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HomeMy WebLinkAbout042-590-052JAMES PIERCE `545 W. Shasta Avenue, Chico - - Permit#2749-8 B, P, ,M(new 60-640 & --_-__a- r office/SF) FkaX Sam/84, , Permit#2752-85B (demolish/garage)/0���/% _ •,r j 0 H 0 FA- T 042-59-0-052 91-4132 �- PIERCE, ANN CONTR: MCCLELLAND AC 545 W SHASTA AVE, CHICO . HVAC/SF V *0 �­ V.- ­111LJ--�� -1 -4 COUNTY 6F.'BUTTE - DEPARTMENT' OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Ce.1lifornia 95965 w Telephone: 916/538-7541 Z APPLICATION AD -PERMIT ASSESSOR PARCEL NUMBER olyl— S 96 -,6-52- ZONIN!�4? BUILDING PERMIT OWNER Ann Pierce TELEPHONE 345-7559 SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -- 1145 W. Shasta Ave., Chico, CA 9592. t CONTRACTOR'S NAME MC!C.1t--lland Air Tnc. TELEPHONE 891-6202 CONTRACTOR'S MAILING ADDR R?nd, . 690 Thunderbolt St., Chiclo, CA 95926 Fireplace 1$ CONSTRUCTION LENDER 77WN Total Valuation LENDER'S MAILING ADDRESS —Filing 1%. Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 545 W. Shasta Ave. Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Chico 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 KI DuplexR Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W --5.001 10 00 en� TYPE OF WORK New R Addition [:1 RemodelF] Utilities[—] Installation[] Other:g Describe work: Install HVAC Permit Fee $ Contractor ECECTRICAL PERMIT FilingFee 10.00 600V M,! Main -service Pq LESSESS 100 A OR L "10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 345121 C-20 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELLING OCCUFI.&) OR AD.NS. ACC.BLDGS. 21/20sq ft NEW CONSTR. MULTI.OUT LET NON-RESID, BRANCH CIRCUITS 2.50 ea POWER APPARATUS &I SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 1.20050C AL@ 30C FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. F4 I have placed on file with the County of Butte Building Department a, Certificate of Workmen's Compensation Insurance or a Certificate 6f Consent to Self -insure. 1. �hal I not employ any person in any manner so as to become subject 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 ECHANICAL PERMIT FilingFeel SOO Heating 110,u-,000 Btu 1 Cooling 5 tons 1 L1.001 11.00� Hood 3.00 Ventilation [�V P�e r Permit Fee $ —115, loo 29--oqa- 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 ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and k6iIp 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 El Contractor E] Aj.nt RX 17 - An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occup. CONST.TyPrl I ISCHOOLIFLOODIWARCELI PD 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 T7 -7* — 9/ By. Date / J 'J� PERWIT EXPIRES Date Lion,Corf �ee -- Ipt No. M TZ-D.P.W.. YELLOWASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N•, 7 County Center Drive - Orovillit,.Ca,ll.tornia 95965 - Telephone: 916/538-7541 `�-7 APPLICATION AND PERMIT � [� G� ASSESSOR PARCEL NUMBER L 7 L ZONINk-49 BUILDING PERMIT OWNER Ann Pierce TELEPHONE 345-7559 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 545 W. Shasta Ave. Chico CA 95926 CONTRACTOR'S NAME McClelland Air Cond., Inc.1891-6202 TELEPHONE CONTRACTOR'S MAILING ADDRESS 690 Thunderbolt St., Chico, CA 95926 'Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 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 545 W. Shasta Ave. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Chico 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 SFE] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Install HVAC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. 345121 C-20 License No. ClassificationALO ❑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 OCCU1.51, OR ADDNS. ACC. BLDGS. �1�Sgft NEW CONSTR. UTI.OUTLET 2.50ea NON.RESID .BRA CH CIRC UITS /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .0a50 30t Ex. Occup. OUTLETS FIXED P(RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EN 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 00 Heating 00, 000 Btu Cooling g 11.00 Hood 3.00 Ventilation Permit Fee $ 3 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 agst said t in consequence of the granting of this permit. �1 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 inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE e occu P. CONST.TYPE 7CHOOL I FL000 PARCEL I PD 1 ND 1 17 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� 31�'y'^.Q ` o L Receipt NO. ll'7 7 �� WNITC-D.P.W.. TELLOW-ASSESSOR, PINK-INSPKCTOR. GOLDENROD -APPLICANT In 7777 COUNTY OF BUTTE - DEtPARTM,NO , �, ''PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO1 LE, CALIFORNIA 95965-, TELEPHONE: 916/538-7541 �f[////;' PERMIT APPLICATION DATA SHEET r Permit No. l OWNER A. P. No.'/ - 520 d-0 Sri Proposed Building Use A4_11 � Building Inspector Date (� 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in .duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 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, Classifica 'on) ... Certificate of Workmans Compensation Insurance .O AiLd.- CAr1 d _ - / 23. Owner -Builder Verification (Given to owner 0, Mail to owner ❑) .. •7 �v 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. JZ Mail to contractor. Telephone - and hold for pickup at office. Deliver w/inspector. �:•t,l ' Other //'' Applicant WtfS/Y 01le d _ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept: Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No., 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone ---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date 1 Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet , AP folder Copy—DPW 1�pT' �"'TIIr+�'„"*c:.,r .-�..- :.. -9 .--..�+a,,,F..,,,•.�� . ir°°r+."ti'a>.'7s b e ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t r 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. v ASSE;SOrA PARCEL NUMBER 42-59--52 ZONING SR r BUILDING PERMIT - OWNER ANN PIERS TELEPHONE 345-1559 SQ. FT. OCC. $UILDING VALUATION OWNER'S MAILING ADDRESS 545 W. SHASTA M00 CONTRACTOR'S NAME MILES VALLEY ELDCPRIC TELEPHONE 895-3341 CONTRACTOR'S MAILING ADDRESS `7qZ7 Fireplace CONSTRUC IO L NDER NKNOW Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 545 W. SHASTA (NICO ' Permit fee $ PLUMBING PERMIT FiIIng Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE ;_ SF [J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G IN TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [X Installation ❑ Other ❑ Describe work: SERVICE CHANGE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AAORLESS 18.50 Main service 200ATO1000A) 37.501 37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �. .I--1 'IrY'il I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full force anis effect. License No. 2 Classification 1 ❑ 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 ❑ I am exempt under Sec. , Business and Professions Code for this reason NE w CONST. DWELLING OCCUP. k� 3.6Q sq.ft. OR DNS. ACC. BLDGS. NEW CONST R. MULTI -OUTLET NO. -RE SISBRANCH CIRC ITS @ 5.00 APPARATUS e SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES\ 20 76 Ex. OCCUp. OUTLETS -0 OUTLETS)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 PRE RISP20,W Permit Fee $ 72.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 . 0 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 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 agairrst saidrCounty in.consequencelof the granting of this permit. X �J'! = L ^ �' �- zw f'`� Date/ -7 �l Signature of Applicant — Owner ❑ Contractor ❑ Agent 9 An OSHA q � er 5:4'=�'�eep and demolition or construct- ion of structures permit 3 srorriesoinehelght.' Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 72.50 HAz I DFEES IMP FLOOD OT PARCEL I PO HE ISSUE. This permit is hereby issued under the applicable provi- sions'of the Butte County and/or resolutions to do } '/7_ ` orO indicated,above for which fees have been paid. DIRECfOR,OF PUBLIC WORKS By �` f . - Date PERMIT EXPIRES Date ,> Receipt No. 103158 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPECTOR;GOLDENROD-APPLICANT • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico -r Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE •. OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt,7or need additional explanation, please contact this office immediately. K- 1h5T(�vc GFc k P2 c(ict t� k,P,g-er, iccrz ISN I T DateCx Inspector1,.�-k/u-vA io _ 4 ai COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7'County Center Drive, Oroville - Phone: 538-7541 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE OWNER T NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt or need additional explanation, please contact this office immediately. T 1=/v-,PoaAR1-f Fc rc r tic A C- rRo✓, TPAr ~ TRE iL Z,oL nIr, (,f -^,I G�s W1,rH -I)\/ 1' W021C1.vG �AP Tuis Naric E 'R V MvJ F� Date ?- - C - cl ? Inspector '0 : u —"," COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ,A A ASSESSOR PARCEL NUMBER 42-59-52 ZONING SR BUILDING PERMIT fy OWNER ANN PIERCE TELEPHONE 345-1559 SQ. FT. OCC.1 BUILDING VALU�ATION OWNER'S MAILING ADDRESS 545 W. SHASTA CHICO CONTRACTOR'S NAME MILES VALLEY ELECTRIC TELEPHONE 895-3341 CONTRACTOR'S MAILING ADDRESS Z, Fireplace CONSTRuctrio-W LSNDEP ONKNOM4Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDES 545R WS SHASTA CHICO Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 4 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation❑ Other ❑ Describe work: SERVICE CHANGE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000AI 37.50 37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .do.Ll`l y 6 5 2 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM 3.54sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. ULT' -OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. ) EX, OCcup(OUTLETS OR FIXTURES 20 @ 76 EX. Occup. OUTLETS P(RESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 PRE INSP I go -nn Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. t7f I have placed on file with the County of Butte Building Department K� 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agat ai unAy in cons ence of a granting of this per it. X Date�2 ❑ Contractor ❑ Agent% An OSHA ion of structures tover 3gstor es inehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 72.50 HAz I DFEES I IMP I FLOOo I CDF PARCEL I PO HD ISsu This permit is hereby issued under the applicable provi- sions of the Butte County de and/or resolutions to do work indicate above r hich fees have been paid. PUBLIC WORKS By Date PER I EXPIRES Date 1L—Jc?—elZ- Receipt No. 103158 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND, PERMIT ASSESSOR PARQEL NUMBER ZONI BUILDING PERMIT OWNER , / A / / /NvG LEP E SO. FT. OCC. BUILDING VALUATION OWN f+l/Av ADDRESS, CO RACTOR'S NAME 1L — VAC L — 6L?C TELEPHONE 33 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGA C, IMS T� �� � J /1 / Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat_ pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition[] Remode ❑Utilitie Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 3 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)wiring_ ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUPM NEW OR ADONS. CONST. ACC. BLDGS. / 3.64sq.ft. NEW CONSTR.ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. OCCup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. EX. DCCUp. OUTLETS (RESID.)REA.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor , MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD I COF PA" PD HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. ♦ELLa W -A -ft nP Piur_ivaP ltrnP en. n... e...._.Psi 1-T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI1_LE,'OALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /v/'yjL--�`A P. o. Proposed Building Use Building Inspector Date /2- / Z8/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 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 Driveway permit (constyct)n ro al required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to /� _1�-9a Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... —r /31-0. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... _ 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other J Applicant Date Copy of ! Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following dat prior to permit issuance: (Circle newt -i 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 Date 9 Sets of plans on hold in File cabinet AP folder Copy—DPW CPRE -INSPECTION C' OWNER: / / �/� DATE le,�11 ( / LOCATION:—; -q< , S� S ^%/ 1 A. P.'# CONTRACTOR: L,�j (��%" L, L C� 7- ZONING DATE TO INSPECTOR PERMIT HISTORY :5a NONE F AS FOLLOWS: 1 275a q6 �c ^_ � n lrw Bev-w-� �C,v El (ZAL' . TYPE OF OCCUPANCY R "3 FIELD - INFORMATION BUILDING USAGE: O TENNANT: yl h f rC,- NJ OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED Mt-,��•p r OTHER COMMENTS: a ACTION RECOMMENDED: MISSUE Q HOLD FOR OTHER: BY DATE.))-- 19 -Q y j • PERMIT NO. ! 2749-85B,P,E,M f PERMIT EXPIRES OWNER JAMES PIERCE . CONTR. owner r' '• ASSESSOR PARCEL 42-34-50 � f t. LOCATION 545 W. Shasta -Avenue, Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E �r d1 JOB FINALED (Date) 2 D 1' Signature 1 /` r r' r. Address GAS S� 5 �b Meter By Date ELECTRIC 6 S� / 4•, Meter By Date f Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E �r d1 JOB FINALED (Date) 2 D 1' Signature 1 /` r r' r. II f Owner • Jawta Permit No. Z7"4S- S- 131 E_; M ENERGY C E R T f F ICATION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name�� Thickness(inches).1 Thermal Resistance (R Valu) _ EXTERIOR WALL Material Thickness(inches) 3 2 ' CEILING i Batt or Blanket Type Thickness(inches) " Loose Fill Type , Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED IN. _ Material FIt�.y'Gi �4 Thickness(inches) K FLOOR, SLAB Material N, , Thickness(inches) Width(inches) ` Brand Name alV&k 4 1.6ti/ Thermal Resistance(R Value) I Brand Name 044W - eeV b41 M'."' Thermal Resistance(R Value)11Z -11q Brand Name i , k, Number of Bags_.,,== --Wt. per bag / lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name �I A Thermal Resistance(R Value) FOUNDATION WALL g �1 Material N, A , Brand Name 1 , Thickness(inches) Thermal Resistance(R Value) .I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy Requirements. I FIRM NAME / OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California•Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. N - Al , rE CONTRACTOR'S LICENSE NO. DA4E THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUT, DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Vehe correction of work is completed. If you have any question pertaining to this r, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone:. 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Vmatter or need additional explanation, please contact this office immediately. .� '!�12.// XasFs z A -k (6 atQ Inspector___ Da COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext, 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. N r S Le.— 4 -or w �, S i P�✓1 r/, 4 sibVb , // i— \1l IR' f Inspecto Date �2 — L J = OK - 0 Not OK = Not Applicable MOBILEHOMES = Not Ready .,a s 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 Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Card -BI Date Card -BI Date , Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -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/0 to Grade -HD Approval _ 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged • t 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -'Enc losures-Panelboards-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 -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK • ' 0 = Not OK t = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UND FLOOR Plans OK except #'s Date FRA NG Continued Zoning requirements–Setbacks–Easements 4 coperty Line Firewall & Openings tg., Main; Soils–Steel–EI rnd,– / /" Ftg. Depth 49" Ext. Doors–One 3'!. -Check Garage -3rd story, 2 exits --3. Ftg., Garage; Soils–Steel– / /" Ftg. Depth 5 Stairs; Width–Headroom–Rise–Run–Landing–Fire Protection 4. Ftg., Porches & Decks; Soils–Steel– / /" Ftg. Depth 5 lywood on Roof Overhang–Attic Vents–Rafter Outriggers temwalls, Main; Steel–Blockouts–Wrapped–Slab 5V Siding–Nailing–Veneer �6-6temwalls, Garage; Steel–B lockouts–Wrapped–S lab b9:—S4jcco Mesh–Drip Screed–Fdn. Vents–Underflr. Access Ib Piers–Fireplace Ft .–Ste 5 -lazing Area–Glass Protection–Skylights–Plastic 8. D.W.V.: –Fi gs es 2 way C/0–Sewer Test &s Sbear W Is; Nailing–Bolts ` Gas Pipe; Size–Anchors Water Pipe; Test–Anchors–Regulator–Service Test 41 1 Electric; Underground :' . Ienums & Ducts; Clearance–Material–Support–Ins. Girders–Sills–Anchor Bolts–Joists–Vents–Cripples Card -BI qa Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F L (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's Wa Ht.; Vent–Access–Combustion Air xt. Steps–Door & Sidelight Protection–Landings moke Detector urnace; Vents–Clearance–Comb. Air– In Garage; Above Floor–Ducts–Mech. Protection Connector-1r Pipe; Test & Anchors–Nail Protection . D.W.V.; Test–Fttngs & Anchors–Nail Protection edroom Exiting ower Pan; T , First Floor–Tub Access 60 G.F.I. & Bath Fixtures & Tub Access b & Shower, 2nd Floor–Tub Access Elec. Trim & Subpanel; Breaker Sizes–Labels elwnas Pipe; Size & Anchors 2. Aairs & Rails ireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date ¢mit. Fixt. & Appliance; Grnd.–Air Gap–Cooking Clearance Card -BI Date Card -BI Date WElec. Outlets & Receptacles at Kit. Counter Date ELE RICAL Permit OK except N's __L7 --Garage Fire Door; Swing–Landing–Closer C. Duct in Garage–Damper 2 xture & Transformer Clearance–Ins. Protection Wtr. Htr.; Vents–Clearance–Comb. Air–Connector–P.R.V.– In Garage; Above Floor–Mech. Protection 2 ec. Receptacles Spacing–Lights &Switches at Doors Plb., Elec. &Mech. Equip. Listed for Location 2 . Si a Boxes & No. of Conductors–Stapled lec. Receptacles in Garage; (G.F.I.)–Romex Protec. 2 mgx Installed Close to Edge of Studs & C.J. uip. Ground made up w Fasteners–Bond Gas &Water nsulation–Foam–Looked in Attic es 23r-9eard Rails & Deck Construction–Post Caps Kitchen 2 Appliance Circuits Kitchen & Conductor Size W Fdn. Vents & Crawl Hole Door–Drainage & Wood -Earth Clearance oked under Floor ❑ Yes . 2 ubfeed Wire Size / a. Cu A.C. Wire Size / / ga. Cu or At Range Circ. /`'D/ ga.1piFDr AI–Oven Circ. / / ga. Cu or AI, Insulated Neutral E9Yes ❑No 46'. Following instld.: Drive ❑ Yes Walks ❑ Yes Planters ❑Yes ILKO .2$,,Aawice–Riser Conductors & Ground–Main Disconnect _Z6_4%cco; Brown–Finish 2N_115' ,,Oip. Clearances; Panels–Motors–Mech. Equip. 77, A. C. Unit; Disconnect–Clrnces–Brkr. & Cond. Size -115V Outlet 30'Clothes C oset Ligh –S wer Light ents Above Roof; Plbg.–Appliance–Firepl.–Clearance to Opn s. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle–Underground Card B -I W tfate Card -BI Date Ventilation throughout House Card B -I Date Card -BI Date Date MEC NICAL (Permit) OK except q's Glass Protection WOO'Correction om Previous Inspections 84. Gas T –Meters agged; Gas–Ele c 3� . Pe.t. Ducts; Insulation & Support ater & Se onnected–C Grade–HD Approv / 3 nt Fan; Exhaust above Insulation Energy Compliance Certificate–Other Certificates 3 densate Drain & Overflow; Size & Grade 3e F rnace–Vent; Access -Comb. Air–Return Air Vent -115V outlet 3 Attic Access & Platform if Furnace in Attic Card -BI Date ( Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR ING Plans OK except p's 36( ills; Proper Material & Anchors 3 IIs; Studs–Nailing, Spacing & Bracing–Plates–Sound 3W Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Q, --Fire Stops; Furred Ceilings–Stairs–Chases–Tub 4 I�{-eader & Beam–Size & Bearing 4 n ers–Post Caps–Anchors–Connectors 4 n . Joist–Rftr. Ties–Purlin–Roof Brac.–Truss–Shthng.–Rfn_p_._ _ replace Ties or Type A Flue–Fireplace Throat Attic Access; Size & Romex Protection–Draft Stop–Ins. Baffles Bdrm. Windows or Exiting Doors–Sill Hgt. & Dimensions rage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.62 C V ASSESSOR PARCEL NUMBER® ZONING BUILDING PERMIT OWNT " uCf -160 Ir &e TELEPHONE SQ. FT. OCC. BUILDING VALUATION Q — �. OWNER'S MAILIN ADD SS 1ts t CONT ACTOR'S NAME TELEPHONE /3 (©/ E CONT ACTOR'S MAILING ADDRESS Fireplace \ rf 00 C I ONSTFAUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS nn ilC Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap if 2.00 2,00 Solar or heat pump water heater 20.00 15.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 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 0 Mobile Home S G W 10.00 ea i TYPE OF WORK New X Addition ❑ �emod I ti lities❑ Inst�(J,`I ion❑ Other❑ Describe work: fn0 fi7� C1_1"C i C'_E Permit Fee $ 313. 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 �� �Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. )cense No. Classification 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 oa ADDNST ( DWEACCLING ) '/z¢sgft Q NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS t} (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 030 FIXED APPLN S'I, Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Q 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 ,9f Consent to Self -Insure. Eel' ' 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 ,-- 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 coftsequence of the granting of this per it. //�� / X Y10,//�Gfi�����1 Date G Signature of Applicant — Owner Contractor ❑ Agenr An OSHA permit is required for excavations over 5'0" d�j d molition or construct- ion of structures over 3 stories in height. `C Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ '!AE occu coN9T.TTac 8 *� P PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiREC R OF PUBLIC BV PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /0—/ Receipt No. / S 00 -ASSES b WNITE-O.P.W., FELLOW k�1 f R Ventilation Air ............................ / Z CFM. Heat Loss From Ventilation ...................... % ^'^ 7- L Btu/Hr. Outdoor Air for Special Processes ................... L CFM..' . Heat Loss From Process Air .................:..... Btu/Hr: Other Heat Losses (describe) ....................... Btu/Hr. Total Heat Losses ............................. �� 96'� Btu/Hr. COOLING LOAD DOCUMENTATION (Attach calculations) • Outdoor Design Temperature, summer, dry bulb......... ��� o F Outdoor Design Temperature, summer, wet bulb......... 70 of Indoor Design Temperature, summer, dry bulb .......... i9 OF Indoor Design Temperature, summer, wet bulb .......... 6:,-7 of Transmission Heat Gain ........... ... ....... G'/ "/ % Btu/Hr. Infiltration Air ............................... "' CFM Heat Gain From Infiltration ...................... Btu/Hr. Outdoor Air for Special Processes ................... '+ CFM Heat Gain for Process Air ........................ Btu/Hr. Solar Heat Gain Through Windows, etc.....:....? .... Heat Gain From Lights, Equipment, People, etc.......... ` 7S766,7 Btu/Hr. Heat Gain From Other Sources .................... Btu/Hr. Outdoor Air: Fixed Minimum Type System CFM Per Person (Not to Exceed Tabulated Minimum Ventilation Rates) ..... / CFM/Person Heat Gain From Outdoor Air ................ 3*2J, 4- Btu/Hr. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE?CALIF6ANIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use- Permit se_Permit Fee Based Upon: PERMIT APPLICATION DATA SHEET Complete Contract Price Other (Explain)_ an, Permit No. A. P. No. DPW Valuation Building Inspector 4 1", ),.,47.14 y Date `f jfJ 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 dup iclicl ate/triplicate. _ �rQ�4wj ��- -�� ✓3. Complete plans i d p icate/triplicat•.�e.� .� . ��h�'� 4. Complete engineered plans and calcs. . . . . . . . 5. Plans with Energy Design Compliance Statement.). . . _ uY 6. State ,_Energy -Forms -No.- 01.,� � ,, c .;o,r,u .l.6 t., 7 Statement of Intent for Non -Heated and AC Buildings. ►/8. Fees of $ o _ 9. Letter of signature authorization. . . . . . . . . . ..Sanitation approval from (' n Health Dept. v 11. Planning approval for (A) Use: ea (B) Parking:. o XS 12. Certificate of Workmen's Compensation Insurance. . . . . . �13. Contractor's License Information (no., name style, classif.) _ Owner -Builder Verification (Given to owner, Mail to owner �.) 15. Improvements may be required. _ •Pre-Inspec. request to (Date) �7. Pre -Inspection for Required. B�;I ;�� 18. Recorded copy of Agricultural Acknowledgment Statement. _, 0 .� ;Z, k:> 9.-Oth r pp ti a? - r - --�- -- . l 0EQ , `f agn yd��i�-th perrnif;�r s�Aas�f Ilows: Mail to owner. Mail to contractor. r %( Telephone �µ� �9 and hold for pickup at office. Deliver w/inspector. Other Applicant J Al 1,.(n -A rj Date 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 plic tion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,(Own ) was advised of above required data by.Telephone Mail Other By =.J • Date(O - %-Qr Plans checked by_ Plans approved by Other: Copy—DPW ' i.1_ it rr Date Date / a 7- £? A TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# Plan approved for: sewage disposal`-� ci water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other W If -6 Note— Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 1 O. ASSESSOR PARCEL NUMBER _ 41— 511 ZONING BUILDING PERMIT OWNE'R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 CONTRAC R AME Ar c, TELEPHONE CONTRACTOR'S MAILING ADDRESS 14 tllro Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 .LENDER'S MAILING ADDRESS Permit Fee $ .ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFCP5�_Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IsG W 10.00ea TYPE OF WORK NewAddition ElRemodel ❑ Utilities ❑ InstallationE] Other ❑ Describe work: 4e a on.j� 'K cm- UI co '90f o 4 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 P Main service 600V OR LESS 100 AMP OR LESS 10.00 pp Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fo� band effect. 4 `� [0? Classification L�r LicenseFIXED License No. ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. OCCUP.aI yzQsgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e) (SINGLE OUTLET CIR. EX. Occup�OUTLETS OR FIXTURES 20050t eLv PR Ex. Occup. OUTLETS (RESID )EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 90,00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 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 u n the above-mentioned property for inspection purposes. 1 also agre o sa e, indemnify and keep harmless the County of Butte against all liabili (es, j g nts, costs, and expenses which may in any way accrue against id nt qonsequence of the granting of this permit. X Date Z^r��� Signature of Applica t Owner ® Contractor [ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- an of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ -`20,00 occu P. CONST.TYPIJ I I FLOG. PARCEL Po 1 ND 1 .4 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE OR M PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. S•aZ 13 4/ WHITE-O.P.W•. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �r -ro t�.,'.�'aa,r.�....�.:t_.-.i''�.s.�..G.:�..„..:i.:.t::..�.l:..m`�3aefk+:a ��t4i'!f1'3�"t4,'^Z•I�t;w��1?3_�l`8.�''N"'�1f�s^yi'C.+..'.`.�.�i1i'.il#- •{aj'a�;�,R, ,`.:�.- .. ..-:,`5:�, �Y•, ...._ Returnito DPW AGRICUL!'' ,:AL STATEMENT OF ACKNOWLEDGEMENT x i• :.•.,r.l. �:.;.o�=•i����L, �`1\ FOR RESIDENTIAL DEVELOPMENT 85-29322oufs�aF Section 26-8.1 of the Butte County Code requires this acknowledgement � -�( be :-recorded prior to issuance of a building permit. R5 SEP 27 AM 10: 18 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thidELEANOR im. KGKI-P property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FE 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 1Z to -cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, Plgg� smoke, noise, and odor. Butte County has established agricultural zones which have as a pr'-iority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: TIt Pd4tmfiw�l of Lot 15 auz� * Tit r, �l�rUav� 4, ;y Date: c. State of California County of Butte M it;ct o � I'ltit or wtWl w-) fat to ilut W A44 wrap to 1'(fw I �o •Fi rit S v Lit W"t � c 0W W 6A W%&? Was ruod to iv% fIX4 O SGL Of G G*vV a[ $V yF6 , S 1 Ak 61 C lx`i f orr m-06 , f5cv1 of IMI,pS, Atf p.�-f, 9'2-. PROPERTY OWNERS: On this the 24th day of September , 19 85 , before SS. me, the undersigned Notary Public, personally appeared James V. Pierce and Ann T. Pierce Ljpk Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) nrP subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand -and official seal. '6' Notary Public OFFICIAL SEAL EDI i A M r NOTARY PUnLICC CALOORNIA v;"f -Y Present A.P. No. '6' Notary Public AFFIDAVIT OF COMPLIANCE, WITH COUNTY ORDINANCE; -2277. . ,(ADDITIONAL DWELLING IDT SINGLE FAMILY :RESIDENTIAL.ZONES)" COUNTY OFA BUTTE - DEPARTMENT OF PUBLIC WORK ---PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephones. 534-4541 Z�'_ APPLICATION AND PERMIT/ /5 eD ASSESSO PARCEL NUMBER 'y - < ZONI BUILDING E MIT owNE TELEPH NE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADD 55 �S eh, r , CONT ACTOR' NAME TELEPHONE ^ 1 ♦:14 1 ll CONT ACTOR'S MAILING ADDRESS Fireplace � r� � �� CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARC OR OR ENGINEER LICENSE ND. Plan Checking Fee $ �, Energy Plan Checking Fee $ /S— ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Penalty — $ Xze) BUILDING ADDRESS 7 ^^ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (' lSolar or heat pump water heater 20.00 LOT NO. a SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 o en USE OF STRUCTURE SF] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 or Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New X Addition❑emod I uu tilities ❑ �IInnr-s��t I ion❑ Other E] Describe work: - go C./ f C tt' _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 1Q G( I 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. Icense No. Classification 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 OC c os- 2/:¢sgft OR19, CONSTR.� A W MULT OUTLET NON.RESID BRANCH IRC ITS 2.50 ea POWER APPARATUS e` SINGLE OUTLET CIR. / / Ex. Occup( 20050a p\OUTLETS OR FIXTURES 5ALO 30 FIXED APLNS.I, Ex. Occup. OUTLETS P(RESID )REA.I 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ n c Contractor r WORKMEN'S COMPENSATION INSURANCE I feclare undedpenalty 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 2 f Consent to Self -Insure. 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 i to the W. C. provision's of the Labor Code, you must forthwith comply with such provisions.or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating .�- Cooling —� Hood 3.00 1. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information it 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 per it. %� _Al Date 1�iU Signature of Applicant - Owner n Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ } �_, . TOTAL PERMIT FEE $ �- Otto CONST.TYPc :Sri 8� JFL PARCEL PD ND 39`. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ,_„-,D-APPLIcAN'r PERMIT EXPIRES Date _--,, the applicable provi- resolutions to do fees have been paid. WORKS DateW FRI,eceipt No. 9RONIYE-D.P.W.. YELLa•A59E3Sa, PIMA-INSF1{:CV0, GLDFNRa RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F.,-DUPLEX & MISC. ONLY) Bldg. Permit # --a;- OWNER /E12E_.E A : P . # ? — 3.¢ Sa GENERAL Zoning requirements: (sideyards and number of permitted living units). EO --6400 Valuation. �Rlafrs--s5�g''ne-d'by`cre- ign ,--4. iergy Design and Comp �! Exi lianc y. PLOT PLAN ,1� Complete parcel size and dimensions. ?/Setbacks, sideyards, easements, etc. ;---_-Setbacks, buildings or structures. Grading, fills, drainage. ,.51' Flood hazard. fy' Special conditions on creation map or compliance document. FLOOR PLAN ,/ Complete to scale plan with dimensions. 0102. Required windows for light and ventilation (Sec. 1205). " /� equired windows for second -exit Sec.. v(`.f.rr y fights (Chapter 34 & Sec. 5207) . .b5 Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of m anical a ui ment. 9. rLocations of water heatr&, heating and cooling equipment, other electrical or gas equip nt, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). ,14r— 1 - 3'0" exterior exit door (Sec. 3304(e)) e.2 Fireplace and wood stove location.iVj1W Ct4/-r ,Jg Smoke detectors (Sec. 1210). STRUCTURAL DETAILS e1!'Foundation plan complete enough -.,to construct building. .2! Floor construction details complete enough:to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. F'1 6. tiu-ff'icient data and details to satisfy energy requirements (State Law) (Form 1) �- Exposure I plywood on exposed locations and overhangs: �r Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j)) rick or stone veneer (Chapter 30). Ex-te p aster - weep screeds ec. 6. Proper roof pitch for roof covering (Chapter 32). Rafter ties or e RESIDENTIAL PIAN CHECKING GUIDE (CONY D) 7/85 MISCELLANEOUS' ITEMS TO LOOK OUT FOR (CONY D) Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines'1716). Attic access and ventilation (Sec. 3205). - Underfloor access and ventilation (Sec. 2516):' Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. i� Noise requirements on duplexes. dobe soils - special foundation design. / taining walls requiring design. Unusual shape, size or split level house requiring lateral design. , � N7. ZONE 11 OWNEPOINTS PERMIT NO. Z ?�' •�iS ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 , =� 3. CEILING - R-30 d �� 4. WALL - R-19 LE 5. NORTH GLAZING - 2.4-3.6% 6. EAST GLAZING - 2.5-3.6% 7. SOUTH GLAZING - 1.6-3.6% 8. WEST GLAZING - 2.9-3.6% 9. SKYLIGHT - 0-1.3% 10. SHADING (Exclude Overhang) EAST - 66 Q SOUTH - % T .19-.42 �Z WEST - .13-.36 14jpS SKYLIGHT -3•'x.37-.57 11. HORIZONTAL SOUTH OVERHANG 2' t �� 12. MOVABLE INSULATION - NONE �_ G 13. INFILTRATION (Standard=0)(Tight=+12) 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% I,, 16. !-TEAT PU11P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% 1 WOOD STOVE 15w� WATER HEATER ATTIC s % - OTHER _ Oak TOTAL POINTS = Table 3-3a. Ceiling Insulation TTable 3-7. South-Facin GlazingPts Points cation I Insula- I R -Value of Insulstion f I R -Value of I I I tion I I I Derth, -T I Insulation I I I Points I I I Glazing Type I I It -Value of Insulation I Points I I• Total I 1 0- 11 I -S I -5 1 -5 I -5 I I I I I Z of I Sngl, I Dbl. Trpi,l 1 16 - 19 I -5 i -2 I -1 ( 0 I I 13 - 18 I I Floor I (U - I (U - I (U - I 19 I -4' I I Area 11.10) 10.65) 1 0.41)1 I 22 I -2I I I points Ipants I olntsl I 30 I 0 I O +9 +3 +3 I 38 I +2 1 1 up to 1.5 1 +2 I +2 f +2 I I 49 I +4 1 1 1.6- 3.6 1 -1 I 0 I 0 1 I -2 1 -4 1 -8 1 -16 1 -.20 1 I 3.7•- 5.2 1 -4 I -2. I -2 1 7 1 1.5 13.1 1 3.9 15.2 I 5.3- 6.5 1 -6 I -4 I -3 1 0 1 0 1 0 1 0 1 0 7 6Tr--I-r't -6 1 -12 I -� ul -2 I -4 I -8 I -16 1 -20 I I I I I I -11 1 Ar 1 -7 I I 9.0-10.0 1 -13 1 -10 -9 I fable 3-4a. hall Insulation Points 110.1-11.5 .1 1 -17 I -13 1 -11 I 111.6-13.0 I -21 1 =16 I -14 I I R -Value of Insulation I Points I 1 13.1-14.5 I -25 I -19 1 -16 I I ( 14.6-16.0 I I -28 I -22' f _i9 f I 11 I I I I 19 I 0 1 Table 3-8. West -Facing Glazing Pts, 30 I +3 1 1 I Glazing Type I I I Total I o Sngl, I Dbl, I Trpl, Sable 3-5. North -Facing Clin¢ pia I Floor 1 (U - 1 - 1 (U - 1 0. T-- a-_��.. I Area 11.10) f 0.65) l 0.41)1 I Glazing Type I I I oints I oints I olntsl I Total ( I o 1 +6 +6 +-6 1 Z of Sngl, Dbl, Trpl, f u to 1.3 I +5 I T I +5 I I Floor I U- I U- I U- 1 1 '-2.8 +) I 72 I +5 I I Area 10.66 1 0.42- 10.41 1 1 2.]- 2.6 1 O f +2 f +3 I I 1 1.10 10.65 I down 1 1 2.9- 3.6 f -3 I 2 1 +1 I 0 + 4 + 4 +4 I 3.7- 4.2 1 -5 I -2 I 1 1 0.1- 1.2 I f 4.3- 5. I -8 I -4 1 -22 +4 +4 I f 1.3- 2.3 I +1 I +2 I +2 j 1 5.1- 5.66 I -10 f -6 I -4 I 2.4- 3.6 I -2 I 0 1 +1 I I 5.7- 6.2 I -13 1 -8 I -6 1 f tf1If i 6.3- 6.9 1 -15 II -10 -73.7- 4.8 -4 -2 -1 7.0- 7.6 -18 -12 --9�_3_!6 f7.7- 8.2 -2J -14 I16.2- 7. I -9 6 _5 1 8.3- 8.8 -22 -16 -137.4- 8.2 -12 - -7 8.9- 9.5 -25 -18 -158.3- 9.7 -14 -10 -g 9.6-1. -27 -20 -169.8-10.8 -17 -12 f -10 10.2-11.0-L9 -23 -1710.9-12.0 -19 -14 1 -12 11.1-11.8 -35 -26 -2112.1-13.2 -22 -16 1 -13 11.9-12.5 -38 -29 -24 ' 13.3-14.5 -24 -18 1 -15 12.-13.5 -42 -32 -2714.6-15.3 -2; -20 -17 13.6-14.3 -46 -35 I -29 - i II11IfI1f II 1 14.4-15.2 1 -50 1 -38 1 -32 I I I I I I Table 3-9. Skylight Points -Facing Glazing Pts. I i I I Glazing Type I f I Glazing Type I I Total I I "I Total I f I Z of Sngl. Dbl, Trpl, I Z of I Sngl, Dbl, Trpl, I Floor I U- I U - I U- I I Floor I (U - I (U - I (U - I I Area 10.66- 10.42- 10.41 1 I Area 11.10) 1 0.65).1 0.41)1 1 11.10 10.65 I doom I I�Ipo!nts I oints I olntsl I 0 I+ 7 + 4 f4� f up to 1.3 f -1 f 0 f 0 I ( up to 1.3 1 +3 I +4 I +4 1 I 1.4- 2.2 1 -3 I -2 ( -1 f I 1.4- 2.4 I +1 I +2 1 +2 1 I 2.3- 2.8 1 -6 I -4 f -3 1 1 2.5- 3.6 I -2 I 0 1 0 1 f 2.9- 6 1 -9 I -6 I -5 I 1 3 7- 4.6 f -5 I -2 t -1 1 I .7- 4.2 I -11 1 =8 I -6 I I bc7T�l -8 1 -"� I -3 I I 4.3- 5.0 I -14 I -10 I -8 I 1 5.7- 6.7 I -10 I -6 1 -5 I 1 5.1- 5.6 I -16 I -12 I -10 I I 6.8- 7.7 1 -13 I -8 I -7 I I 5.7- 6.2 I -19 I -14 I -12 I I 7.8- 8.7 I -15 1 -10 t -8 1 1 6.3- 6.9 I -21 ( -16 I -13 I I 8.8- 9.7 I -1.7 1 -12 1 -10 1 1 7.0- 7.6 I -24 I -13 ( -15 I 1 9.8-11.2 I -21 1.-15 1 -13 1 1 7.7- 8.2 I -26 I -20 I -17 I 111.3-12.7 1 -25 1 -18 .1 -15 1 1 8.3- 8.8 f -28 f -22 ( -19 I 112.8-14.0 1 -28 I -21 1 -18 1 1 8.9- 9.5 1 -31 I -24 I -21 I ' 14.1-15.3 I -32 I -24 1 -20 1 1 9.6-10.1 I -33 1 -26 I -22 1 -I _______ -.I - �....-- -..I- ---I I --j----1-- --- - - --.1. _Iopwv Table 3-6. East T 1 Tabli a 3-1. Sl ab Floor Points Table 3-2. Raised Floor Points I 1 : Floor Area cation I Insula- I R -Value of Insulstion f I R -Value of I I I tion I I I Derth, -T I Insulation I I I Points I I I inches 10-2 1 3-4 1 5-6 ( 7+ I 1 0 -.19 f 0 I +1 I +2 I I I I I I t below 3 I -12 I 1 0- 11 I -S I -5 1 -5 I -5 I I 5- 7 I -6 ) I 12 - 15 1 -5 I -3 I -2 I -1 1 ! 8 - 12 I -4' I 1 16 - 19 I -5 i -2 I -1 ( 0 I I 13 - 18 I r2 I I 20 + I -5 I -1 l 0 1 +1 I I I I I I I i 19+ i 0 7/7/83 1 SC by I I Orten- 1 : Floor Area cation +2 I I East I I 3.2T -- 17.6 - 23.5 I i 0-3.1 to6.4 up I I 1 0 -.19 f 0 I +1 I +2 1 .20-.36 I 0 I 0 I *1 I 37-:66 I 0 I 0 1 0 I S I 0 I "6- I -1 I .83 up I I 0 I -1 ( -2 I I I I South I 0 13.2 1 6.4 18.0 19.E I I to I to I to I to I UP I I I 3.1 16.3 I 7.9 1 9.5 I I 0 -.18 f o l +1 I +2 f +T 2 +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 I „ 4�--Rc l 0 l -1 I &LI -z ,I -3 I .67 up 1 0 1 -2 I -4 1 -4 1 -6-6 ' West I .1 11.6 f 3.2 1 6.4 I 9.0 I to I to I to I to I up 1.5 i 3.1 i 6.3 i 7.9 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 l 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 l -3 1' -6 I -7 58-.82 •83 I �) -3 I .-6 1 -12 1 -15 up I -2 1 -4 1 -8 1 -16 1 -.20 Skylight I .1 1 .8 1 1.6 13.2 14.0 I to I to ( to I to I to 1 7 1 1.5 13.1 1 3.9 15.2 0-.12 1 0 1 +1 1 +3 f +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 7 1 0 1 -1 I -3 I -6 I -6 1 -12 I -� ul -2 I -4 I -8 I -16 1 -20 I I I I I Table 3-11. Horizontal South Overhane Point - South Glazing Length Out I Area, Z of Floor I from Wall T I 1 1 0-6.3 I 6.4 up I I I I I 0 - 0.5 -2 -4 1 0.6 - 1.0 1 -2 1 -3 I 11.1 - 1.9 I -1 I -2 1 I 2.0 up I 0 I 0 I Table 3-12. Hovable Insulation Moveable Insulatlon'l Area, Z of Floor I I I Points 1 I 0 - S.S I 0 I 5.6 - 11.5 ! +2 I 11.6 - 17.5 I +4• I 17.6 - 23.5 I +6 I >23.6+ I +8 I Table 3-13. Infiltration Control Feervres Points I Coatrol Features I Points I T- ! I ! Standard ! 0 1 1 I ! ! Z.9 air changes per hr i I I I I I Tight I +12 I I ! i 10.6 air changes per hr I i I I i Table 3-15. Cas Furnace without Refrigeration Cool -ng Points I Seasonal Efficiency I Points I ! (SE), .i I ! 71-76 1 0 1 I 77 - 82 I +2 I i 83 - 38 I +4 I 89 - 94 I +6 I I 95 up I +8 I Table 3-16. Peat Pump Points I Energy Effic!ency 1 Points I I Ratio (EER) I I I 7.5 - :.9 I +3 I I S.0 - 8.3 1 +6 1 I 8.4 - 3.7 I +9 ! 8.8 - 9.1 I +12 1 I 9.2 - 9.6 I +13 I I 9.7 - 10.2 I +L8 ! I 10.3 - 10.8 1 +21 I I 10.9 - 11.5 i +24 I I 11.5 - 12.3 1 +27 1 I 12.4 - I 13.2 I ! +30 I Table 3-17. Cas Furnace With Refrieeration Cooline Points IRefrigeracionl Cas Furnace. I 1 Cooling 1 SE % I I 1- 77-183- s9- 95 I 1 761 821 881 941 up ! 1 8.0 - 8.3 1 01 +21 +0 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 1 8.8 - 9.2 1 +41 +61 +EI+101+12 1 I 9.: - 9.7 1 +61 +81+101+121+14 1 I 9.8 - 10.3 1 +31 FIOI-F121+141+16 I 110.4 - 10.9 I+101+L2j+141+165+1S 1 1 11.0 - 11.5 1+121+141+1614.181+20 1 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) _ INTERIOR THERMAL MASS POINTS MASS _ DWELLING ARFA SQUARE FOOT f AREA 1,000 ( 1,600 I 2,000 2,500 I 3,000 3,S00 ( 4,000 I 4.SGO _5.000 I S(1. FT. I A B C 0 A. 8 C D A B C 0 A B C 0 A 8 C D I A 8 C O. A 6 C 0 1 A 6 v G :+ B T----. - 1 50 2 2 2 2 2 2 2 0 j 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0. 0 0 0 0 0 0 0 010. 0 0 0 100. 4 4 4 2 2 2 2 2 2 2 2 2 I 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0.0 0 0 0 I ISO 6 6 6 4 4 4 4 2 2 .2 2 Z 2 2 2 2 2 7 2 Z 2 2 2 2 2 Z 2 0 2' 2 2 01 2 2 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I 22 2 212 2 2 0 253 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 7 2 2 2 2 2 2 2 2 2 7 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 7 2 2 2 22 I 2 2 2 7' 2. 7 2 2 350 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 7 2 2 7 2 400 14 14 12 a 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2I 4 4 2 2I 4 4 2 2 509 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 < 4 2 4 603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 6 4 2 6 6 4 2 1 793 ' 24 24 20 14 18 16 1K 10 14 14 12 a 10 10 10 6 10 10 8 6 8 8 ti 4 8 6. 6 4 R R 5 41 6 6 . 7. 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 I ¢ 6 6 4 8 6 6 4I 6 6 6 7 I 903 78 28 74 16 2. 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 3 8 'a 4 8 8 6 01 a 8 6 t i 1,0.0 30 90 25 18 22 20 20 14 18 18 16 10 I4 14 12 8 12 12 10 6 12 10 10 6 I10 10 8 6 8 8 0 41 n, a 6 4 i 1.100 .T2 32 28 20 I24 24 22 14 20 20 ltl 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 1:1 10 8 6� ?J ¢ f 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 114 14 12 8 14 12 12 8 '12 12 10 6 I 10 10 8 6i In In 8 6 j 1,700 74 34 32 22 26 26 24 16 22 22 20 12 18 19 16 10 16 14 14 8 14 12 12 8 12 12 10 6 12 IO 10 L� 10 10 P. u 1,400 34 34 32 24 28 28 26 18 24 24 20 14 120 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 �12 12 IG L; 10 10 17 E 1 1,500 ' 36 34 34 24 30 30 26 18 24 24 22 14 22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 L, 17 1: l0 LI ;2 12 1; o i 2,000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 16 16 is LI 14 14 12 B i 2,50'0 I 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22. 14 22 22 18 :2 20 20 18 1: 1 Iy 1; 16 :L, j J.100 34 32 30 22 30 30 26 18 28 76 24 16 I24 24 22 14 22 22 20 14� :7 :3 1_ I2 i 3,500 ( 32 32 30 20 30 30 26 1a �7d 2a 24 16 26 24 27 1ti ±4 :4 70 14 4.090 32 32 30 20 30 30 26 18 ' 70 2b 24 1 ,5 26 2: if ' 4.500 132 32 28 20 130 30 26 It j 5.003 32 17 2i 20; IJ I :6 1= A) 1. 3's` Concrete Slab: HC•8.93; R-.29; Factor -7.3 2. 3 3/4` Thick Common Brick: IIC=7.125; R-.13; Factor -7.3 B) 1. Sk• Concrete Slab: HC•14.106: d•.45B; F4ctor•7.1 C) 1. 8` Solid Filled Block: HL•2C.63; R-1.93; Factor•6.1 2. 8` Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal'Hass Area: IIC-10.164; R-.965; Factor -6.1 01 1` Thick Concrete/Tile:' HC -2.55; R-.083; Factor! -3.7 wood stove #33 poinfs'(no back up) casablanca fan + 1 point Table 3-19. Zonally Controlled Electric Reslstanee Space Heating Points ' Points for this measure will I Table 3-20. Solar Water Heating With Cas Backup Points , 1 be completed after the CFC I ! Sas approved an Alternative I I Component Package for Resistance i i Beat. Table 3-18, Active Solar Space Hearing with Cas Points I Net Solar Fraction I Points I I (NSF), 2 i I I I I I 0-6 I 0 i I 7-14 { +2 1 I 15-23 i +•4 1 ! 24 - 30 { +6 { 1 31 - 39 I +8 I 1 40 - 47 { : +10 ! ! 48 - 55 I +12 I I 56 - 63 ( +14 i ! 64-71 1 +18 { i 72 up I +20 I I { I Hultifamil (per unitpoints) Floor Area Net Solar Fraction (NSF), S per unit, ft2. 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 4.2 +4 +6 +8 +IO +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 (:00• and u 0' +1 +2 +4 +s +5 +7 +9 All others ( er bu_ildin;, points) _ 8U0 -P.99 900-999 0 0 +5 +4 +IU +9 r14 +13 +L~ 9 +17 +24 +21 +29 +26 +30 1,000-•1,199 0 +4 +7 +11 +15 5.19+22 +26 1,20(-1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +16 2,000-:,'199 0 +2 +3 +5 +7 +s +10 +11 3,06;0 a:.d up 0 +1 .a3- +4 +s 4.7- +S +I0 1 i Table 3-21. Other Water Heatine Pts. System Type I Points Cas Only { 0 Beat Pomp 1 0 I Solar with Electric I 1 ( Resistance Backup I ! Hecring the Require- I 1 meets i:s Part 2 { 0 1 I I I I Electric Resistance I 1 I Only i -40 I RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM I Owner Climate Zone /� Permit No.. Floor Area / Compliance path: Package ❑ A ❑ B ❑ C ❑Point System ❑ Budget ® Othery—,rG_� MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling ® Wall ❑ Slab Floor Perimeter 41 Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air -to -air -heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg/G.GA--.VZ Zoe X ® North -37_ agdaw- 4. g East y1-r-AW4 3, ® South g 73 ® West 19, Z4- A / Skylights ZG.6 3.S_ (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West 4E Skylights CAi-62t~ 6L/A/D-51- {� (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area —Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 s ❑0 FARM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A) "Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump (brand and model number) Btu/hr (heating capacity at 47.0F) Active Solar -71 o� 0 SE ACOP `;type (liquid or air) Collector brand and ft2 model -number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ® Other (describe) *1 (B) Cooling` ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on ,its second stage, shall be required for heat pumps. 0 (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 FORM 1 .e (6) DOMESTIC WATER SYSTEM, (d) 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) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall -be insulated in accordance with T20 -1408(d). (� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall' be certified to'the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit'documentation'of sizing heating and cooling equipment'by Manual J�,.sizing charts (form #4) or other approved methods, s.ction 2-5352(g), and fill out the following: u�OQs�(/E AW Heating: Winter design temperature °, elevation �ilJl(> �', heating load BTU elevation factor ��_ x heating load = maximum outlet capacity gas furnace 2%&IM BTU Cooling: Summer design temperature /02- °, cooling load 9,64V BTU 2� (USE ONLY AS A SIZING GUIDE, COOLING MAY BE•INADEQUATE) * 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 UILDING DESIGNER OR APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. , 7 County Center Drive - Oroville, Califrrn1r,&95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L i -: • 1 •.. r ZONING - 1. BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' �' - CONTRACTOR'SNAME + • 1 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filin Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ f' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 •- � f 7 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 f' I' �/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsineSS and Professions Code and my license is in full force and effect. License No. 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 ACONST. ( DWELLING OCCUPM OR DDNS. ACC. SLOGS. yzQsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS el (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 050t - °AL930so Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee I $ 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 authorkze representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. r s I also agree to -save, jnpemnify,and keep harmless the, County of Butte against all/liabili,ties,i.judgmenfs, costs, and' expehses" whid`h may in any way accrue agalnst'said County in cbn�.Ouence df�the grantr `g of this permit. G, X Dated ,Signature of Applicant— •�OWner❑' Contractor ❑ Agent ! An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ - OCCUP. CONST.TYPE I I FLOOD PARCEL I PD I ND f55UE 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 I f. By .�,-" ... .�! ./ Date_ PERMIT EXPIRES Date r Receipt No. WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOl 7 County Center Drive - Oroville'r`C9(if6r^nia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Z 1 ``J BUILDING PERMIT ow 'e T LEP ONE SQ. FT. OCC. BUILDING VAL ATION O ER' MAILING ADD S fI�C CO TR A R �/A'ME - V TELEPHONE CO RA -O 'S MAILING ADDRESS Fireplace CON )RUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDE 'S MAILING ADDRESS Permit Fee $ ` AR H 7CT OR ENGINEER If,\///Energy LICENSE NO. Plan Checking Fee ,$ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 en G t 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 ioa 9 6' SPECIIYY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Rem el ❑ U ilities ❑ Installation❑ Other ❑ Describe work: P 10 L2 /CP> s•: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. Classification as the owner, or my employees with wages as their sole compen-Ex. sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, 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.R NEW DONSTFL ,h¢sgft NEW TB OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OccU p OUTLETS OR FIXTURES FIXED Occup. OUTETS P(RESID )REA.72.00 15AL030®soacense Temporary service 0.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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,91 Consent to Self -Insure. 177'V I shall not employ any person in any manner so as to become subject "'�Vb°O° 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 t wilding construction, and h author a representatives of the Countyot to to enter upon the ab v en oned property for inspection purposes. I I agre t s P e gm�, may in any w y accrue d ke p h rm s County of Butte againstphpoe sai o ty ion a gr ofthis er it. mrqu; -����a Date Signature of Applicant — Owner21" Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S ST.TYP! IFLOODIPARCELI it is hereby issued under he Butte County Codeand/or work indicated above for which RECTOR OF PUBLIC BY PERMIT EXPIRE to �� PD NO ISSUE the applicable provi- resolutions to do fees have been paid. WORKS Date yr / Receipt No.��-t j� ,l d tv WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT