Inspector
REV 10192
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
F 7 County Center Drive, Oroville — Phone: 538-7541 j
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
6 -
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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Date :::fz Inspector
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+ COUNTY OF BUTTE f
DEPARTMENT OF PUBLIC WORKS }
Memorial Way, Chico — Phone: 891-2751
,✓' 7 County Center Drive, Oroville — Phone: 538-7541
. f 747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
7 - 9
PERMI
NO. -
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately. #
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Inspector N 55 e I Date 9 —
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS . . '
196 Memorial Way, Chico — Phone: 891-2751
" 7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
H,ea.-k- /�a1 - sal
OWNER PERMIT NO. ?
A routine inspection indicates that the following violations of County Ordinance
exist alt, the above address and should be corrected. Please notify this office
when corrrcti� on of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
'. 196 Memorial Way, Chico = Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541 v'f Qe) S
`tom 747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
;`
/'7' C�Q
JNER PERMIT NO.
t
A routine inspection indicates that the following violations of County Ordinance J
exist at the abjov�e address and should be corrected. Please notify this office
when correction work is completed. If you have any question pertaining to this
matter, or need ditional xplanation, please contact this office immediately. i
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Inspector 'I�'A65 e k fJr Date a5 /
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
h 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
A routine
exist at -t
when corn
matter, or
-?4
iMIT NO.
pection indicates that the following violations of County Ordinance
above address and should be corrected. Please notify this office
on of work is completed. If you have any question pertaining to this
ed additional explanation, please contact this office immediately.
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LWA
Inspector ���:�� Date o
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector_ Date_
w �
• M+ l
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway
and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
6
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector_ Date_
COUNTY OF BUTTE
.DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
r, or need additional explanation, please contact this office immediately.
Inspector_ Date_ _ __
COUNTY OF BUTTE
-DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
Inspector
Date
COUNTY OF BUTTE
.DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,'or need additional explanation, please contact this office immediately.
mspecior Date
COUNTY OF BUTTE
.DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
-21 E �
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
PAM
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
r need additional explanation, pi as contact this office immediately.
Inspector Date
COUNTY OF BUTTE i a
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
- •-- /6k
0-1 h r f a -rc,
1 Inspector
Date
COUNTY OF BUTTE i
' DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector____ Date_
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector_.__ Date
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
• Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector__ Date
r COUNTY OF BUTTE
• DEPARTMENT OF PUBLIC WORKS
3 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
n
'a
Inspector_.___ Date
N
RONALD D. McELROY
- Deputy Director
Daniel Heal RE: Building Permit No. 219-89
12206 Meridian Rd. Expiration Date: 1-25-90
Chico, CA 95926 (A.P. No. 42-11-29 )
Dear Mr. Heal:
With reference to the above subject, our records indicate that your Building Permit
expires on the above date. Building permits are valid for one year and should
construction be started but not complete.d,:by the expiration date of. the permit,
the permit shall be renewed for i/2 the original Building Permit fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should .you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
matter, please contact -the Chico office.
For your convenience we are enclosing a renewal application form and an owner -builder
form to be completed and' signed by you where indicated and returned to this office
together with the fee shown. Please return all copies of the application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Work
J.F. Glander
Chief Building Inspector
JFG:ahb
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Chico
Chico - 196 Memorial..Way/891-275 1 Paradise - 747 Elliott Road/872-6307
ffutte, County
4��
LAND
r
OF NATURAL WEALTH AND BEAUTY
' s
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
RONALD D. McELROY
- Deputy Director
Daniel Heal RE: Building Permit No. 219-89
12206 Meridian Rd. Expiration Date: 1-25-90
Chico, CA 95926 (A.P. No. 42-11-29 )
Dear Mr. Heal:
With reference to the above subject, our records indicate that your Building Permit
expires on the above date. Building permits are valid for one year and should
construction be started but not complete.d,:by the expiration date of. the permit,
the permit shall be renewed for i/2 the original Building Permit fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should .you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
matter, please contact -the Chico office.
For your convenience we are enclosing a renewal application form and an owner -builder
form to be completed and' signed by you where indicated and returned to this office
together with the fee shown. Please return all copies of the application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Work
J.F. Glander
Chief Building Inspector
JFG:ahb
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Chico
Chico - 196 Memorial..Way/891-275 1 Paradise - 747 Elliott Road/872-6307
/r
' DANIEL HEAL
12206 MERIDIAN RD
CHICO CA 95926
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
;il-.i
CHICO OFFICE.- 1469 HUMBOLDT RD, CHICO 95928
TELEPHONE: 891-2751
RE: Building Permit # 93-3360& PREVIOUS
Expiration Date: 10-12-94 PERMITS
A. P. # 042-110-029
DEAR MR HEAL:
_ With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[ ] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee) . The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copes of the application form.
9gXJKNo x!nspect ons—have been made on permit work.. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After.expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the CHICO office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michlael C.1 Vieira, C.B.O.
MCV:ahb Manager,, Building Inspection
',Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
11; -
tt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT .
PERMIT NO.
ASSESSOR PARCEL NUMBER
.r , ! _- 1 _,
ZONING
BUILDING PERMIT
OWNER
TELEPHONE .
SO. FT. OCC. BUILDING VALUATION
•'r
-'tom•-�
OWNER'S -MAILING ADDRESS
11 4 tom! P,
i
C -i _
CONTRACTOR'S NAME
TELEPHONE
H J
_
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
ll �
UNKNOWN
luation $
Total Valuation
'
/ K•5i .;rL,l� . . s
Filing Fee
,� 10.00.
LENDER'S MAILING ADDRESS
Permit Fee
$ (0, A a , ,
ARCHITECT OR ENGINEER
_• n
LICENSE NO.
Plan Checking Fee
$f
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
') 2.00 r.
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 0 Duplex❑ Mobilehome❑ Other y
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
_`5.00
Mobile Home S I G I W
./ 0.00ea --
TYPE OF WORK
New Q Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: r>f-
Permit Fee
$
Contractor
r
ELECTRICAL PERMIT
Filing Fee 10.00
Main service io000 AMP ORSLESS
� 10,00 „
Main service EA..,DOP'L too AMP
2.50
CONTRACTORS LICENSE LAW,
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST." DWELLING OCCUP.N
OR ADDNS. '( ACC:'BLDGS. , h2sgft „
NEW CONSTR. ULT' -OUTLET
NON.RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ep(OUTLETs OR FIXTURES .20050t
O
Ex. ccu AL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00 ,
Mobile Home Facilities 15.00
Misc. Iyirin g 15.00
Permit Fee $'" 1< j`, r_
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
Jo the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
..
MECHANICAL PERMIT
Filing Fee 10.00
Heating ,
Cooling t1 7 S-1
Hood
3.00 , ..
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above ipformation
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,,Oand expenses wh th may in any way accrue
against said County in cons�yt3:quence of the granting of this permit. rr
X4.tip`--'� --- /�
Date
Signature -66 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 blit 'Mstallati'on Fee $
Energy Inspeption Fee is
TOTAL P,ER4, FEE ,f $
oc CU P.
CON ST.TYPE_
(/
FLOOD
PARCEL
L/
PD,
ND
ISSUE
This permit is hereby issued under
sions of the Butte.County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No °
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
• J , �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS'r,. PERMIT NO.
t 7Cotnty Center Drive - Oroville, California 95965 - Telephone: 916/538=7541 % C
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
1P CYBUILDING
4
ZONING
PERMIT
OWNER
TELE -HONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 'i ,
I i.-1 0 & 01 e r- �/ s to .v /20� � �7 % c d ` SICK 6,
n 0
CONTRACTOR'S NAME
TELEPHONE
o 0 f/
`
CONTRACTOR'S MAILING -ADDRESS
Fireplace l
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
V
,y 6"Lo
LENDER'S MAILING ADDRESS
Filing Fee Ca 1) %
$ 10.00
Permit Fee 36
$ a
ARCHITECT OR ENGINEER -
_ rO�AAi ,1d--,-�, Al
LICENSE No.
Plan. Checking Fee I
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS --�
/-J- lit fir./ , c ,1.
Penalty
$
BUILDING ADDRESS
r
Permit fee
$ p .T�
PLUMBING PERMIT
Filing Fee 10.00
f A .
l9Ao� "� ���r� �� •a'J E"
Each Trap
2.00
.4o4ro.X 0001 { Cf Al eIJAI4'J,I
Solar or heat pump water heater
20.00 PDt 7-0
LOT NO. (
AUBDI VISION NAME
PeRCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE , r
=<M .
SF Duplex❑ Mobilehome❑ Other.-
SPECI FV '-• •.
Gas piping system 1 - 5 outlets
5.00
x;Buildin sewer
5.00
Mobile`Home S G W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ -,Other 2-",
Describe work: t,,D44 Jr,
_I
Permit Fee
$ a
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW °"
r
I declare/under penalty of perjury (check one): I
�
LYJ ( am licensed under provisions of Chapt. 9, Div. 3 of the4BUslnes$
and Professions Code and my license is in full force laid: effect.
`� �•
License No. Classification
❑ as the owner, or my employees with wages as their solecompen-
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.6{
OR ADDNS. ( ACC. BLDGS. 21/2 dsq ft
NEW CONSTR.U TI.OUTLET
NON.RESID .BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. I
OCcU
OUTLETS Ex. OUTLETS OR FIXTURES
Occup(eA 3
030
FIXED P
Ex. Occup. OUTLETS (RESID. IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $ y
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑e permit is for $100.00 (valuation) or less.
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
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California. I
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above in0dirmation
is correct. I agree to comply to all County Ordinances and State Lawi relating
to building construction, and hereby authorize representatives of the County ofButte
1 alsoto enteragrree0to savie,h indemnify and keep hapless ssothe Countynof Butte against
all liabili ies, judgments, costs, an• expe ses wtti• h may in any way ac ue
against id Counfy in conseque ce th §ranti g , f this perr�it� '
/
%� `` a v Date —
Signaturebf-A plicant - Owner Contractor ❑ Agent Cy
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEEUP-1 �No
occ
CONST.TYPEJ
L
FLOOD
PARCEL
P�
650
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abovefor which
DIRE(T' R OF PUBLIC
__`V�'—`L 4�1 1414Tnate
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
I ���✓
14'4
v
Receipt No. _� A :)• 0 qBy—
WHITE-D.P.W.• YELLOW-AS61690R, PINK -INSPECTOR. GOLDENROD -APPLICANT I '
T � .....w.l+�... .. _ �, , � �,. _ .... -`.,-- ,�•..-r��q'LT�.e-...: ., k=.� A�..x�.nytR� q*r�,1yev7y ter-- T,., ,....#,,,,,,,�
COUNTY CF BUTTE. - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
APPLICATION AND PERMIT
q 3 - 33(ao
ASSESSOR PARCEL NUMBER 042-110--029 ..
ZONING
BUILDINGBUILDING PERMIT
OWNER _ Daniel Real
`.
TELEPHONE :
345-2142
SO, FT. 5� OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
`- 12206 Meridaa Rd., Chico 95926 '
j�jj�� (y� /�
Est ♦ 500.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 540.00
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS _
Penalty $
BUILDING ADDRESS
PERMIT FEE $ 3544
12206 Meridian Rd Chico
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF 9, Duple x ❑ Mobilehorrie El Other "�t
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
Remodel Utilities O Instal t n ❑ Other m.
New ❑ Addition El Remodel
Permit to Complexe , 219-89
Describe Work: i
FEE $ ,
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
y
Main Service ( 800V OR LESS ) 23.00
200A OR LESS
1
Main Service ( 200ATO1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO,
OR ADONS. ( . ACC. BLDS. ) 3.50 FT,
'
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00
Ex. Occup.FIXED APPWS. 0E
(OUTLETS IRESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): I
Cilfhis permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comp y o all Butte County Ordinances and California State Laws relating to
building const uctiy, and hereby authorize representatives of the County of Butte to
enter upon he above mentioned property for inspection purposes.
1' t
I also agr a to save, indemnify and keep harmle)Ss the C9unty of Butte against all
liabilities �udgmentsi costs, and exp e ses hic �r� ay in (T way accrue against said
County n onseque ce of the gyanf tF s erFnit.
Sidn ur of App' ant - wner COntiaC or ❑ Agent
X ' % e /and
An OSHA permit is required for excavations over 5"0" deepemolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00'
HAZ•
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ey Date /(��•�
(//` L`
��
PERMITEXPIRESON . /Z/( 7
/Date/
Receipt No. 153135
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD* APPLICANT
eL-
r
/`7,
h � M r _ -.."1'i w .+ :-.r .. y { ...�����^.-.i ri^^v • . '•..�.7 • - . e.j.� <il� . r �. - �.-. ,..... r ._. ._.. .w.
�• ,� � r� _ yy
f .f .
042-11-0-029. 93-3360 B
HEAL, Daniel
12206 Meridian Road, Chico
(To complete 219-89)SF
C
W
N .P
TWI
PE
---
OWNER DANIEL HEAL
CONTR. owner.
ASSESSOR PARCEL
42-11-29
LOCATION- 12206 Meridian Rd; Chico
M
,,, %2 -2 6 -9/
Temp. Power Pole
Galled PG&E
Irya�-m�
A
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E f
iy r
4J013 FINAL
ED (Date)
� fo
'r aV�
Signature __
t•
J ,= 0041
.O ,=.Not OK
1'= .N^'Applicabje
} = Noi Ready
o _
RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR Plans OK except #'s
Date FRAMING Continued
_ 1. Zl r, g requirements- etbacks asements
4t.,,,operty Line Firewall & Openings r
2 ' to., Main: Soils -Steel -EI - / /" Fig. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
- _
Garage; Soils -Steel- /" Fig. Depth
50. Stairs; Width-Headroom-Rise-Run_Landing-Fire Protection
- d_ F,b.; Porches & ' Soils -Steel- / /" Ft Depth
_-
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Slemwalls, Ma' lockouts -Wrapped -S
-
V 52. Sjikhg-Nailing-Veneer
ails, Gar ; Steel-Blockouts-Wrapped-S
i('75a.-Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
rs-
_
54. Glazing Area -Glass Protection -Skylights -Plastic
: Fall -Fittings -Test -2 way C/O -Sewer Test
W% --She Walls; Nailing—Bolts
9. Gas Pipe; Size -Anchors
Planters []Yes ❑No
10. ater Pipe: Test -Anchors -Regulator -Service Test
--
�(electric; Underground
r►lI
Brown -Finish
7148,
c�i-� PI - & Du aran -Material-Support-Ins.
����
. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- -
tr it - -Joists-Vents-Cripples
Card -BI Date' Card -BI Date
_
Card -BI, r Datel,c ly �( Card -BI Date zO/
Card -BI r Date 1 7 Card -BI Date
Card -BI Date Card -BI Date
Date FINAL (Plans) OK except q's
Card -BI l Date ���i Card -BI Date
Date P MBING (Permit) OK except q's
ext. Steps -Door & Sidelight Protection -Landings
i jt moke.Deteclor
Water Ht.: Vent -Access -Combustion Air
W er Pipe: Test & Anchors -Nail Protection
"'J4& Anchors -Nail Protection
rShwer Pan: Test, First Floor -T s
t Tub_& Shower, 2nd F r Tub Acces
. furnace; Vents -Clearance-llComb. Air-Connector-
ir-Connector-
-'In Garage; Above Floor-O2s-Meth. Protection
Bedroom Exiting
6 G.F.I. &Bath Fixtures &Tub ccess
6 . Elec. Trim & Subpanel; Breake izes-Labeis
21JI C -i— RA=MN, \ '
Card -BI }w Date Card -BI Date
o t:. —
Card -BI (fj ate �a tCa'd-BI Date
Fireplace r Stove lear��
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt..& Appliance; Grnd.-Air Ga -Ct
Elec. Outlets & Receptacles at Kit. C unt
6a' Garage Fire Door; Swing -Landing -Closer
ing Clearai
Date LE RICAL Permit OK exce t p's
88-K.C. Duct to Garage -Damper
Fixture &Transformer Clearance -Ins. Protection
K. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
let. Receptacles Spacing -Lights Switches at Doors
In Garage; Above Floor -Meth. Protection
_&
S' Boxes & No. of Conductors -Stapled
74T. Plb., Elec. & Mech. Equip. Listed for Location
q`p'
x Installed Close to Ed a of to
7 Alec. Receptacles in Garagc;,.(G.F.I.)-Romex Protec.
E Ground made up w e- - Water
7 Insulation-Foam-Lgsked>in Attic F] Yes
ppliance Circuits in Kitchen en &Conductor Size
7 Guard Rails & Deck Construction -Post Caps
S ed Wire Size ga. C
/ / u or AI-A.C. Wire Size / / ga. Cu or AI
741.' Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked Floor ❑
_
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
under Yes
7 Following instld.: Drive ❑ Yes E] No: Walks ❑ Yes El No;
Insulated Neutral Yes __ No _ - __ -
Planters []Yes ❑No
-@8 ervice-Riser Conductors & Ground Disconnect_
-Stucco;
-Main_
- -
t� Clearances: Panels -Motors -M Equip.
Brown -Finish
7148,
3 .. Clothes Closet Light -Shower
. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- -
-Light - _ -
7 -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- - - ---- -----
ater Well; Disconnect, Electrical, Plumbing
Cara B -I Date / C Card -Bi Date _ - --
- --•.-- _
,Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
Gard B -I ` Date Card Date
-
�.
Glass Protection
67,C
Corrections from Previous Inspections
Dale EC NICAL (Peirrit) OK except #'s
as -est-Meters Tagged; Gas -Electric
A . Ducts. Insulation & Support _ - ---
_
Water & Sewer Connected -C/O to Grade -HD Approval
3 Vent Fan: Exhaust above Insulation- _ -
,4e.' Energy Compliance Certificate -Other Certificates
Condensate Drain & Overflow; Size Grade
_&
47. _
Furnace -Vent: Access -Comb. Air -Return Air outlet
35. Attic Access & Platform if Furnace in Attic
- --
%
Card -BI ( Date,! Card -BI -- Date
l�
Card -BI Date Card -BI Date
-
Card
r _
-BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -Bl f --a Datez 1?_�i 3 Card -BI Date '
Date FRAMING(Plans) OK except p's
Com tents at Final J
Sills; Proper Material & Anchors
IIs: Studs -Nailing, Spacing & Bracing -Plates -Sound
3 Baring Walls over Girders & Floor Nailing
-
Dr It Stop in Walls (rat proof)
4 Fire Stops: Furred Ceilings -St irs-Chases-Tub
Header & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
y -
4a /Ging. Joist-Rflr. Ties-Purlin-.Roof Brac. Trus Shthng.-Rfng.
44e F eplace Ties or Type A Flue -Fireplace Throat--
Atlic Access:
- —"-
Size & R x Pr Draft Stop -Ins. Baffles
�, o6drm. Windows or Exiling Doors -Sill Hgi. & Dimensions -
J Garage Fire Protection Framing
- -- --"
�'^ (NOTE' An entry must be made? -each time you visit job site)
J OK
0 = Not OK-
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails' '
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rig. -Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Cormected-C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B-1
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
U
i.
1 41
VIOLATION CHECK LIST
A. P. # Address ��2�10 /, /ems c��C.r�. - An
Owner '
Owner's Address
Owner's Phone No. - Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No. _
Specific Plot Plan
with C/V Noted _yes
no Penalties
Required
lst.' Notice Sent
2nd.
Notice Sent
ate'
Date
and/or Determination
G,Comments
Disposition For Citation Citation
(Date) (Date)
/ -
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date
.
-
\{
/' n
VIOLATION CHECK LIST
A. P. # A dress
Owner'
Owner's.Address
Owner's Phone. No.. - ..Supervisoral District
. -Tenant:`s Name . Phone No.:: ,
Ty. pe. of: Violation in. Detail, with Code: Section.. Priority . No.
„%.
[y[,,4't
`,�,yi`r -3'a,c s •t`�a n27,
�,yh, 4,liv.4 `{ 4?2f.JY L..•�, .9 i 4. +4: a '' i 9 .' vt 1�
�
Specific Plot Plan with C/V Noted wes., no Penalties'Required':' -;
j 1st Notice- Sent -_%� 2nd. N } I z �~
once `Sent
R ate x= Date
.: Comments and/or ADetermination
r.
r; it �,'.OKI;
sit
j - G..
Disposition For -Citation Citation `
Date) (Date).
Department'Recommendation:.to;Court
Court-. Action
Notice- of Violation -Recorded.
(Date)
Daniel C. & Christine II. ?Teal
12206 '•ieridian Road
Chico, CA 95926
RE: Building Code Violation
12206 Ieridian Road, Chico
Dear Mr. and _yrs., heal:
Febr!iary 24, 1993
A. P. -',042-11-0-029
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated January 13, 1993 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the followin, violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for single
family residence. in violationof the 1982 Uniform Building Code as
adopted by Section 25-1 of the Butte County Code as follows:
(a) Section 301(a) Permits Required.
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Pequired before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections rust be completed and
approved by this office within the permit specified time.
This is your final warning. :Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten (10) clays from the date of this letter, enforcement shall be pursued
throu,-Yh the issuance of a citation (ordering you to appear in court) for
said violation s) and for failing to comply with thi.3 warning letter.
Upon conviction of said violation(s) or of fai.lin^ to comply with this
lett:ar, the court shall impose penalties (fines) and a 'lotice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. TI:e
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact David
Purvis or Bill Barron in this office at the address or telephone number
listed above.
JFG
cc: ':qui Lir:' 1»scect0r...' ('hico
Sincerely,
David Purvis, .
Supervisor, Building -Inspection
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMI NO.
ASSESS0 PARCEL NUMBER
- i _
ZONING
4-10
BUILDING PERMIT
OWNER
a..v ; ,e ea
TELIEPHONE '
3Y5 - air z
SQ. FT. OCC.
BUILDING VALUATION
ol
00.0 t.
OWNER'S MAILING ADDRESS
IX -1-0 b ico
7 oa
IS ,
CONTRACTOR'S NAME
Z
TELEPHONE
640
/O Cviiawe
CONTRACTOR'S MAILING ADDRESS
Fireplace A
2 p
CONSTRUCTION LENDER
UNKNOWN
Total Vaivation
$ T dti
Filing Fee 1007 $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee 3;� g $ ,2a 137
ARC3T CT OR E GINE R
'eS
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT•OR ENGINEER'S MAILING ADDRESS
/'d-5 &J -- Cv ,e- 0
Penalty $
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT Filing Fee 10.00
/oZo���p S EI-% d1AAJ %�
Each Trap 2.00
4ro x DOD! Al I/,,Ved
Solar or heat pump water heater 20.00 4Do er'
LOT NO.
UBDI VISION NAME
P RCEL MAP
Water piping 5.00
Each qas water heater or vent 5,00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G WF 0 0- ea.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installaltion❑ Other
Describe work: iYl �t�-r eD M� /elf o .✓
Permit Fee $ Z) t O -p
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service SOOV OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2,50
CONTRACTORS LICENSE LAW -
I declar under penalty of perjury (check one):
L� I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code anmy license is in full force and effect.
License No. 373 !!2/4 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.y ,
OR ACDNS. ACG. BLDGS. 20sgft
NEW CONSTR.MULTI. OUTLET
NON.RESID BRANCH CIRC I 5 2.50 ea
/POWER APPARATUS S
(SINGLE OUTLET CIR.
200SOt
Ex. Occup(OUTLETS OR FIXTURES BALO 30
FIXED P
Ex. QccUp. OUTLETS (RESID IREA.1 -2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. lyirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
�i he permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00 ']
Heating
Cooling
Hood 3.00
Ventilation
pernl4 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 coIsn, and hereby authorize representatives of the Countyot
Butte to enter above-mentioned property for inspection purposes.
I also agre ndemnify and keep ha mless the County of Butte against
all liabiI as,nts, costs, a exp ses h may in an way ac e
against id Ccaviseq f th granti g f this perr�i
`/
X ate
Ignorure p.Iicant — Owner❑/ontractor ❑ Agenr
An OSHA permit is required for excavays over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height
Mobile Home Installation Fee $
Energy Inspection Fee $
/
TOTAL PERMIT FEE $ �t0 y, 6-0
OCCUP.
CON ST.TT P!
ISC.00LIFLOO=
ND
390
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.
DD II T OF UBLIC WORKS.
B Datp /h 5 !
PERMIT EXPIRES Date
Receipt No. a a 0
WHITE-D.P.W.. TELLOW-ASSESSOR. PINK- SPl CTOR. GOLDEN ROD-AP►LI CANT
COUNTY OF BUTTE - DEPFtR'�MEXT OF PUBLIC WORKS
7 County Center Drive - Oroville, GalifornA 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERly11T�0.
ASSESSORPARCEL NUMBER
ZONING
& ,o
BUILDING PERMIT
OWNER l
-1
TELEPH
itis
SO. FT. OCC. BUILDING VALUATION
�
b�U-OO
OWNER'S A ING ADDRESS
1* C-7 (S -o �L __R, 2 7a- C"'03 7 yr a mL G
v o r
. 0-.,
CONTRACTOR'S NAME
i
cL) t
TELEPHONE
S(o� Go�I
pU . 3D
CONTRACTOR'S MAILING ADDRESS
Fireplace A
OOv, ar3
CONSTRUCTION ENDER
F�NNii�ll^^��''��♦/
UNKNOWN
Total Valuation $
V00, 4$(>A'
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ be
ARCHITECT OR ENGINEER --0�
_Olr�
'.vJ fi,e s
LICENSE NO.
Plan Checking Fee
$ ,%>
Energy Plan Checking Fee
$ d>
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-.1 -5 W r 4-
Penalty
$
BUILDING ADDRESS ��� if ^ n
C-M-�`r 1 GtC
Permit fee
$ , mss"
PLUMBING PERMIT
Filing Fee 10.00
N I{�rv�.
Each Trap
% 2.00 319. 0 a
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Z7- ?Z—
Water piping
5.00 S', via
Each qas water heater or vent
5.00 , o 6
USE OF STRUCTURE
SF(Ck Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 _5�1 i) C>
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New9_ Addition ❑ Reml1odel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: ,Sc]�
Permit Fee
$ GJ, 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V ORLESS
1AMP OR LESS
1W C70
y
Main sery icg E 'L 100 AMP
2.50 , O
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
and Professions Code and my .license is in full force and effect.
License No. Classification
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 CONS LLING OCCUP.B\
OR ADDNS. ACC. BLDGS.
yxltsgft
NEW RFSID* BRANCH
NO N.R ESID BRANCH.CIRC ITS
2,50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
0
,
Ex. O
EP�OUTLETS OR FIXTURES
+,
e2ALO1030
Ex. Occup. OUTLETS ((RESID )FIXED APPLNS. REA.7
2.00 -
Temporary service
10.00 N�2"�
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
v
$ /qd,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check -one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
,
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Coo lin g " 3-r
, 00
Hood
3.00 , o"
Ventilation
IOU
Permit Fee
$ a Uv
Contractor
I certify that I have read this application and state that the above information
I e to comply to all County Ordinances and State Laws relating
nst uction, and hereby authorize representatives of the Countyot
er up n the above-mentioned property for inspection purposes.
e to ve, indemnify and ep h mless the County of Butte against
es, dgments, co ts, n e ses w h may in any way a trued C my in eon u e of ranti f this permit./
ate
AL
Signa r of Applicant - Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition o I onstru
ion of structures over3 stories in height. e (
Mobile Home Installation Fee $
Energy Inspection Fee $ o,cra,
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPe
This permit is hereby issued under
sion the Butte County Code and/or
in icated a ve for which
R Ci@R OF -PUBLIC
�
y
P RMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/1/�d
Receipt N�v r _V 35�J�
WHITE-D.P.W.. YELLOW-ASSE390R. PINK -INSPECTOR. GOLDEN D -APPLICANT
M
y
u4 v
GiNERAL NOTES: runless Otherwise specified)
2967 (j 1. Installation is entirely the responsibility of the respectivetonbactor.
onmi r, P 2. All bracing, temporary and permanent, to resist lateral faces to be
designed and provided by others.
a, ■i 3. Design assumes "dry condition' of use in noncorrosive environment.
V1 ,..,. 011 u1p. 4 Design assumes lateral bracing at 9'oc top chord. 12'oc bottom chord.
i• y�ra,!o, 4� 5. Design assumes full bearing a1 supports. Shim or wedge if necessary.
f�'j? •.- A, 1J� 6. Camber truss to U720 between supports.
' `•.' - 7. Adequate drainage 1s assumed.
7070 �+"� �. 9
i � AaMM■ 8 tai continuous lateral bracing required where shown.'
!, Ye!•�8,+, - 9. Impact bndging or lateral bracing recommended where she".•
°" Ro
OVERALL LENGTH OF Tb' q" SPACED 24,0" O.C.
AUoy .•°,��, RIGHT CANT OF 2' '01
4m '
TRUSS I.9&nl'"G
,I�ro,. > �(.� c' ■ TCU(vIF 1.060 OF j?.nOV SF F.1014.0 TO
�Cryrop��"�F +.�r I%%, a TC CO.0 LOAD OF 192.00LRS AT 3h.67'
�
7.5, T-58 rar.04• SIC Ut'1F LnAr OF IO.nORSFt FROti .0 TO 34.7'
• 5 PSF CETLING REDOCTION TAKEN(5/R"DRY f"ALL)
ntilever - A '� os".
-
yr
6" (4/12 ; uraR' L(1AU nURATInw TNCRE45E a 1.15
4 " ( 5/12,
) - "cca1.M .QLFF1 1EACTI(:'t = 1246 RiG1iT REACTTON = 1633
TkrSS ?-'E 4E FORCES (CO,, 1)
1") (4/12) 2x4 wedge T 1 -2818 g 1 2573 A l -603 w 3 442
to 24") (4/12) 2x6 wedge T 2 -239h H 2 1704 w 2 803 :v 4 -271
!") (5/12) 2x4 wedge T 3 -2127, d 3 2187 N 5 -u335
1 18") (5/12) 2x6 wedge T 4 1902) B 4 -1405
CANTILEVER AT L/6
LEFT REACTION _ tn23 RIGHT REACTION v 1RST
late size same TR;ISS 1-,-F"-EQ FORCES (CONI 1)
s left heel T 1 -?111 H 1 2nn2 •: 1 -6n1 � 3 -50g
T 2 -1690 e 2 103h a 2 80n tv 4 h05
T 3 -115 9 T 273 w 5 -2472
(4/12).. Cantilever- B T 4 17h9 B 4 -1678
(5/12) CANTI_LEV_ER AT L/4
LEFT REACTICrI a 878 RIGHT REACTInN o 2238
TRUSS NEe'?ER F'1RCES (Cnr, 1)
T 1 -1504 6 1 .1485 w t -655 w 3 -152a
1 2 -1106 H 2 - 443 w 2 857 rf 4 1551
T 3 666 9 3, -1667 % s -2265
1 4 1940 N 4 -1840
le Hem-Fir/Doug-Fir
Left Bearing Requited: 4.48 HF/2.85 DF sq.in.
Right Bearing Required: 7.94 HF/5.05 OF sq.in.
Plate size same as left heel
Cantilever - C '
,%W u loa°ws: OIGrTS WOICATE SRM OF MATE IM INCHES
p.G Hd-a u"n sem. LUMBER: shall be of mmun graft A sputa m M.6(bougW Fr Ouy
' O.0 Hob! Y- n b1-. ba aUAM1000 W.. H■aFt b spepaep.) f
In Sul" 'G' Indira 1A g-. 000 uses. N pplwa u- 20 9a. \
n. uN-ssalf W'-ise npl-o. IFor best[ Oe9gn vine iL ee- I.C.B.O. RRt 1607 and RRF 1469.
ERM_
•- .F....�: e14' �?�.�j .µTl ...
COUNTY OF BUXTE - DEPARTMENT O r1 V�f3LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET Jr
Permit No.
&Z61
A. P. No.
Permit Fee Based Upon: JFr Complete Contract Price DPW Valuation
WE
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at ti_me�o( ap li ion circle item.)
1. Index permit for above Items No. `�
r•7
2. Additional items required:
(Contractor, esigner wner) was advised of above required data by Telephone Mail Other
By - Date
Plans checked by Date
Plans approved by a Date %�W •tX
Other:
Copy—DPW
'..:.. .=�+—�-•_•��`-�=ter."— 1 ! � �.>a � {�1
Other (Explain)
(� (�
Building Inspector lJ\— Date -7
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance:
DATE RECEIVED
APPROVED
1.
All items have been submitted. . . . . . . . . . . .
Plot pIans in d u p14,ae+e-/-trV•I. . /. -. ......
3
Complete plans in dupk�wi•p+rcate. . . . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
5.
Plans with Energy Design Compliance Statement. . . . . .
CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7
tatement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . .
X��jj9.
lk
Letter of signature authorization. . . . . . . . . . .
Sanitation approval from Health Dept.
11.
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15.
Improvements may be required. . . . . . . . . . . .
16.
•
Mobilehome Installation Data. . . . . . . ..
17
Pre-Inspec. request to
Pre Inspection for, Required. Building Inspec or
(Date)
��
RecordedDco y of A ricultural Acknowledgment Statement . � 11
xi ewa
C
9
permit ccnat. pprct�r�l reg uire r t
Other
up-incy)
When ou issue the er j process as follows: ner. Mail
t
tractor.
Telephone 5 2/56?—and hold for pickup office. Deliver w/inspector.
Aat'
Other
' i
/ A -1
/1 O
WE
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at ti_me�o( ap li ion circle item.)
1. Index permit for above Items No. `�
r•7
2. Additional items required:
(Contractor, esigner wner) was advised of above required data by Telephone Mail Other
By - Date
Plans checked by Date
Plans approved by a Date %�W •tX
Other:
Copy—DPW
'..:.. .=�+—�-•_•��`-�=ter."— 1 ! � �.>a � {�1
TO: Building Department ..
FROM: Environmental Health, Chico
S,UBJ CT: Sanitation. Clearance
rs�l_zy
Owner Location /J, APP
Plan approved for: sewage disposal J water supply
Hold final for: water supply
,Final clearance O.K. for: water
i supply
Clearance for — bedroom m� a Other
Note***,
Sanitarian nate
TO: Building Department
FROM: :'rcroachment Pu rmit Section
RE: Driveway Clearance
Z 96' i�e� % i �,, 1V
owner location
Driveway permit �7 Z -
/n
signatu e
Zl'Z - l/ - 27 -
AP #
has been issued for the above property.
date
FORM
RESIDENTIAL ENERGY PIAN CHECK/INSPECTION SUMMARY
'Owner
Climate Zone,/
�! Permit No.. I8�
Floor' Area
4?
-0 p
.Compliance
path:
Package ❑ A ❑ B ❑ C ❑ Point System []Budget ® Other/ �� 3
MIN
R -VALUE DESCRIPTION
REQ � D
INSTALLED
ITEMS
(1) INSULATION:
Roof/Ceiling
10
Wall lie
'®
/4%Slab loor Perimeter.
{�
aised Floor
(2) INFILTRATION:
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D) Continuous infiltration barrier
❑
(E) Electrical outlet plate gasket
❑
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Q
Total Bldg
North
Eas t ?� 7. 0 S.O
Q
South Z4 e a D.6
Q
West Z0, F. D 4_1
Skylights 0 /. / e
(B) Shading
Shading
Coefficient Description
❑
East
❑
South
❑
West
❑
Skylights
Q
(C) South Overhang
Length of projection �_ft. Description 49!; .�
❑
(D) Moveable insulation: Area ftZ Description
'
o
(E) Thermal mass/' /1/bT c O
13
Type --Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.7 HC= R=
MC= Location
7/83
K_ FARM
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped'with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A). "Heating
�}
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating'capacity)
❑
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar
."type (liquid or air) Collector. brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other �� S
(describe)
*1 (B)
Cooling
Q
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump ISM
EER
Btu/hr. .
(cooling capacity at 95°F)
❑
Other
(describe)
❑
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
0
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
0
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
El
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
Q
(G)
DUCT,CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
Ll
7
❑ *2
(6) DOMESTIC WATER SYSTEM'
-(A) Gas Only
FORK I
Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
;(backup heater type, brand and model number)
(collector orientation)
Location of Solar Panels
Other
.(collector tilt)
(collector area)
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
dJ (C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping,and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
Q (A) Lamps used in luminaries for general lighting in kitchens and
bahhrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following.
Heating: Winter design temperature 2�°, elevation Z OGS ', heating load/
elevation factor ?, y x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature�W cooling load 6, BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above build ng d sign meets the requirements of
Title 24, Part 2, Chapter 2-53 of the Califo nia A inistration Code. '
7/83
G
SIGNATURE OF BUILDING DESIGNER OR APPL
3
RESIDENTIAL PLAN CHECKING GUIDE
'(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER.n'tv/ A : P . �� 4Z — //- — Z
GENERAL
Zoning requirements: (sideyards and number of permitted living units). ,6
Valuation.
Plans signed by designer.
Energy Design and Compliance.
Existing violations on property.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
J� Grading, fills., drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
2.�tequired windows for li ht and ventilation (Sec.
uire windows for second exit (Sec.
7/85
1205).
C14riT G�
* r . uw.y i-5..— w.aa �+..G a. JY %% CX Qc. JL.V / ) . /rrZ/I\ "/r��Ci 11Y "TwCt
�5! Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water he flixures. other electrical or gas
equipment, and plumbing
.1.0� Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
J.2: Fireplace and wood stove location.
Jr3-' Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
1. Foundation plan complete enough -:to c dinR. 4eA15 /-e
oor cons ruction etailscom Tete enough :to construct buildi �ir�' Sew• -;7
00M.evations and wall construction d e enou o construct building.
oo c ction etas s complete enough to construct builds &KA C4c� GS'
„ Fireplace construction etas s an ca cs 1 necessary.
Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Exposure I plywood on exposed locations and overhangs.
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j))_
./''Brick or stone veneer (Chapter 30).
,,&! Exterior plaster - weep screeds (Sec. 4706).
Bring (Chapter 32) . GouG VC0
Rafter ties or bearing ridge beam. J90,4dVIoaw. AskId/flu
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
✓� Garage door or porch header sizes.
�7. Adequate bracing.
�JD�r Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
7V_
Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Attic access and ventilation (Sec. 3205).
;X3.Underfloor access and ventilation (Sec. 2516).
14. Wood stoves, clearances, alcoves & 1 -hour shafts.
.r' Combustion air for fuel burning appliances.
Noise requirements on duplexes.
14*.'—Adobe soils - special foundation design.
•'Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
0 tge 6.6. /GY►T t,80 -*s+ A"04vft%c �
17. DUAL PACK (SE, SEER) 8,0-8.3/71-76%
WOOD STOVE
G Al WATER 'NEATER b
ATTIC >-1p `/o f-3
OTHER 6 xwmc
TOTAL POINTS =�
Table 3-1. Slab Floor Points
I Tncula- I R -Value of Insulstlon I
I thin I I
I Derth, ___-f
I inches 1 0-2 1 3-4 5-6 I 7+ I
I I I I I I
1 0- 11 1 -5
ZONE
11
I -5 1
OWNER
L POINTS
PERMIT NO.
ASSIGNED
ACTUAL
1.
SLAB - INSULATION
/41676 Qoft
_ _/-
2.
RAISED FLOOR - R-19
X% All*
Q
3.
CEILING - R-30 •
NOf-70'f
I 4.9- 6.1 I
t4.
WALL-- R-19
1 -3
I 6.2- 7.3 I
5.
NORTH GLAZING
- 2.4-3.61 /. 3
L
6.
EAST GLAZING
- 2.5-3.6%
I 8.3- 9.7 I
-14
1 -10 1
��4
I 9.8-10.8 I
7.
SOUTH GLAZING
- 1.6-3.6%
110.9-12.0 I
8.
WEST GLAZING
- 2.9-3.6% 41Y
-- _
9.
SKYLIGHT
- 0-1.3%
113.3-14.5 I
10.
SHADING (Exclude Overhang)
-15
14.6-15.3 [
-27 I
EAST
- .S%0.66
I
-27
SOUTH
- G .19-.42
1 .03 +3
+ 3 (
WEST
.13-.36
--L
to
.SKYLIGHT
.37-.57-
111.9-12.7 I
11.
HORIZONTAL SOUTH OVERHANG
2' 2
Q
12.
MOVABLE INSULATION
- NONE �
d
13.
INFILTRATION (Standard=0)(Tight=+12)_
I` 6!
Q
14.
THERMAL MASS
SF
I
15.
GAS FUR --MACE (SE)
71-76% 16'" ��
Q
16.
HEAT PUI(P (EER)
7.5-7.9%
I 5.7-
17. DUAL PACK (SE, SEER) 8,0-8.3/71-76%
WOOD STOVE
G Al WATER 'NEATER b
ATTIC >-1p `/o f-3
OTHER 6 xwmc
TOTAL POINTS =�
Table 3-1. Slab Floor Points
I Tncula- I R -Value of Insulstlon I
I thin I I
I Derth, ___-f
I inches 1 0-2 1 3-4 5-6 I 7+ I
I I I I I I
1 0- 11 1 -5
I -5
1 -5
I -5 1
1 12 - 15 1 -5
I -3
I -2
I -1 I
115 - 19 I -5
i -2
I -1
1 0 1
I 20 + I -5
I I
I -1
I
I D
I
I +1 I
I I
7/7/83
Table 3-2. Raised Floor Points
Table 3-3a. Ceiling Insulation
Points
I R -Value of,Insulation I Points I
' I I
I 19 I -4 ' I
I 22 I -2 I
I 30 I 0 I
I 38 I +2 I
I 49 I +4 I
Table 3-4a. Wall Insulation Points
R -Value of Insulation I
I I
Points I
I
-
I 0.1- 1.2 I
I 19 I
0 I
I +4
I 1.3- 2.3 I
30 I
+3 I
Table 3-5. North-Faclnq Glazing Pt
I 1 Glazing Type
I Total I
I Z of Sngl, Db!, Trpl,
I Floor I U- I U- l U-
I Area 10.66 10.42- 10.41
I 11.10 10.65 I down
I o 1
44
1+ 4
1 +4
I 0.1- 1.2 I
+4
! +4
I +4
I 1.3- 2.3 I
+1
I +2
1 +2
1• - 3.6
-2
I 0
1 +1
( 3.7- 4.8 I
-4
1 -2
I -1
I 4.9- 6.1 I
-7
I -4
1 -3
I 6.2- 7.3 I
-9
1 -6
I -5
I 7.4- 8.2 1
-12
1 -8 I
-7
I 8.3- 9.7 I
-14
1 -10 1
-8
I 9.8-10.8 I
-17
1 -12 1
-10
110.9-12.0 I
-19 1
-14 1
-12
112.1-13.2 I
-22 I
-16 1
-13
113.3-14.5 I
-24 I
-18 I
-15
14.6-15.3 [
-27 I
-20 1
-17
Table 3-6. Tast-Fncing Glazing Pts.
I Glazing Type l
---I Total I I
I Z -of I Sngl, I Dbl, Trpl,
I Floor 1 (11 - 1 (11 - 1 (11 - I
I Area 1 1.10) 1 0.65).1 0.41)1
Table 3-7. South-Faclnq Glazing Pte Table 3-10. Shading Coefficient Points
I
I Glazing Type
I I
SC by
I
+5
I +6
I +6 I
( 1.4- 2.2 I
+3
-Total
I
I I
Orien-
I Z
Floor
Area
-3
I 0
I 2 of
I Sngl, I Dbl.
Trp1, I
tatlon
I
I 4.3- 5.0 1
-8
I -4
I -2 I
I 3 5..
I Floor
I (11 - I (U - I
(U - I I
I 5.7- 6.2 I
I
1 -8
1 -6 1
1 6.3- 6.9 1
-
I -10
Area
1 1.10) 1 0.65) 10.41)1
-18
I •-12
I -9 •I
I 7.7- 8.2 I
•-20
1 -14
I -11 1
I 8.3- 8.8 I
I
I oints I oints Ipoint
sI (
East
I
1
3.2
I
-27
-20 1
o
1 .03 +3
+ 3 (
-23 I
1 0-3.1
1
to
1
6.4 up
111.9-12.7 I
l u to 1.5
I +2 I I
+2 I I
112.8-13.5 I
I
I
6.3
I
-46 1
-.35 I
I` 6!
-1 I o I
0 I I
-33 I
I
I
-10 I
I
I T2
I I 6.8- 7.7 I
I 3.7-- 5.2
I -4 I -2 I
-2
I 5.7-
6.2 I
-19
I -14 I
-12 I
I •19+
I 0
I 5.3- 6.5
I -6 I -4 I
-3 I I
0 -.19
( 0
1
+1
I
+2
I
I 6.6- 7.7
I -9 I -6 I'
-S I(
20-.36
I 0
I
0
I
.0
-15 I
I 7.8- 8.9
1 -11 I -8 I
-7 I I
37-.66
I 0
I
0
I
0
I -20 I
I 9.0-10.0
I -13 1 -10 .1
-9 11
-67,82I
0
I
0
I
-1
-28
110.1-11.5
I -17 I -13 I
-11 I I
.83 up
I 0
I
-1
I
-2
9.5 I
111.6-13.0
1 -21 I =16 I
-14 1 1
I
I
-32
I
1 -20 1
I 9.6-10.1
113.1-14.5
I -25 1 -19 I
-16 I
-22
II
114.6-16.0
I -28 I -22 1
-19 I I
South
1 0 1
3.2
1
6.4 1
8.0 19.6
--------�
I
I I I
I I
I to .I
to.
I'
to I
to I
up
Table 3-8.
I
West -Facing Clazin Pts.
13.1 16.3
17.9
1
9.5 I
1
I
1I
I Glazing Type
I I
0 -.18 1
1
0 1
0 1
+1
I
+2 I
+2 I
+1
I total
I
1
.19-.42
43-.66 1
� I
0
-1
1
I
0 1
-2 I
0 1
72
0
-3
I 2 of
I Sngl, Dbl,
Trp1,1 1
� 1
0 1
-2
1
-4 I
.I
-4 I
-6
I Floor
I (U - I (U - I
(U - I I
I. Area
11.10) 10.65) 1
0.41)1
I
(points (points Ipointsl
West 1
.1 1
1.6
13.2
1
6.4 1
8.0
I o 1
+6
1 +6
1 +6 l
I up to 1.3 I
+5
I +6
I +6 I
( 1.4- 2.2 I
+3
I +4
1 +5 1
1 2.1- 2.8 I
0
1 +2
I +3 I
I 2.9- 3.6 I
-3
I 0
1 +1 I
I 3.7- 4.2 I
-5
I -2
I 0 1
I 4.3- 5.0 1
-8
I -4
I -2 I
I 3 5..
-10
I =7i
1 -4
I 5.7- 6.2 I
-13
1 -8
1 -6 1
1 6.3- 6.9 1
-15
I -10
1 -7 I
I 7.0-'7.6 I
-18
I •-12
I -9 •I
I 7.7- 8.2 I
•-20
1 -14
I -11 1
I 8.3- 8.8 I
-22
I -16' I
-13 I
I 8.9- 9.5 1
-25
I -18 I
-15 I
I 9.6-10.1 I
-27
-20 1
-16 I
110.2-11.0 I
-29 I
-23 I
-17 I
111.1-11.8 I
-35 I
-26 I
-21 I
111.9-12.7 I
-38 I
-29 I
-24' I
112.8-13.5 I
-42 1
-32 I
-17 I
13.6-14.3 I
-46 1
-.35 I
-29 I
114.4-15.2 1
-50 1
-33 I
-32 I
Table 3-9. Skylight Points
I Glazing Type
I Total I I
I Zof T Sngl, I Dbl, I Trpl,
I Floor I U- I U- I U- I
I Area 10.66- 10.42- 10.41 I
I ( 1.10 1 0.65 I dove I
I R -Value of
I
I ISI
pints Ipolnts I ointsl
1 +6
1 +7
.13-.36
I 0 1
0 1
I Insulation
I Points
I I 0
'+ 4
;41
♦4 1
1 up to
1.3 1
-1
I 0 I
0
I
I
I I up to 1.3 1
+3
1 +4
1 +4 1
-4 1
I
-86
-3
1.-70
I
I 1.6- 2.4 1
+1
1 +2
1 +2 1
1 2.3-
2.8 1
-6
1 -4 1
-3 I
I below 3
1 -12
1 I 2.5- 3.6 1
-2
I 0
1 0 1
I 2.9-
3.6 I
-9
I -6 I
-5 I
1 3- 4
I -8
1 I 3.7- 4.6 I
-5
I -2
1 -1 I
I 3.7-
4.2 I
-11
I -8 I
-6 I
I 5- 7
I -6
1 I 4.7- 5.6 I
-8
I -4
I -3 I
I 4.3-
5.0 I
-14
1 -10 I
-8 I
I 8- 12
I -4'
I I �1 I
-10
I 6
I -5 I
I 5.1-
5.6 I
-16
I -12 1
-10 I
I 13 - 18
I T2
I I 6.8- 7.7 I
-13
I -8
( -7 I
I 5.7-
6.2 I
-19
I -14 I
-12 I
I •19+
I 0
I I 7.8- 8.7 I
-15
1 -10
I -8 I
I 6.3-
6.9 1
-21
1 -16 I
-13 I
I
I
I I 8.8- 9.7 I
-1.7
1 -12
1 -10 I
I 7.0-
7.6 I
-24
I -18 I
-15 I
1 9.8-11.2 I
-21
I -15
1 -13
I 7.7-
8.2 I
-26
I -20 I
-17 I
1 11.3-12.7 1
-25
I -18 •1
-15 I
I 8.3-
8.8 1
-28
1 -22 I
-19 I
112.8-14.0 I
-28
I -21
I -18 I
I 8.9-
9.5 I
-31
1 -24 I
-21 I
( 14.1-15.3
-32
I -24
1 -20 1
I 9.6-10.1
I
-33
I -26 I
-22
II
��---�-
}-------I--
--------�
---I----.�.
to I to ( to I to I up
1.5 13.1 1 6.3 17.9 1
0-.12
1 0 1
+1 1
+3
1 +6
1 +7
.13-.36
I 0 1
0 1
0
1 0
1 0
.37-.57
I 0 1
-1 I
-3
1 .-6
1 -7
58-.82 I
-1 I
-3I.-
1 -12
1 -15
73 up I
I
-2 I
I
-4 1
I
-86
1 -16
I
1.-70
I
Skylight I .1 1 .8 11.6 13.2 14.0
I to I to I to 1 to to
1.7 1_5I,3. i13.9 5.2
0-.12 I 0' 1 +1 I +3 I +6 I +7
.13-.36 1 0 1 0 1 0 1 0 1 0
.37-.57 1 0 1 -1 1 -3 I -6 I -
.58-.82 1 -1 1 -3 1 -6 1 -12 I -.
-2 I -4 1 -8 1 -16 1 -20
I Imo' I I I
Table 3-11. Horizontal South
Overhang. Potnts
South Glazing
I Length Out I Area, i of Floor I
I from Wall I i
I ft r
0-6.3 i 6.4 up
0 - 0.5 -2
10.6 - 1.0 I -2 1 -3 I
11.1 - 1.9 I -1 I -2 I
2.0 up i 0 i 0 I
Table 3-12. Movable Insulation
Points
Moveable Insulation -I
I Area, S of Floor I
1 I
Points 1
I
0 - 5.5 I
0 1
5.6 - 11.5 I
+2 1
11.6 - 17.5 1
+4 1
17.6 - 23.5 1
+6 .1
_23.6+ (
+8 1
Table 13. Infflttation Control
Fer.tvres Points
1 Control Features I Points I
Ir_ I i
I Standard I 0 I
! I I
I
1.9 air changes per hr I !
T._+.
I Tight I +12 I
I I i
10.6 air changes per hr I' I
i 1 I
Table 3-15. Cas Furnace Without
Ref-IReratlon Cool_r.q Points
I -T I
I Seasonal Efficiency I Points I
I (SE),
! I
! } 71 - 76 I 0 I
77 - 82 1 +2 !
83 - 38 I +•a I
! 89 - 94 I +6 . 1
I 95 up I +8 I
I I I
Table 3-16.
Feat Pumo
Points
T-
15 - 23
1 +4
I Energy Efficiency
! Points I
I Ratio
(EER)
!
I 7.5
- 7.9
( +3
I S.0 -
8.3
1 +6 I
I 8.4 -
3.7
1 +9 I
1 8.8 -
9.1
I +12 I
I 9.2 -
9.•6
I +13 1
! 9.7 -
10.2
I +18 I
I 10,3 -
10.8
I +21 I
I 10.9 -
11.5
I +11 !
11.6 -
12.3
! +27 I
! 12.4 -
I
13.2
I +30 I
I I
+7
+10
+14
Table 3-17. Cas Furnace With
Refrigeration Cooling Points
;Refrlgeraclon! Cas Furnace I
I Cooling I SE % I
I 1- 7-i a 3 -1 89- 95
I 1 761 821 881 94i UP
I
I
1 8.0 - 8.3 1 01 +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +91+10 1
I 8.S - 9.2 1 +41 +61 +EI+101+12 I
I 9.: - 9.7 1 +61 +81+101-121+14 1
1 9.8 - 10.3 1 +31+301+121+141+16 1
1 10.4 - 10.9 1+1G1+12i+141+16!+18 I
111.0 - 11.6 1+121+141+1614.181+20 1
7/7/83
TALE 3-14 (ADAPTED)
MASS
AREA Ii�1,000
SQ. FT. ,' A 8 C
1,500 1 21
000
8 C 0 A 6 C
ZONE 11
INTERIOR THERMAL MASS POINTS
2,500 1 3,000 1 3,500 I 4,000 4.SG0 5-j-
Eo
•000 i
B C D A B C D I A 8 C' 0 1. A 6 C D I A 6 C G :+ B
E o 2 2 2 2 2 2 2 O i 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 1I 0 0 0 0 1
100. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0! 0 0 0 0
150 6 6 6 4 4 4 4 2 2 *2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 0 2? 2 01 2 2 2 0 1
200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 1 11 2 2 2 i 2 1 ^,
253 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 1 2 2 I 2 2 2 2I 2 2 Z
300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 1 Z. 2 22
350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 7) 2 2 7 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 1 2 I 4 4 2 2
507 IS IS 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 6 4 6 6 6 2 6 5 4 11 4 4 4 2 4 4 4 j
600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 5 4 2 6 6 4 2
700 ' 24 24 20 14 18 16 1 I 10 14 14 12 3 10 10 10 6 10 10 8 6 8 8 6 4 8 6. 6 4 A A 6 41 6 6 fi 2
i
230 126 2S 22 16 70 lb 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 R 8 4 f^ 6 6 4 B 6 6 4I b 5 b a 7
500 1 Zd 28 74 16 22 20 18 12 16 16 14 10 14 14 12 B 12 12 10 6 10 10 J 6 3 8 'B 4 B 8 6 4� B B 6 t
1.000 130 70 25 18 1?2 20 10 14 18 18 16 10 14 14 12 8 12 12 10 6 12 l0 10 6 110 10 6 6 I 8 8 0 4j 8 G •1 1
1.'.DO .32 32 28 2O 124 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 106 10 10 10 6 11:1 10 8 (.I !0
e f
1 .200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 ( 14 14 12 8 14 12 12 8 •12 12 10 b f 10 10 8 6 i 10 10 8 6
1 i
I i
1,300 34 34 32 22 28 26 24 16 22 22 20 12 IB 19 1 10 iS 14 14 8 14 12 12 6 12 12 10 6 12 !0 10 b 0 F. l 10 • 6
1.400 134 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 16 16 14 10 14 14 12 8 14 14 12 8 ! 12 1? -.G C. 10 13 17 S 1
1,500 136 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 16 16 14 8 14 14 12 a 117 12 to bj ;2 12 1". o
2,000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 10 14 20 20 18 12 18 18 16 10 16 lE i4 1; 14 14 12 5 j
2,500 I 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22. 14 22 21 18 :2 10 2G 18 !: 1 is .5 ib :❑
0,000 34 32 30 22 30 30 26 18 28 26 24 16 124 14 22 14 22 22 20 141 :2 ZJ I2
3,500 I 32 32 30 20 30 30 26 ld 118 28 14 16 26 24 22 1,i '1 24 20 14 '
•1,900 32 32 30 20 130 30 26 18 ! 29 28 24 if 5 ri 22 if
4,500 132 32 28 10130 3J 26 lEj 26 ,. 2= ;£ ;
_5_00= '
A) 1. 3'4' Concrete Slab: HC•8.93; R-.29; Factor -1.3
2. 3 3/4' Thick Common Brick: 1107.125; R-.13; Factor -7.3
• B) 1. Sk• Concrete Slab: HC -14.106; ?.•.4i6; F;,ctor•7.1
C
1. B" sone F111ed Olock: NC -20.63; R-1.93; Factor -6.1 wood stove 4k33 points -(no back up)
2. 8` Solid Filled Block With Both Sides Exposed To conditioned Air. casablanca fan + 1 point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal Mass Area: 11C-10.164; R-.965; Factor -6.1
D) 1` Thick Concrete/Ti.le: HC -2.55; R-.083; Factor?3.7
Table 3-19. Zonally Controlled
Electric Reststance
Space Heating Points '
Points foethis measure v111 Table 3-20. Solar Water HeatingWith ras BackupPaints '
I be completed after theCEC !
I has approved an Alternative I
I Component Package for Reslstaace 'I
I Beat. I
Table 3-15. Active Solar Space
Heating with Cas Points
I
Net Solar Fraction I Points
I (NSF), x I
I 1
I 0-6
I 0 I
I 7 - 14
1 +2 I
15 - 23
1 +4
I 24 - 30
I +6 1
I 31 - 39
I +8 !
1 40 - 47
! ; +10 !
! 48 - 55
I +12 1
I 56 - 63
1 +14 I
I 64 - 71
I +18 I
! 72 up
I +20 I
Multifamily (per unitpoints)
Points I
i I
I
I Cas Only I
I !
Floor Area
Heat Pump (
!
I
0 1
Net Solar Fraction (NSF), Z
i
perunit,
!
! NeeclnL the Require- !
I
I menu fa Part 2 I
I I
0 i
Electric Resistance I
!
I
ft2.
-40 1
I
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
44
+4
+6
+8
+10
+12
+14
1,500-1,9990
+1
+3
+4
+6
+7
+8
+10
2,1100 and up
0'
+l
+2
+4
+5
+5
+7
+9
All pothers (pe build nr points)
r
800-899
900-999
0
0
+5
+4
+10
+9
+14
+13
+19
+17
+2'
+21
+29 +34
+26 +30
1,000.1,199
0
+4
•1.7
+11
+15
+•19
+22 +26
1.20r,1,499
0
+3
+6
+9
+12
+15
+18 +21
1,500-1,999
0
+2
+5
+7
1
+9+12
+14 +16
2,000-:,999
0
+2
+3
+5
+7
+8
+10 +11
3,000 sial uo
-0
+1
+3
+4
+5
+1
+3 +10
1
Table 3-21. Other Water L'eatinq Pta.
T--
1 System Type I
Points I
i I
I
I Cas Only I
I !
0 1
Heat Pump (
!
I
0 1
I
I Solar with Electric I
i
( Re+!stance Backup I
!
! NeeclnL the Require- !
I
I menu fa Part 2 I
I I
0 i
Electric Resistance I
!
I
I On ly i
I !
-40 1
I
No. S 22 75
`
s-
7# 575
low
U Z�7&
yGs/��C4 �e�x7L JAS
lv- 4
eL A
ly
334'
1 :jg
:F� /
lk
91 / 3
�t y,4
x �v
016
ex
1
;.
T f�f� cot T" _ 1�T'� ; Xb_ .`'
t
C.r.L64Lcd,J:
gr
t
CL•
:
S T
ol
Loo
qc
N:
O
zC
fi
:.
, �o- ��l• 3 3 /3 3 , y!� e, .
'�(QJ
z
e'� '�f5 ��. '' �.:�
r
?aG //Cc,
.. ...............
ti Til So V H (t.) f- ( S
op
.. v
Return to DPW
86-2125.8
�RECORDED,IN OFFICIAL RECORDS
:OF,BUTYE:GOU' N' TY.CALIFORNIA=
AT THE REQUEST Of
1986 JUL -3 F 12. 0.
ELEANOR K BECKER
CLERK -RECORDER, FEE�`Z
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 86••21258
FOR RESIDENTIAL DEVELOPMENT
eo
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
Pages
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but'not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described -
as follows:
Parcel 2, as shown on that certain Parcel Map entitled,
'Lying in protracted Sec. 19, T.22N., R.lE., M.D.M.', said Parcel Map
was filed in the Office of the Recorder of the County of Butte,
State of California, on August -31, 1984, in Book 97 of Parcel Maps,
at Page 82. ,
F '
RESERVING THEREFROM that Certa:n60 foot wide road and public utility
easement as shown on the abovd•described Parcel Map.
Date:
U
State of ) On this the a2az day of 19;before
SS. me, the undersigned Notary P lic, ersonally appearek d
County of
®a0a60aa0ano0aCaaMa®®®�®®// Personally known to me. � Proved to me on the basis
® of satisfactory evidence.-!,
`g CAROL L. BIRD t! be the person(s) whose iname(s) bscribed toy
'd'< ; . NOTARY PUBLIC -CALIFORNIA tale within instrument and acknowledged that ti ,
Butte County d�
,a a Myeomm"OnExpiresSept. 16,,,tecuted the same for the purposes therein contained.
®aaa®e®ao�6®IV WITNESS WHEREOF, I hereunto set my,hand and official seal.1
Present A.P. No.
Notary Public
END OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
P RMIT
7C/1� ()
A ESSOR PARCEL NUMBER
2 —
ZONING
BUILDING PERMIT
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
S MA LI AODR S
ftE
CONTRACTOR'S NA
EL HONE
O RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee41
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee QA�U
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER
LICENSE NO.
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL M P
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�§ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR Main service 80000 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
ONTRACTORS LICENSE LAW
I declare under pena of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed conCrac
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ei
OR ADONS. I ACC. BLOCS. )
,
vtsgft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS e
(SINGLE OUTLET CIR. )
EX. Occup( OUTLETS OR FIXTURES
eA O30¢
FIXED APLNS
Ex. OCCup. OUTLETS (RESIO )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00t-
Misc. Wiring
g
15.00
Permit Fee
$
ORKMEN'S COMPENSATION INSURANCE
I declare under a alty of perjury (check one):
❑The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with Such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Jon of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
�7
TOTAL FEE $
ALSCII
HAZ
CUA
PARK
I FID
I PAR
PD
HD
ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
.... .,.......e e,, ,.. r
Daniel C. & Christine Ii. Heal
12206 Meridian Road
Chico, CA 95926
E: Building Code Violation
12206 Meridian Road, Chico
Dear Mr. and Mrs. Heal:
February 24, 1993
A.P.#042-11-0-029
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we.sent you a courtesy notice dated January 13, 1993 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for single
.family residence in violationof the 1982 Uniform Building Code as
adopted by Section 25-1 of the Butte County Code as follows:
(a) Section 301(x) Permits Required ;
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall. be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten 10 days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this'warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall. include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact David
Purvis or Bill Barron in this office at the address or telephone number
listed above.,
JFG: dms
cc: Building Inspector, Chico
Sincerely,
David Purvis
Supervisor, Building Inspection
PROOF OF SMVIC:. BY KUL
I am over t1he age of 12 and not a Qart7 to this causes.
I aW a resident of and a »plo7ed is rhe -cou :cy where tale mailing
oc=srred. My business address is Building Division
Department f Development Services
zri Count? . 9ater Drive
California. Oroville, CA 95965
I served the foregoing 30 -Day Violation Letter
by enclosing a true copy
it a sealed envelope and depositia; said enve?oZe in the United
Staters mail with postage fallly prepaid on 24th. of February
T g 93. , and addressed as follows:
Daniel C. and Christine H. Heal
12206 Meridian.Road
Chico, CA 95926
a
de_iare under Pe. alts Of der: urs under tte laws of
the State of Ca -,L ar-.tea ctac the =ore=ctnQ is :: se a. -.a corrac:
2/24/93
anti tftac ch --is declaration ,ias e::e_uced an
at nrov;iio CaliForria.
David Purvis
Supervisor, Riiilding inspection
, o
Daniel C. & Christine h. Heal
.12206 Meridian Road
Chico, CA 95926
RE: Building Code Violation
12206 Meridian Road, Chico
Dear Mr. and Mrs. Heal:
January 13, 1993
A.P. #: 042-11-0-029
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above referenced location:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for single
family residence.
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and pay the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have questions concerning this matter, please
contact David Purvis or Bill Barron in this office at the address or
telephone number listed above.
RT:dms
cc: Assessor
Building Inspector
Yours very truly,
Original signed by
J. F Glendeer
J.F. Glander
Manager, Building Inspection
..
DANIEL HEAL
12206 MERIDIAN RD
CHICO CA 95926
'6uite L'ouniy
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: 1916) 538.7541
FAX: (916) 538-2140
CHICO OFFICE - 1469 HUMBOLDT RD, CHICO 95928
TELEPHONE: 891-2751
RE: Building Permit # 93-3360& PREVIOUS
Expiration Date :10-12-94 PERMITS
A. P. #1242=1$IOsQ29
DEAR MR HEAL:
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[ ] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office. together with the fee
shown. Please return all copies of the application form.
9X* No inspections.have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the CHICO office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
,
Michael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541n J � ERru IT NO.
APPLICATION AND PERMIT "f
ASSESSOR PARCEL NUMBER
042-110-029
ZONING
A-10
BUILDING PERMIT
OWNER
Daniel Heal
TELEPHONE
345-2142
SO. Ff. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
12206 Meridian Rd., Chico 95926
ESt • 500.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 500.00
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARChITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
35.00
1991716 Mpridinn ]Rd-, Chiro
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF (XDuplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
S
Mobile Home G W
@20.00
TYPE OF WORK
New ❑ Addition ElRemodel ❑ Utilities 13Installation ❑ Other
Describe Work: Permit to Complete #219-89
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( 8 ACC. BLDS. )
3.50 SO, FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter ter 9, Division 3 of the Business and
p
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 compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIN.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ ,.00
BAL. @ .50
Ex. Occu FIXED APPLNS. OR
p ( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declaffe under penalty of perjury (check one):
D/Chis permit is for $100.00 (valuation) or less.
�� I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 compto all Butte County Ordinances and California State Laws relating to
building consuct n, and hereby authorize representatives of the County of Butte to
enter upon a ab a mentioned property for inspection purposes.
I also ag a to sa e, indemnify and keep harmle s the C unty of Butte against all
liabilities judgment costs, and expenses hic ay in way accrue gai t said
County n onseque ce of the gxan ' t Is
X �j
Sin r f Ap -antwner Con ac or ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR O LIC WORKS
BY Date �3
PER IT EXPIRES ON �� /,Z/9 e
IDe e)
Receipt No. 153135
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
M PERMIT APPLICATION DATA SHEET
OWNER /T C. _ A. P.'No.
Proposed Building Use L iI ing Inspector .4--7`1 Date A0
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2.
3,
.4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Forma ........................................... .
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ... .
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $..........................................
Impact fees as shown on attached schedule. ............................. .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit. ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking:
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). . .
Fre In action requ-
Pre-inspection for required. .. B�;;l*cb spar (Date)
Contractor's license information. (No., Name Style, Classification) . ............ . .
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner . .......... .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter,of intent on building use. .......................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ..................... :...................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .................................. ;,,............... .
When you issue the permit, process as follows: L,,O' Mail to owner. Mail to contractor.
Telephone and hold for pickup at
10ilce.eliv�r with i, spector.
Other '
Parcel Creation !�
Acreage Applic 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 Date
Sets of plans on hold in File cabinet AP folder
- Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 —Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZZ — —.0 ' O
Z07D
BUILDING PERMIT
OWNER Iv1
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRE-1 aSS
CONTRACTOR'S NAME --
��//77
TELEPHONY�J
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
ucENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS
PERMIT FEE $
Q�
o& 4t _
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel El Utilities ❑ Installation O Other
�/ j
/
Describe Work: AZ� r/ % T CIO/2I��G/ �
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
/
Main Service( BO200AOV OROR LESS LESS
)
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( a ACC. BLDS. )
SO
3.5C FT;
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
-0 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
.NON RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FED APPLNS. OR
(OUTLIXETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20 00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date / Xv AF__3This
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition- or
construction of"structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
coNsr. rrPE
TOTAL FEE $�(�
HAZ.
o. FEES
IMP
I FLOOD
I COF
I PARCEL F9
HO
ISSUE
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
PERMIT EXPIRES ON
Mato
5 3 / ?�
Receipt No. /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department'o'f Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your_ signature.: -
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work. �.
3. I have contracted with the following person
construction:
Name
Address
(firm) to provide the proposed
Phone Contractors License No.
City
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City.
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address , IPhone Type of Work
Signed:
Property Owner
Social Security
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
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