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HomeMy WebLinkAbout042-180-035042-18-0-035 00-1806 ADAMS, DAN &. ELIZABETH 3115 GRAPE WAY, CHICO CONTR: OWNER 9TH RENEWAL OF BP#91-2741 Gary Luper - 90 O'S.of uper 900'S.of Grap:. a 50'E.of Dairy Rd., Chico Permit #2418179P,E(util.,MH) 04� ELEC- •7,3?9 GAS ►��i—�P� �is� ' ' SUPPORT STRUCTURE REQ. p ti° ~ GOMPACTIN 1� REQ. yD 1 42-18-25 ontr: en Alire MH Issued_ `'~' �tYslL.:l•s its. � .ck."'t��` ,¢ 7�� r �`s`*'t 'i"�Zt,T 42-18 DAN ADAMIS � SIS Grape Way, 1600 Dairy Rd, Ch"ico lot. 2 Permit#1731-85B;P,E,M(n w single family) 42-1 -9P - - - Permit#1711-86B(lst renewAl 731-85) 42 -18 -dr 3115 Grape Way,fCh:4 Permit#2985-86B,E(conv unf- isl area to famay room)SF 42- -35 ermit#2772-87B(2nd newal/1731-8 42-18-35 2185-90B,P,E,M, y ADAMIS, nie��ic 311_5 Gr pe Wa!lY, / (new .single family) 42-18-35 2741-91B,P,E,M 042-180-035 01 732 ADAMIS, DAN 3115 GRAPE WY CHICO IV CONT: UNK REPAIR / METER SPLIT ADAMIS, Daniel 3115 Grape Way, Chico ( new sf ) 42-18-35 4J/ L/ I9� Contr: Sunshine Pools (new swimming pool) 1446_=91B,P,E 0.42-180-035 "92-2653B AI,IMIS, Daniel 3115 Grape Way, Chico 1st renewal/91-2741 42-18-35 -PErmit#78-89A(Agricultural Bldg Exemp=-horse stall-)~ 44AI 42-18-0-035 92-2884B f f ADAMIS,Dan& Betsy 3115 Grape Way, Chico ?` ����contra Sunshine Pools / lst renewal/91-1446 042-18-0-035 93-2737 B 2ND RENEWAL/91-2741 -42-18-0-035 93-2906 B { 2ND RENEWAL/91-1446 042-180-035 PERMIT#94-2325 ADAMIS, DANIEL 3115 GRAPE WAY, CHICO 3RD RENEWAL BP#91 '.741 042-180-035 PERMIT#95-2128 ADAMIS, Daniel 3115 Grape Way, Chico 4th Renewal of BP#91-2741 t 042-180-035 PERMIT#96-1913 ADAMIS, Daniel 3115 Grape Way, Chico 5th Renewal BP#91-2741 042-180-035 PERMIT#97-1693 ADAMIS, Daniel 3115 Grape Way, Chico 6th Renewal BP#91-2741 042-180-035 #98-1831 ADAP'IIS, DAN 3115 GRAPE WAY, CHICO OWNER 7TH RENEWAL OF _#.91-2741 _ 042-180-035 99-1880 ADAMS, DAN & ELIZABETH CQ; 3115 GRAPE WAY, CHICO CONTR: OWNER Ji07.� 8*I RENEWAL OF BP# 91-2741 // �_v � _. t �ti- is 9z. �'6 5fr+a�15 C'.- 4l /ic a �1�••.v5 5�'o-�� � �•!��..F/�+rte /;r�� el-; R S1 JTIAL 42-18-35 0 01—,Sibt •. ADAMIS, Daniel 3115 Gra ,-� pe Way, Chic(•�,�� (new single family) O 1�v1L C N°,s Nom. 't. y s =•su JOS FINALED (Date) Signature FILE io)1b/v COUNTY OF BUTTE f' -BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 C RRECTION 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. y. Date Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-754.1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z7 PERMIT 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. rd n Date - Inspector C� REV 10/92 COUNTY OF BUTTE "• 138PARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 i 7 County Center Drive, Orovi Ile — Phone: 538-7541' - 747 Elliott. Road, Paradise— Phone: 872-6307 • ;a CORRECTION NOTICE • i_ �eAn�ls Eby OWNER PERMIT NO. "q A routine inspection indicates that the following violations of County Ordinance i4 exist at the'aiiove address .aid should be corrected. Please notify this office t - when correction of work is completed. If you have any question pertaining to this s muter, or need additional explanation, please contact this office immediately. T c) �U � � C: -T P I F 2s '71- A T41A A(ZF c�2cL r) Ai?a Vr�S iCA4-S SSR R4 t.i 2a S U6njT 11'VG nIAx. v' - �E PT'N r) P FooTi./C Ar 1= C;' P.1k eoX Pare .. _+t (-1Pir:AIZ T6 Rq IN 1N1--C1,'rMrit LIAIrr_ Date [ _ - Inspector i • Date [ _ - Inspector J=OK . O=NoYOK =Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance t Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 1 8. Gas and Electricity Tagged t 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #`s 1. Zoning Requirements -Setbacks -Easements 7 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ,N 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors *' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI �. 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK a O = Nbt OK ' -=Not Applicable Not Ready RESIDENTIAL (%c= Date UN RFLOOR Plans OK except #'s oning-Setbacks-Easements-F od-Slope Fig., Main; Soils-Elec. AT A701 ,-Ftg., Garage; Soils-Steel-Elec. GWII.-//Q/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth y.'Stemwalls, Main; Steel- Blockouts-Wrapped O.'Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Q/ISW.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10` ems'Pipe; Size -Anchors ater Pipe; Test -Anchor -Regulator -Service Test 1fcific; Underground 1&.-Pie.rUms & Ducts; Clearance -Material -Support -Ins. 0 -(.'Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date -Z - Z Card B�f Date Card B-1 Date C B-1 Date Card B-1 Date PL ING Permit OK except #'s Wa, Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection D. .V.; Test -Fittings & Anchor -Nail Protection ?" s oqr- ss 5 Test Tub & Shower, Seco "d Floor -Tub Access ---ft�Gas P' ize & Anch (s 5e Dat Card B-1 Date J Card B-1 Date Card B-1 Date Card B-1 Date EL TRICAL. Permit OK except #'s 41. fe & Transformer Clearance -Ins. Protection c. Receptacles Spacing -Lights & Switches at Doors 1'4/size oxes & No. of Conductors -Stapled stalled Close to Edge of Studs & C.J. ). Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 08. Suhfeed Wire Size /-ga. Cu R!Ar :C. Wire Size / / ga. u or At nge Circ. / g . or AI- van Circ. / / ga. Cu or Al. sulated Neutral Yes 0 No 0 Service -Riser Conductors & Ground -Main Disconnect . quip. Clearances Panels-Motors-Mech. Equip. 'Vi2/Clothes Closet Light -Shower Light -Spa Light Smoke Detector Dat 104WCard B-1 Date Card B-1 Date Aard B-1 Date Card B-1 Date M CHANICAL (Permit) OK except #'s /C/Ducts Insulation & Support Fan; Exhaust above insulation V. o densate Drain & Overflow; Size & Grade 3-?/5rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic Date, / liUp Card B -M / Date Card B-1 Date Card B-1 v Date Card B-1 Date FR ING (Plans) OK except #'s 9. sq , Proper Material & Anchors iplvk s Studs -Nailing, Spacing & Bracing -Plates -Sound peig'ringyaiis over Girders & Floor Nailing CAe'RrAKtopp in Walls (rat proof) e Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearino jingle & Duplex) Date/FRAMING (Continued) 5. gers-Post Caps -Anchors -Connectors I g. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. ireplace Ties or Type A Flue -Fireplace Throat clearance Aillf At ' Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions ge Fire Protection Framing roperty Line Firewall & Openings st,pxoors-One T -Check Garage -3rd Story, 2 Exits rs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 51. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts See f,�cf, 'i�sGf:t^fs 5 . nsulation-Walls-Ceilings _ 6d ration -Walls -Windows Date' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MA4 jPlans) OK except #'s 61 Steps -Door & Sidelight Protection -Landings Sm etector 6 . urnace; Vents -Clearance -Comb. Air -Connector! In Garage; Above Floor -Ducts -Meth. Protection F5: .F Bath Fixtures & Tub Access -Spa Iefc Trim & Subpanel; Breaker Sizes & Labels 6 . tairs & Rails pr-ri—repiace or Stove; Clearances -Hearth 6 ec. Outlets at Wood Panel; Int. & Ext. 70. . ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In age; Above Floor -Meth. Protection Plb. Elec. & Mech. Equip. Listed for Location 7 c. Receptacles in Garage; (G.F.I.)-Romex Protection rr'lpsdration-Foam-Looked in Attic 0 Ye rd Rails & Deck Construction -Post Caps 7 . Fein . Vents & Crawl Hole Door -Drainage & Wood -Earth CW_ arance Looked under Flo r 0 Yes Following instld.; Drive s 0 No; Walks Yes 0 No; Planters 0 Yes 0, 0 __41--9 o; Brown -Finish 82 .C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to enings Wat ell; Disconnect, Electrical, Plumbing 85 x!oAor Elec. Trim; G.F.I. Receptacle -Underground AeVentilation Throughout House 87 ass Protection 88.,,�rrrections from Previous Inspections 89. fid' Test -Meters Tagged; Gas -Electric Y 90. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date % Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit iob site) ,• _ -• -, ,,-y 4„•..�.v M' -.-,r4-..+-'1: r'�i.?.K...�.�........,,_v..�`>/ yr •�-�.i,.'r^;i�,.:.•.'1-4.^><.;..rrltf.:.•7rr+�n./r.Y-=-�-�17�w�-.•r^^.`.� 't�y:'Y'*>a,'.•,,��••m-!'��. .. T�;,c. y. , �, .. �,,..-. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION0-t 7 County Center Drive'' -i Oroville, California 95965 • Telephone (530) 538=7541 PERMIT1NO. (Rev. 12/96) APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER �,j1 �33 143o'. 4 '. `r � `i l/ � I 1 ZONING BUILDING PERMIT r.�. OWNER .b -A d I. � 4 P/'.4 /ft e, J TELEPHONE TELEPHONE SO. FT. OCC. t BUILDING VALUATION _ _ . OWNERS MAWNG]ADDRESS •• • /' ,� r� � I f '1 ,•/Q .�), '1 l W CA 9 CONTRACTOR'S NAME E TELEPHONE CONTRACTORS MAILING ADDRESS - - ! v CONSTRUCTION LENDER 'Fireplace LENDER'S MAILING ADDRESS - ' - Total Valuation $ ARCHITECT OR ENGINEER `, .... ••.-_ LICENSE NO. Filing Fee $ "20.00 Permit Fee $ f' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee 4' $ u BUILDING ADDRESS Energy Plan Checking Fee$ y ti , $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT 'Filing Fee 4 20.00 USEOFSTRUCTURE - SF 0Z Duplex ❑ Mobilehome ❑ Other h SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherAO1 Describes Work: f k Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ' •�a00V ELECTRICAL PERMIT Filing Fee 20.00 TO, OR LESS Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION rA: I hereby affirm' under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION ;j I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law dor the following reason: _ gyp/ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. b.o ❑ 1 am exempt under Sec. Business and Professions Code`for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OccUP. SG OR ADDNS. ( & ACC. BLDS. 3.510 FT. NEW CONST.MULTI.OUTLET NORESID. C 97.50 N PSINGLE OUTLOWER APPARAET TUCIR.S 20'•0° EX. OCCU OUTLET oRFOcruREs SAL O .50 Ex. Occup. OFIxLITeRa GRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued; I shall n not employ any person in any manner so as to become subject t6 -workers' r compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date "' X �� �� Signature of Applicant -Owner ❑Contractor ❑ Agent An OSHA permit is require f r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 44" T HAZ. D. FEES_ IMP --- b-^- FLOOD ^�••-K"' CDF„-.-PARQEL.. ,,.PD HD :. ISSUE, � This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutionsito do work indicated above for which fees have been aid. �,C_ �-`� _ E> -�,2 ;, -p-3 By 004 cT�' Date �i PERMIT EXPIRES ON 8,1' P Z I eDate Receipt No. 7. 1<0 q 4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e 042-18-0-035. . 00-1806 ADAMS, DAN & ELIZABETH ` . 3115 GRAPE WAY; CHICO CONTR: OWNER 9T" RENEWAL OF BP#91-2741 74F4- ms's . r ) 07� r .-�'''"tom COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL'DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53.0),538-7541 PERMITINO. �Rev.12/96) APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER zDNING .BUILDING PERMIT OWNER Tll.1jit 41(01y TELEPHA�„n&� SQ. FT. OCC. BUILDING VALUATION OWNERS 3 1/ 57 DRESSY /` Q-"l/� �U.1Y' 4,o C4 `jCONTRACTOR'S NAME .TELEPH , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ f-20'00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS _ ;' `' Plan Checking Fee $ BUILDING ADDRESS �) 1)1 15 4 /'11Ao4 w tj . IN�r Flii+ Energy Plan Checking Fee $ /L a PERMIT FEE $ LOT NO. SUBDIVISIONS NAME - PARCEL MAP` PLUMBING PERMIT ¢Filing'�Fee 20.00 ` US,EOFSTRU 1 GTURE SF `Duplex ❑ Mobilehome ❑ Other _ - t SPECIFY w Each Trap 7.00 Solar or heat pump water heater 23.OD Water piping Each as water heater or vent 15.00 TYPE OF WORK 7 0' 4 New ❑ Addition ❑ Remodel ❑ Ubli6es ❑ -Installation ❑ /O�therr ❑ Describe Work:a�,' ���+li�f� C D �'x U /" 7 �' / ¢; Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ^ELECTRICAL ¢ PERMIT Fling Fee 20.00 s Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION — I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and license� •7s}. in full force and effect. ' 1 Licen�y Class xf C� �� . _ wLic. Nof f�1 ' (-� �� - �� ri t ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: . !E I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale:. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. J - ❑ lam exempt under Sec. Business and Professions Coi#e•for this reason —1. I— WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation- insurance carrier and policy number are:� Carrier �erv_Ice: loon To'`f 000i• �,� t '. X46.00' ), - NEW CONST. DWELLING OCCUR ;j•rjaS ' L OR ADDNS. % .6 ACC. BLDS. a , NEW'CONS .7 , .,.MULTI=OUTLET) - �. NON'RESIO. c 7550 POWER APPARATUS .i t , ` iLJ3INGLL,150iET Cly �. Ex. Occup,4ourLET w FIXTURES ML @ .w - " 'i,Fp(ED•APPLNS. OR, T�' +� ` r Ex. Occu oitrLETs qE$ f Z, ,1bgt )Jk 5:00 Temporary Service 43.00, L a r Mobile Home Facilities 20 .00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work:of a valuation � of one hundred dollars ($100) or less.) J� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HqZ, compensation laws of California, and agree that if I should become, subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J� Q�j X LV( (.l ,O Date kyV — _1_--- Signature0of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionfp�/�-, of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CO T. TYPE TOTAL FEE $ D. FEES IMP FLOOD cDF pgRCEI pp 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. By Date _, ' * PERMIT EXPIRES ONy/� 3 / 2 aa -P Date Receipt No. Z 7 -3 d f WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,r ♦ .. r..-.. g; .. ..�.. - �F� ..{.. �^yw i•1i;,_..ra+:. _.J`'� �...`.+�.""�iy""y .^..'e`:7'^' _ x—.c ,.-. ,... �: _. 042-180-035. 99-1880 ADAMS, DAN & ELIZABETH 3115 GRAPE WAY, CHICO CONTRA `OWNER 8'H RENEVIAL OF BP# 91-2741 V� --Z 2,5 (Rev. 12/96) .... .... -. v«�-4e: �-•r-�"'i^.:✓�...�rr. y--. <Tf.'M�"�•. r..^��'•�f:�({•'�n^•.�..�'[T^'..r� r y.... - .�.�,,.r�-,n..`rr,.,:,rr r.-�..-,.a--... .-. COUNTY OF-BUTTE—DEPARTMENT C3F.+DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive Oroville,4C'a�lifo`rnia345965 • Telephone (530)538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - U ZONING4 ` / BUILDING PERMIT OWNER {{ 'q' -' 13 /r ITI S�'J/ TELEPHONE �•y A s'y" ,I, 7w SO. FT. OCC. BUILDING VALUATION - �y<(�•- .OWNERS MAILING ADDRESS C4R/7 �► Vi 4 Civic I ! F23 /M We, !NAME CONTRACTOR'S TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ <? ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS C. Energy Pian Checking Fee $ $ PERMIT FEE S Lt/+ -J„- CXZ0 LOT NO.SUBWWSIONSNAME ' PARCEL•MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE . SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 'Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other))❑ Describe Work: _7 Y4' 9c,"4e -v >' �. P, 7 f ' `� � Gas piping system 1 - 5 outlets . 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under.Sec. Business and Professions Code for this reason Main Service 200A To +000A 46.00NEW CONST. DWELLING occUP. OR ADDNS. ( a Acc, stns. s0 3.5¢T; NNooZRESIDT. MULTI.OU.UI TS @7,50 P.0 APPARATUS b SINGLE OurLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 @ 1'00 BAL @ .SO Ex. Occup. FIXED. A� D ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Xof one hundred dollars ($100) or less.) f ; I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the . workers' compensation provisions of section 3700 of the Labor Code; I shall forthwith comply with those provisions. �! / p p X f f//.e� �G+/1 `' ' / %//l��%r9 Date !i •'% q' //1 SignatA.,'of Applicant - Owner 13 Contractor ❑ Agent AOL An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ co NST. TYPE TOTAL FEE $ '7 `�- t �. HAZ D FEES IMP I FLOOD w - I COF PARCEL PO HD ISSUE This permit is hereby issued un-derrh"e "aappl' cable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. .� G 1��r-� By Date PERMIT EXPIRES ON pate Y Receipt No.__ ____ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 042-180-035' ' i #98-1831 ADAMIS , DAN ' 3115 GRAPE WAY, CHICO OWNER 7TH RENEWAL OF #91-2741 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O042 -160-035V042-160-035035 t, ZONING � 10 BUILDING PERMIT OWNER DAIJEL 0 IIIS TELEPHONE `�=' .-043 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3115 GRAPE t T:1 CPICO, 95973 CONTRACTOR'S NAME Vi. t.4.ul TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ q CIO ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3115 GRAPH WAY Energy Plan Checking Fee $ A. C -TTI 1 ' 950 L,3 $ PERMIT FEE' LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ 6111 MT,= OF 9I-2741 5TH ''96-1913 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SG W1 .00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 20OAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ : I am exempt under Sec. t , .Business and Professions. Code for this reason Main Service ( TONG 46.00 NEW CONST. OWEW EL OCCUP. CU OR ADDNS. ( 6 ACC. BIDS. SO 3.50FT. NON•RESIDT MULTI -OUTLET 97,50 OWER APPARATUS d SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES B20 1.00 P Ex. Occup. ouTELETSREESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declaratioris: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee "20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j `•� /� Date _l �_l� X� Signature nt - ' Owner ❑ Contras r ❑ Agent I�pplr6 An OSHA permit is requiredr excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 4()9,00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PO 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. By _ l .' _ ., % Date _ PERMIT EXPIRES ON S/22/96 Def® rReceiptNo. ,.� �> �/ f . 1 •.1n• ( HITE-D.D.S.-B.D. CANARY -ASSESSORS PINK•INSPECTOR GOLDENROD -APPLICANT PERMIno-Z 042-180-03'5 .,,tip q. _ADAMIS, Daniel , t' 3115 Grape Way, Chico . . 6th Renewal BP#91-2741 T;• i i ' S ` COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES !:BUILDING DIVISION,^ %. 7 County Center Drive - Oroville, California95965-'Telephone (9416)-"538 754:1' "�ERMIT NO. APPLICATION AND PERMIT, ASSESSDRPAFiDELNUMBEA 042--180,-035 U. .. ZONING'' AM 1...BU.ILDINGPERMIT , _ • OWNER DANIEL ADAMIS ; "` TELEMONE 854-7043'' SQ. FT. OCC: ' BUILDING VALUATION 5THRENEW '"•'+. ' OWNER'S MAILING ADDRESS - _�f' 3115 GRAPE WAY CHICO 959.73 CONTRACTOR'S NAME ' OWNER TEQE HONE -- ' r ..�, • *`��� - w �- ^' -ice" / CONTRACTOR'S MAILING ADDRESS If •Fireplace CONSTRUCTION LENDER •' " UN1046WN Total Valuation $ , y. � Filing Fee $ 20.00 ' LENDER'S MAILING ADDRESS ,A f- - Permit Fee' $ 389.Ws ARCHITECT OR ENGINEER - UCEHSE NO. w- Plan Checking Fee $ En'ergy<Pjan Checking `Fee $ r q ARCHITECT OR ENGINEERS MAILING ADDRESS �' 2y,1t - $ BUILDINGADDRESS - ;�•. c 3115 GRAPE WAY CHICO 4 V `;;•PERMITFEE $ 409,00 } PLUMBING PERMIT Filing Fee 20.00 EachITrap, /,4x, sx.i ✓ 7.00 - - ., . • - "A - .. .... ,..... .. ..:; .a ', '•. '.PARCEL MAP ; - - LOTNO.. x SUBDN510N5 NAME - • .SOIar or heet pu'm`p water hester1 23`00 � ° •' - ��" i, l.. Vllafer piping' a.. srA : 15.00 USEOFSTRUCTURE Each' water-heater"ror,,.vent +15.00 SF uplex ❑ Mobilehome ❑ Other �+;' Gas piping system 1 - 5 outlets .".5.00] SPECIFY Building sewer 1:§.P0 + TYPE OF WORK sj+ ' S G Mobile Home W @20,00 ' New. ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ STH REMAL/91-2' 41 PERMITFEE g Describe Work: — Contractor 4TH #95"2125 ., ELECTRICALPERMIT20:00 Filin Fee Main Service 500V OR LESS (^ 200AORLESS ,23.00` ` Main Service ( 200A TO 1000A 46.00- 6.00NEW LICENSED. CONTRACTOR'S DECLARATION NEWCONST. DWELLING OCCUP. S0. - oR ADDNs. ( a ACC. BUDS. 3'.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50. , v I hereby'�Affirm' under penaity of perjury thetl'am licensed under provisions of Chapter. POWER APPARATUS ." :. ++ (8 SINGLE OUTLET CIR. Y 9 (commencing with Section 7000) of Division `3 ofithe.Business. and, Professions..Code, r EX Occup. ' (OUTLET OR.FDCTURES) e° L•�� " BAL and mya license is in full+force and"effect. "Class " License 1 Lic. No. w� OWNER-BUILDER' DECLARATION . FIXED APPWS. OR EXOCCU p' ( OUTLETS (RESID.) FA r'S.00 Temporary Service 23:00.; 1 hereby"affirm under penalty of perjury that I am ek6m t from the Contractors License P tY P 1 rY P Mobile Home Facilities s 20.00 Law fl ithe following reason:• ;- I, as ownerof the property, or my employees with wages as their sole compensation, Misc. Wiring will do the work, and the structure is not intended or offered for sale'. 23.00 — r. ❑ I, as owner of the property, am exclusively contracting. with licensed contractors PERMITFEE _ td"construct,the" project. ❑ 1 -am exempt wunderSec. Business and Prof ession`s,?ICode for this Contractor =j 4'd ;:. ., .. E (reason WORKERS' COMPENSATION DECLARATION ° M -CHANICALPERMIT ` ' `" "Filing'�ee' 20'00 Heating I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-insurei for workers' Cooling ' compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 - performance of the work for which this permit is issued. -,. Ventilation 1`� ' ❑ 1 have and will maintain workers' compensation insurance, as requiied by Section 3700 of the Labor Code; for the performance of work for which this permit is issued. PERMITFEE $ `� My workers' compensation insurance carrier and policy numbef"aie: Contractor ( W Carrier A . Policy Number , Mobile Home Installation Fee $ % (The above sections need not be completed fthe;permit is'for work -'of a valuation Energy Inspection Fee of one hundred dollars ($100) or less.) -1 ' 1 that in the for.,which.this is, I occ corusr. TYPE TOTAL FEE $ 409.00 certify performance of -the work permit Issued, shall N not employ any person in any manner so as to become' subjegt+to workers' HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE compensation laws of California, and agree.that if I should become)subject to the -, t'.;,.workers' compensation provisions of section 3700 of the Labor'�Code, I shall " This permit is hereby issued under the applicable provisions -'.•fotthwith comply with those provisions. + /-� 1 �l X� a"1' 10 7 d G _Date _�_ _ of the Butte County Code and/or Resolutions to do work 'indicated above for which fees have been aid. P Signature Of)Applicant - Owner ❑, Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition oc 3 in height. c_onstruction BY Date t7 of structures over stories PERMITEXPIRESON 822"97 (Date) Receipt No. :2 6 Z 3 5/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR ,r PINK -INSPECTOR GOLDENROD -APPLICANT F3115 180=035 PERMIT#96-1913 N if MIS; Daniel,.:`r>.=' Grape Way, Chico Renewal BP#91-2741 q3 -P27737 / Pl3 4/ Lift. . t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-180-035 ZONING" 0 BUILDIN PERMIT DANIEL ADAMIS 89b 7043 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3115 GRAPE WAY CHICO 95973 4TRRENEWAL CONTRACTOR'S NAME 010ER TELcrHONE ' f CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNFNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee FEE $ 389.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS •^ + Energy Plan Checking Fee $ Penalty $ — BUILDING ADDRESS 3115 GRAPE WAY GHICO PERMITFEE $ 409.00 ..r ► s i �,., t 1 •# *, PLUMBINGPERMIT Filing Fee 20.00 Each Trap>.. o. # 7.00 1 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE { SFY0 'Duplex ❑ Mobilehome ❑ Other SPECIFY I Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C1 Describe Work: 4TH RENEWAL/91-2741 f �' ORD RENEWAL/94-3324) Mobile Home I S G W 1 @20.00 ti' PERMITFEE $ Contractor _ ELECTRICAL PERMIT Filinq Fee 20:00 I Main Service eoo' oR LEss ( 2ooA OR LE ) 23.00 Main Service ( 200A TO 1000A ) 46.00 y�. LICENSED CONTRACTOR',S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeisions Code, and myrlicense is in full force and effect.` License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their solecompensation, will do the work, and the structure is not intended or offered for sa`l`e. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the"projl ct. ❑ 1 am exempt under Sec. -Business and Professions Code for this reason W& NEW CONST. DWELLING OCCUP. OR ADDNs. ( a ACC. BLDs. ) SO. 3.5Q FT. NEW CONST. / MULTI -OUTLET NON-RES':O. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIN. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 - Mobile Home Facilities . 20.00 Misc. Wiring 23.00 PERMITFEE Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:; ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor C' de, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number'are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) � that in the performance of the work for which this permit is issued, I shall -S employ any person in any manner so as to become subjec(to workers' not compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. C; �i1 C X ��I ?�T� ,�� A /1 — Date 7s S .S -- Signature of Applicant -�- Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition orconstruction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPEIcertify TOTALFEE$ 409.00 HA2' D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ' ` P- SON applicable provisions Resolutions to do work been aid. p f IF/Zi. Date 8-22-96 (Date) Receipt No. $� yo1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ti. 'r. - .4, G��� ..�+"'"�. sR�:. �. �..5'sk.bvv.:.- `fir ; . ♦ �=rs-P.,.. �� .. ' h+€.+Y�N'. -. i, ,:i1;ti «�.'.'� ttax...l:�ry�. :'�f!4' � gip, s 042-180-035.• PERMIT#95-2128 ADAMIS, Daniel s 3115 Grape Way, Chico 4,th Renewal of BP#91-2741 913 3-7 Y ♦ � .,.. ._ tip `r � .. I :fS , .. t i. .t�-1,.si+r^•7-�.err.ya.t.�Hr•r+•.ws'�+•F...1-.-.. .._-_ . .:�... ,.:y,.r, ..r"'_ ..RZCMw�.•,.�.,. .. rs..r+wwt<. •..-^.r.i'�.�/i�.. .. ... ... xy 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 42-180-035 _ ZONING A-10 f BUILDING PERMIT OWNER tc 1 ' OWNER'S M� A � _ `�r TELEPHONE 894;-7043 �v {�� SQ. FT. OCC. BUILDING VALUATION '3RD RENT .4 S R t 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS `1 / r `Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 09. LENDER'S MAILING ADDRESS - tR /Filing Fee S 20.00 Permit Fee $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. ''Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i. Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESSMIS GRAPE PERMIT FEE $ 409.00 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 - Solar or heat pump water heater I 23.00 LOT NO. •_ / SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE e�iD�uplex SF ❑ Mobilehome ❑ Other " SPECIFY ' Gas piping system 1 - 5 outlets 15.00 Building sewer 15:00 Mobile Home S G W @20'.00 TYPE OF WORKEE }' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O 3 RENEW B.P. '3741-91 '''' Describe Work: R .,., PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee. 20.00 . • I' Main Service BOOV OR LESS ( 200A OR LESS I - 23.00 ` I Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLOS. I g0 , 3.5C so CONTRACTORS LICENSE LAW /- I declare under penalty of perjury (check one) NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS I @7.50 US (BFSIWN EER AOUTLL TT C R. I Ex. Occup. ( OUTLET OR FIXTURES I @ 1.00 BALL.. .50 O 1 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 Ex. Occup.FIxEO APPLNS. OR ( OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 the ow I, as the owner, or my employees wi.th-wages as their sole compensation, will do the work, and the structure. is not intended or offered for sale. (Sec'7044) ❑ I, ais the owner, am exclusively contracting with licensed contractors: -(Sec 7044) C3I am exempt under Sec.'- +V Business and Professioris Code Mobile Home Facilities 20.00 Misc. Wiring 23.00 for -this reason ' f WORKER'S COMPENSATION INSURANCE p "; PERMIT FEE $ Contractor I declare under penalty of perjury (check one): y ' ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, MECHANICAL PERMIT Filing,Fee 20.00 Heating Building ,Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I sha11'not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Cooling Hood 6.50 Notice to Applicant: If after making this statement, should you become subject to the Ventilation Worker'syCompensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. 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 Butte County Ordinances and California State Law relating to building construction, and hereby authorize representatives of the County of Butte to Mobile Home, Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 409.00 enter upon the above mentioned property for inspection purposes. , , 1 also agree to save, indemnify and keep harmless the County of Butteaagainst all ligl lines, judgments, costs, and expenses which may in any way accrue against said County in consequ a of #fe^gra ting of this permit. X -v �r� Date ell 7 % HAZ• I D. FEES I IMP I FLOOD I CDF [PARCEL I PD I HD ISSU ' This permit is hereby issued under the applicable provisions Signature f Applicant Owner-'❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. construct~iori of structures over 3 stories in height. (�4BY �D�ale 21Receipt PERMIrEXPIRESON�� a D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APWHITE-D.LICANT lDetel / 1-1 042-1807035- PERMIT#94-2325 ADAMIS, DANIEL 3115 GRAPE WAY, CHICO 3RD RENEWAL BP#91'-3741 t5� TA (v - S3, '41 93 - 45 -*71 93 - a704 CACa S- t9bNTY OF BUTTE - DEPARTM 7 F DEVELOPMENT) SERVICES - BUILDING DIVISION • �' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53&7541 PERMIT NO. APPLICATION AND PERMIT�� ASBSOR PARCEL NUMBER ZONING O BUILDING PERMIT OWNER 1 A , ;s TELEPHONE SQ. F7. OCC. BUILDING VALUATION OWNER'S MAILING ADORES 1 I CONTRAC 'SNAME - TELEPHONE iP riP CONTfl OR'S AILING ADDRES ' - Fireplace CONSTRUCTION LENDER UNKNOWN �4 Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS .,. Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS' C r { ' , J PERMIT FEE $ 9 U Iv • I 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>(D.»uplex 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 ❑ Addition ❑ Remodel O Utilities O Installation ❑ Other O « Describe Work: v�f"� Ci i P I I f �. .,,.�G�, i r ;1 +° " Z tv .a.. PERMIT FEE $ Contractor , ELECTRICAL PERMIT' ` `` ' Filing Fele: 20.00 Main Service( 200A0 LES 23.00 t Main Service ( 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCC UP. ' 3.5C S0" OR ADONS. 3 ACC. BLOS. FT. �# CONTRACTORS LICENSE LAW( clare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and r Professions Code and my license is in full force and effect. License No. Classification XI, 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. (Stec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason _ch_- NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 POWERAPPARATUS , a SINGLE ouTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 BAL. 20 @ 1.00 Ex. Occup.FIXED APPS. OR ( OW UTLETS (RESID.) EA. / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -PERMIT WORKER'S COMPENSATION INSURANCE _ 1 declare under penalty of perjuryJ(check one): vs - _ ❑ This permit is for $100.00 (valuation) or less. ^ O 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. FEE $ Contractor + MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Law rs elating 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,4n any way accrue aggi nst said County in consequence ofthe granting of this permit. X 1 Qt � D. ad iO nIA4 Date � Signatur of Applicant Owne_O Contractor O 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 $ HAZ. I D. FEES IMP FLOOD I CDF PARCEL PO 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� PPUBB.',L�IIC/WORKS n 7 By cI`f� t7 (/�i�f-es `s� Date J PERMIT EXPIRES ON __ t (Date) [ Qf a.J _ Receipt No. 1 (� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r l • , r , " - • ... - � , - +. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. 92-265b , ASSESSOR PARCEL NUMBER 042-180-035 ZONING All) BUILDING PERMIT OWNER Daniel Adonis TELEPHONE 80-7013 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3115 Grapy Way, Chico CONTRACTOR'S NAME 0%.mar TELEPHONE 1.4 tst IF^;[EWA CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee ;": $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t Grape Wa .Chico $ Permit fee 404.003115 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE t SF 1 x Duplex❑ Mobilehome❑ Other L- " SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[- Other 11 Describe work: 1st renetial%91-2741. Permit Fee $ Contractor ,' , • _ - ELECTRICAL PERMIT PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 2o0ATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed.contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. ( DWELLING OCCUP. f\ 3.64 sq.f[. OR ACDNS. ACC. BLDGS. NEW CO T NO N.REN D R BRANCH CIRCUITS) @ 5•00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — N. 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. J 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 1 15.00 Heating Cooling g I Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinanc s and State Laws relating to building construction, and hereby authorize repres4ntatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the+County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of•this,permit. X I� Iii o f -.P *Ji`;, A - Oda YyU.l Date 1 31 signatur cf Applicant — OwnePX Contractor ❑ Agenttl - An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 404.00 t+Az OFEES IMP I FLOOD I CDF PARCEL PD 1 HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. •r 7 rr'DIRICTOR OF -PUBLIC WORKS By kjaf_k-\ZAIo . / Date PERMIT EXPI . ES Date 117764 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT yr'.`.� GOUN.TY �F' BUTTE - DEPARTMENT OF PUBL LG WORKS!.' • PERM T, NO, :C6jnter, Drive r Orovll le> Calitorn a 95965 - Teleplioite:.916/538 75A1' --APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING A 16 } �•• -^ BUILDING PERMIT OWNER 1 iii. A1.. - •.•+y ., `, TELEPHONE DANIny t -, Jt 894'4043 OWNER'S MAILING A.D;D_RESS y' ;' .7;"'; - a, . .3115- AP a WAYL '"dlidD ' , . - SO. FT.. OCC:"' ' BUILDING VALUATION 3888 '' A ­ .198 288 1.392 M . 25,056 CONTRACTOR'S NAME y OTMER TELEPHONE 831 C10yC)003 03713 0 2,191 - :'•� CONTRACTOR'S MAILING ADDRESS. -Fireplace it All 1.500 CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ,• Total Valuation $ 237,838 - p Filing Fee $ 778.00 10.00 Permit Fee $ 389,00 > ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee '$ -15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS . ;t ; Penalty $ BUILDING ADDRESS- +'' 1115 GRAPE WAY OD Permit fee $ 1192.00 PLUMBING PERMIT Filing Fee , 10.00 Each Trap 2.00 3 / p:. ,,•.�:,, ,�^• "'•r `� Solar._or heat pump water heater 20.00: `'LOT NO. SUBDI`N I'5 rON N' iAE B c`PARCEL <`��...��} Lw-'4�a�N� tl� �' O " ^ MAP 4 •. Water piping 5.00 500 Each qas water heater or vent 5.00 Kj 00 -t;k> -' ULAS1`�OE STRUGGTU,R 3 t v {. C /iCrsk,,, r �J. ,rs`r; x'34.. SF ® Duple( w Mo ileA%wet Other f.00 &J,itCIFY Gas piping system 1 - 5 outlets 5.00 ()0 Building sewer 5.00. �.. Mobile Home I S1 G I W I 10.00ea'`.., TYPE OFWORK '• . " NewX] Addi.t�lon ❑ Remodel ❑ Utilities ❑ Installation❑ ,:.Other ❑ Oescnbe.work; Li RA41 i�5+.4(1 s ]Tl' S� ' �.'7 -'�``- -t :;� ', •• ;'. ' Permit Fee $ j+ Contractor ELECTRICAL PERMIT Filing F� 10.00 i Main service i°oo AMP OV OR RSLESS `�1 10.00;'1 , Main service EA. ADD•L 100 AMR 2.50 2.50 CONTRACTORS LICENSE LAWS • I declare under penalty of perjury (check one): �, - ,, -•�• ❑ I am licensed under provisions of Chapt. 9'D.i v: .3 of the Business and _Professions Code and my..license is,• in full force and effect. x License No. Classification rr I,1,11s the owner, or my employees with wages as their sole'.;t.compen- 4sation, will do the work,and the structure isnot intended 6r'offered for'.sale. (Sec. 7044)' . ` t .� P ❑ 1, as. the owner, am exclusively contracting with I'icensed contract- ors; .(Sec. 7044) .� �';, ❑ , I am exempt under Sec. , Busines 'and Professions' Code for this reason ' NEW CONST. / DWELLING OCCUP.& , 110.40 OR ACDNS. C ACC. BLDGS. /x¢sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e SINGLE OUTLET CIR. Ex.Occu (o ZALO30 ` p( UTLETS OR FIXTURES ewL030 FIXED APPLNS. OR EX. OCCUp• OUTLETS (RESID'.1 EA.) 2.00 Temporary service 4,, 10.00 Mobile Home Facilities Misc. Wiring g 15.00 _ Permit Fee $ .' WORKMEN'S COMPENSATION INSURANCE. `? I declare unde`r�,penalty of perju'ryx(check one): �+� ❑ The permit is for $100.00,(,yaluation) or less. ❑ 1 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 j� to the W. C. laws of California. �"'� ;. Notice to Applicant: If after making this statement„,should you becomelsub'ect f to the W. C. provisions of the Labor Code, you must forthwith comply. , th;such provisions or this permit shall be deemed revoked. ��*°. Contractor MECHANICAL PERMIT', Filing Fee 10.00 Heating 6.00 t Cooling 00 Hood 3.00 1 3.00 Ventilation 2 1 6.00 - Permit Fee $ Contractor I certify that I have read this application and state t t the'above infirmation is correct. I agree to comply to all County Ordinances and State Laws�relating to building construction, and hereby authorize representatives of theCA..untyot Butte.to enter upon the above-mentioned property for i'hspection purposes. I also agree to save, indemnify and keep harmless the,County of Butte "against all ilities, 'udgments, costs, and expenses which�y in any way: accrue a 9Anst aid C t ronuence of the granting ofihisrpermit. I- X •' D(a�te� \� �.. Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ :' An OSHA permit is required for excavations over 5'0" deep and demolition or"construct- ion of structures over 3 stories in height. Mobile Home Installation Fee, $ Energy Inspection Fee $ 30„00 occ CONST TYPE TOTAL FEE $ 1449.90 HAz. can ,,w .PARK scH FLD CDF Ile PAR D ) HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PR I1 EXPIRES Dateis Z- Receipt No.97056 1449.90 WHITE -D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -,- t10 11 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT, AS�^.TSARPf§bNU�1 1 uu ((�� ZONING BUILDING PERMIT OWNER ADAMIS DAN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3115 GRAPE WY. CHICO CA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ aUILDINGADDRESS 3115 GRAPE WY. I Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUSDMS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REPAIR & SPLIT METER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 doov OR Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. i I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of,perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 2 TO ,uooA 46.00 NEW CONST. DWEWNG OCCUP. SO EL OR ADONS. ( a ACC. BLDS. 3.50FT, NON-RESID MULTI.OUTI.ET @7,50 APPARATUS a SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FDCTURFS @'•50 6AL O .so Ex. Occu . ovntis Ro .OERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 _ 2 4-0 73, 90 PERMIT FEE S ° MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEtc $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'. cc ensation laws of California, and agree that if I should become subject to the orker. ' compensation provisions of section 3700 of the Labor Code, I shall forthwi comp) With those roves ons. Date S�d X ./ Signatu'rtrlof Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE ` TOTAL FEE $ (0 ° D.FEES IMP FLAOD CDF PARCEL PD HD SSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Te ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Orovillel California 95965 • Telephone (530) 538-7541 PERMIT NO. tRev.,2/98i APPUCATION AND PERMIT -- Wii0 BUILDING PERMIT ow+ste S �"Die SO. FT. OCC. BUILDING VALUATION elnas31` �oolw V)aL,Cil t CA �. MW TttaaOMe oow�cew, rrAM ADOWN Fireplace moon aausw Total Valuation = Mclmcr oll olDl�a uea 4° "a Filing Fee = 20.00 Permit Fee = ,apd car a D4&=V WA&M ADOICst Plan Checking Fee i Mao" V S Energy Plan Checking Fee i S Ct (-C) PERMIT FEE _ 40TN0. tUa0M1°1111NIt IAM& YAI PLUMBING PERMIT Filing Fa 20.00 Each Trap 7.00 USEOFSTRUCTURE SF, Duplex O Mobilehome O Other Solar or heat pump water heater 1 29.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK Now O Addition O Remodel O Ut{Wee O Insta9ntion O Other Doscribe Work: i Gat piping "tam 1 • S outlets 15.00 Building sewer 15.00 Moble Home I S G WT Q?20.00 PERMIT FEE S ELECTRICAL PERMIT FiU-ng Fee 20.00 Main Service Goo a Los 29.00 ' .Ex. PERMIT FEE PAID $ l�J�. 60 SPA ' ' $ SHERIFF $ OTHER $ $ $Energy AMOUNT RECEIVED $ 4Indicated V "RECEIPT NUMBER U * TO BE PUT INTO COMPUTER Main Service 2o" To Io=n 48.00 SCL 00 ADOW. ° a LLDI.' 3.5cm IOMIIOiO. YW:OVRlT @7.50 rowol arnuuTut a o IAe Occu ovncr oll nman DAL.se Ex. Occu,s opo. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 WAc. Wiring 23.00 _ �3. PERMIT FEE S (Q MECHANICAL PERMIT Filing Fee 20.00 Heating Conlin Hood e.so Vontrlatlon PERMIT FEE f Nbbae Home installation Fee S Inspection Fee i °C C0041r. 1r" TOTAL FEE $ ""� °'�a "' "w°°° co' '"IIDa .° This permit Is hereby issued under the applicable provision' of the Butte County Code and/or Resolutions to do woe above for which fees have been paid. By Date _----- PERMIT EXPIRES ON -a�rrt_„E' Y �s��.r.� ,+ :.a^3ct •tµwr ,n: ,�.-.$�`�',lt�,�'1. ""a.r al ;i•. v } a ,,�,-. 't� -�.;�� :at ?���-��. ! r' A 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCELER: T g Proposed Building Use: 'kaa uilding Inspector: Q Date: 1 /- $ 0/ At time of permit application, I was advise the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted ----------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------•------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. --------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 0 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------•-------------- ❑ 12. California Department of Forestry plan approval/fees.----------------------------------------------- ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit.--------------------------------------- 1116. --------------------------------------❑16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contac and Development about ❑Improvements, C3 Drainage, El Legal Parcel. ---------------- .E croachment Permit for driveway (constru;tion approval prior to occupancy). --------------------- 11190Pre-inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- E123. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). E124. Letter of signature authorization. ------------------------------------------ 025. Recorded'copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------- ❑28. Existing violations and/or expired permits. -------------------------- --- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at o ce.. ❑ Deliver with inspector. Applicant:. 62 Date: �' s Q f Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PRE -INSPECTION REPORT OWNER: LOCATION: �J W CONTRACTOR: CSC f Qfl PRE-INSPETION FOR: DATE TO INSPECTOR �4 ^D PERMIT HISTORY:( ) NONE DATE: A.P. # ZONING: 2 AA /Xti ;M-oq Cvl-con 97qt—ql ( ) AS FOLLOWS:_ BUILDING INSPECTOR'S REPORT Building Description: Commea+cial/Usnge: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes __ZNo Condition of Electric ,d Electric currently On 04 4,j L-� 67 Gas: , Natural Propane None � x Currently On Off Obvious Problems: Sanitation: ' / Plumbing Working_V Well Working Potable Water _ Obvious SewageProblems Comments: ACTION RECOMMENDED: Inspector. HOLD FOR L'1 "?,-f 7 Q� Date i & C> Sketch buildings on reverse and indicate location on property. y -%ZOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541�¢F,, IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER U�1 , /(1'O ® J�IA. �9 ZONING BUILDING PERMIT OWNERw / n v��` TELEPHONE SO FT OCC. BUILDING VALUATION .OWNERS W ESS ^ CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG'ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /l1 Ener Plan Checking Fee $ Energy g G� $ PERMIT FEE $ fl L15T NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: tJ / D/ 8 ���� �l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: X1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLD S. 3.5¢FT: T. NEW RESID. MULTI.O CIRCUITS@7,50 PSOWERINAPPARATETUS a GLE OUTLCIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. o xuTLEtOrsA M.) Ew 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed I the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those rovisions. Ll� , + n X Date y "'I Signature Applicant- Owner 13Contractor [3Agent An OSHA permit is required f r excavations over 60" deep and demolition or construction� of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ ya 7 Az Du 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. �� Z O By Date PERMIT EXPIRES ON Date Receipt No. 1715-0 y IC WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLANT 12 I 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 ' vement . YES, .. NO 0 2. I HAVER HAVE NOT ❑ signed an application fora building permit for the proposed work, 3. I have contracted with the following person. (firm) to.prQvi4c:the .proposed. construction: NAMEz ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: / SOCIAL SECURITY NUMBER:_ DATE:— NOTE. ATE:—NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and. to have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ; If yod pled to dc((y�oiir own'work, with die exception of various trades that you plan to subcontract you 'should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including—materials and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, �—, Mic el C. Vi Ara, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information it required by Section 19830 ojthe Cal#'ornla Health and Safety Code, OVER 1' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410. (Rev. 12/96) APPLICATION AND PERMIT !6767`- ASSESSOR PARCEL NUMBER 0 7L ZONING BUILDINGPERMIT OWNER w /Y' 3 T UpHONE�� ��Y•- y3 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNGADORESS311,5- G �� ���`O C�4 7 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �)11 A�` . /� A L/Y Energy Plan Checking Fee $ /C $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE S�Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtiliBes 13Installation ❑ Other0 Qj y Describe Work: 6 dy ReAfew.� L D � �� / / %Z7'l Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( a ACC. BLDS. 3.5QFT: R D�Ip ' MULTI -OUTLET @7,50 POWER APPARATUS 6 SINGLE 011TLEr CIR. Ex. Occup. OUTLET OR FIXTURES B20 Q 1. 0 Ex. Occup. OImE79 PEESS16.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed I the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi�with th�those �provisions. �( / (f X Date 77 1� � _� 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. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEti $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 410 �J D FEES IMP I FLOOD COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 'A / Q i!4t' "' By ✓ Date PERMIT EXPIRES ON t// I/ Dov I -Iate' Receipt No. 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 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. mprovement : YES.. NO 13 2. I HAVE HAVE NOT O signed an application for a building permit for the proposed work. 3. I have contracted with the following person.(firm) to.provi,the..proposed construction: NAM + : t, ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:, PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: r PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: g-)3— cl C NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: aas 1 An application for a building permit has been submitted in your name listing yourself as the builder of propetty improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and -to have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. . rIf yod plait to ddj+our own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (includingrnatenals and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you .are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensatiori-contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +Mage'rC,B2i1diirng ��, a, C.B.O. Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER < _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 IRS! NO. (Rev.12/96) APPLICATION AND PERMIT %7� ASSESSOR PARCEL NUMBER ©— 6U,—. ZONING r //�� /J_/0 I�f _ / V BUILDING PERMIT OWNER 10 4,J 14 04 Ah TELEPHONE - ®y,3 SO. FT. OCC. BUILDING VALUATION _ .OWNERS MAILING ADDRESS �� .� : G14 �/ J CONTRACTOR'S NAME ��- q TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ 17rd ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3' � �,�d� , � Energy Plan Checking Fee $ (� C!�- %1T211 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe WornJe�'� l / /fie P� Of' % ' 27 y1 VIA 2 Gas !ping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home 1 SI G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service '*.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L.@w for the following reason: Ix I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADONS. ( 8 ACC. S. So 3.50FT, NOµH61D. CU.MULTI-OUTLET @7,50 POWER APPARATUS 8 SINGLE OUn.ET CIR. EX. OCCu OUTLET OR FIXTURES 20 @500 B '. FIXED Ex. Occup. pi g Rap°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J �� X O Date 7 Signatur of Applicant - Walwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $®i Q. HAZ. p. FEES IMP I FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the ap eprovisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Q By ate Le" PERMIT EXPIRES ON Data Receipt No. 2, s WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 051 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. ^l. I personally plan to provide the maj r or and materials for construction of the proposed rQ erty improvement : YES NO[ ]. 2. I HAVE ] HAVE NOT[ ] si an application for a building permit for the proposed 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this worm but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: a m s SOCIAL SECURITY NUMBER: DATE: 1� - J y - 1' q NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. bhv 190i 2.26 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 PER1�11T NO. (Rev. 12/96) APPLICATIONAND PERMIT _ ASSESSOR PARCEL NUMBER 042-180-035 ZONING A 10 BylbINGPERMIT OWNER DANIEL ADAMIS T9421043 SO. FT. Oct. BUILDING VALUATION OWNERS MAILING ADDRESS 3115 GRAPE WAY CHICO, 95973 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 389.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3115 GRAPE WAY Energy Plan Checking Fee $ CHICO, 95973 $ PERM TFEE $ 409.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIt Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: 6TH RENEWAL OF #91-2741 5TH #96-1913 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law. for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADO S. ( a ACC. BLDS. so 3.5¢FT: No RES D. CONST.BRANMULCH CIRCUT ITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 2U � 1.00OWNER-BUILDER BAL o .so Ex. Occup. ouriErs RPP ESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EE PERMIT FEE $ ORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, i shall forthwith comply with those provisions. L 5_,, Date O " �( '-�� nature Applicant - Owner ❑Contractor ❑ Agent DnOSHA permit is requir d f& excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 409.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PO I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 8/22/98 the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A r O.B.- I 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 ��NO labor and materials for construction of the proposed property impr ment : YES ❑ 2. `IHAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following pers n,(firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: 'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTCTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner-BuilderVeriifI Ion is required by Section 198.11 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. if your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply.. If you plan to do your own work, with the exception of various trades that you plan to subcon:ra.t, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information abouty our obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 9581.4. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER S COUNTY OF BUTTE DEPARTMENT OF DE 1 7 COUNTY CENTER DRIVE - OROVU,LE, IF PERMIT APPLICA TNT SERVICES - BUILDING DIVISION 95965 - TELEPHONE (916) 538-7541 N DATA SHEET OWNER: l L ll "a % ASSESSOR BARCEL NUMBER: i7 q 2- I b 6 T G 7 s Proposed Building Use: S Building Inspector: (//C3 Date: 25--// 9 i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ------------------------------------ Date Received By . All items have been submitted. ------- - ---------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. --3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 0 4. ---------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All eng}neering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---- II----------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ----------------------------------------- ❑ 9. Manufactured Home data and in instructions includin ❑ 10. Fees of $ ---------------------------------- 7 11. Impact fees as shown on the attached schedule.--------------- 1112. -------------- ❑12. California Department of Forestry plan approval/fees.-------- Ell 3 ------- ❑13 . Flood elevation certificate. --------------------------------------- ❑ 14. Sanitation and plot plan approval Health Departi ❑ 15. City of Chico plumbing permit. ---------------------------------- ❑ 16. Plot plan and business license approval from the City of Bigg ❑ 17. Planning approval for (A) Use: (B) Parking ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drab ❑ 19. Encroachment Permit for driveway (construction approval pr 020. Pre -inspection for requi ❑21. Contractor's license information. (Number, Name Style, Cla: 022. Workers' Compensation carrier and policy number. ---------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to of 024. Letter of signature authorization. ------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. - ❑ 26. Letter of intent on building use. ---------------------------------- 0 27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows.ff�Mail to owner, []Telephone and hold for pickup at Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm( Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ OU 1. Index permit application for the above items numbered: 2. Additional items required: Contractor, designer, owner, was advised of the above required data by Contractor, designer, owner, was advised of the above required data by Contractor, designer, owner, was advised of the above required data by Contractor, designer, owner, was advised of the above required data by Plans reviewed by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Yellow Copy - Department of Development Services, Building Dii Tie Down Specifications.------------------ I i ------------------------------------------------ ent. age, ❑ Legal Parcel. ----------------------- �r to occupancy). ---------------------------- �d. Request to Building Inspector on (Date) ;ifrcation).------------------------------------ ner11) - -------------------------------------- to contractor. office. ❑ Deliver with inspector. ,ant: Date: ❑ Air Pol ution Date:_ By: Date: By: ❑ Plan Check List phone, ❑ mail, ❑ Building Division counter, by Date: phone, ❑ mail, ❑ Building Division counter, by Date: phone, ❑ mail, ❑ Building Division counter, by Date: phone, ❑ mail, ❑ Building Division counter, by Date: 'laps approved by: Date: Note transfer by: Date: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 'County Center Drive - Oroville, �galif&r is 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT 70 ASSESSOR PARCEL NUMBER 042-180-035 ZONING A10 BUILDING PERMIT OWNER DANIEL ADAMIS TELEPHONE 894-7043 SO. FT. OCC. BUILDING VALUATION 5TH RENEWAL OWNER'S MAILING ADDRESS 3115 GRAPE WAY CHICO 95973 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS '1119 GRAPF WAY, CHICID PERMITFEE $ 409.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other XX SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unites ❑ Installation ❑ Other ❑ Describe Work: STH RENEWAL/91-2741 4TH #95-2128 Mobile Home I S J G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 A.C. BIDS. ) SO. 3.5¢ FT. CNS. NEWAD CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. FIXED PPLNS. PES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. , - ,, �,,11 ,n �!� ) X _ ! 1�LQ J� `—lu — Date � � 6 — Signature dig Applicant __1K Owner ❑ Contractor ❑ AgentT An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 409.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL Po HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date 8-22-97 (Date) Receipt No. Z .3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and returnthis 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: YESK NO[ ]. 2. I HAVE[XI HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: xPROPERTY OWNER: t ` SOCIAL SECURITY NUMBER: x DATE: S I �-- I I G1 10 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of :California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `bwnerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Snrel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone APPLIWIWAND PERMIT BUILDING DIVIS N (916) 538-754 PE MIT NO. ASSESSOR PARCEL NUMBER ZONING 042-180-035 10 BUILDIN PERMIT OWNER TELEPHONE DANIEL ADAMIS 894-7043 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3115 GRAPE WAY CHICO 95973 TH RENEWAL CONTRACTOR'S NAME - OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNTotal Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee i FEE $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3115 GRAPE WAY CHICO PERMITFEE $ 409.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF I] Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [� Describe Work: ATH RENEWAL/91-2741 (3RD RENEWAL/94-2325) Mobile Home I S I GI W (—W20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Mein Service 000V OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000 of Division 3 of the Business and Professions Code, 9 (commencing ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO, 3.50 FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS 8 (SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup.FIXED APPS. OR (OUTLWETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X U�'�% l n + S 9, A � �/1 D. IsC�Q6,YDate 3 � Signature Applicant - ` Owner ❑Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 409.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have �,��i By ' " PER TEXPIRESON applicable provisions Resolutions to do work been paid. Date g 8-22-96 (Date) Receipt No. '� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dear Property Owner: a An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 ' If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. _. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Lfi.�t:c� Michail C. Vieira, C.B.O. I Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER " O.B.-1 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 proposedroperty improvement : YES NO ]. 2. I HAVE[] HAVE NOT[ ] sign an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: ) r SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 4/, 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 17q 23 23- ASSESSOR PARCEL NUMBER 42-180-035 ZONING A-10 BUILDING PERMIT OWNER TELEPHONE 4-7043 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3115 GRAPE WY CHICO 3RD RENtld CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 409.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2136 3115 GRAPE lolY PERMIT FEE $ - 409.00 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 ❑ Mobilehome El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ElRemodel ❑ Utilities ❑ Installation O Other CIContractor Describework: 3RD RENEW B.P. X741-91 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V OR LESS ( 2ODA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( e 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) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.UFIXTED APPLNS. OR (OUTLETS 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): O This permit is for $100.00 (valuation) or less. ❑ 1 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 S 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. 1 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 a1 o agree to save, indemnify and keep harmless the County of Butte against all li tie judgments, costs, and expenses which may in any way accrue against said C unty i consP ue of a ra ting of this permit. X Date / Signature of Applicant -' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 409.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Dat PERMIT EXPIRES ON Q �2 (De tel Receipt ! WHITE-D.D. .D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT COUNTYOF &UTT�- DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 6110 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ,C//r}.J P.( c4f /Ji I 1 A. P. No.,) 3 , 1 0 2y - Proposed 02 Proposed Building Use 3�t1 � - Building Inspector �-- Date o?ll> S� At time of perrr�i�pplication, I was advised the following data must be submitted prior to permit processing and/or issuance: 7 DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . .................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........ �. 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule. .............................: . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... ^_ 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for P�a°�egIns ect p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner __j ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. / When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation - Acreage Applicant Date 8 1 % 9 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 OE BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: I 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. , . I personally plIn to provide the major labor and materials for construction of the proposed property improvement (yes or no) e —: 2. I (have/have not) !% signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner !� Social Securityumber Date 27/ 7/ 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 permitted to issue the permit. 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 r /� Of ZONI AI / L5 BUILDING PERMIT OWNER /� e TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS G_ / O _ CONTRACTOR'S NAME l /`- ~ TELEPHONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ C> 5 LENDER'S MAILING ADDRESS Filing Fee $ 20 00 Permit Fee $ �s ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ ( �/d PLUMBING PERMIT Filing Fee 26.o0 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 W @20.00 TYPE OF WORK New O Addition ❑ Remodel ElUtilities ElInstallation O Other ❑ Describe Work: ?he��� — y� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 800v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. ) 30• 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 O 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 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. O 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. NEW CONST. MULTI.OUTLET -NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POW INGLE OUTLET IR APPARATUS ) 8 SCIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 RAL. 0 .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRES10.1 fA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep sand demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES IMP I FLOOD I CDF PARCEL I PO 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. By Date PERMIT EXPIRES ON !Dere/ // 3 v/) Receipt No. _ !'b / WHITE—D.D.S.—A.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9_ - ^ ASSESSOR PARCEL NUMBER O ZONING ® BUILDING PERMI L V O NER E A f S TELEPHONE ., SQ. FT. OCC. BUILDIN VALUATION OWNER'S MAILING ADDRESS *f CONTRAC 'S NAME kar- TELEPHONE •1 �Q O� l - CONTRACTOR-SWAILING'ADDRES13 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 I PERMIT FEE $ i 0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUB DIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New 1:1Addition ❑ Remodel ❑ Utilities O Installation` O Other O Describe Work: a/1 J r e. ne Kjo ci1 Z PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 e1� v li�/v Main Service I 200OR LESS ) 200AA OR LESS 23.00 Main Service I 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLDS. ) SO - 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 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 1, 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 BAL. @ ).50 Ex. Occup.FIXED APPWS. OR I OUTLETS (RESID.) 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): O This permit is for $100.00 (valuation) or less. O 1 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 I 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 ofthe granting of this permit. X (JI//QQtM) .0. adQ)'j' o Dateg/// lq3 Signatur of Applicant -Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ q d � A HAZ. D. FEES I IMP I q-OOD COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County,�Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date i ?hs PERMIT EXPIRES ON (d IDetel /SLR / j5s Receipt `J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT co %t COUNTYOF BUTTF_ - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 111ory t e, df M / S A. P. No. Proposed Building Use 61, Building Inspector ��. YI 3C Date77- At time application, I was advised the following data must be submitted prior to permit processing and/or issuance:. noffppermit l� 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ : 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use:' (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34:. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant di a A&A SCJ. GdOffti4n Date I 1 9 3 EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �-F"`—^�-^�•,�ro�l.►'...•.r,r•- _ r+..-r^��`�`�itY^�'y�.�'~1..�,;��.rW";�.c /AVL-r�pr+�'.i�F`'�,++P'\...'"'.j� �COUNTYOr UTTt - DEPARTMENtOFDEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7,541 ` 1 PERMIT APPLICATION DATA SHEET OWNER t /8 ry f e,1 / S —A. P. No. '7 L - 3S' ' ProposeAuilding,User ZJry 1&4,0,jer-1'M Building Inspector ( Date t3 411 Z 53 g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ]DATE RECEIVED BY 9! 1. All items have,been submitted. ......................... 2. Plot plans, 3/4:.sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C kBuildings ......................... , 8.,,Engine,ered_truss_details.and layout in -duplicate (required prior to:plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........ '^10:* Fees of $ 1 ° - .......................................... �. 11. Impact fees as shown on'attached schedule . ............................... 12. C51iforniaDepartme6t of Forestry plan approval/fees. ....................... . »•- -13 Flood=elevation letter'-, (100 year flood) by California Engineer . .................. . ' i,.14. Sanitation and,plot plan approval Health Department . ............ j 15. City of Chico plumbing permit. .................... .......... ....... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. t 17. Planning approval for (A) Use: (B) Parking: ......... } 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). .. . 4,20. Pre -inspection for , . �` ; ; t. B. ing Inspector — i � '� '"` `' required. . to Building Inspector (Date) `r X21. Contractor's license'informatiori: (No.; Name Style°Class ification). .............. ? 22. Certificate of Workmans Compensation Insurance. -.23. Owner -Builder Verification (Given to owner , Mail to owner ............ i x,24. Recorded copy of Agricultural Acknowledgement Statement . .................. ' 25. Letter of signature authorization . ................................. *........ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed 'tib and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. .... . 32 .`Plan checklist: ...::. r:.......h.....'........:"..`........::...:.°. 33. .34. e - o When you issue the permit, process as follows: _LZMail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 1 Parcel Creation 2 a4�, �(�R t` Acreage Applicant A �J �%� Date Copy of Hai -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: r 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 bye. --r-_ Date Plans approved by Date 7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works C")(RR"' OC '� - O ar= -er o °•�bL:c '1u 'cs 7 CJuncl Cenear Dr=ve, Crov lld, CAS 9:963 Phone : 9L o ; 4i encion ?_^oercy Cwner: An "owner -builder" building per= -4t has been apolied far in your name and bearing r signature. Please complete and racurn chis inf.:rmacioa at your earLiasc aogo"unicy to avoid ecessar s delal is processing and issuing you= building permit. No building term=: 1 be -issued until chis ve=ificacioa is received. -l. I pe:senally plan to provide the major labor and mace_iaLs for ccnstr:ctioa of the proposed prooe=:l improvemeac (yes or cc) S ` �2. I (have/have acc) hGiyt_ signed an ap9lication ,for a building pe=mi_ for the proposed Work. 3. I have cont=acted with the foL'_owing pe=soa (`i=m) to provide c6.e proposed coast= *ctioa: Name Addr_ss Citl Phone Coat.ac=ors License INC. I plan to provide portions of chis wor!c, but I have hi=ed the fotic ir. person to coordinate, supervise, and provide the major work: dame Add=ess C:_j ?Fhcne Czat=ac:zrs L:caase Ye . :r11 prcvtda some of the woric but I have caac.acc_d (hired) the faL:cw ag persons to provide c:.e •,IcrA i:dicaul: Name Addrass Phone T7pe of bort Signed =^oer_y Owner Social- Secs - ::7 Nuaber - \ Dace I1 -:� :his Owner -Builder Veri..icatioa is seat to you as raeu r_d by Secticas 19821 and 19811- ce cae CaLifaraia Lealc and Sasaty Czde. This veri!ication muse be ccmpLecad and returned to our office be:are we are per- micted to issue the pernic . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT /o*V4/T4 owtia- PERMIT NO. 92-2653 ASSESSOR PARCEL NUMBER 042-180-035 ZONING r10 - BUILDING PERMIT OWNER Daniel Adamis TELEPHONE 894-7043 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3115 Grape Way, Chico CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee X11 - $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3115 Gra �e baa , Chico Permit fee $ 404.00 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF[J' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JSJGJW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [ Describe work: 1St renewal/91-2741 Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service SS 200AOROR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6Qsq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1Gf 1 shall not employ any person in any manner so as to become subject �t to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. G X IID r ,� • Q G�rx,%I Date .3 -/ 2 Signatur f Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 404.00 I HAz I DFEES I IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work in d dicat ove for which fees CT F UBLIC By PER IT EXPI Date applicable provi- resolutions to do have been paid. WORKS DateQ Receipt No. 117764 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoartment of Public Works 7 Councy Cancer 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) E' 2. I (have/have not) UjE signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) t provide the proposed construction: Name Address City Phone Contracto License No. 4. I plan to pro 'd portions of th-is work, but ave hired the f owing perso to coordinate supervise, provide the jor work: Name Address C' y _ Phone Cont ctors License No 5. I will provide some of the wor but I have contracted (hired) the following persons to provide the wo ' indicated: Name Add ss Phone Tx a of Work Signed: Property Owner. Social Security Date 7 er 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. ;NOM�n�ndO .00 COUNTY OF BUTTE - DERARTMSENT OF PUBLIC WORKS Pepto N9, 7 County Cantor Drive - Orovllla, California 95985 - Telephone: 010/538-7541 APPLICATION AND PERMIT A9-18-35 BUILDING PERMIT wN w HON 894-7 4 SO. FT. OCC. BUILDING VALUATION 3888 R 198,288 1 ING AD OWNBR'5 M DRElD 1392 M 25,056 CONTRAC OR'9 NAMWAYCHICO TELEPHONE + 10 003 831 C V 313 2,191 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 1-$ CONSTRUCTION LENDER UNKNOWN Total Valuation 237,838 Filing Fee $ 778.00 1000 LENDER'S MAILING ADDRESS Permit Fee $ 389.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 1192.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP 94-89 Water piping - 5.00 5.00 Each qas water heater or vent 5.009.00 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 10.00ea TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 4 $EIRM SEE PERMIT #21$5-90 Permit Fee $ 64-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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 , New CONSTR.( A ) h�sgft 110.40 ULTB OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e\ SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q 9AL03o FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 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): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 6.00 Cooling 9 6.00 Hood 3.00 1 3.00 Ventilation 2 1 6.00 Permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all ilities, 'udgments, costs, and expenses which may in any way accrue a inst aid C t ons uence of the granting of this permit. X w Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOTAL FEE $ 1449.90 HAZ. CUA PARK _ SCH FLD COIF 110 11 PAR D HD IssuE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -G-- F PF", T EXPIRES Date �� i7^ C Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR. PINK-INSP TOR. 10L N AP .CANT COUNTY OF BUTTE - DEP;ARTMFNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Z /B� ZONING X/Q BUILDING PERMIT OWNER ' / e •J TELEPHONEf 7 13 SQ.FT. OCC. BUILDING VALUATION O� / l •2 OWNER'S MAILING ADORES 3(15 ADORE y C` �cd Cf+ gS9z'Wi lvz 14 ZS0S6 CONTRACTORS AME TELEPHONE 31 / 0-3 f t✓ `t [ CONTRACTOR'S MAULING ADDRESS Fireplace 5 O D CONSTRUCTION LENDER UNKNOWN Total Valuation $ .23i 38 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7 - c.,,;;, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S dj.QJ Energy Plan Checking Fee $ /5--G() ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ( Permit fee $ a PLUMBING PERMIT Filing Fee 10.00 C Each Trap 171 2.00 3el. 0o Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP - Water piping 5.00 5'. O, Each qas water heater or vent 5.00 5.OD USE OF STRUCTURE SFR- Duplex[] Mobilehome❑ Other Gas piping system 1 - 5 outlets 5.00 $ fly Building sewer 5.00 0 ->SPECIFY Mobile Home S G W O.00ea TYPE OF WORK New, Addition[] Remodel❑ Utilities[] Installation❑ Other ❑ Describe work: __ L( 51Z 5fe eef MiT 2 1 85- 90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 1000 AMP ORSLESS 10.00 10. da? Main service EA. ADO'L Inn AMP 2.50 2.57o CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. / Yz¢sgft NEW CONSTR ULTI.OUTLET 2.50 ea BRANCH CIRC NON ESID ITS POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 52 0@50t ALO HO FIXED APPLNS. EX. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling UU Hood 3.00 3.00 Ventilation Z 6,-/io P enult 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. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. ' Mobile Home Installation Fee $ Energy Inspection Fee $ .0 J occ CONST TYPE 0 TOTAL FEE $ HA2 CUA I PARK I scHL I rLo I coF I PAR Po ; ro, Issue This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date � Receipt No. 170 S6, — lLl-"l p/ �— WHITE-D.P.W.. TELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity 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 aterials for construction of the proposed property improvement (yes or no) $ 2. (have have not) 1L. U signed an application for a building permit for t e proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner �7 Social Security Number Date • Q' - S - 9/ 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. '1'*r7�'*`�.S^'�'��"'.�q.ilr�rir•.+'i7.fFY�:r-]i✓�•,W4.,,.?J;f4�ri+e^f§i`tJ�.'t':+•3=�`'�k'K�..p'�_:'!•�s;d.K+nsW^;u*�,i'11w'�`.�-•�'�`�""°`-:..4 �._Y7'.+'�i'S+�'y' ��t. ` y:, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 n PERMIT APPLICATION DATA SHEET- / /I i Permit No. OWNER Proposed Building Use 1146%0 - �S A. P. No. _ :tor v Date J5— p At7AII ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: items have been submitted . .................................... DATE RECEIVED APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete er)gineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form . ........................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When ou issue theermit, process as follows: Mail to owner. Mail to contractor. V Telephone UTI— 7693and hold for pickup office. Deliver w/inspector. Other Applicant Date— Copy ate_ 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..sub.mi.tted prior to permit issuance:. (Circle new item,no.t-checked above). 1. Index permit for above items No. 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date i 2-18-35 1446-91B,P,E _ ADAMIS, Dan & Betsy ' K 3115 Grape Way, Chico j cont: Sunshine Pools ' i (swimming pool/sf) 3 I ' k f r _ i Y F� 1 b'^ JOB FINALED (Date) A Signature V=Ok t O = Not OK' ` 'Not Readyable =MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /" L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1' 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POCAS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances etbacks-Easements 5. Drain; MH Test -Fall -Flex Connector • . S 'Is; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector . Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date Card B-1 Date Card B-1 Boxes- Enclosures- Pane Iboards- Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date - (, G�Z Card B-1 (y(�, Date Card B-1 Date Card B-1 Date Card B-1 f'"I 9 V OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (� ' = Date UN FLOOR (Plans) OK except #'sdl zo 'ng -Setbacks -Easement F od-Slope If Ft ain; Soils-Elec. d.- " Ftg. Depth Ftg., Ga ge; Soils -St I-Elec. GWd.-/ JjV Ftg. Depth 4. Ftg., Porch & De s; Soils -Steel-/ /Ftg. Depth S!$temwalls, Ma teel-Blockouts-Wrapped 6a. Hold Dow and Speiqat Anchors 7. Slab; St I -Wrapped 8. Piers fireplace Ftg.-Steel 9. D. .; Fall -Fitting -Test -2 Way /O -Sewer Test 10. s Pipe; Size Anchors 11. ater Pipe; Test -Anchor -Regulator -S ice Test 1 . Electric; Underground 3. Plenums & Ducts; Clearance-Material-Suppo Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 1-1 15. Insulation Date 1TCt�c7 Card B-1 ,,rte Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts ir. Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be mac I ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52, Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) COUNTY OF BUT 1 E OF PUBLIC WORKS 7 County Center Drive -jOrov4�EPARTIVIENT , California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 42-18-35 ZONING A-1 0 i BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION Est. oil 17 200.0 OWNER'S MAILING A.DDRE 5 Way, Chico 95996 C O N T R A CTO R'S NAME TELEPHONE 345-4254 CONTRACTOR'S MAILING ADDRESS 705 Lawn Dr., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 17 200.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $128.50 ARCHITECT OR ENGINEER Cal Bachman LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $153.50 PLUMBING PERMIT Filing Fee 10.00 3115 Grape Way. Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5,00 USE OF STRUCTURE SFP0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New l Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: Swimming Pool Master #500-88 Permit Fee $15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a[�]'d my license is in full force and effect. a; ��� d C^ S,3 License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e New AMULTI-CUTLETCC' ,h0sgft CONST NON•RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX, OCCUp( OUTLETS OR FIXTURES 20050 ti 3AL030 FIXED APLNS EX. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g Pool Electric 15.00 1 5.00 Permit Fee $25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil'ties, judgments, cos ,and expenses which may in any way accrue again s d Count ire nce of the g anting of this permit. --10-91 %� Date Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $1 .50 HAz. cua PARK scNL FLD PAR PD I H This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above f which fees have been paid. DIRE O F WORKS BY Date PERMI EXPIRES Dat 1 •1 Receipt No. 88775 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � ._ _ .. T— wa..� :y,- aw. �..�..� . X.v-�-.�-^ .... ���r»4_"r'L";r ri,`+r� a. .Y .,.. �.. . M. ..'sw '{n .... z sir^ . • t.. COUNTY OF BUTTE - DEAD" NT OF PUBLIC WORKS - BUILDING DIVISION . a «+ F.,., r 7 COUNTY CENTER DRIVE ROVILLE,GALIF9RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APP.6,I[WIDN DATA SHEET Permit No. OWNER -T) %AN 2, AM 0 A. P. Np. Proposed Building Use hi �__.. �"� Building Inspector Date � /0 :r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1.` All items have been submitted. ...................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer..of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ...................... ................. . 6. Energy Design Compliance and supporting documentation ......... f. 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. J 10. Fees of $ t 11-. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... " School District fees paid .............. - 14. Sanitation approval from G H 160 Health Department V/ 15. City of Chico plumbing permit..........I........................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Telephone and hold for pickup at _office Other Applicant Mail to. contractor. Deliver w/inspector. Date 5--i 7 y ti ,Copy of Hdz-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' it issuance: (Circle new item not checked above).T, 1. Index permit for above g s No. 2. Additiona ,1,+ t'ems required: ontracC or designer, owner, was advised of above required data by_phone_mail—counter by -.date 5 ctor, designer, owner, was advised of above required data by_phone_maII_counter by date_ Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 17 TO- Buildina Department s FROM: Environmental Health SUBJECT: Sanitation Clearance AclA 31 w►IS 1f' Ci Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** :L. Sanitarian Date �iSS CON T1+�` CO CO NT R A C`1C'' CONST�( L ENO ER 'i ARCHITEC ARCHITEC BUILDING LOT NO. ILING AD'ORESli 3//S- fa,a )R'3•NAME nshine- )R'S MAILING AOC 15 L� 'ION LENDER IAILING ADDRESS COUNTY OF BWT'T€ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT ZONING -U BUILDING PERMIT TELEPHONE SO. FT. I OCC. i» S rin TELEPMO 345 UNKNOWN PERMIT NO. OR ENGINEER'S MAILING ADDRESS BDIVISION NAME C 14 PARCEL MAP BUILDING VALIDATION —7 '7 Fireplace Total Valuation S Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent USE OF STRUCTURE Gas piping system 1 - 5 outlets SF;K Duplex❑ Mobilehome❑ Other Building sewer SPECIFY Mobile Home S I G JW TYPE OF WORK New Addition[] Remodel❑ . Vtflities� In tallation❑ Other ❑ Permit Fee Describe work: L Contractor has- ar J5OO ELECTRICAL PERMIT Main service 600' OR Less 100 OR OR LESS Main service EA. ADD'L 100 AMP S 10.00 $ 7 "F.5 $ ►S .On S $ I UM Filing Fee 10.00 10.00 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLINGoCCUP.a ) , /z¢sgft 1 declare under penalty of perjury (check one): OR ADONS. ACC. BLDcs. NEW CONREST TR. TLEr '2.50 ea ❑ I am licensed under provisions of Chapt. 9. Div. 3 of the Business RANCH NON-RESID 9R4NCH CIRC ITS (POWER APPARATUS e) and Professions Code and my license is in .full force and effect. SINGLE OUTLET CIR. License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES aA L9 30 30t ❑ I. as the owner, or my employees with wages as their sole compen- FIXED PR Ex. Occup. OUTLETS IRESID )E A.) 2.00 sation, will do the work,and the structure is not intended Or offered Temporary service 10.00 'for sale. (Sec. 7044) Mobile Home Facilities 115.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring I 15.00 s •OC ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for S100.00 (valuation) or less. Heating ❑ 1 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee 5 is correct. I agree to comply to all County Ordinanc=s and State Laws relating Energy Inspection Fee S to building, construction, and hereby authorize representatives of the CountyoT Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE TOTAL FEES I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue I HAz c A ;IA14K i SCHI FlD I PAR _?O MO I Issu= against said County in consequence of the granting of this permit. I I This permit Is nereoy Issuea urcer the aopiicao:e provl- X Date sions or the Butte Ccunty Coce and/or resciuuons tc do It— Signature of Applicant — Owner C Contractor IAgent work indicates aoove for which fees have been paid. An OSHA Dermit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC 'NOP.KS ion of structures over 3 stories -n height. By Date Receipt No. ^Id-ro Ccwt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �. 7 County Center Drive - Orovllle, California 95965 - Telephone: 918,'538.7541 APPLICATION AND PERMIT —ASSESSOR PARCEL NU B 042-180-035 ZONING A-10 BUILDING PERMIT OWNER Dan &Betsy Adamis TFLEPH !:?J E SO. FT. OCC. BUILDING VALUATION / OWNER'S MAILING ADDRESS _a 3115 Grape Way, Chico. 95926 1ST RENEWAL CONTRACTOR'S NAME Sunshine Pools TELEPHONE 345-4254 CONTRACTOR'S MAILING ADDRESS 705 Lawn Dr., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee Al Fee $ 76.75 ARCHITECT OR ENGINEER Cal Bachman LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee Energy g Penalty $ BUILDING ADDRESS Permit fee $91.75 PLUMBING PERMIT Filing Fee 15.00 3115 Grape Way, Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P001 SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 1st Renewal of B.P. #1446-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 If Main service 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under a It of er'ur p y p i y (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. C /� License No. '�%`L l B Classification (2-5:5 C'R ElI, 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 ts reason NEW CONST. ( DWELLING OCCUP.&\ 3.64sq.ft. OR ADDNS. l ACC, BLDGS. / NEW CONSTR ULTLOUTLET ^ 5 00 NON -D, BRANCH CIRC ITS l: (POWER APPARATUS hl SINGLE OUTLET CIR. 20 76 Ex. Occup(ourLETsoR FIXTURES FIXED EX. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare un penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f�hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all IIabil''es, judgments, costs, and expenses which may in any way accrue against 'd County 'n co sequence of the granting of this permit. X8-C� -�Z, Date Signature of A pliant - owner❑ Contractor F;+ --Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3sttories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $91.75 I HAz 1 1) FEEJ IMP I FLOOD CDF I PARCEI PO HD Issu This permit is hereby issued under the applicable provi- � of the Butte County Code and/or resolutions to do e for which fees have been paid. work indicate�t"UBLIC I WORKS By r rJ?A__J ZeM PE IT EXPIR S Date ��S�gDate (9/& Receipt No. 17_Z_/e<9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -93�„� ASSESSOR PARCEL NUMBER 042-180-035 ZONING A-10 BUILDING PERMIT n /11' OWNER Dan & Betsy Adamis TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3115 Grape Way,5 Chico 26 CONTRACTOR'S NAME Sunshine Pools TELEPHONE 345-4254 CONTRACTOR'S MAILING ADDRESS 7 w rChico 2 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 1 F e e $76.75 ARCHITECT OR ENGINEER Cal Bachman LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $96.75 3115 Grape Way, Chico 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 Pool SFO Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New O Addition ElRemodel ElUtilities ❑ Installation ❑ Other CX Describe Work: 2nd Renewal of B.P. #1446-91 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (1st Renewal was B.P. #92-2884) Main Service I 2600V OR LESS 00AORLESS I 23.00 Main Service I 200A TO IOOOA I 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLD$. I So. 3.50 FT. ONTRACTORS LICENSE LAW I declare under penal o perjury (check one) er 9, Division 3 of the Business and jrZ I am a licensed under provis Map Professions Code and m license is in full forceAn Pmt. -+ iC C -- Q License No. Classification �.. -J V ❑ 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 r as n NEW CONST. MULTI -OUTLET NON.RESID. I BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I 8 SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES I L. @ i0 BAL. 50 Ex. Occup.FIXED APPLNS. OR (OUTLETS LRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 —)K—WORKER'S COMPENSATION INSURANCE 1 declare under n Ity of perjury check o ❑ This permit is for $100.00 (va uatlon) or less. �I 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. O 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 I 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 ' dgments, costs, and expenses which may in any way accrue against said Co my n onsequ nc of the granting of this permit. p 2 X Date 8'.-S— l J Signature of plicant - ❑ Owner CtContractor ❑ Agent An OSHA permit is required for excavations over '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 $ 96.75 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 � Date � BY $/594 PERMIT EXPIRES ON (Date) ReceiptNo. ��� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Sunshine Pools 705 Lawn Dr. Chico, CA 95926 Dear Sirs: Eutte Count q DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE c OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. MCELROY July 3, 1992 Deputy Director RE: Building Permit No. 1446-91 Expiration Date 8/5/92 (A. P. No.rO42-180-035 ) 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 completed by the expiration date of the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a $15.00 "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 thirty days of the expiration date, 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 Chirn office. 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. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works . Glander ief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./872-6307 n�:-•y.7:-:"•-�•�-I ••�`.ry-rrez' � � {�.�-'•'"/-v.--y. .-A-:4�'y;«Erxf'*.�v"�'-^""9"''°iti'.'e:'.Vim-"a�,''i"�.'1*3k1/�.�1;}':*r.r�.1S!'}?�T"i•`.a?'�@F�!4JtT.'"'`..fi:Ce.:Y"'7t,�}�'��-"`� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION'FORM (One Form per Building) a ,.1 A.P. Number d -2-U-3 Building Department No. School District chIcp City n County ® Jurisdiction Property Owner .o2Q2,ef i9da4,n Sw Project Location/Address ea ad Q'U'(6 Subdivision t Lot Number t Residential Development: a O Sq. Footage �$$� # of Living MHI Addition (Group R) Units Commercial-/I.ndustrial: Sq. Footage New Addition (Including Exterior Roofed -,-Areas) 96 Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District-ia No: lot) Un { La' School District certifies that n F,clz E 74 AV S9�-goy � (Ap licant Name) (Phone Number) Pap 'V& zv)q�z (Street Address)/ (City) (State) (Zip Code) has complied with the requirements of Resolution No. ql9 - ,) 0 by the- payment of $ �. �j'�. representing square feet. r7b A ' School District Representative ate PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow-buldirig department, pink -.school district) SCHOOL.FEE (8/88) &uutt*- al utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Daniel Adamis ADDRESS: CITY & STATE: Chicn, CA 99Q96 IMPORTANT: DATE OF CLAIM: August 1 1 SEE INSTRUCTIONS 4+ 199ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT ,Refund due to expiration of permit, Permit #2185-90B,P,E,M, AP#42-18-35, Receipt #69924, dated 6/29/90 & #88236, dated 3/27/91. I I I Total Permit Fees Paid ------------------------------------ $1319.00 Retain Building Permit Filing Fee-------------- $10.00 Retain Plumbing Permit Filing Fee-------------- 10.00 Retain Electrical Permit Filing Fee------------ 10.00 I i Retain Mechanical Permit Filing Fee------------ 10.00 Total .Permit Fees Retained--------------------------------- 40.00 I TOTAL REFUND DUE ------------------------------------------ I i I � i � I I I I i I I TOTAL I I $1276 00 I, the undersigned, declare under penalty of perjury that the services or articles claimeCave en performed or delivered, and that this claim is true and correct as stated./ r,n Dated this de of!„_,�/ �' 1 19 at 0(ZZ)Q � Calif. .................................. Y ... .. ... ......, ................. ...........• <.:..............................'::..`......... I Signetur of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval (Check one) for a sem Dated this 27th de of August 19 91 at Oroville CeUf. ... .. department Head or Authorize puty Dept. 4 Code 4210500 PAYABLE FROM Con FUND Code 4...0-OQ2.................. ... Permits i DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. /0-��- `e-llv F> - s- - 9/ Ak/ The property described herein is adjacent to land or included within an area zoned r for agricultural purposes, and residents `t of this property may be subject to incon— veniences or discomfort arising from the use of agricultural chemicals, including, A, 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 agricul— tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State of ) On this the day of , 19 before me, the ) SS. undersigned Notary Public, personally appeared County of ) Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that �R All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State of ) On this the day of , 19 before me, the ) SS. undersigned Notary Public, personally appeared County of ) Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca;Lfornia 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT PERMIT NO. 2185-90 ASSESSOR PARCEL NUMBER 42-18-39 ZONING Ain BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 38�88p, 155 520 OWNER'S MAILING ADDRESS 3115 (11 T` a MR CONTRACT IRR TELEPHONE 831 COV 8,310 313 Open 1,565 CONTRACTOR'S MAILING ADDRESS Fireplace "All 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $0 tog 1-3 / Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68 - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3qf .117"7�V Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee$ /J ) LL 95-2--. V V 95�TL-2--. . PLUMBING PERMIT Filing Fee 10.00 Each Trap 12 2.00 Chi co Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP_ ('I+ Water piping 5.00 5-00 1 Each pas water heater or vent 5.00 9.00 USE OF STRUCTURE SFffJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 9 nn Mobile Home S I G I W 10.00e TYPE OF WORK New XX Addition ❑ Remodei ❑ Utilities ❑ Installation[] Other ❑ Describe work: 4 bdrm _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10-00 Main Service EA, ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 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- ID 1, ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ACDNS. ACC. BLDGS. 2hQSpft NEW CONSTR FJLTI.OUTLF-T NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20050c SAL&30 LINIS Ex. Occup. OUTLETS ED APPIRESI D.IRE A.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or.this permit shall be deemed revoked. Contractor 12 MECHANICAL PERMIT Filing Fee 10.00 Heating 99, non Rt -ii 6.00 " Cooling T 6.00 Hood 3.00 3.00 Ventilation 26.00 300 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 �inn�consequence of the granting of this per it. X /n06 `�`�l!�N✓✓ Date Signatur of Applicant — 0wnery Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of rutures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspecti n Fee $ o CONTY TOTAL FEE $ 1,319.00 t{q CUA PARK scH FL- PAR PD HD Igsu Th;s permit is hereby 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 rReceis`t'No.69924— 364.00 J� • NITCD..W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD APPLICANT ! t 7//0#15 a W� A I COUNTY OF BUTTE - DEPARTYM- *4UBLIC WORKS - BUILDING DIVISION '� .i 7 COUNTY CENTER DRIVE - ORG—A-LEYCAMFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER P/1/Y1 Ld fid&lrnil A. P. No. 4Z _ / 6 `63S Proposed Building Use SF2 3 �do(M Building Inspec�� io0�D6&464 `7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APgROVED 1. All items have been submitted . .................................... 00 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans W6 _ 4. Complete engineered plans and calcs, with wet signature on plans .. - 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... -, 7. Statement of Intent for Non -Heated and AC Buildings .. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions I �/f=ees of $9S�.c7�.....:............................ d ' 3 2 �i') `'t� Chico Urban Area fees paid �12. Park foes paid 13. Gf7! (D —School District fees paid .............. — 14. Sanitation approval from O Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector {®ate) 21. Contractor's license information (No., Name Style, Classifications ...,7• 5 G 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... J 0 / •% 5. Letter of signature authorization 27. lop,— When you issue the permit, process as follows: Mail to owner. k Telephone 894-7043 and hold for pickup at office Other Applicant Mail to contractor. Deliver w/inspector -- W r 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 pr s nc (Circle new item not heck)d above). 1. Index permit for above items No. d Ir 2. Additional items required: q. e,4j RR Contractor, designe , owne as advised of above required data by phone_maiI—counter by 2,�yr� !.��date /F_/7 Contractor, designer, owner, was advised of above required data by—phone _maII—counter -jby date �1 Plans cl dt� by r—�7,�5-- Date 7 � 7 Plans approved by `j IZ ` ' Date l ✓® -` Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Envix^nn�ntal Health SUBJECT: Sanitation Clearance Plan Approved for: Hold final for: Location AP# . Sewage Disposal / Water Supply J Final clearance O.K. for: Clearance for ooebedroom seb6ire home. Other NOTE *** Water Supply Water Supply - yate Sanitarian COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building pormi"t 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) CAS -192 - 2. I (have/have not) Gt�(�-f_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ _ City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address _ City Phone Contractors License No. 5. I will provide some of the wort but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Se.cur'ty Number Date up >:9 Q --r 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 � 7' � lSS T-4 6kJQF-G t l '" M TLW CMRD 2X4 FIR—LARCH 0.1 � ROT CHORD 2X4 FIR -LARCH 0i %ESS 2X4 FIR-LAW:14 STANDARD ` CONVENTIONAL FRAMING IS NOT THE RESPONSIBILITY Of THE 7ROSS DESIGNER PLATE MANWACTLMR, NOR TRUSS FABRICATOR. PERSONS ERECTING TRUSSES ARE CAUTIONED TO SEEK ADVICE $Y LOCAL PROFESSIONAL ENGINEER REGARDING CONVENTIOfdAL FPANING. 01 HIP DESIGNED TO SUPPORT 3-1 J=04_JACKS=W1-TH NO`NESS. CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH � REOUIREMEN-TS OF I.C.B.O. RESEARCH REPORT 829A9. ALL PLATES ARE CENTERED ON .MINT DESS OTHERWISE .INDICATF-0. SEE DRWGS. 130 & 160l150A-F FOR TYP. PLATE LOCATIot.CETAILS. CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS (.ABLE S. IS. ➢mote: 2f47_JE3-1kem-fir ar better contlgaws lateral bottom cbord bracing @72^-O.C_max. required. Attach WI -16d nails. Bracing is not, required i If a rl d ce!ling-is`attacbed directly to bottom chord. Bracing material to be supplied and attached at both ends to a suitable support by erection contractor. 2-0-0 2.5X4 (A 1) 12 s.00W, R-4679 W- 3.50' SX4 2.5X4 3-11-4 14-3-4 PL -1 . TYP.-ALPINE SEGN--142555 FLOtNISH i COPY OF TRIS DES3G #I�PiA� !TEfio+9-L 9o, np ARNING a � t= O aL+narzvf sus �E EaFctr9nreva a sff �n�f 9®t a o .o o -ums a�Er a� nfr sig W 8o1LD � rasa to cor�+a�va � a C= o a +ma [� 'amm STAW"s —M W 1P]. CLFM �..Epor�] +Nla wmwmmusqp ► ra c v +ea a+nuca+.® fna� w �f.E e�sAaoz® V41S1 �v � o ALPi � Ong CF � 10,W � A. aart -CP ca® � C �lt7 g PO 80111 — - EMM JMn AM I—TX � i(7ti1 F pmf sm" O �nWS Q 61af'l X511716 iQfliq. 88E r �3RaL R9gEF. 0vw=nSc '7Sw.i B f%w CwM,Mvw Fqv; 7 13ETiY67� iSAXOMW COMFOW WL'M AML KNW-E P.Onsrss M1 as - —Exonm tD! X57 C7 a o O a +�Qf6 an ■n[ OCTI. OFS:Sw coat IF aha —" - MW "-A(E 1!%i7lnE .07 tamL F � I 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCCEELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 4/ terior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). of covering type - (fire hazard). P Rafter ties or bearing ridge beam. Garage door or porch header sizes. jdequate bracing. Z4 -r pe6516 J Living area over garage - complete 1 -hour separation required on garage side i luding supporting walls and posts, etc. wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). AA tic access and ventilation (Sec. 3205). �. &Y. Underfloor access and ventilation (Sec. 2516). lder-Combustion air for fuel burning appliances. __1-5-.--N6ise requirements on duplexes. Adobe soils - special foundation design... etainng walls requiring design. 18 Unusual shape, size, or split level house.requiring lateral design. ol-9- Flashing at all exterior openings. s7X//LS Y -D � /1-/ U') 1 G�� v2 C/�L�s _. 1 (0c. tGo22 �6wp 1004�_ CW iq S d l /U /U n �J. 1 b Qao L 02 L' 15"o 7 P%o/L. 6 4c_ /'5.1b G4 -c. G -S go%L 1-0*& n- F -2.a vIj r co /A- L L- WE fLC&U, qtb /yi4-�- i/f r-LDOf r�/c-A- CD6"fn.)/� Iry /l®Vf r�GPG�i NO�cil �/✓�uL`j7z/� N_00104 ��ia/1P, _�epl h -alta 6-10 F @odt, A de) u &/Z41-0 PO/LC/.4 1'--R A,* O (ZjZ '.l Q�1 Fffa �pi2 PC„�N �viz.� v1e� srlacv PLf�.q--sem. �o/��iaJ�F?/� r I` s 17 pc.� rv� l�(�`T 1 i"-c�-/� � �.. � �qo wi4rvii �c./�vS �'• �rs� 5 �'2 �t c7 �i� OFF( C_ t5 moa-- `�'cC_X"(p RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY Bldg. Permit # r-2 / f'S`%p OWNER 0,0/2)/ 4-4- A 0111M / A.P. # -f - / GENERAL Ae. �oning requirements: (sideyards aluation. er3: Plans signed by designer. nergy Design and Compliance. Existing violations on property. Items on data sheet. and number of permitted living units). PLOT PLAN /� Complete parcel size and dimensions. etbacks, sideyards, easements, etc. er buildings or structures. rading, fills, drainage. d-heza-rd— 576�a FloV P GE7T . ,cial conditions on creation map or compliance document. ,7! FAU & FAS road setback. FT.nnR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). 45!iIuman impact glass (Sec. 5406). wired room sizes, ceiling heights (Sec. 1207). Is in baths, garage, and exterior outlets (Article 210-8). 6. Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations.of water heater, heating and cooling equipment, other electrical or _,ga-g-equipment, and plumbing fixtures. Y9!'�age firewall, door size, and closer (Sec. 503(d)(3)). 1-! 1 -.3'0" exterior exit door (Sec. 3304(e)). eplace and wood stove location, alcoves, and clearance. woke detectors (Sec. 1210). '-- STRUCTURAL DETAILS Foundation plan complete enough to construct building. .2" Floor construction details complete enough to construct building. ---3' Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. -�--- Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ttairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). -y N sat,, Count " LAND OF NATURAL W EA LTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 FAX PHONE NO. 916/538-2140 FACSIlMIT-E COVER SHEET THIS COVER SHEET IS SENT IN FRONT OF, t FACSIMILE MATERIAL. RETAIN COVER SHEET FOR OUR RECORDS ' TO: E/2�C lzo6�/L So� RONALD D. McELROY Deputy Director DATE: 411z- / `/ FAX PHONE N0: TOTAL PAGES INCLUDING COVER SHEET: SPECIAL INSTRUCTIONS: Po4X TFLEC O d� BUTTE COUNTY BUILDING DEPARTMENT A.P. NO. 42 /B 35 PERMIT #ZISS' 90 DATE--��� PLAN CHECK LIST' PROVIDE INFORMATION AND/OR MAKE REVISIONS AS FOLLOWS: / 7-/4'E BOG LdGv !/V(' 7-0 ��!/IEuJ ,o�av5 X02 G'�NFOIZ/lil�ivCE SE - i Z/M/ 7-/t Xg-A1,51IL1E67"Z S9&0wL D /�EUl Ew 772a5.5-&-5 '6 -AJ 7hY lc'pLGoiV141;G' �/ZE79L-5 O/V TfI(t--' ,ac" iv?5; �fr'Eft/Z Gf/,4�C 2 .c/r�/G eNG i�1VoTE' © To f'ot>G �200� �,ri,® E'NTie.gN C E,. A/07E /8 /'Z;). ATG , S"//P4t 5'-rf//zS �,JIZ- ff6A1*1 Z%Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, ,oville, CA 95965 PHONE: 916-538-7541,. DATE 7/3/89 Daniel Adamis RE: Ag Building Exemption 3115 Grape Way Chico, CA 95926 With reference to the above subject: " Attached is: A.P. # 42-18-35 Application for permit Mobilehome Utilities Installation Sheet Building Plans M6bilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X OTHER_ 1) Property shown subject to innundation during 100 year flood on new FEMA maps. Finished -.floor elevation must be above the year flood 1eveT. Elevation must be determined by a. -regi ere.civi engineer with a field reference and submitted to us for approval prior to construction. 2 Permits 2985-786 and 2772 -87 -have expired and work not tinaied - new permits required. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F.Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:- 916-538-7541 DATE -?fereh9 J Daniel Adamis 3115 Grape lday RE: Permit''appin. #2185-90 for new Chico, CA 95926 single family dated 6/29/90. A.P.- 42-18-35 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr.. Calcs ' Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / We need the following information: Permit application signed and completed where indicated with all copies returned. YYYXFees of $ caSc nn payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's -License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section.'(DPW). sets of.plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. �•`pTHER This permit application exuires 6/29/91 and cannot be issued after that date, Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, LINDA SEXTON William Cheff Director of Public Works F. Glander Chief Building Inspector OWNERS NAME: V ✓ I A.P. # n5lo2 0:349 - X- RESIDENTIAL NON RESIDENTIAL i RECEIVED BY: _ PERMIT # RECEIPT # DATE:/ TIME: ------------------------------------------------------------71----------------- - REQUIRED PRIOR TO PERMIT ISSUANCE _ FROM DATA REQUESTED BY PLANnn CHECKER ENGINEERING OTHER ------ _---------------------------------------- REQUESTED BY CORRECTION _ YES _ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner Mail to contractor CPl'1 and hold for pickup at the C Deliver wi h next inspection. REVISED PLAN CHECK FEES PAID: office. $20.00 $40.00 Additional Fees Not Required If 7,rz, To A 7vo, j P'A V;; V P.O. Box 1216 410 Pine Street Red Bluff, CA 96080 (916) 529-3560 FAX 529-0953 870 Manzanita Ct. Suite D Chico, CA 95926 (916) 894-3500 FAX 894-8955 Joe Dominick Lund Surveyor Eric Robertson Civil Engineer ROGER TSON AND DOMINICK /" Civil Engineers & St�'?. i veyors June 22, 1992 Butte County Bldg. Dept. #7 County Center Drive Oroville, CA 95965-3375 RE: ADAMIS RESIDENCE (AP # 42•-18-31) Dear Sirs; There are several items on the plans for the above referenced house that should not be there and are causing some confusion. These items were required by an earlier version of the plans but were not removed when the plans changed. For clarity I have included 3 sheets from the plans that have been marked to identify the items in auestion. The l.tems ' i r_ gaestlon are as follows: 0 4x12 beams on Sheet 3. These beams are not .required over the dining room and � bath. b} The 6x6 post under the 6x12 beam at pantry. This host is not required nor is the footing under it. The post is shown on Sheet 3 and the footing is on Sheet. 5. The two 3'--0" square footings in the area between the family room and dining room shown on Sheet 5. These were colu*^n footings at the edge of a wall `opening that no longer exists. ✓o The footing at the. lower end of the stairs. This is no longer required because of a charge in the owners plans for t -he construction o� these stairs. Again, this.footing should have been 'removed when the plans were revised to their present "state. f s 4. 6' �a If you have any questions, please feel free to call me. Sincerely, ERIC L. ROBERTSON, P.E. f� { Enclosures tlr adamis2 t 7161�r Job NAME or NUMBER: BUTTE COUNTY Comment: END PIER 1500 F'm — psi 60 Fy — ksi 7.625 Wall THICKNESS — inches 5.56 Wall EFFECTIVE Depth — inches •4 ECCENTRICITY of the load — inches 16 OVERALL wall Height — feet 16 LEDGER Height — feet 140 Wall WEIGHT — psf 48 Wall Efective WIDTH — inches 1.24 Rebar SIZE — square inches 48 Rebar SPACING — inches 58.5 Uniform WIND Load — psf 20 Uniform SEISMIC LOAD — psf 1316 Applied DEAD Load — lbs 0 Applied LIVE Load — lbs Il PG = 3.387978E-03 PG max = .0032 LIMITS OF GROSS AREA STEEL IS EXCEEDED! TIE WALL AS COLUMN— O�- W/o P= 4.646283E-03 Pb = 1.065306E-02 This section is at .4361453 Pb CASE 1 .75 * (1.4 * DL + 1.7 LL + 1.7 * WL) The SERVICE Deflection is .3476364 inches The ALLOWABLE Service Deflection is 1.344 inches The SERVICE Moment is 92.1341 kip—inches The CRACKING Moment is 45.03553 kip—inches The ULTIMATE Deflection is .4899749 inches The ULTIMATE Moment is 117.8247 kip—inches The CAPACITY of the wall WITHOUT INSPECTION is 197.2883 kip—inches The CAPACITY of the wall WITH INSPECTION is 315.6612 kip—inches CASE 2 .9 * DL + 1.3 * WL The SERVICE Deflection is .3490961 inches The ALLOWABLE Service Deflection is 1.344 inches The SERVICE Moment is 92.14256 kip—inches The CRACKING Moment is 45.03553 kip—inches The ULTIMATE Deflection is .5024406 inches The ULTIMATE Moment is 119.6706 kip—inches The CAPACITY of the wall WITHOUT INSPECTION is 195.4399 kip—inches The CAPACITY of the wall WITH INSPECTION is 312.7039 kip—inches I ........... .-.1- �... .._ ....._................ ... ...........__....._..__ ...__....._ 275b,-,1 AN P O/y!N lc,L Wo U. L 4-:: ta Ln,,Cxy es r= /-3 G 8 A Y 1�3 : 2yx�x/Z xt�Cx Q?,OFESS/0�1v� ���,W' �,qC,'Y�F, v Exp. 14 VQ' 6.30.93 7 ► r+1 No.1 03 9 C / V L �.Q lF OF CAl 14100, Py L_ 2. 5-.1,5 s t. 71 zP46 EORAWN �•� M, s po d L _ C �� DATE Jv�/� ZB l�� SHEET N0. OF BACHMAN do ASSOCIATES 3012 Esplanade Chico. Ca. (916) 342-4136 CHECKED: JOB N0. _ --`� • }r+1 r'jlQjlJ 10 Co int; o f r,utte Dep rtnaent. of Public ,'? orks Building Division The e-xisting living quarters ,: n PI.P. I o. 42-18-i.�?,5 are tet_�p:,rar and ttiTill Ir be deacti v atYcl before final approval is 'given tori the permane;it. resident to be uilt. M. vrhich time the area will be, co ivertfed to -torage and office Icor A�ri�.:{tlture purposes' Siam Ua.te: f��lT 70" cloAhIlex-T 174 �1�5 11 Retfr1-6 ReL>"irn="%-DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT w FOR RESIDENTIAL DEVELOPMENT v Section 26-8.t of the Butte County Code requires Lh:is acknowledgement be recorded pa Lor. to i.ssuanc,e of a building permit. ; 90-042040 ; Rec Fee 7.00 The pr.opert.y described herein is adjacent _ ; Cash 7.00 to 'Land or included within an area zoned Recorded, ; for agr.i.cul.t..ur.al purposes, and residents Official Records ; of thi.s property mc:iy be suh-ect Lo incon- County ' ven.iences or dLscomfort arising :from Lhe .of Butte ; use of agr.:ic:ul.t.:ura.l chemicals, -including, Candace J. Grubbs but. not limit -ed. to herbicides, pesticides, Recorder ; and • ferl.:il.irer; and from the pursuit 10:46am '-1-Oct-90 of: agL'i.cu.ltura1. ope:raL_i.ons including, X 2 but not: li.m:i.l:cd to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabhshcd eagric.u.l- Lur.al zones which have as a priority use for productive agricultural purposes, and r.esi.denls within said zones and. on adjacent property should be prepared to accept such i nconv('n'i.encc or discomfor-L from normal, necessary .farm operations. Al..l. Lhat real property situar_e in the CounLy of Butte, StaLe of Cali.fol-nia, &,:.cri-bbd Lis fol -Tows: See legal description attached hereto... Date: September 28, 1990 State of Californla On this the 28th day of September , 19_9-0 , before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) Daniel F. Adamis and Elizabeth S. Adamis Personally known to me. ® Proved to me on Lhe hilsis OFFICIAL SEAL of satisfactory ev:ideii(. c�. MARY R. CASEBEER Lo be the person(s) whose name(s) are _. NOTARYPUBLIC-CALIFORNIA subscribed to the within instrument and acknowledged Lhal they BUTTE COUNTY My Comm. Expires lan.29,1993 executed the same for the purposes therein contained. I'N WITNESS WHEREOF, I hereunto set my hand and official seal. Present_ A.P. No. � r - -A f - 0.7 .S No ary Puhl. i c: All that certain real property situate in the County of Butte, State of California, described as follows: Being a porton of Parcel 3 as shown on that certain -Parcel Map entitled, "Being a portion of Lot 61 and all of Lot 62 of the Seventh Subdivision of the John Bidwell Rancho, T. 22N., R. 1E., M.D.B.& M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on May 2, 1984, in Book 94 of Parcel Maps, at Page 89, and more particularly described as follows: Beginning at the northwest corner of said Parcel 3, said point being on the southerly right of way.of Grape Way; thence, along said southerly right of way, North 6641'36" East 21.21 feet; thence, leaving said southerly right of way, South 00004'22" East 1657.42 feet to the southwest corner of said Parcel 3, said point also being on the northerl� line of Big Chico Creek; thence, along the westerly line of said Parcel 3, North 00 45'00" West 1649.16 feet to the point of beginning. EXCEPTING any and all right, title and interest of the State of California within the natural bed of the Big Chico Creek below the line of ordinary high water and also excepting any artificial accretions waterward of said line of ordinary high water. The purpose of this deed is to effect a boundary line modification as approved by the Butte County Advisory Agency on September 16, 1985. The parcel is to be combined with and become a part of the parcel owned by Daniel F. Adamis and Elizabeth S. Adamis as filed at serial number 85-15477, Butte County Official Records, and no new parcels are being created. END OF DOCUMENT Y w. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVIL4-,E, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 7 RVf T NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock,`or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL N0. ) i� 'Y ZONING /� ^ V `,l OWNER nn PHONE NO. OWNER'S ADDRES + LOCATION OF BUILDING 'iS AQavE USE OF BUILDING Z1 /`7®'? SC _';�'A G G_ SIZE OF STRUCTURE X 102 % SQ. FT. = TYPE OF CONSTRUCTION: STEL ��OsQSC VFRAME _X_STEEL O't7/ CONCRETE OTHER (Specify) �T�9LG• TYPE OF SIDING ROOF COVERING FLOOR TYP�., A/ W 00 O n% August 21, 1989 COUNTY OF BUTTE Department of Building #7 County Center Drive Oroville, California'.95965 I&I BACHMAN ATTN: Mr. Jim Glander RE: 100 YEAR FLOOD ELEVATION ^ Grape _coo /A , 42-18fgr. . Dear Jim: �c ASSOCIATES A level net was run from the U.S.G.S monument at the Lindo Channel Bridge on West Sacramento Avenue just West of Grape Way, elevation 159.24. Based on that information and a review of the Flood Insurance Rate Maps for the subject property, the finish floors for the horse barn and the proposed residence should be above elevation 143.75 to be above the 100 year flood level. A paint spot has been put on the concrete around the domestic well on the subject property, said.paint spot is at elevation 142.98. Therefore, the finish floors should be at least .77 above said paint spot. If there are any further questions that I can answer for you, please feel free to let me know. Very truly yours, C.W. BACHMAN CWB:trb cc: Dan Adamis E'NGIN`EERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 r COUNTY DEPT SMEDEPT. OF P(jg�fc WORKS AUG 2 2 1989 .1731-85 07 1711-86 PERMIT NO. 2985-86B,E PERMIT EXPIRES OWNER DAN ADAMIS CONTR. owner ASSESSOR PARCEL 42-18-31 LOCATION 3115 Grape Way, Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service t Called PG&E JOB FINALED (Date) SiQnatuYe_" A(� WOiTA77 I ' `Y 0 = Not OK • 10°V' = - =Not ApplicableMOBILEHOMESxe1gvC1 Enc edVa f) JAITH201837MISCELLANEOUS SIdsJIIgOAir)t1 � = Not Ready `` -Date--.MOBILEHOME UTILITIES (Plans).OK except1'i'_'�)1,2V'^f!L°__..- 'f_'.'.� .Date -DECKS, COVERS„ CAR PORTS;LETCxIP-Iarisj.6 PYaepPY HO 1, Zoning Requirements-S�t6acks-Easements• . � 1, Zoning Requirements=$etfiaCkS=Easements - 2, Soils;,SpeciaLMHSupport-Sketch_ ,., i - - 2.' Footin s; Size -D -e i `S�ecin -IC,.� ,t„"r. " g p p g- onnectors _ 3,,,Sewer; Lo6ation-Test-Fall-C/07Concrete,,, - '3 -;_ Dec ks;=Girders'`andtgo;46ists-Decking-Bracing.-Stairs-RMIS 4. Water; Location= Test- Easement Needed. (Sketch),,.. ,,:, , - - '4, -Wood Awn,-,ROStS-15914 s-Rftrs ,Cpngec)-S, 1[hg.7Rtg.7.Bracing___ 5.,�Electricity;.Location=Clearances--Grndtr/1 9k`/,cAmp-Concrete 5. Alum,;Awn,;Cotumnsi,ConnectionS7Spyee-Decal-15nclosures 6. Gas; Location-Test-Wrap:/.'-•/"L"ft-/tie/"Nat.or/^•I/"L'ft./ /"LPG 6. Carports; Windows -Doors 1:3yk,-.ut 7. Utility Clearance cli.^r.-a:rr.>svl C!-WV4 IL -e .ae I 7, ,Elec.'T 10r15e-0\J %'Wh ;--123f-epri f: -.I -. V.7! G .8 Card -BI Date -' - Card -Bl --Date 'Card -BI 'Date _ _-..Card-¢I `' Date „r Card -Bl_ -- Date ^.iF.'1 Card -BIS Date .t,r Card -Bl Pate ., ­V_ V_ .._r>Card-81 r,> .,,.,u Data .^r Date MOBILEHOMEANSTALLATION (Plans) OK except #'sbe7 Ir] sivDV Date POOLS (Plans) OK except #'s .1. -.Zoning Requirements-Setbacks=Easements eI6fJ li-l-hwJI 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 1 2. Soils; Compaction-Structure'Stability 3ti;Q ik7 GrRJ _3.-Gas;.MH_Test=Demand-Valve=Connect6t_ (e-', `"_-'AVI-'- 91 rU f' 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini_rr " 4. Electricity; MH'-Test=Crossovers-Breakers-Clearances -" j; 4, Elec.; Receptacles and Lighting; Distances-GFI - 5, Drain; MH Test -Fall -Flex Connector - - - --- - -5._Elec.;..Pool-L.ighting;_15�v' 16-CEJ^t'11'i1''`lY{!`I?i 6. Water;.MH,Test- Reg ulator--Connector, ooA , :, iAA .a i 6. Elec.; Enclosures;Condul{'Entreas- 7erminals�Llsied' 7. Water and Sewer Connected -C/O to Grade -HD Approval,ef� i -- - it 7, Elec.;.Bonding;;Metal w/5' -Circulating Equipment ,Neater, 8. Gas and Electricity',Taggede _elulxi 1 Mina „ :', t)a ! - - - ---- `8. Elec.. Grounding Eqytp w,15' -Circulating Equip, ,Ppgl Lghig. - boxes-Enclosures-;PAnelboards-.ins;,ta Majnfin;Conduit ;lr 9, _Exits;.lnsp.-Sketcti't �_' 'O a Ie �gcuZ d mi,T .noi i A, �. 10, Cert. of Occupancy- -- "~ a '"' " 'd - t 9. Health Department Approval alG JnA .s -113 pniq esa .ef - --- ---- --•-- ---- -'-- -- -- '= " I 10. Plumb; Cir. Test -Water Supply Test Card B -I -"'Date - ...:Card Bl ._ .._„ 'Date - -1 Card BI Date Card -81 Date Card B -I Date ~Card BI, . a f0ate , ca ,o • - "_ - ---I -Card-Bi--•---Dale--- ---- Card=Bt--=•----Date---- --- --- q'=' 1 ±rl msgl JA OI F1'1 D3J3 9~8:1 - R 9-lolaennoJ- to dmc,0 Jr^ ,Ir+3t irv)V ) .v e i�r _-- -_.- _ Astor, .zn reAl� m,oten ;T As itoxl', .US o " s'olq .(!J;.>.: •x, 9 3v .P, o± I J ," _ _--- - - _ - -.�.--_-- -• n0115?;.. lot bc,le:J gitl.� ,11.,9'.1 R la ,a'9 .Lt a „ vow J gn ...? zel_rlqu:?sil 7.1`3 ,r5 _ - •- - ---- _ .Jd'Glq xi-l"A k.1.1.0) 9. .0 T _ei�GJq, iii ,vl� , i _ -_ _.ij. - _ _ lblt; 5lr'•-2lG7CU. nGv t0 .Oa b r.3. ci lJ 171.2 .>S --IJ - -- --- - Y 7tt1A n baAo 1J gP.Cq-[ iftal nl .SS Ii _ at,b•i 'UIJ "„IIRt2'tl x•n'a t F"• ,qr brsuo_ .f ,vi >V A5 ZLO Ct•)8-2l+l.i,1 lO..,JJtr • y'U )i! - r JO•c ,q`Cp3 .AS - ---- • 11 ,'t'•E3-t?, Y. ,,, u' )t Ifl e91151"`� Q- `.0'JQ 3104' iwsiD ,A fray ,•Ol JP __ _ 9S.G `"10� $ n911J11 N 'I LIiU'S`,.J 3ono11ggA S .aS -- e�Y '0019 19bnu be.:ou j SIA to uJ-.r>p ., 9v5 enl'r .J.A-IA. 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J = OK 0 = Not OK . • = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) _1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 Piers_ -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic _ _ 8. 9. 10. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors Water Pipe: Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 11. Electric; Underground T _ 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples A Card -BI Date Card -BI Date Card -BI Aate Card -BI Date Card -BI to Card -BI Date Card -BI Date Card -BI Date Date AL (Plans) OK except q's _ Card -Bi Date Card -BI Date Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Comb tion r Water Pipe; Test & Anchors -Na Pro ction D.W.V.: Test-Fttngs & Anchors3Na4 Protection 1 Shower Paw -Test - an:Test, Firs Floor -T Access Test Tub & Shower, 2nj Floor -T-15 Access Gas Pipe: Size & Anc rs Date _ ard- 1 Date Ward -01 Aatky 1 58. Furnace; Vents- arance-Comb. Air -Connector - In Garage; Above oor-Ducts-Mech. Protection 59. Bedroom ExitinSh 60. G.F.I. & Bath tures & Tub Access 61. 62. Elec. Trim bpanel; Breaker Sizes -Labels Stairs of s 63. Fi plat or Stove; Clearances -Hearth 64. le tlets at Wood Panel; Int. & Ext. 65. Kit. F' t. & A liance; Grnd.-Air Gap -Cooking Clearance 6 e., Ellec.- Outlets & Receptacles at Kit. Counter Date ELECTRICALPe rr,it OK eVpt p's 6 ar ge Fire Door; Swing -Landing -Closer 68.Wy,. Duct in Garage -Damper Card B-1 Card B -I _ 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Tr sform Cle ance-Ins. of ction Elec. Recept cles pa ing Lights & Sw c sat oors Size Boxes N- of C nductors-Stapled Romex Instal e_ Close to Edge of Studs & Equip. Groun ode u w/Mech. Fasteners- nd Gas & Wate 2 Appliance Circuits n Kitchen & Conductor a Subfeed Wire Size / v ga. Cu or AI-A.C. Wire ize / gaXu Or AI Range Circ. / / g Cu or AI -Oven Circ. / / ga. Cu o Insulated Neutral .Yes -,No _ -_ _ Service -Riser Conductors & Ground -Main_ Disconnect Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower -Light Date Card -BI Date Date Card -BI Date 69. INV. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- n Garage; Above Floor-Mech. Protection 7 _ 7 73. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E3 Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl 'sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection Date Card -BI Gard -BI MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support _ _ _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow. Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet____ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date _ - Date Card -BI Date 83. _ Corrections from Previous Inspections 84. _ Gas .est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -"- --" - - ----- -"- Card -BI Date Card -BI Date Card -BI 'Rate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK exce?t Ws Com rents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ Hangers -Post Caps-Archors-Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARIrMENT, OF PUBLIC WORKS 7 County Center Drive - Oroville, California ;5965 - Telephone 916/534-4541 APPLICATIONAND PERMIT AS SSOR PARCEL NUMBER ZONING - BUILDING PERMIT OW i TWHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD �SS O /I CO RACTOR'S NAME TELEPHONE CONTRALTO 'KAILING 'AILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWNTotal Valuation $ a Filing Fee $ 10.00 LENDE 'S MAILING ADDRESS Permit Fee $1j AR TECT OR ENGINEER _ Alo V7 14- LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS h Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heate 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater r vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system - 5 outlets 5.00 Building sewer 5.00 Mobile Home/ S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑. Remodel❑ l,lti li ies [:1I tallation❑ Other E] Describe work: l/r�0 ('it/ ! Perm" $ Contractor ELECTRICAL PE MIT Filing Fee .10.00 Main service JVVORPLESfSs Main service `EYAC�'I"'1010KAMP /),1`111-00 1,91 11 e9 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 CONST. DWELLIN OCCUP.Id ,�: sq ft OR ACDNS. ACC. B GS. ) NEW CONSTRULT -OUTLET NON.RESID BR CH CIRC ITS 2.50 ea /P ER APPARATUS hl \ GLE OUTLET CIR. / EX, OCCUp i0®a0e TLETS OR FIXTURES SALO 30 FIXED AS PLNS. OR EX. OCCU . OUTLETS (RESID.) EA.) 2.00 Tempo ary service 10.00 Mob' a Home Facilities 15.00 Misc. byirin g / !!! Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL FP# IT Filing Fee 10.00 Heating Cooling Ir Hood 3.00 Vent" tion Pe It 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 aree to save, indemnify and keep harmless the County of Butte against all liabl "ties, ju ments, costs, and expenses which may in any way accrue ag "nst s 'd Cou t in ons n e of the granting of this permit. p / %� Date �U' 6 (� Signature of Applicant — OwnerIX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'01. g pr;�d molition or construct- ion of structures over 3 stories in height. 7`j Mobile Home Installation Fee $ Energy Inspection Fee $ J TOTAL PERMIT FEE $ OCCUP. CONST.TYPC FLoo PARCEL D D t" su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC /� BY C PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DatelO `A 7-Y �6 - y Receipt No. 3 1)S � WHITE-D.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, LDENROD-APPLICANT F COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) /�-Ay signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name A_ Address 6 City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, sperv' e, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name • Address Phone Type of Work Signed: Property Owner Social Security Number Date /'0 1— d-, 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. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CFeLI.rFOR��IA 95965 - TELEPHONE: 916/534-4541 r PERMIT APPLICATION DATA SHEET Permit No. �y OWNER Ala A. P. No. IV - l 6 -� / Proposed Building Use k V 0 C � Building Inspector Date 10 G O4 4O At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fee's Paid" Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , , , , Letter of signature authorIzatI 0. Sanitation approval from i •�—Q • Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner o ), _15. Improvements may be required. . . . . , . . . , , . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec.request to 17. Pre -Inspection for Required, Building Inspector (Date) , 18. 19. 20. 21. 22. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold forickut office, Deliver w/inspector. Other ( ,_ _. Applicant �, L/_:n ^- ate 16-11- if ep Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 4ft--Date '40 -A - 6-M Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. J TO: Building DepartmAVh-, FROM; Environmental HeCh I ico Office SUBJECT: Sanitation Clearance Owner Location Plan approved for: Hold final for: z. - /S --- Sewage disposal Water Supply Water supply Final clearance O.K. for: Water supply Clearance for bedroom Mobile home House C0 er e 1 Note*** Sanitarian Date ENERGY INSTALLATION CERTIFICATE ;2 1C -'?5- t/ Building Owner D M i S �q.Vi�'L �' Building Permit # --2 7 7a 1? 7 Building Location _3//-5' GRig o`c Ac' 6,M,co , Ci9 959 6 DESCRIPTION OF INSULATION ROOF / Material /7,Yt-Q,9[A5s /-3,4 77--.5 Thickness(inches) /0 EXTERIOR WALL Material- Thickness(inches) aterial Thickness(inches) 3 i '1 Brand Name ARAFT Thermal Resistance (R Value) 36 Brand Name_ A '4 Thermal Resistance(R Value) — CEILING Batt or Blanket Type 6A-77- Brand Name �i[AFT Thickness(inches) Thermal Resistance(R Value) 3(o Loose Fill Type Brand Name . Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material i re6z4S - C Brand Name AFT' Thickness(inches) `/ Thermal Resistance(R Value) / FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name_ Thermal Resistance(R Value)- Brand alue) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement ADAM, Al IRM /OWNER STATE CONTRACTOR'S LICENSE NO. &47 /0 9 SIGNATURE OF NSTALLATION APPLICATOR DATE I hereby.certify the required 'features, devices, and equipment, a� shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. A0111"15 BUILDING CONTRACTOR/OWN ER (Please Print) (—IT NAJ) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-751 7 -County Center Drive; OroviIle — Phone:- 538-7541 747 Elliott Road, Paradise—, Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this at er, or need additional explanation, please contact this office immediately. Az, ,—I, �� Q e s c ce, lSl� /lir . f7 Inspector Date 1 PERMIT NO. r } PERMIT EXPIRES y OWNER DAN ADAMIS i CONTR. owner l ASSESSOR PARCEL 42-18-31 L) LOCATION S/S Grape Way; 1600.' E Dairy,Rd,Chico 07IR. t -w r t. G )Y#$ 9 o Ulf 6: y Temp. Power Pole �( Called PG&E, _ 4 Temp. Elec. Service ~ Called PG&E Temp. Gas Service Cal led PG&E JOB FINALEI Signature 11 ,1'=' OK' 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready -T • t 3 '� a MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC: (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch ' 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 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 #'s 1. Zoning Requirements -Setbacks -Easements 'Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'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 Connected -C/O 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. Exits; Insp.-Sketch 10. Cert. of Occupancy ' 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date - Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date I J = OK 0 = Not OK - = Not Applicable �E = Noa-Ready RESIDENTIAL )Single and Duplex) Date UN RFLOOR PVns OK exce t#'s Date FRAfylrtVG (Continued) Zoning requirements -Se asements V/Pr9perty Line Firewall & Openings Ftg., Main; Soils -Steel EI . Gr ,- /12 /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- /'! Ftg. Depth 50. S ' ; Width -Headroom -Rise -Run -Landing -Fire Protection 4.xFtg., Porches & Decks; Soils -Steel- / /" Ftg. Depth . P od on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer temwalls, Gar g ; Steel-Blockouts-Wrapped-Slab Drip Screed-Fdn. Vents-Underfir. Access . Piers -Fireplace Ftg.-Steel 5k Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -list- ay C/O ewer T ear a s -,•Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 14 _ _ r Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date -t Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 5 Card -BI Date Date FINA lans) OK except #'s Card -BI $ Date S' Card -BI Date Date PLU IN ermit) OK exce t #'s Ext. Steps -Door & Wflight Protection=L ings moke Detector . W t.; -� Lf 58. Furnace; Vents -Clearance -Comb. Air -Connector. - In Garage; Above Floor-Ducts-Mech. Protection 1 Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection room Exiting Shower Pan; Test, First Floor -Tub Access RO�G.X& Bath Fixtures &Tub Access 1 est Tub & Shower, 2nd Floor -Tub Access 8>L/L`le . Trim & Subpaper- Breaker Sizes-Labels —iB.-Gac Ripe; Size & Anchors R ' Fireplace or Stove; e lec. Outlets at Wood Panel; Int. & Ext. Card -BI U9 Date Card -BI Date 5�t. & ance;d. A'�.�.aj),--Coo earance Card -BI Date Card -BI Date I Outlets & Receptacles at Kit. Counter Date ELECT Permit OK except #'s Garage Fire Door; Swing-Landing-Ctaser-- 68. 2 • ure & ransformer Clearance -Ins. Protection W tr.;-Verrts- In age; AbevT-Fo-or-Mech. Protection Ele a eb acles Spacing -Lights &Switches at Doors 2j.,,!•z s & No. of Conductors -Stapled 7p Ib." Elec. &Mech. Equip. Listed for Location ex Installed Close to Edge of Studs & C.J. YJ•lElec. ReceptattesTGarage; (G.�omsx-Arotec. 24-"2 Equ' round made up w/Mech. Fasteners -Bond Gas & Water Ins ation-foam ooked in Attic ❑Yes _Leck 2 A nce Circuits in Kitchen & Conductor Size Guar ruction -P ass u eed W' Si ga. or AI-A.C. Wire Size / / ga. Cu or AI 7 r -Drainage & WppyE�rth Clearance L es 2 an irc• / ga. or AI -Oven Circ. / / ga. Cu or AI, I u d Neutral es ❑No Following instld.: Drive es ❑ No; Walks es ❑ No; Planters ❑Yes L417o 2 rvi -Riser Conductors & Ground -Main Disconnect 7 h 2 uip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -shower Light 7 Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 Wat r Well; Disconnect, Electrical, Plumbing for Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date .at—vqpwation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Perrc.it) except #'s o ctions from Prev' s Inspections -EI 31. A.C. Ducts; jqaTation & Support . Wa Sewer ected-C/O rade-IFH •- iro0al 32. Vent F xhaust above insulationnergy Compliance Certificate -Other Certificates 33. Co nsate Drain & Overflow; Size & Grade 34. urnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Card -BI Dat"— Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FR G Plans OK except #'s Comments at Final: S' Pr per Material & Anchors % s` W Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing c Dr Stop in Walls (rat proof) IN, Chi 4 Stops; Furred Ceilings -Stairs -Chases -Tub 4 er & Beam -Size & Bearing 4 n rs-Post Caps -Anchors -Connectors oist-Rftr. Ties- Purlin - Roof Brac.-Truss-Shthng_.-Rfn_g_•_ _ �eq,lace Ties or Type A Flue -Fireplace Throat 4 A is Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing 1 (VTE:Anentry mu a madeoh time youvisit 'obsite) / n C -c- .c� tN (or,r � �r- �.✓oorS �". isk o S F -L .ter J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO./ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPH NE S0. FT. OCC. BUILDING VALUATION CF-WNER'SMAILING ADDRESS ZNRAME 4 COT A TO 'S T LE ON O RAC O 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fe ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 A logo E_ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK C� New Add ition❑ Remodel[:] Utilities❑ Installation❑ Oth Describe work: / __ C� �.�- l:Za �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 W"d��y�►� ` Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under p Ity of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification 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) F1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ACDNS. ( ACC. BLDGS. , h2sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 200306 IS ALO 30 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undf p nasty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �J/� � y •C� Date Signature of Applicant — Owner Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct ion of structures ove�r73 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL. PERMIT FEE $ occuP. CONSr.Tr PE I I FLOOD PARCEL P D I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated ab for which D EC R O PU LIC By "' PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date h �",�/^, Receipt N0.��� V WNITK-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r y!. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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 an(k materials for construction of the proposed property improvement (yes or no) WAA 2. I (have/have not) Jsigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construct' Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate.,; -supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons td�provide the work indicated: Na Address Phone Type of Work Signed: 0 Property Owner ' Social Security Nu Date — C / —!b 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cienter;DriVE.- OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS SSOR PARCEL NUMBER Z_ ZONING BUILDING PERMIT OWNER TELEPHONE ,SQ. FT. OCC. BUILDING VALUATION NE 'S MAILING ADDR S PCO A TOR ELEPHONE ON RAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fe $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking ee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 If w CL r 17Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC E L 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 I G 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe W Describe work: / /C7:3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under p 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 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.a` , OR ADDNS. ( ACC. BLDGS. I /2Osq ft NEW CONSTR. MULTI -OUTLET 2,50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 2AL@ eL030 FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare and enalty 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 f Consent to Self -Insure. shall not employ any person in any manner so as to become subject "'���III to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al o a e to save, indemnify and keep harmless the County of Butte against V6 iabilit es, Jud pts, costs, and expenses which may in any way accrue aga' st sai Cou i 'co sequence of the granting of this permi . X Date Z Signature of Applicant — Owner \ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPc FLOOD PARCEL P ND 189UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRF R OF BLIC e� BYZ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �_ Receipt No. %_ WHITE-D.P•W.. YE11OW-ASSE940R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department'of Public Works 7 County Center Drive, Orovill.e, CA 95965 Phone: 916-534-4541 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) e� U signed an application for a building permit for the proposed work. 3. I have contracted with the fol g person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. I plan to provide portions o is work, but I have hired the following person to coordinate, sup ervi , 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 }tune Type of Work Signed: Property Owner b • C� Social•Securi y Num er Date & Z 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. V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATI06 AND PERMIT ASSESSO PARCEL N iEF3� Z ING + BUILDING PERMIT OWNAI_) S 'TELEP ONE SQ. FT. OCC. BUILDING VALU TION OW �� ILIN A D ESS A rn CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace iA111 CONSTRUCTION LENDER V M,UNKNOWN - Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty T C $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD ESS ' S �. PLUMBING PERMIT FiIingFee 10.00 42 - Each Trap 2.00 S 4aa:Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP C? V-919 Each qas water heater or vent 5,00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 .a'; Mobile Home JSJGJWJ 10.00e TYPE OF WORK New Z" Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ (� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR L 00 AMP ORSLESS 10.00 i Main service EA. ADD•L 100 AMP 2.50 NEW CONST. / DWEL �C & OR ADDNS. C ACC. G 1 2 osq ft CONTRACTUS 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 Q� 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 NON-RESID CONSTR.BRANCH MULTI-OCIRCUITS 2.50 ea NEWCONSTR. POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. Ex. Occu p.OUTLTs OR FIXTURES 20050e SAL®3o FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID•) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating d Cooling Hood 3.00 �Q Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al ,re to save, indemnify and keep harmless the County of Butte against all liabil ies, judg ents, costs, and expenses which may in any way accrue ag inst sal County a ce of the granting of this permit. - %� - Date CD�� Signature of Applicant — Owner% Controctor ❑ Agent ❑ An OSHA permit is required for excavations ove 5' �dygp demolition or construct- ion of structures over 3 stories in height. p/ Mobile Home Installation Fee $ mit)30, TOTAL PERMI F E yycP GROUP TYPE F CONST. PARC L PD 11.su /7 2.3 'U'-{(� T is permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC By. 4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �V , Receipt No. ( -944.1W41),00 WHITE-D.P.W., YELLOW -ASSESSOR. PINK-INSP C OR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION / 7 COUNTY CENTER DRIVE OROVILLE, CaLVFORNiA 95965 - TELEPHONE: 916'/534-,4541* PERMIT APPLICATIA'DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use / r Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector n _ Date At time of permit application,44as advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorizatioonni. . . . . . . . . . . ..Sanitation approval from l , ` Health Dept. . . 11. Planning approval for (A) Use: (B) Parking:-- 12. arking: -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 ownerE] ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspect (Dote) Recorde opy of� ultu I Acknowledgment S em . Q Other P/Y s When you issue the permit, process as follows:Mai'It oo ner. Mail to contractor.+r� �elephon��W-f-Fi�Q and hold for pickup at ('_office. Deliver w./inspector. Other o+, Applicant—/%�- 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 time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Telephone Mail Plans checked by N1 I Date Plans approved by 77EPT7 Date 3 t/ Other: Copy—DPW Date Other TO: Building Department .S FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Locati n AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for . —Z—.bedroom mobile hom Other���.P Q�Q� Note*** Sanitarian Date COUNTY OF BUTTE - Depart•ment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 ma'or labor and materials for construction of the proposed property improvement (yes or no) ,S 2. I (have/have not) X.„q 0 e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address I City Phone- Contractors License No. s 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social•Security Number 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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT f;c.CQt;C , ,ECOR'D..EO iN OFFICIAL IciCORDS FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY. CALIFORNIA ` AT TH E REQUEST Of Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 85-18176 1995 JUN 18 PK 12: 19 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR 1-1.BECKET property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE 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 pr9Perty 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, "Being a portion of Lot 61 and all of Lot 62 of the Seventh Subdivision of the John Bidwell Ranch, T. 22N., R. lE., M. D. B. & M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on May 2, 1984, in Book 94 of Parcel Maps, at page 89. EXCEPTING any and all right, title and interest of the State of California within the natural 'bed of the Big Chico Creek below the line of ordinary high water and also excepting any artificial accretions waterward of said line of ordinary high water. • Date: Jun . 18, 1 185 State of California ) County of . Butte ) NOT COMPARED WITH ORIGINAL DOCUMENT ROPE Y OWNRS: 1 ' __ -) � Daniel F. Adamis On this the 18th day of June , 1985 , before SS. me, the undersigned Notary Public, personally appeared. Daniel F. Adamis Personally known to me. �L)/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is= subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public • , T. NOT COMPARED WITH ORIGINAL DOCUMENT ROPE Y OWNRS: 1 ' __ -) � Daniel F. Adamis On this the 18th day of June , 1985 , before SS. me, the undersigned Notary Public, personally appeared. Daniel F. Adamis Personally known to me. �L)/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is= subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public ZONE 11 POINTS OWNER D/Q�11 _ fil%I�L•f Table 3-3a. Ceiling Insulation Table 3-7. South-Facin Clazin Pts 1- fable 3-10. Shading Coefficient Points PERMIT NO. /-.31-85 ASSIGNED ACTUAL Points 1 I Glazing Type 1 T-'- 1 SC by I 1 I R -Value of Insulation 1 Points 1 I• Total I I I Orten- I I Floor Area - A 1. SLAB - INSULATION I Z Of I gl. I l- pl Floor tatfon \lI (U(U(I 1. ( 2. RAISED FLOOR - R-19 00 O 1 19 I -4' I 1 Area I 1.10) 10.65) 10.41)1 1.T- 00 1 22 1 -2 1 1 l oints I oints Ipoints I Bast 1 I 3.2 i 3. CEILING - R-30 ,30 D 1 30 1 0 I 38 1 +2 I 1 o 1 +! +3 + 3 1 1 up to 1.5 1 +2 1 1 I 1 0-3.1 1 to 1 6.4 up 4. WALL - R-19 A O D -7 1 49 1 +4 +2 I +2 I 1 1 1.6- 3.6 1 -1 1 0 I 0 1 1 I I 6.3 1 1 1 I 5. NORTH GLAZING - 2.4-3.67 5.00 - I I I 3.7- 5.2 1 -4 1 C2 1 -2 I 1 5.7- 6.5 1 -3 1 1 1 .0 -.19 1 0 1 +1 1 +2 1 6.6- 7.7 1 -9 1 -6 I -5 1 1 •20-.36 1 0 1 0 1 it 6. EAST GLAZING - 2.5-3.6% 7` T 1 7.8- 8.9 1 -11 1 -8 1 -7 1 I •37-:66 1 0 ( 0 1 0 7. SOUTH GLAZING - 1.6-3.6% .3.75 Z Table 3-4a. Wall Insulation Points 1 9.0-10.0 i -13 1 -10 .1 -9 1 I 10.1-11.5 I -17 I -13 1 -11 1 1 .67-.82 1 .83 up 1 0 1 0 1 -1 1 0 1 -1 i ' S. WEST GLAZING - 2.9-3.6% `•(- 7 -/0 1 R -Value of Insulation 1 Points 1 11.6-13.0 I -21 I -16 1 -14 1 1 1 13.1-14.5 I -25 ( -19 I -16 1 1 -2 1 1 I 1 I i 14.6-16.0 I -28 1 -22' I -19 1 1 South 1 01 3.2 1 6.4 1 8.0 1 9.6 9. SKYLIGHT - 0-1.3% G 1 I I I I I to to I' to i to I up 10. SHADING (Exclude Overhang) I 11 I -7 1 1 19 1 0 1 Table 3-8. West-Facin Glazin Pts. I 13.1 6. 17.9 1 9.5 I EAST - .66 1 24 i +2 1 30 i +3 1 Glazing Type i 1 0 -.IB I .19-.42 1 0 1 +1 I +2 I +T 2 j +] I 0 1 y�. 1 0 1 0 1 0 SOUTH - .19-.42 1 Total Z of 1 Sngl, I Dbl.Trpl, 1 .43-.66 I 10 I -2 I -2 I -3 WEST - .13-.3C; (7 -�2-- Table 3-5. North-Facin Glazing Pts I Floor I (U -, I (u - I (U - I .67 up I 0 I -2-4 1 -4 1 -6 -`TI 1 Area I 1.10) I 0.65) 16.41)1 . SKYLIGHT- 37-.57 1 I oints I oints I ointsl West 9.0 I .1 1 1.6 I 3.2 IVIl Z I Glazing Type I o + 6 +6 +6 i to i to Ito Iup 11. HORIZONTAL SOUTH OVERHANG 2' I 1 up to 1.3 I +5 I +6 I +6 1 1 1.5 1 3.1 ( 6.311Floor 12. MOVABLE INSULATION - NONE - Ioof1 ST, Dbl, Irp1,1 I S -U -u-1 1 1.4- 2.2 1 +3 i +4 I +5 1 I 2.1- 2.8 I 0 I +2 I +3 1 1 f4 �r 'f -l7 1 Area 1 0.66 1 0.42- 10.41 1 I 11.10 10.65 I down I 1 2.9- 3.6 I -3 1 0 1 +1 1 0-.12 1 0 1 +1 1 +3 I+ 1 +7 13. INFILTRATION (Standard=0)(Tight=+12) . 1 3.7- 4.2 I -5 I -2 I 0 1 .13-.36 1 0 1 0 1 0 1� 0 14. THERMAL MASS 50 SF - Z 0 +4 + 4 +4 I 0.1- 1.2 1 44 ! +4 1 +4 1 1 4.3- 5.0 1 -8 I -4 I -2 1 I 5.1- 5.6 I -10 I -6 I -4 '� - .58-.82 - - -6 1 -1 1 -1 I -3 ( .-6 I -12 I -15 1 1.3- 2.3 1 +1 1 +2 1 +2 i 1 2.4- 3.6 1 -2 1 0 1 1 5.7- 6.2 I -13 I -8 i -6 I .83 up 1 -2 I -4 'I -8'1 -16 1 -.20 15. GAS FURNACE (SE) 71-76% +1 1 I 3.7- 4.8 1 -4 ( -2 I -1 1 I 6.3- 6.9 1 -15 1 I -7 1 I I I 1 I_ 16. SEAT PU1lP (EER) 7.5-7.9% 1 4.9- 6.1 1 -7 i C4 1 -3 I 1 6.2- 7.3 1 _ _ -12 I -9 1 1 7.7- 8.2 I -20 I -12 I -11 1 Skylight 1 .1 I 8 1 1.6 1 3.2 1 4.0 -9 -6 1 -5 1 1 7.4- 8.2 1 -12 1 -8 1 -7 1 1 8.3- 8.8 1 -22 1 -16 1 -13 1 1 to I to I to I to I to 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% �- 1 8.3- 9.7 1 -14 1 -10 1 -8 1 1 8.9- 9.5 1 -25 I -18 1 -15 1 1 7 1 1.5 13.1 1 3.9 15.2 - WOOD STOVE 7` 3 3 I 9.8-10.8 1 -17 1 -12 1 -10 1 110.9-12.0 i 1 9.6-10.1 1 -27 1 -20 I -16 1 I 10.2-11.0 1 -29 1 -23 I -17 1 0-.12 1 0 1 +1 1 +3 1• +6 1 +7 1 -19 I -14 1 -12 1 I 1z1-13.2 I -22 1 -16 I -13 1 l 11.1-11.8 I -35 1 -26 -21 I .13-.36 1 0 1 0 1 0 1 0 1 0 IN G! ! WATER HEATER e> �7s 1 13.3-14.5 1 -24 1 -18 I -15 1 I 11.9-12.7 I -38 I -2 1 1 12.8-13.5 1 -42 1 .37-.57 •58-.82 1 0 I -1 I -3 I -6 I -- 1 -1 1 -3 I -6 I -12 I -. 1�' � ATTIC -O - % ( 14.6-15.3'1 -2i I I i -20 I -17 1 �-2 1 F,¢- 23.6-14.3 1 -46 1 1 .83 up I -2 l -4 I -9 1 -16 OTHER-/��S'P 14.4-15?Ian I �� 4�( i� I I I i I I I Table 3-11. Horizontal South n� ��%�• Overhane Potnts f 3 �D 'East-Fictn Table 3-9. Skyltoht Points South Glaring TOTAL POINTS = Table b. Glazin Pts. I Length Out 1 Area, Z of Floor I O I I I 1 Glazing Type 1 1 from Wall I I -_- Glazing Type 1 I Total I I I ft T - -'--1 Total I 1 I I of I Sngl, Dbl, I Trpl, i Z of Sngl. I Dbl, I Trpl, I Floor I U- I U- I u- I 1 I 10-6.3 1 6.4 up I I 1 I Mable 3-1. Slab Floor Points Table 3-2. Raised Floor Points -�- I Floor 1 (U - I (U - I (U - I I Area 10.66- 1 0.42- 1 0.41 I T -0- 0.5 7 T I Area 1 1.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 1 down 1 1 0.6 - 1.0 1 -2 1 -3 1 l Tnc•rla- I R -Value of Insulation I 1 R -Value ofi ( Il olnts 1polnts l ointsl 1 1.1 - 1.9 i -1 I -2 I ctun I I Depth, -T 1 I Insulation 1 Points 1 ' o ' +.4 + f +4� I up to 1.3 1 -1 1 0 1 0 1 1 2.0 up 1 0 I 0 1 I I I I up to 1.3 1 +3 1 +4 I +4 1 1 1.4- 2.2 I -3 1 -2 I -1 1 I I I 1 inches 1 0-2 1 3-4 5-6 1 7+ I I 1 1 1.4- 2.4 1 +1 1 +2 1 +2 1 1 2.3- 2.8 1 -6 1 -4 1 -3 1 Table 3-12. Movable Insulation I 1 1 ( 1 below 3 1 -12 1 I 2.5- 3.6 1 -2 1 0 1 0 1 1 2.9- 3.6 I -9 1 -6 1 -5 1 Points 7-7 l 0- 11 1 -5 1 -5 1 -5 1 -5 1 1 3- 4 I 1 5- 7 1 -8 -6 1 1 I 3.7- 4.6 1 -5 1- -2 1 -1 1 1 4.7- 5.6 1 -8 1 -4 I -3 1 1 3.7- 4.2 I -11 1 -8 i -6 1 1 4.3- 5.0 1 -14 1- -10 I -8 1 I Moveable Insulatlon•1 1 112 - 15 1 -5 I -3 1 -2 I -1 116 - 19 1 -5 I -2 I 1 i I 8- 12 1 -4' i 1 5.7- 6.7 1 -10 1 -6 1 -5 1 1 5.1- 5.6 1 -16 1 -12 I -10 I 1 Area, I of Floor 1 Points I -1 0 1 20 + -5 -1 0 +1 1 13 - 18 I r2 1 1 6.8- 7.7 1 -13 I -8 1 -7 1 1 5.7- 6.2 I -19 1 -14 1 -12 1 1 I 1 i i i i i 1 •19+ I 0 1 1 7.8- 8.7 1 -15 ( -10 1 -6 1 1 6.3- 6.9 1 -21 1 -16 1 -13 1 1 1 1 I 1 8.8- 9.7 1 -1.7 1 -12 1 -10 1 1 7.0- 7.6 ( -24 1 -13 1 -15 1 1 0- 5.5 1 0 1 9.8-11.2 1 -21 1.-15 1 -13 1 1 7.7- 8.2 1 -26 1 -20 1 -17 1 1 5.6 - 11.5 1 +2 I 7% 1 11.3-12.7 ) -25 1 -18 •1 -15 1 1 8.3- 8.8 I -28 1 -22 I -19 1 1 11.6 - 17.5 1 +4 I 3 1 12.8-14.0 I -23 1 -21 1 -18 1 1 8.9- 9.5 I -31 1 -24 i -21 1 1 17.6 - 23.5 1 +6 i - :. i 14.1-15.3 1 -32 I -24-.1 -20 ..1 1 9:6-10.1 1 -33 1 -26 � -22 1 1 >23.6+ I +8 1 n r, r Table 3-13. Infflttation Control Fetrt'res Points T_ -- jCon:rol Features I Points I T- I I Standard 1 1.9 air changes per hr I Tight I +12 I .1.6 air changes per hr I' i I Table 3-15. Cas Furnace Without Refrigeration Cool_r. Points T__- I I Seasonal Efficlency 1 Points I (SE), t ! I I I I I 71-76 I 0 1 I 77 - 82 I +2 I I 83 - 88 I I 89 - 9. I 6 I I 95 up I I +8 I ! ! I I I 7.5 Table 3-16. Peat Pumo Points r A 2,0002,500 8 C ! Energy Efficiency I Points 1 I Ratio (EER) I I I 7.5 - 7.9 I +3 ! I S.0 - 8.3 I +6 I I 8.4 - 8.7 I +9 I I 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +15 1 I 9.7 - 10.2 I +18 1 ! 10.3 - 10.8 1 +21 I ! 10.9 - 11.5 I +24 I 1 11.6 - 12.3 I +27 I I 12.4 I - 13.2 I +30 I I i Table 3-17. Cas Furnace With Refrteeration CcollnA Points :Refrigeracfonl Cas Furnace. I I Cooling I SE % 1 171-117-i,33- 89- 95 I 1 761 821 881 941 up I 1 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 I +21 +41 +51 +91+10 1 1 8.8 - 9.2 1 +41 +61 +61+1nl+12 I I 9.: - 9.7 1 +61 +81+101.121+14 1 9.8 - 10.3 1 +31+i^i+121+141+16 I 110.4 - 10.9 i+10:+121+I-I+16;+18 1 111.0 - 11.6 1+121+141+161+181+20 1 - 7/7/83 TABLE 3-14 (ADAPTEO) MASS nuell ler an[■ ennaDr inn♦ ZONE 11 INTERIOR THERMAL MASS POINTS AREA SQ. FT. 1,000 I A 8 C D A 1,500 8 C 0 A 2,0002,500 8 C D� A 0 C D I A 3,000 8 C 0 A 3,500 8 C 0 A 4,000 6 C I D A I.SGO 6 C 0 1A 5,000 i B C 50 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 O r o 0 o a o 0 0 014.0 +5 +8 +11 +14 '.00. 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 1 iSO 6 6 6 4 4 4 4 2 2 *2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 Z 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 2 2 2 2 2I 2 Z 2 O J 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 2 2 2 2 2 2 2 2 i 2 " 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 7' 2. 2 22 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7I 2 2 7 2 400 14 14 12 8 10 10 8 6 6 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 44 2 2 I 3 4 2 1 Soo 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 44 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 6 6 4 6 6 6 4 I 6 6 4 2' 6 6 4 2! 103 24 24 20 14 18 16 In l0 14 14 12 8 10 10 10 6 10 10 8 6 8 8 6 4 8 6. 6 4 A A 6 41 6 6 6 7. 1 i 230 26 14 22 16 70 16 16 10 14 14 12 0 12 10 10 6 10 10 8 6 10 R 8 4 I ? 6 6 4 8 6 6 4I 6 6 6 7 900 2b 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 I2 12 10 6 ( 10 10 3 6 I 's 8 ' 8 4 8 8 5 4 i 8 8 6 t i 1,000 30 70 25 18 22 I24 20 20 14 18 IB 16 10 11 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 I 8 8 C 41 ^, B 1,;00 .12 32 28 2O 24 22 14 20 20 18 10 16 16 14 8 114 14 12 8 12 12 10 6 11) TO 10 6 11 108 61 '0 e B 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 I14 14 12 8 14 12 12 812 1.12 12 10 6 IlO 10 0 6! 10 In 8 6 I 1.ICO 34 34 32 22 28 26 24 16 22 112 22 20 12 18 18 16 10 13 14 14 8 14 12 12 6 12 10 6 Iii 10 10 C1 10 SO r u 1,400 34 34 32 24 28 28 26 18 24 24 20 14 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 1° ;G 6! SO 13 13 E 1.iva i 36 34 34 24 30 30 26 18 24 24 22 14 22 20 18 12 I8 18 16 10 16 16 14 8 14 14 12 u I17 12 10 1.1 ;+ 1<- 1; 6 ! 2,30,1 111 1 34 34 32 22 30 30 26 1211 18 26 26 22 16 22 22 20 14 20 20 18 12 18 IB 16 10 16 16 i4 LIt 14 14 12 I 2,500 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22. 14 22 22 )9 :2 20 2f 18 1'•f 1 16 :0 3,000 3,500 34 32 30 22 30 32 30 32 26 30 18 20 28 30 Z6 30 24 26 16 124 ld �28 24 28 22 24 14 22 16 26 27 14 20 27 14� 14f :: !4 :3 :4 ._ 20 Ii 14 1,330 32 32 30 20 30 26 la ' 78 28 24 If 1 26 25 2: If 4.500 130 32 32 28 20 hO 30 26 ;E'j itl 2_' ;E ; I32 T? 2i 20j IJ ?G 76 I- A) 1. 3's- Concrete Slab: HC•8.93; P.-.29; Factor -7.3 2. 3 3/4" Thick Comnon Brick: IIC=7.125; R-.13; Factor -7.3 8) 1. Sk- Concrete Slab: HC -14.106; r1-.458; F;,c!or-7.1 C) 1. B" Solid idled Block: NC -2C.63; A-1.93; Factor -6.1 2. 8` S01id Filled Bloc: With Both Sides EapeseA To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air forThermal'Mass Area: IIC-10.164; R-.963; Factor -6.1 01 1- Thick Concrete/Tile: HC -2.55; R-.083; Factor�-3.7 Table 3-19. Zonally Controlled Electrtc Resistance Space Heating Points I Points for this measure will I I be completed after the C.' -C I I has approved an Alternative 1 ! Component Package for Resistance I ! neat. Table 3 -IS. Active Solar Space Hestina with Cas Points Net Solar Fraction I Points (NSF), Z I 0-6 I 0 7 - 14 I +2 15 - 23 I +4 24 - 30 ! +6 31 - 39 I +8 40 - 47 I +10 I 48 - 55 I +12 I I 56 - 63 i +14 I I 64 - 71 I +18 I 1 72 up I +20 I +. hl. 1-7fl_ Cope!, - Nn -r I- V/ +M rye It." w e.4..• - wood stove 4133 points'(no back up) casablanca fan + 1 point Multifamily (per unitpoints) Beatlnq Pts. r_ 7 I System Type I Points i i Floor Area I Cas Only I I I Net Solar Fraction (NSF), S ! 0 I I per unit, i ! I I Revlstonce Backup I ! Meeting the Require- I I I menta is Part 2 1 1 0 ! ft2. I ! I on ly -:o ! 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 +-2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 ,(1.00- and u 0 +1 +2 +4 +5 1 +5 1 +7 1 +9 All others (per building points) _ 800-8.99 0 +5 +10 +14 +1T' +29 -34 900-999 0 +4 +9 +13 +17 +21 +26 +30 1.00D•1,199 0 +4 +7 +11 +15 -1-19 +22 +26 1,20(,-!,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1.999 0 +2 +5 +7 +9 +11 +14 +le 2,4()0-_--.9 i9 0 +2 +3 +5 +7 +-j +10 +11 3,n(;0 n;.d uo 0 +1 +3- +S +5 4.7- +S +10 1 Table 3-21. Other Water Beatlnq Pts. r_ 7 I System Type I Points i i I ! I Cas Only I I I I Beat Pomp i ! 0 I I Solar with Electric i ! I I Revlstonce Backup I ! Meeting the Require- I I I menta is Part 2 1 1 0 ! I E1eeE171e Resistance ! I ! I on ly -:o ! P-6 A FW7 Q* .- .: FORM RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY �s Owner D)Akj 14DgX/IS Climate Zone // Permit No. /45 Floor Area 720 - Compliance path: Package ❑ A ❑ B ❑ C luPoint System ❑ Budget e0ther 14 B /60 3 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: .: Roof/Ceiling Wall //. D G ❑ Slab Floor Perimeter Raised Floor DO (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ml- (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 ■ 1L C ■ n East %Floor Area Single Dole Triple /.5.0 ?. �- 3.75 ✓ 6.6" ✓ Shading Coefficient Description South West Skylights (C) South Overhang Length of projection 2 ft. Description ❑ (D) Moveable Area Glazing (� Total Bldg ///.o o C� North ❑ East a,- South 97,o 0 p� West R=. ❑ Skylights Location aOP S 0 (B) Shading ■ 1L C ■ n East %Floor Area Single Dole Triple /.5.0 ?. �- 3.75 ✓ 6.6" ✓ Shading Coefficient Description South West Skylights (C) South Overhang Length of projection 2 ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass (� Type 5/Z AC/L - Area 50 Ft.2 HC= 8.93 R=. MC = 7.3 Location aOP S 0 ❑ Type - Area Ft. HC= R= MC= Location 13 Type - Area Ft. HC= R= MC=� Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 CORM ❑ (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 U F M7 (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 rated slope Other 'OdOOD collector tilt 8UreAll *1 (B) Cooling ❑ Electric Air Conditioner, rated y -intercept 5 To ,/c-- (describe) C(describe) (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump (seasonal EER) EER Btu/hr (cooling capacity at 95°F) Other EV4PoR-I9t71d& Cool ' (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (� '(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. [� (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 (6) DOMESTIC WATER SYSTEM (A) Gas Only (brand and model number) (tank size) Heat Pump w/Electri,cBackup Gallons FORM 1 Gallons (brand and model number) 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector.orientation) (collector tilt) 13 Location of Solar Panels 702 S / FAIMAWS (Describe) (� (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with -R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (� (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumebs 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 temper ture °, elevation /pO ', heating load /?&OOBTU elevation factor --� x heating load = maximum outlet capacity gas furnace IZ600 BTU Cooling: Summer design temperature /0Z_ °, cooling load /3800 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE,/OF BUILDING DESIGNER OR APPLICANT 3 PERMT NO. 2418-7yP,E PERMIT EXPIRES DOWNER Gary'Luper CONTR• reran er LOCATION (A.P. 42-18-25 ) 900'S.of Grape Way, app.1850'E.of Dairy Rd., t Chico 1 t . l x a .� ac r .j 4 i I. Temp. Power Pole Called PG&E Temp. Elea Serv.�ZZ 2 i' Called PG&E V i Temp. Gas Serv. d-t.ce' Lr.�/1J 41C� Called PG&E -�/ V�� IJOB 7 F N A L E D (� - (Date) � . (Sign re) 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 109 amp) anS •other facilities z)n-Ic c, i.e., water pumps, garage, cabana, etc.? Yes o B. Is there properucleararices around panels? Yesi�o— C. Is power supply•cord or feeder assembly properly fused? Yes r/No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. `Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to. -each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above.procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the - mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag•services. MOBILEHOME DATA Manufacturer and/or Namest�yle Length (D® Width Vehicle Serial No. d 3 3 State Identification No. zj ri; 15 -los -s - t Additional Information or Comments: - MOBILEHOME INSTALLATION, INSPECTION CHECK LIST 1. Is the mobilehome located wit krequired separation from lot lines and buildings and generally conform to plot plan? Yeso_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ZZNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 4o 4. Is the mobilehome level? (Sec. 5088) Yes.t,,-/No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ .6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ZNo Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ZNo B. Does it have minimum 4" per foot slope and is it properly supported? Yes v No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes �No_ If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas'Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes_ B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes No_ COUNTY OF BUTTE DEPARTMENT�O'P4�UBLIC WORKS ... - - 7 COUNTY%CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance withthe requirements of the California -Administrative Code, Title 25, Chapter 5, under permit number, 3N 71 1/. 7 for the following location:��/ /, �, . �. / �-su'z W� /U. Owners %&A'1414.4 ke� 1 , Owner's Address Mobilehome Mfg. �'��i-�'-�-/ Model 'IYear Insignia No./ R_/0`r �"1� /n'� S Serial No. /o - It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �2 ' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. rraming if X Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Grd. Fa Prot. Scra h Heat[ Servic B n Coo ng Te P. Pole nish D is der round I rior Lath ntilation ennanent oor Closer anal J anal MOBILEHONIUTILITIES------------------ Elec_ Service Z Elec. Pedestal > y7 Water Piping . 79- Sewer Gas Piping �/ 7 BI E M STALLATI N - - - - - - - - - - - - - - Support 7 Elec. Conti ty Water Piping 7 - Drainagey-90- Gas Piping DATE REMARKS OR CORRECTIONS SSG! All, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ;. BUILDINGLINSPUTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se back Arewall Soil Phling For s Pa6pets 1st F or - Ma Bldg. Res oom Finish 2nd FI r F tins Windows 3rd Floo Ste wall Siding To out Slab Roof SheNhing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sica handica ed Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab X Final A Sanitation Patio REP ACE Final Footin s Footing EL CTRIC Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam IRE SPRINKI EA Motors rraming if X Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Grd. Fa Prot. Scra h Heat[ Servic B n Coo ng Te P. Pole nish D is der round I rior Lath ntilation ennanent oor Closer anal J anal MOBILEHONIUTILITIES------------------ Elec_ Service Z Elec. Pedestal > y7 Water Piping . 79- Sewer Gas Piping �/ 7 BI E M STALLATI N - - - - - - - - - - - - - - Support 7 Elec. Conti ty Water Piping 7 - Drainagey-90- Gas Piping DATE REMARKS OR CORRECTIONS SSG! All, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — `DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT' BUILDING � FT. OCC. BUILDING VALUATION 1"r COUNTY OF BUTTE — `DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT' authorize representatives of the County of Butte to enter upon the abov mentioned property for inspection purposes. X Date ignoture f P.eerr�mitteee/orr Arg t / Receipt No. `Z• /�:3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a e for which fees have been paid. DIR R OF PUBLIC WORKS b — It, f —) CJ Date 1pAAJJ Building permit expires Date BUILDING OwnerSQ. Ls FT. OCC. BUILDING VALUATION Mailing Address a l / IT 1e `all` 7� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Uv �S Plan Checking Fee&/or Penalty Permit Fee %-4 1+4 AA1P&eA:Y,-,X6" PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 . (DC7 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. p� —• Zoning & P anning Water piping 1,50 Q Each gas water heater or vent 1.50 Sa Fire Dept. Fire Zone Use P rmit Gas piping system 1 -5 outlets 1.50 O EQA Parking Pians I Parcel Declaration Parcel M 60' R/W Im rovements p Each additional outlet .30 Building sewer 5.00 ^+v Bldg. ans Recd Parce A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0Q) Main service 600V OR LESS 100 AMP OR LESS 5.00 5 • CS Single Family ❑ Duplex ❑ Mobil Home ON Others ❑ Main service EA. ADD'L 100 AMP 2.50 `a•(� Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLOGS.LING CCUP, Y\ 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style TLET NEW CO ID � BRANCH CIRCUITS 2.50ea NEW CONSTR BRANCH CIRCU NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCUI)(OUTLETS OR FIXTIIRES 5 L ,� Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LP -3-2,L. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. %I certify that in the performance of the work for which this u permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that•1 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 Land Development Fee $ g&Cst TOTAL PERMIT FEE Is` authorize representatives of the County of Butte to enter upon the abov mentioned property for inspection purposes. X Date ignoture f P.eerr�mitteee/orr Arg t / Receipt No. `Z• /�:3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated a e for which fees have been paid. DIR R OF PUBLIC WORKS b — It, f —) CJ Date 1pAAJJ Building permit expires Date COUNTY OF BUTTE — }DEPAPTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone:. 534-4541 APPLICATION AND PERMIT Owner Mailing Address I /zn_ _ W&/ Contractor Mai I ing Address Building Address If . A 41)/ 0 A. P. No. p[' /(j — -?51 �Zonin & Planning F Sanitation I FireDept. I FireZone Use Permit Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements Bldg.P ans Recd Parcel A val PZWS Xpproval NEW IM ADDITION ❑ UTILITIES ❑ OTHERST _ BUILDING SQ. FT. QCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system ATLl —. Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD -L 100 AMP Main service OVER eoov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. f DWELLING OCCUP. S. OR ADDNS. ACC. BLOGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code `under /the name y style 4VIA, %� J A / _A4� !�/C4//.�T[� 4V�. O NEW CONSTR /BRANCH CIRCUITS T NON.R ES, D. l BRANCH CIRCUITS NEW CONSTR/POWER APPARATUS d NON -RES ID. \SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRE: EX. OCCU FIXED APP LNS. OR p•�OUTLETS (RESID.) EA Temporary service Mobile Home Facilities �0� (v / License No. �J Classification Misc. Wiring I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. � I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie Lt,/ Date Signature of Permite or Agent Receipt No. ` %I%~(110 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 50ea 2.00 10.00 15.00 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 2.00 Permit Fee $ $ Fee $ 30 ,©O TOTAL PERMIT FEE $ 70 6D This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. l2fuT R OF UBLIC WORKS 7 Date Building permit expires Date / '�.�O� 'BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under.permit? Yes, No (If yes, furnish permit number o)Vlff- 7 OR Is the site an existing site? Yes / / No % (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ). 5. What is the mobilehome electrical rating? ----------------------- �uU 'Amps 6. What is the mobilehome site service rating? -------------------- °� Z mps 7. What is the mobilehome site circuit breaker rating? ------------- �� Amps 8. Is there any other.electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 70 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site.gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? AC (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on.LPG.) MOBILEHOME SUPPORT DATA / If• other than single wide, Mobilehome Mfr. 0C'q2UCCe* furnish Setup Model No. �65 Year f i Width` _(ft.) Box Length (ft.) Tagalong or Expando,Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) ; 4 On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County,of Butte). All center supports measured from front of mobilehome unless otherwise specified. 61 6„ (ft.)(in;) Center support locations* i 2 ,i (ft.)(iri.) 7,c` (ft.)(in.) II (ft.)(in.) (ft.)I (in.) Single A- i A x 3d (in.) (in.) Center support footing sizes (in.) �" 3a x (in.) (in.) [56.,3� (in.) (in.) L x (in.) (in.) x 3CI (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) �j 1. Wood either pressure treated or foundation grade. . Other (specify) Supports (check -one) Concrete block. . Other (specify) agalong or Expando, how support details. /,Z x3() -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED TINS set of plans and specifications MUff �,- kopt on the job at all times and it is unlav--• make any changes or alterations on same w:;...--. . wri*en permission from the Department. of ru.• lic Works, County of Butte. 1 < luireme 1,0 22' 5.0/ A 66 ' .. 2l 0 6:42 /681.4c. / J 64 O 302010 [on ON to be as A .Dept. NOM—LA II Materials' $ Workmanship Shall -Be -in Accordance with Recognized Good-. Practices and of a Oality prescribed for the Specified use in the r t Uniform -Building, -Plumbing & Mechanical Codes. and L�00 the National Electrical Code.. /01 9 : Set6ack shall bi &ft. ,f 181, he is e s /' 5 G 6' �! .0-p�operty line and 5 Ganf@rkine.of�t r _ 5b1 oB . per MUM.. 0 eave P. ittinI a me x►- *� 5 1 . overi. out oftall easements. t .. i - . 6 G 2 17T ' er I l All uti s I located ity cpnnen: withint4 ft. outside tons shr be o t r.,ar' -AhIrd s coon +of th mohrie ome ; 3 on the I ft (robed) si a of the mobile c ®u j -home. I , installation tl tequat- for the 1 - nln�llf?7mP, 25 t 4122 AC. ! J 16--29 BUTTE COUNTY BUILDING DEPARTMEN : . APPR,oy�D k20' - — z Ct` -•-I • .C-_ i I- c- 2 u (404. T�C�� -- luwqz--�Il� - - 4 ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. c;� ?dr -84 PACKAGE "A" (Additions) FORM '7 NAME DAM_J 04af/S SQUARE FOOTAGE JOB ADDRESS 3tl5 G4Pk_ W,4 tW Existing Residence_ TYPE OF WORK ' 67bVE-4G, & .7Z:> &/ce Zmi New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, .converti'ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE INSTALLED APPLIES TO NEW AREA CEILING v-30 R-30 R- �TLOOR L R-11 R-1 R 9 R-11• R- 1 19 SLAB R-,7 R' 11 / - 7 /GLAZING ,65 .65 ,65 SHADING ,b-"OUTH - OPTIMUM OVERHANG or .36 S.C. �/4EST ' - .36 S.C. ,/LOOSE FILL INSULATION (Density) FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT V,XIIRNI GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW. HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 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 ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Stu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form X64) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °,,elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *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' design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Calif nia dministr ions C=. SIGNA OF BUI NG DESIGNER OR APPLICANT Certificate of Compliance: Residential Climate Zone 11 ProjectTitle - - G%�%f/ J Building Permit # Project Address '1, 5 �, ✓, Checked By/ Date Documentation Author TeleplJone Enforounent Agency Use Only BUILDING DATA Conti• 'ened=lep ea r _ Sla sed Ft Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (NM Number of Stories_ Number of Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition BUU,DING SHELL INSULATION Component Insulation Locatilon/Commentts TvDe R -Value (rung to asraee, v/pical. Slab Edge ..... GLAZING Shading Devices Glazing Orientation Glass Area % Glass North6,East North ( ) 2a& 7) _P,,C• North ( ) South Blg� West 7_37 1- Skylight East ( ) Total _ , • 7 A-7-7, Glazing Orientation Area (SO Glass Type Interior Exterior Overhang (single. double) (roller blind. etc.) (shadescreen, etc.) (yesmo) Framing Type (metRIMood) North ( ) 2a& 7) _P,,C• North ( ) East 7_37 East ( ) South South ( ) - West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen, bath, etc.) AW HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, hent pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) 0 5V Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the eomplimoe approach used- Ivens marked with an asterisk (') may be superseAod by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documenM the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRJPnON DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Stab edge insulation - water absorption rate no greater than 0.396, water vapor transmission rate no greater than 2.0 pernulutch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfrltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstrlpped: all Joints and penetrations caulked and seskd. §2-5352(e): Special infiltration barrier installed to comply with 02-5351 meets CEC quality standards. 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2.5315: Setback thermostat en 21; applicable heating systems. ' §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls - §2 -5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. i §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). 1 §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return tit recirculating piping. §2-53 18(d): Swimming Pool Heating i 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. a• Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. { §2.5314(c): Gas feed appliances equipped with interrniuent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. _ f COMPLIANCE STATEMENT 4 This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cllaptcr2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overari design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Manufacturer / Model # (or approved equal) Designer -� .� J _ ,�'� � , �(i,}�C ,�f•.t���'.� T- firm: Address: ' Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) k Tetephorm Lic. N: ' (signature) Documentation Author Name: TitklFirm: � . Address: Building Owner Name: TIRWF nn: Address: Tekphonc (date) (signature) Enforce'inent Agency Name: Agerw r`: Tekox nc (date) t M 1. Ceiling Insulation 4 -3 .1 Number of stories -1 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value 40 -90 -37 0.50 -176 -84 -54 0.30 -102 49 -02 • 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 .2 .1 0.02 4 2 1 0.00 11 5 3 27 -52 -17 2. Wall Insulation .2 6 13 Single- Single - -15 -8 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 22 -37 -9 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14• 11 7 0.02 19 14 10 0.00 24 18 12 8 12 17 3. Raised Floor Insulation -20 0 Insulation in Floor 13 17 Number of stories 1 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 9 12 15 0.60 -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 3 Number of stories 2 R -value One Two . Three R-0 -11 -7 -5 R-5 -4 4 3 R-11 -2 -2 -2 R-19 -1 -2 .2 4. Slab Edge Insulation 13 HWR 12 Number of Stories -8 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 4 -3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 _ �2 0.50 9 6 3 040 12 8 4 5. Infiltration (Air Leakage) Specification Points Sta„mrtl 6. Glass Heat Loss Total -14 48 -69 -64 U -value V. Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 .14 -0 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -01 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -0 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Percent Glass (Percent Plass x SC) :ffective -14 48 -69 -64 na V. Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 is = not allowed S. Shading (Shade Closed) EffwUve Percent Glass (Per'celst tWs x SC) Effective %GWu Nosh Eam South West SWot 18 -14 48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 4 -14 -19 -18 47 _ 6__-3 -11 -15 -14 -38 5 _ .2 _ .9-i-11- " --10•---30- 4 4 -1 -6 -8 -7 -23 3 0 4 -5 4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 4 0 2 3 4 3 0 na . not allowed 9. Interior Thermal Mass Interior Eff. % Glass �t,L/7 Slab Floor Raised Floor Mass One Stories -4 -4 Stories Sum of 1.6 /CFA One Two Three One Two Three 0.0 -8 -5 4 -2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Heater Exterior Single- Single - 6 4 Wall Type Family Family Multi 1699 Mass more Detached Atmched 0 Family 0 0.00 0 0 Solar 0 0 5 0.20 3 3 HWR 2 1 3 0.40 2 5 WSB 4 3 3 0.60 2 8 POU 6 4 3 0.80 2 10 None 8 5 -15 1.00 -9 13 Solar 10 7 1 1.20 0 13 HWR 12 8 -8 1.40 .5 12 WSB 13 9 -8 1.60 -5 10 PQU 13 11 •8 1.80 -5 10 None 12 12 3 200 ; .2 10 Solar 11 13 4.7 11. Heating System Eff. % Glass �t,L/7 X SE or ASPF SEER One (assumes ducts In attic) -4 -4 -3 Sum of 1.6 In attic) Two + 3 25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8' 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 -3 Effective SE or HSPF -2 9.0 (SE or HSPF x duct efficiency) -3 -3 Effective -25 or -24 to -14 to .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 .38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 .22 -18 -14 0.50 4.58 -10 -9 -8 -7 .5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 0 Zonal Control Adjustment 0.8 HWR System Type Sim of 7-10 -9 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.!m Eff. % Glass �t,L/7 X 10. Exterior Wall Mass SEER One -5 -4 -4 -3 (assumes ducts In attic) Two + 3 3 Stm of 7-10 2 2 1 Single-FamiRr -25 or -24 to 04 to -410 +6 to 16 or SEER lest -15 1 -5 +5 +15 more 8.0 .14 -12 -10 -8 -6 .4 8.5 -9 -7 -6 -5 4 -3 8.9 -5 4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 95% Solar ERedive SEER -1 -1 0 (SEER xauct efAclency) 0.8 HWR -18 Sim of 7-10 -9 -7 -6 Effective -25 or -24 to -1410 110 +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 700 Zonal Control Adjustment 2200 Heater Credits 10 8 7 6 4 3 Type No Coolin:; System Installed less 1199 Stories Eff. % Glass �t,L/7 X 10. Exterior Wall Mass Z2r X I /-7X One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single-FamiRr 1 Iletached and Attached HSPF [0.5615.15] 12. Cooling System Unit Size (so Water Zonal Control? ( Y / N) 0139 1200 1700 2200 2700 Heater Credit or to to to or Type Type less .1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 2S% POU 8 5 43 50% 3 SE None -37 -24 -18 -15 -12 95% Solar -1 -1 -1 0 0 0.8 HWR -18 ' -12 -9 -7 -6 23 WSB -25 -16 -12 -10 -8 3.8 POU_ -18 -12 -9 -7 .6 IG None -5 -3 -2 -2 -2 1.2 Solar 7 5 4 3 2 2.7 POU 3 2_ 1 1 1 IE None -28 -19 .14 .11 .9 20% Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 .3 3.1 Multi -Family (individual 3.7 units) 4.1 4.3 4.5 4.8 Unit Size (sQ S2 Water 56 699 700 1200 1700 2200 Heater Credits 01 10 to 10 or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.2 WSB 9 4 3 2 2 4.7 POU 9 5 3 2 2 SE None 45 -23 -15 -11 -9 21 Solar 2 1 1 0 0 3.6 HWR -23 -12 -8 -6 .5 S.1 WSB -25 -13 -8 .6 -5 0.9 PQU -23 -12 •8 -6 -5 IG _ None -8 4 3 .2 ; .2 3.9 Solar 6 3..,_2--1-- 4.7 1 5.1 POU 1 0 0 0 0 IE None -00 15 -10 -8 -6 25 Solar 18 9 6 4 4 4 POU -8 . 4 -3 -2 .2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation F� or v ue [381 U -value [0.030] 2. Wall Insulation or R -value 11] U -value [0.098] 3. Raised Floor Insulation or [19) R -value U -value [0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss -7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass or 11 -value 101 F2 factor [0.77] e-___ J__J .,9/. a Type [double] U -value 10.65] % Total Glass (161 S Glass s SC- X r%i Eff. % Glass �t,L/7 X 10. Exterior Wall Mass Z2r X I /-7X AREA = $ �)'aV Exterior Wall Mass ND . L OR • X InteriorMass/CFA _ /. % , 6r� X -7/ Zonal Control? ( Y / N) TYPE 1 MASS AREA = B Effective SE or \ 'T".7 PAS- . 117.U"C71 [0.7716.6] HSPF [0.5615.15] 12. Cooling System X Zonal Control? ( Y / N) t Duct Efficiency [0.74] Effective SEER [7.03] J 13. Water Heating '- Type (SG] Credit [none] ,c,Wt.d .l_bI %•TYPE 1 KASS (e IMC + 4.2, ie: exposed slab) O% 5% 10Y. 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 6644 70% 75% 80% I S% 90% 95% 100% 105% 110y. 115Y. 1207 125` Oy. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 S3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.S 3.7 4 4.2 4.4 4.6 4.8 5 52 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 9.S 3.7 9A 4.1 4.3 4.5 4.8 5 S2 54 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 56 58 40% 0.1 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 9.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 S.7 S9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 9.8 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 S5% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 S6 5.8 6 62 60% 11.2 1.4 1.7 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 S.4 5.6 S.9 Sit 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 S3 SS 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 2S 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 S8 6 62 64 7S% 1.3 1S 1.7 1.9 21 .23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 S.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 54 56 5.8 6 62 64 66 857 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 S 52 54 5.6 59 6.1 63 65 67 90% 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 S.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 67 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 111 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 11075 1.9 21 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 6.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.83 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 9.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 -7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation F� or v ue [381 U -value [0.030] 2. Wall Insulation or R -value 11] U -value [0.098] 3. Raised Floor Insulation or [19) R -value U -value [0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss -7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass or 11 -value 101 F2 factor [0.77] e-___ J__J .,9/. a Type [double] U -value 10.65] % Total Glass (161 S Glass s SC- X r%i Eff. % Glass �t,L/7 X 10. Exterior Wall Mass Z2r X I /-7X AREA = $ % Glass S.� X RE SC 1 ('06 Eff. % Glas = 3.�� 10. Exterior Wall Mass 3, L( X AREA = $ �)'aV Exterior Wall Mass ND . L OR • X _ /. % , 6r� X -7/ Zonal Control? ( Y / N) TYPE 1 MASS AREA = B Point Scores 0 -'7 O Sum 1 6 N /4-R Sum 111 -- t� Point Total. I '�' Inteaor W. ss/CFA COND . FLOOR A A . 10. Exterior Wall Mass TYPE 2 MASS AREA = $ Exterior Wall Mass ND . L OR AREA 11. Heating System , 6r� X -7/ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7716.6] HSPF [0.5615.15] 12. Cooling System X Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.03] J 13. Water Heating Type (SG] Credit [none] Point Scores 0 -'7 O Sum 1 6 N /4-R Sum 111 -- t� Point Total. I '�'