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042-600-022
4.2 —to0— - " BILL MORRIS 1042 Sir William Ct, lot 10, ico v Permit#587-87B,P,E,M(new single family) hContr: 42-60-22 Patrick Gordon � ` Permit#4061-87P(lawn sprinkler) FREROOF 2 M 03-1630 ILLIAM CT, CHICO KEI CONST 0 m E &OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PERMIT N (Rev. 12/96) APPLICATION AND PERMIT 3 d �%/ 34L 11�2ORQAF}���Jf bTUY2 pfd ZONING BUILDING PERMIT OWNER WONG TOM TELEPHONE 891-6180 SQ. FT. OCC. BUILDING VALUATION QUAR S 1,920.00 .OWNERS MARINO ADDRESS 1042 SIR WILLIAM COURT CHICO CA 95926 CONTRACTOR'S NAME GLENN SCHUKEI CONST. I TELEPHONE 343-6020 CONTRACTORS MAILING ADDRESS 25 AMBER WAY CHICO CA 95926 CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ 1s92U.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1042 SIR WILLIAM COURT CHICO CA 95926 Energy Plan Checking Fee $ $ PERMIT FEE S 65-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 11 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IQ Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA 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. CS O 4 "T� �� 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 TO 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.5QFT. NONyRESID. ANCHOU CUITS T @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. Occup. OUTLET OR FIXTURES I. BAL O .SO50 Ex. Occup. OUTELErsAFLIS�10°EA 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. t.11 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' compensationl* ran a carrier and picy number are: Carrier /'� Policy Number O Vrl1 (The above sections need not be completed if the permit is for work of a v luation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w ose visions. It X Date 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HAz. D. FEES IMP FLOOD CDF PARCEL I PO I 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. (/ / D to PERMIT EXPIRES ONrwR7eceiptNo. Dete �° C) .D.S.-B.D. CANARY -ASS SO PINK -INSPECTOR GOLDENROD -APPLICANT COWNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541^ ,� � / e; EC ev.1y96) APPLICATION AND PERMIT (� ,3 , •ASSESSOR PARCEL NJUSER a- boo o 2D11NM BUILDING PERMIT ��"E TELEJ-toowNERr �O SO. FT. OCC. BUILDING VALUATION /�l �1 �J r V OWNERS ADD 6 n _ r 7- �( CONT 3 r l -HO NE_l0 V COR ADD COISTRUCTION LENDER Fireplace LENDERS MAILING ADOREss Tota! Valuation b O a ARC"ITECT OR ENGINEER UCENSE NO. 20.00 Filina Fee_ Permit Fee ARCNIrECT 'OR ENOWEER'S MALJND ADDRESS Plan Checkina Fee S BULDaDADD"M coo Energy Pian Checking Fee S S PERMIT FEE S IGT NO. SUBDIMION5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7:00 "'--" USEOFSTRUCTURE SF `)� Duplex ❑ Mobilehome ❑ Other SPECIFYWater Solar or heat mp water heater 23.00 piping 15.00 Each as water hea or vent 15.00 TYPE OF WORK New ❑ Addition 0 Remodel ❑ UbTiGes ❑ Installation ❑ Other Describe Work Gas piping system 1 - 5 _6'trtlets 15.00 Building sewer 15.00 Mobile HomeS G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Feng Fee 20.00 Main Service oOOYw citL�Es.ss 23.00 Main Servic sow To ,DcoA 46.00 ' S'k X S"her; f T � O 4+%cyres NORM NORM 5 v ®er�J � N�Y "h e _ __ NM CONST: OCCUP. 3.5e OR ADDNS. i BLDG. NON•RNdw 6NS. MULTF•O @7.50 . POWER APPAAM S a MNM E OLZU CR a Occup. OVnZT OR PKTUMBp 00 Ex Occup.M g ,oma 5.00 Tempo ary Service 23.00 Moble Home Facilities 20.00 V=. Wiring 23.00 PERMIT FEE _ MEC ANICAL PERMIT Feng Fee 20.00 Heating Cooling Hood �� 6.50 Ventilation PERMIT FEE: S Mobile Home Installation Fee S Energy Inspection FeB S Dcc cDNST. 11 TOTAL FEE NAZ• D. FEES IMP I FLOOD I GDF PARCEL PD ND f 65UE This is hereby issued under the applicable provisions te County Code and/or Resolutions to do work of thea Butte indicated above for which fees have been paid. By Date PERMIT EXPIRES ON - (Delo) March 16, 1988 J. F. Glander Chief Building Inspector 7 County Center Drive Oroville, California 95965 Dear Jim, I have contacted and discussed with a deputy at the Contractors State Board in Redding, my agreement with Dick -,Nelson. We had an agreement as to being general contractor and he was paid to preform this service on lots #3 _55 100 and 14 of the Morris Subdivision. I will be willing to file a complaint with the licensing board to this effect if_necessary. As far as the contractors used on this project, they are as follows: General Contractor: Dick Nelson, #395186 Concrete Contractor: Dick Nelson, #395186 Framing Contractor: Dick Nelson, #395186 Finish Work Contractor: Dick Nelson,#395186 Zellick Construction,#475419 Plumbing Contractor: Moes Plumbing,#421596 Electrical Contractor: Foothill Electric, -#512428 C-10 Bill Graves f Heating,Air,& Sheetmetal: Artic Aire,# 234913 Cabinet Contractors: Custom Cabinets,#348542 OakRidge Cabinets,#457310,Custom Woodworks Architects & Planner: Bruno & Hawkins Bob Heaton Engineering: A & Q Engineering Painting Contractor: Gilbert Smith,#378780 Floor Covering: D & S Carpet,#356065 Drywall: Jerry Rodgers,4 Gary Drews,#436789,Valley Drywall,#331208 Roofing: Mike Ely,#431427 Ceramic Tile: Max Hahne Co,#467206, Custom Tile,#399080 Insulation: Loerke Insul,#499150, Hawkins--Insul,#378407 Glass: Miller Glass Lathing & Plaster: Hardesty & Son,#386384, Klobas,#480737 Supplies: Meeks Lumber, Pacific Supply, Slakey Brothers I will be using Wendall Soreson,#417153 and Paul Leete"Know and in the future. Hope this is what you needed. If you have any questions please feel free to call me at 891-0444, 342-7805, or 893-4357. Sincerely, William W. Morris 6c �_586 -6-- 7 PERMIT NO. 587-87B,P,E,M' PERMIT EXPIRESZ// A,� OWNER BILL MORRIS CONTR. owner ASSESSOR PARCEL LOCATION 1042 Sir William Ct,lot 10,Chico � P OFF\CE Cp , Pddress ate---. GPS pate II ON Meter jRtG Mee OFFICE COPY I j Address GAS 1 Meter BY �z ELECTRIC Date 1 Meter BY Temp. Power Pi ----- --`�� Called PG&E Temp. Elec. Called I Temp. Gas S Cal led F JOB FINALI Signatw i COUNTY1,0F BUTTE DEPARTMENT OF PUBLIC WORKS _, _��• 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE OWNER PERMIT NO. /A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE r/1'` � rr 57 - �-? 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. 4 '� t4 /) moi.. `t 'a r...i e A, I 014 Z i / Jc- 5 �J --T;u-1-IG // UjU a e,,- kn,4, 0 Inspector `' ✓ �'ti Date r COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER HERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Owner: ., �.:.�•:_._.._.._.__. ENERGY CERTIFICATION LOCATION A.P. No. ROOF Material DESCRIPTION OF INSULATION Thickness(inches) EXTERIOR WALL Material Thickness(inches) ;S/2- CEILING SzCEILING Batt or Blanket Type c s Thickness(inches) Loose Fill Type Gs, Minimum Thcknesg(Inche /f Area covered(ft. )_ //"F6—' FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name Thermal Resistance (R Value )_ Brand Name_ Li s,. ! Thermal Resistance(R Value) Brand Name C'e.,A-C,:h�c Thermal Resistance(R Value) 30 Brand Name ' - Number of Bags Wt; per bqg lb. Thermal Resistance(R Brand Name Thermal Resistance(R Value) Brand Name Thermal Y Resistance(R Value) FOUNDATION WALL Material Brand Name 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. liawkin5 Insulation Co., inc, 378407 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. 0 SIGNATLRE OF INSTALLATION APPLICATOR 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. FIRM1VME/ JER (Please pint) STATE cm.rRACTOR'S LICENSE NO. . SIGNATURE OF OEVERAJ. CONTRA R Oi1MA D, KTE� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING nEPAR'1KNT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SIUVJL BE POSTED WITHIN THE BUILDING. .January 1984 J = OK 0 - Not OK d Not Applicable Not Ready RESIDENTIA'L�(gingle and Duplex) Date UND L R (Plans) OK except #'s in requirements -Setbacks -Easements _Z Main; Soils-Steel-Elec. Grnd.- / /" Ftg. _ s _ _ tg. rage; Soils -Steel- / /" Ftg. Depth Decks; Soils -Steel- / /" Ftg; Steel-Blockouts-Wrapped-S mt,Ege; Steel-Blockouts-Wrapped b 7. ireplace Fig. -Steel Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors - 10. Water Pipe: Test -Anchors -Regulator -Service Test i 11. Electric; Underground ' 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date-�� Card -BI Date Card -BI DateCard-BI Date Date PLUMBING (Permit) OK except #'s V144 ter Ht.: Vent- Access -Combustion Air ��M�/ ater Pipe: Test & Anchors -Nail Protection 1 W.V.: Test-Fttngs & Anchors -Nail Protection �,�Wer Pan: Test, First Floor -Tub Access 1V Tegl Tub& Shower, 2nd Floor -Tub Access 1Pipe_Size & Anchors t Card -BI Date Card -BI Date Card -BI Date Card -BI Date i Date ELE 1CAL Permit OK except #'s 2 xture & Transformer Clearance -Ins. Protection ' 2 Receptacles Spacing -Lights & Switches at Doors -- - 2 /A5iABoxes & No. of Conductors -Stapled _ Ff , 2II yme. Installed Close to Edge of Studs & C.J. k, 24/ p. Ground made up w/Mech. Fasteners -Bond Gas & Water i., 2 2 Appliance Circuits in Kitchen & Conductor Size .°eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 2V.Rnge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, - ns dated Neutral Yes No 2rvice-Riser Conductors & Ground -Main Disconnect_ 2 F�uip. Clearances: Panels-Motors-Mech. Equip. - 30. Clothes Closet Light -Shower Light Caro B -I Date Card -BI Date _ -- Card B -I Date Card -BI Date Date NI L (Perrot) OK except #'s Ducts. Insulation & Support 32 V Fan: Exhaust above Insulation 3&15p4ensale Drain & Overflow: Size _& Grade _ 3F, ce-Vent: Access -Comb. Air -Return Air Vent -115V outlet 35 1t c Access & Platform if Furnace in Attic — Card -BI N Date Card -BI Date r Card -Bl D to Card -BI Date Date FR1 (Plans) OK except #'s 3 ills Proper Material & Anchors 3ZVI II . Studs -Nailing, Spacing & Bracing -Plates -Sound - 38. wring Walls over Girders & Floor Nailing 3 aft Stop in Walls (rat proof) 4 ire Stops. Furred Ceilings -Stairs_ -Chases -Tub _ 4 He der & Beam -Size & Bearing 4 gens -Post Caps -Anchors -Connectors 4_ Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnp. 4 ireplace Ties or Type A Flue -Fireplace Throat 4 Access: Size & Romex Protection -Draft Stop -Ins. Baffles - 4 drm. Windows or Exiting Doors -Sill Hgl. & Dimensions 4 Garage Fire Protection Framing (NOTEAnentrymust be made each time you visit jobsite) Ext. QrrA mtinued) Line Firewall & Openings rs-One 3' -Check Garage -3rd story, 2 exits idth-Headroom-Rise-Run-Landing-Fire Protection— - on Roof Overhang -Attic Vents -Rafter Outriggers 52. Suing -Nailing -Ven M. Stuc esh- ( 570 Glazing Area -Glass Vents-Underflr. Access s -Plastic 55. V Shear Walls; Nailing -Bo s - — -- VAN 4, Card -BI Date V Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAJs(Plans) OK except #'s 55 . Steps -Door & Sidelight Protection -Landings 6?- `Smoke Detector ley x Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. &Bath Fixtures & Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels fig Ueirs & Rails b3. Fireplace or Stove; Clearances -Hearth BA-E•fac. Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. lec. Outlets & Receptacles at Kit. Counter 7/C,arage Fire Door; Swing-Landin eser A.C. Duct in Garage Damper Q7A V L&q,-1M. Htr.; Vents-Clearance-Comb.Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection tom., Elec. & Mech. Equip. Listed for Location pec. Receptacles in Garage; (G.F.I.)-Romex Protec. Zg,-t'i suletion-Foam-Looked in Attic ❑ Yes a-3�Gvard Rails & Deck Construction -Post Caps -747'F2in. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive [Zyaw ❑ No; Walk Yes ❑ No; Planters Dyes ❑ ucco; Brown -Finish C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet k78, -?Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well;.Disconnect, Electrical, Plumbing xterior Eled. Trim; G.F.I. Receptacle -Underground enC tion throughout House _ ss Protection . or ctionsfrom Previous Inspections 84. s Test -Meters Tagged; Gas -Electric ater &Sewer Connected -C/0 to Grade -HD Approval -nergy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI late Card -BI Date Card -BI Date Card -BI Date Com lents at Final: J=OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /%"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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card B -I Date Card -BI Date 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,- PE RMIT N0. 7 County Center Drive - Oroville, California 95,965 - Telephone 916/534-4541 S_ APPLICATION AND PERMIT ASSESSOFf;j��� ZONIN y� �p BUILDING PERMIT OWN TELE Ho r i s � SQ. FT. OCC. BUILDING VALUATION OWR'S MPD AD RES $93_lye CON ACT 'NNAME I I TELEPHONE ��ft 0,0 O CONTRACTOR'S MAILING ADDRESS Fireplace 00 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER � LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT. � SUSION NAME (-% ` S _`\\J PARC_ l� ` / 6J` 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 o Mobile Home S G W O.00ea TYPE OF WORK New [ Addition ❑ Remodel lilies ❑ 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 P Y P er Y hk : ( ) F1NON.RESID 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 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 OCC q, OR ADDNS. � ACC. SLOGS. I/z¢sgft , NEW CONSTR.U TI-OUTLE BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES eAL@ 0Q eALeao FIXED APLNS.I, Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 L. 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. �Q I shall not employ any person in any manner so as to become subject 'r 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 Q Cooling g Hood 3.00 Ventilation permit Fee $ :5 sLon 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 aga' st sai A County in c `s qu ice of the granting of this permit. 6 ` Date Signature of Applicant — OwnerX Contractor EDAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33storries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ®� TOTAL PERMIT FEE ZiLi��l FLOOD ARc PD ND Iseu This permit is hereby issued under sions of the Butte County Code and/or work dicated above for which DI kCTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 8 AGIZf d'AMer Receipt No. %oq- WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFEUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFO N A 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET V-11 IF Permit No. �j n OWNER 1V w l� l�l!.S A. P`. No. �d D i " % Proposed Building Use /VF1.-) S �- Building Inspector `y KJ Date 0,7_w(�v 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. . �•SE� ' Plot plans in d-upaicata/tr-i,p,14cate.,-s.igned_b-y-prepares-of-plans-. . Complete plans in duplicate/-tripi-'rcate ssigned-by-p-reparer of pians. 4. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . • , , • etter of signature authorization ' anitation approval from-� I•C D Health Dept.. Planning approval for (A) Use: (B) Parking: ertificate of Workmen's Compensation Insurance. . . . . . 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ). _15. Improvements may be required. . . . . . . . , • • 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) -1,7 Pre -Inspection for Required. Building Inspector ecorded copy of Agricultural Acknowledgment Statement. 3/P/l7 riveway Permit. Plot plan approval from city of Nae SOL R& o v get /oy- G 3 4-- - 22. When you issue the ermit, process as follows: Mail to owner, Mail to contractor. Telephone "� �� and hold for pickup at (A' fice, Deliver w/inspector. Other q -lye 4Q Appl icant ��` ��� �• l �!' 'Date' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedri r t per i. #anqe�. (Circle new item not checked above). 1. Index permit for above items No. — 2. Additional items required: Contracto eslg r as advised of above required data by phone_mail _f!!_'�counter by& date Xyv:� Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by daete. Plans checked by Date Plans approved by6ft;:: Dadaft -j0 Sets of plans on hold in File cabinet AP folder - Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW Table 3-7. Sou th-Facing Glazing Pte Table 3-10. Shading Coefficient Points I I Glazing Type I Total i I I 2 of 1 Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (U- I 1 Area 11.10) 10.65) 1 0.41)1 I I oints I oints i ointsl o 1 +3 1 +3 +3 1 up to 1.5 1 +2 1 +2 1 +2 1 I 1_.6- 3.6 1 -1 I 0 I o f 175.2 1 -4 I -2 1 -2 I ( 5.3- 6.3 1 -6 I -4i -3 1 I 6.6- 7.7 1 -9 I -6 1 =5 I I 7.8- 8.9 1 -11 1 -8 1 -7 1 1 9.0-10.0 1 -13 1 -10 .1 -9 1 1 10.1-11.5 1 -17 1 -13 1 -11 1 111.6-13.0 1 -21 1 =16 1 -14 1 113.1-14.5 1 -25 1 -19 1 -16 1. 114.6-16.0 1 -28 1 -22 1 -19 I Table 3-8. West -Facing Glazing Pts. 1 I Glazing type I I Total I I I 2 of I Sngl, �Dbl, Trpl,Floor I (U - I - I (U - I Area 1 1.10) 1 ) 1 0.41)1 oints Ints I ointsl O •i I +i 1 +i i up to 1.3 I +5 +6 I +6 I I 1.4- 2.2 I +3 1 +4 1 +5 1 I 2.7- 2.8 I 1 +2 1 +3 1 1 2.9- 3.6 I 3 1 0 1 +1 1 I 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 I -8 1 -4 1 -2. 1 I 5.1- 5.6 -10 1 -6 1 -; I 5.7- 6. i -13 I -8 1 -6 I 6.3- 6 1 -15 1 -10 I -7 I I 7.0- .6 I -18 1 -12 1 -9 1 ( 7.7-1.2 1 -20 1 -14 1 -11 1 1 8.3F 8.8 1 -22 1 -16 1 -13 ( 8. - 9.5 1 -25 1 -18 1 -15 I 9.6-10.1 1 -27 1 -20 1 -16 1 1.2-11.0 1 -29 1 -23 1 -17 1 1.1-11.8 I -35 I -26 I -21 111.9-12.7 i -38 1 -29 1 -24. 1 I' 12.8-13.5 I -42 1 -32 1 -27 1 1 13.6-14.3 I -46 1 -35 1 -29 1 1 14.4-15.2 I -50 1 -38 1 -32 1 TOTAL ZONE 11 I Orten- table 3-6. last -Facing Glazing Yts. Table 3-9. Skylight Points +2 I I East I I 3.2 I • POINTS I Table 3-3a. Ceiling Insulation OWNER 6/a- jwcX�/ S Glazing Ty/ Points ( 0 I 0 ,. I 11 I 37-.66 PERMIT, _s.-g� ASSIGNED ACTUAL R -Value of Insulation Points 1 _ I I to I to I' to I to I up 13.1 I 6.3 1 7.9 I 9.3 I Total I I i I .19-.42 1 1. SLAB - INSULATION 0 1 -1 i -2 I -2 -3 I .6p .i o I --T 1 -4 1 -4 I -6 I 2 of I Sngl, Dbl, Trpl, I Floor I I 2. RAISED FLOOR - R-19 U- I _ I 19 I -4 0.66- .37-.57 I R �o .58-.82 ( -1 1 -3 1 .-6 1 -12 1 -15 .83 up I I Area 1 1.10) 1 0.65).1 0.41)1 3. CEILING - R-30 Skylight I 1 down I I _30 - I -a. . i 4. WALL - R-19 ��� 0 1 0 1 0 1 0 1 0 i 49 i +4 5. NORTH GLAZING - 2.44-3.6% 7. GS p� �y 1 0 1 0 1 I Dapth, 6. EAST GLAZING - 2.5-3.6% 68 -� -3 1 -2 1 -1 1 7. SOUTH GLAZING - 1.6-3.6% .3• b �' �' Table 3-4a. Wall Insulation Pointe S. WEST GLAZING - 2.9-3.6% I -3 1 �- 1 R -value of Insulation I I I Pointe 9. SKYLIG}IT - 0-1.37. -9 1 -6 1 -5 1 1 3- 4 1 -8 1 I J. T- -5 I S I -1 1 I 3.7- ,,�••2 1 -6 1 1 0- 11 I -S I -S 1 -5 1 -5 I 10. SHADING (Exclude Overhang) I 4.7- 5.6 I -8 I -4 i -3 1 1 4.3-A.0 I 1 'T9 I 1 -8 1 I - -3 1 -2 1 -1 1 1 8 12 I -4• 1 I 5.7- 6.7 1 -10 1 -6. 1 -5 1 ( 24 I 42 I -10 1 EAST - .66 1 10 - 18 'A- L 30 i +3 I -14 SOUTH - .19-.42 • G I 19+ 1 0 1 I 7.8- 8.7 1 -15 1 -10 1 -4 1 1 6.3- 6.9 I -21 WEST - .13-.36 I -13 1 I 1 I 1 I I Table 3-5. North-Facino Glazing Pte I 1 .SKYLIGHT - .37-.57 1 7.0- 7.6 I `� I 1 Glazing1 hype 11. HORIZONTAL SOUTH OVERHANG 2' 112 $ I Total I I 2 of ST, Dbl, I Trpl, 12_. MOVABLE INSULATION - NONE �'- - I Floor I U Area 10.66 ( u - I U - 1 1 0.42- 1 0.41 I 13. INFILTRATION (Standard=0)(Tight=+12) ( -19 1 O 1 11.10 p 1-44 10.65 44 I down I +4 8.9- 9.5 I -31 1 -24 1 -21 1 1 0.1- 1.2 1 +4 ! +4 I +4 I 14. THERMAL MASS SF -33 1 -26 I 1.3- 2.3 1 +1 I +2 I +1 1 15. GAS FURNACE (SE) 71-76% 1 2.4- 3.6 1 -2 3.7- 4.8 1 -4 I 0 I -2 1 +1 I -1 I I 4.9= 6.1 1 -7 I -4 . -3 I 16. HEAT PU11P (EER) 7.5-7.9% 6.2- 7.3 1 -9 I -6 1 -S I I 7._4 -Aa 1 -12 I -6 I -7 I 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% 71 --ft1 8.3- 9.7 1 -14 I -fr 1 -8 I WOOD STOVE ' I 9.8-10.8 1 -17 1 10.9-12.0 1 -19 I -12 I -14 1 -10 I 1 -12 WATER 4HEATER moi- 1 12.1-13.2 1 -22 1 13.3-14.5 1 -24 1 -I6 I -18 I -13 I I -15 I ATTIC 16 % 14.6-15.3 1 -27 i -20 i -17 OTHER . Table 3-7. Sou th-Facing Glazing Pte Table 3-10. Shading Coefficient Points I I Glazing Type I Total i I I 2 of 1 Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (U- I 1 Area 11.10) 10.65) 1 0.41)1 I I oints I oints i ointsl o 1 +3 1 +3 +3 1 up to 1.5 1 +2 1 +2 1 +2 1 I 1_.6- 3.6 1 -1 I 0 I o f 175.2 1 -4 I -2 1 -2 I ( 5.3- 6.3 1 -6 I -4i -3 1 I 6.6- 7.7 1 -9 I -6 1 =5 I I 7.8- 8.9 1 -11 1 -8 1 -7 1 1 9.0-10.0 1 -13 1 -10 .1 -9 1 1 10.1-11.5 1 -17 1 -13 1 -11 1 111.6-13.0 1 -21 1 =16 1 -14 1 113.1-14.5 1 -25 1 -19 1 -16 1. 114.6-16.0 1 -28 1 -22 1 -19 I Table 3-8. West -Facing Glazing Pts. 1 I Glazing type I I Total I I I 2 of I Sngl, �Dbl, Trpl,Floor I (U - I - I (U - I Area 1 1.10) 1 ) 1 0.41)1 oints Ints I ointsl O •i I +i 1 +i i up to 1.3 I +5 +6 I +6 I I 1.4- 2.2 I +3 1 +4 1 +5 1 I 2.7- 2.8 I 1 +2 1 +3 1 1 2.9- 3.6 I 3 1 0 1 +1 1 I 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 I -8 1 -4 1 -2. 1 I 5.1- 5.6 -10 1 -6 1 -; I 5.7- 6. i -13 I -8 1 -6 I 6.3- 6 1 -15 1 -10 I -7 I I 7.0- .6 I -18 1 -12 1 -9 1 ( 7.7-1.2 1 -20 1 -14 1 -11 1 1 8.3F 8.8 1 -22 1 -16 1 -13 ( 8. - 9.5 1 -25 1 -18 1 -15 I 9.6-10.1 1 -27 1 -20 1 -16 1 1.2-11.0 1 -29 1 -23 1 -17 1 1.1-11.8 I -35 I -26 I -21 111.9-12.7 i -38 1 -29 1 -24. 1 I' 12.8-13.5 I -42 1 -32 1 -27 1 1 13.6-14.3 I -46 1 -35 1 -29 1 1 14.4-15.2 I -50 1 -38 1 -32 1 TOTAL POINTS = I Orten- table 3-6. last -Facing Glazing Yts. Table 3-9. Skylight Points +2 I I East I I 3.2 I • 10-3.1 I to 1 6.4 up I I I 6.3 I I I Glazing Ty/ I .20-.36 ( 0 I 0 ,. I 11 I 37-.66 I 0 1 *a- I 0 I I Glazing Type I I Total I .83 up i 0 i -1 i -2 1 _ I I to I to I' to I to I up 13.1 I 6.3 1 7.9 I 9.3 I Total I I I z ofSngljj/ I .19-.42 1 Trpl, 0 1 -1 i -2 I -2 -3 I .6p .i o I --T 1 -4 1 -4 I -6 I 2 of I Sngl, Dbl, Trpl, I Floor I U'`I to I to i to 1 to I up U- I Table 3-1. Slab Floor Points Table 3-2. Raised Floor Yo is I Floor I (U - I (U - I (U - I I Area 1 0.66- .37-.57 I 1 0.41 1 .58-.82 ( -1 1 -3 1 .-6 1 -12 1 -15 .83 up I I Area 1 1.10) 1 0.65).1 0.41)1 1 1 1.100.65 Skylight I 1 down I I Tn ils- I R -Value of Insulation I I IL -Value of I I I--I,�o!nts I oints 1 ointsl 0 1 +1 1 +3 1 +6 1 +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 I tion I I I Insulation I Points I o +' + 1 9,4 I up to 1.3 1 1 1 0 1 0 1 I Dapth, I I I 1 up to 1.3 1 +3 1 +4 I +4 1 1 1.4- 2.2 I -3 1 -2 1 -1 1 I Inches 1 0-2 1 3-4 1 5-6 F 7+ I I 1.4- 2.4 I +1. I +2 I +2 1 ( 2.3- 2.8 -6 I -4 I -3 1 I 1 i I 1 I I below 3 I -12 1 I 2.5- 3.6 I -2 I 0 1 0 1 I 2.9- 3. i -9 1 -6 1 -5 1 1 3- 4 1 -8 1 I J. T- -5 I S I -1 1 I 3.7- ,,�••2 1 -6 1 1 0- 11 I -S I -S 1 -5 1 -5 I 1 S- I -6 I I 4.7- 5.6 I -8 I -4 i -3 1 1 4.3-A.0 I -14 I' -10 1 -8 1 I - -3 1 -2 1 -1 1 1 8 12 I -4• 1 I 5.7- 6.7 1 -10 1 -6. 1 -5 1 I 5.199999 5.6 I -16 1 -12 I -10 1 116 - 19 1 -5 1 -2 1 -1 1 0 I 1 10 - 18 ( r2 1 I 6.8- 7.7 1 -13 1 -8 1 -7 1 I 5..7 6.2 I -19 I -14 I -12 1 I 20 + 1 -S I -1 1 0 1 +1 I I 19+ 1 0 1 I 7.8- 8.7 1 -15 1 -10 1 -4 1 1 6.3- 6.9 I -21 I -16 I -13 1 I 1 I 1 I I I I 1 I 8.8- 9.7 1 -1.7 1 -12 1 -10 1 1 7.0- 7.6 I -24 ( -13 I -15 1 I 9.8-11.2 I -21 I. -1S 1 -13 1 1 7.7- 8.2 I -26 1 -20 ( -17 1 1 11.3-12.7 I -25 ( -18 •1 -15 1 1 8.3- 8.8 I -28 I -22 ( -19 1 7/7/83 112.8-14.0 I -28 I -21 1 -18 1 1 8.9- 9.5 I -31 1 -24 1 -21 1 14.1-13.3 I -32 1 -24 1 -20 1 I 9.6-10.1 i -33 1 -26 1. -22 I I SC by I I Orten- I 2 Floor Area tation +2 I I East I I 3.2 I 1 10-3.1 I to 1 6.4 up I I I 6.3 I I 1 0 -.19 1 0 ( +1 1 +2 I .20-.36 ( 0 I 0 ,. I 11 I 37-.66 I 0 1 *a- I 0 I �I 0 I 0 I -1 .83 up i 0 i -1 i -2 South 1 0 1 3.2 1 6.4 1 8.0 1 9.6 I I to I to I' to I to I up 13.1 I 6.3 1 7.9 I 9.3 I I 0--18 1 0 1 +1 1 +2 1 +2 1 +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 1 .443-.66 0 1 -1 i -2 I -2 -3 I .6p .i o I --T 1 -4 1 -4 I -6 Went I .1 11.6 13.2 1 6.4 1 3.0 I to I to i to 1 to I up 1.5 i 3.1 1 6.3 i 7.9 0-.12 1 0 1 +1 1 +3 I +6 i +7 .13-.36 1 0 1 0 1 0 1 O( 0 .37-.57 I 0 1 -1 1 -3 1 -6 1 -1 .58-.82 ( -1 1 -3 1 .-6 1 -12 1 -15 .83 up I I -2 I -4 1 -8 I -k6.1 -20 I I I I Skylight I .1 I .8 11.6 1 3.2 1 4.0 I' to I to I to ( to I to I 5 1 3.1 1 9.9 1'3.2 ---r- 0-.12 1 0 1 +1 1 +3 1 +6 1 +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 1 -6 1 -- .58-.82'.1 -1 1 -3 1 -6 1 -12 1 -. .83 up I -2 I -4 1 -8 1 -16 I -20 I I I I t Table 3-11. Horizontal South Overhane Points South Glazing 1 Length Out I Area, 2 of floor 1 I from Wall I I i it i - I I 0-6.3 i 6.4 up I 0 - 0.5 1 -2 1 0.6 - 1.0 1 -2 1 -3 1 11.1 - 1.9 1 -1 1 -2 1 i 2.0 up I' 0 1 0 1 Table 3-12. Movable Insulation Moveable Insulation 1 Area, 2 of floor I I 1 Points 1 I 0 - 5.5 I 0 1 5.6 - 11.5 i +2 I 11.6 - 17.3 I +4 I 17.6 - 23.5 I +6 1 X23.6+ 1 +6 1 b. ZONE 11 TAELE 3-14 (ADAPTED) IBTEIl106 TXEBNAL MASS POINTS tact Table 3-13- Inf!lttatioe Control Control Features I Points Standard 1 0 0.9 air chin sa ar hr Tight 1 +12 0.6 air changes per he I' Table 3-15. Cas Furnace Without RefrlReratlon Cool!nt Points Seasonal Efficiency (SE), I 1 71 - 76 I 0 I 1 77 - 82 ( +2 I I 83 - I ++ I I 89f 94 I +6 I f95 up I +8 I I I I Table 3116. Peat Pumo Points I Energy Effic!ency i Points nts I I Ratio (EER) 1 I 1 I I Table 3-17. Cas Furnace With :Refrigeration[ Cas Furnace I Cooling I SE % I I 1- 7-1 a! -1 99- 95 i 1 761 821 881 941 1 e.>I 1_.�J +21 +bi +61 +e 1 I 8.4+21 +41 +61 +81+10 1 I 4.8 - 9.2 I X41 +61 +81+101+12 I I 9.3 - 9.7 1 +61 +81+101+121+1'+ 1 I 9.8 - 10.3 1 +31+101+121+141+16 1 110.4 - 10.9 j+1Gi+12j+141+16i+19 I 111.0 - 11.6 I+121+i:1+161+191+4n I I I ! I I I 7/7/83 AREA SQ. FT. 1,000 A 8 C 9 +3 .0- +6 +9 +12 +13 IIIIIIII +18 IIIIIIII 10.3 10.9 +21 +24 +27 I I A +30 i 0 1 Table 3-17. Cas Furnace With :Refrigeration[ Cas Furnace I Cooling I SE % I I 1- 7-1 a! -1 99- 95 i 1 761 821 881 941 1 e.>I 1_.�J +21 +bi +61 +e 1 I 8.4+21 +41 +61 +81+10 1 I 4.8 - 9.2 I X41 +61 +81+101+12 I I 9.3 - 9.7 1 +61 +81+101+121+1'+ 1 I 9.8 - 10.3 1 +31+101+121+141+16 1 110.4 - 10.9 j+1Gi+12j+141+16i+19 I 111.0 - 11.6 I+121+i:1+161+191+4n I I I ! I I I 7/7/83 AREA SQ. FT. 1,000 A 8 C D A 1,500 B C D A 2,000I 6 C D A 2.500 6 C 0 I A 3,000 8 C D l A 3,500 6 C 0 A 4,000 B C D I I A I,SGO 6 C 0 1 5.000 y 1 C 5o 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 +19 o. 0 +2 +4 !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 O I 0� 0 0 0 1 ISO 1200 6 6 e 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 B 2'! 1,500-1,999 2 0 2 2 2 0 1 +14 +lc e e i / 6 6 / 2 a ♦ / 2 4 4 2 2 2 2 .2 • 2 2.2 2 2 2 2 2 2 2 2 2 2 I . 2 c 1 250 1010 B 6 6 6 6 4 6 6 4 2 4 4 1 2 4 4 2 2 2 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 .1 300 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 7. 22 2 7 2. 7 2 i 350 14 14 12 8 10 IG 8 6 6 6 6 / 6 6 6 2 6 4 4, 2 4 4 4 2 4 4 2 2 4 1 2 7 2 2 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 / 4 6 - 6 4 2 4 4 4 2 / 1 4 2 4 4 2 2 44 2 2 S03 18 18 16 10 12 12 10 6 10 10 8 6 P 8 6 4 6 6 6 4 6 6 i 2 6 6 4 2 4 4 4 2 4 4 4 j 600 22 20 16 12 14 14 12 8 12 12 10 6 10 10 8 6 8 e 6 4 8 C 6 4 6 6 6 4 6 6. 4 2 6 6 4 2 1 100 r 24 24 20 14 18 16 1V 10 14 14 12 8 10 10 10 6 10 10 8 6 a e 6 4 8 6. 6 4 6 R 6 41 6 6 f 2 1 i Z30 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 P 6 4 ! 6 6 4 a 6 6 4 6 6 6 900 28 28 74 16 22 20 18 12 16 16 14 10 11 14 12 8 12 12 10 6 10 10 3 6 3 8 '8 4 6 8 6 4 8 8 6 r. i 1.010 30 l0 26 16 ?2 20 '10 14 18 18 16 10 14 11 12 6 12 12 10 6 12 10 10 6 10 10 8 6 a 8 0 41 ' a E i i 1.700 .32 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 It 12 10 6 10 10 10 6 10 10a 61 !0 e f ; 1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 12 12 10 6 10 10 8 6 In In 8 6 1.300 34 34 32 22 28 26 24 16 22 22 20 12 18 19 le 10 13 14 14 6 14 12 12 8 12 12 10 6 12 10 10 C 10 10 E o 1.400 34 34 32 24 28 28 26 IS 24 24 2011 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 1' 7G 61 10 10 19 S 1.500 1 36 34 34 24 30 30 26 18 24 24 22 1/ (22 20 18 12 18 18 16 10 116 16 14 8 14 14 12 a 17 12 10 GI 12 12 1C I u 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 i4 G 14 le 12 S I 2.500 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 Z2 22 I8 :2 20 2G is 1: 15 15 1t :a J.000 34 32 30 22 30 30 26 •18 28 76 24 16 �24 24 22 14 22 27 20 14� 3.500 32 32 30 20 30 30 26 ld 28 28 24 16 26 24 2? 11 ! !4 ;4 20 14 4.000 --- - - - 32 12 30 20 30 26 18 ' 78 28 24 1 f 'l.5 2.3 2: 1 f 4.500 130 32 32 2e 20 30 30 26 1e ib 2R s_QO = - 112 T7 v 201 13 % :6 1; A) 1. 3s' Concrete Slab: HC•8.93; R-.29; Factor -7.3 2. 3 3/4' Thick Cosmon Brick: 11C•%!2S; R-.13; factor -7.3 6) 1. 54' Concrete Slab: IC•14.106; x•.458; Fsctor•7.1 C 1. B• Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 2. 8' SolidFilled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thernal'Xass Area: NC -10.164; 11-.96:; Factor -6.1 0) 1' Thick Concrete/Tile: NC-2.SS; R•.083; factor -3.7 Table 3-19. tonally Controlled Electric Resi.tance Space Heatlne Points I Points foc thin measure will 1 Table 3-2n. Solar Water Heatina With Cas Back -aa Points I be completed after the CEC I I has approved an Alternative I I Component Package for Resistance 'I 1 Heat. I Table 3-19. Active Solar Spnee Heating with Gas Points I Net Solar Fraction ( Points I I (NSF), x I I 1 0- 60 Points I I 1 i 7 - 14 I +2 1 I 15 - 23 I +4 i I 24 - 30 I +6 I 1 31 - i +8 I I 4 47 I : +10 I I e - 55 I +12 I I 56 - 63 I +14 I I 64 - 71 1 +18 I I 72 up I I: +20 I I wood stove #33 poinfs(no back up) casablanca fan + l.point lultlfamil (pit unitpoints) Points I I I Cas Only I 0 i jBeat P.4p Floor Area I ( S013c with Electric I i I Net Solar Fraction (NSF), Z I per unit, I vents is Part 2 i 0 I Electric Resistance I I I Only -40 I ft2. 0.9 Iv-iS ZC-29 30-39 40-49 S 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 + . +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 (00 and u 0' +1 + +4 +5 +6 +7 +9 All others (pe building pa s) euo-899 0 + +10 +14 +19 +24 +?9_ +34 900-999 0 +4 +9 +13 +17 +il +26 +30 1,00D-1,199 0 +4 .1.7 +11 +15 +-19 +22 +26 1,20f�1,499 !Y �0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 +2 +5 +7 1 +9 +12 +14 +lc 2,1)00-3,999 0 +2 +3 +5 +7 +8 +10 +11 3,000 ar.d uo -0 +1 +3 +A +5 +7_ +S +I0 I Table 3-21. Othsr Water HeatIng Pts. I System Type 1 f I Points I I I Cas Only I 0 i jBeat P.4p 0 I ( S013c with Electric I i I ( Reslstonce Backup I I I Meeting the Require- 1 I vents is Part 2 i 0 I Electric Resistance I I I Only -40 I RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC.-ONLY) Bldg. Permit # 585- 87 OWNER (t L %Y% /,S A.P. # VA -07-57 Pa4T' GENERAL +!/Zoning requirements: (sideyards and number of permitted living units). ;; Valuation. 0100" Plans signed by designer. fY."- Energy Design and Compliance. b-� Existing violations on property. PLOT PLAN A--' ,Complete parcel size and dimensions. Setbacks, sideyards, easements,.etc. s3 /ether buildings or structures.. Gra ing, fills, drainage. ood hazard. Special conditions on creation map or compliance document. FLOOR PLAN �jComplete to scale plan with dimensions. j equired windows for light and ventilation (Sec. 1205)., Required windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec;. 5207).: 5000"IRnman impact glass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1207). 7. G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). @-."'Light fixtures, switches,. receptacles, and exterior receptacles for maintenance of mechanical equipment.. Locations of water heater, heating and cooling equipment, other electrical or gas uipment, and plumbing fixtures. 11W.,,. -Garage -firewall, door size, and closer (Sec. 503(d)(3)). 1 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. 1� Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough'; -:to construct building. loor construction details complete enough:to construct building. : 9r,.- evations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building.'rR-C-AS-S -lj—" F" eplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR a. E����sure I plywood on exposed locations and overhangs. xf 5"ay details: landings, rise and run, head clearance, handrails (Sec. 3306). �drail details (Sec. 1711 & 3306(j)).- �ick or stone veneer (Chapter 30).. �.xterior plaster.- weep screeds (Sec. 4706). ���Rafter -oper roof pitch for roof covering (Chapter'32). ties or bearing ridge beam. RESIDENTIAL.PLAN 'CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. Adequate bracing. ming area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. o exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1 Attic access and ventilation (Sec. 3205). _1-3.---U d --floor access and ventilation (Sec. 2516). 1od stoves, clearances, alcoves & 1 -hour shafts. 1 . Combustion air for fuel burning appliances. k(T Noise requirements on duplexes. 4-f—Adobe soils - special foundation design. T'9 -.—Retaining walls requiring design. 44.—"Unusual shape, size or split level house requiring lateral design. 0 a _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 materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)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,coordin te,,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 t 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 Section, 26-8.1 of be recorded prior RECORDED BUTTE COUNTY OFFICIAL RECORDS BY" 19xl MAR —6 Ptd Q: 0-0 CANDACE J. GRUBBS Urk- RECORDER TEE..._,. J 87— 9770 nr,- AGRICULTURAL STATEMENT OF ACKNOW66MENT FOR RESIDENTIAL DEVELOPMENT the Butte County Code requires this acknowledgement to issuance of a building permit. .The property described herein is adjacent to land'or included NOT COMPARED WITH within an area zoned for agricultural purposes, and residents of this ORIGINAL DOCUMENT property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All that certain real property situate in the County of Butte, State.of California, described as follows: Lots 1 thru 15, as shown on that certain Map entitled, "MORRIS SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on January 22, 1986, in Book 104 of Maps, at Pages 62 and 63. Subject to Covenants, Conditions and Restrictions, recorded January 26, 1987, under.Butte County Recorder's Serial No. 87-3105. Date: t.-4 c j 067 PROPERTY OWNERS: State of �uf-o2t��q ) on. this SS. me, the County of -&-rrs ) , . j L the 5{� day of MAko-H 19;6-1 , before Undersigned Notary Public, personally appeared Lu N &AC {pa®e®oeoeme®oe°eao®o■°aas Personally known to ,me. / / Proved to me on the basis i I STEPHEN JOHNSON °p of satisfactory evidence. ° NOTARY PUBLIC -CALIFORNIA do be the person(s) whose names) Z-C,,subscribed to ° t r Butte County :he within instrument and acknowledged that ■ MyCommission Expires Nov. 15,1987 Executed the same for the purposes therein containe . • o�°°°a���ovmeo■®eaa°�oo®�N WITNESS WHEREOF, I hereunto set my hand and official seal. ' No ary Public Present A.P. No. �% " . RM • RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY �O Owner L"v r Climate Zone Permit No. Floor Area Compliance path: Package ❑ A ❑ B ❑ C I Point System []Budget Other 0/4 °,j MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling Wall ❑ Slab Floor Perimeter ❑ 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 /6.95 ® North /31.3 0 7.6 — ■ East 419 to a. 8 South West Skylights (B) Shading Shading Coefficient Description East'41* W kL ea 4/4 Z NG - South L— DOAL 664*2I G- © West Cl Skylights ❑ (C) South Overhang Length of projection cZ ft. Description ® (D) Moveable insulation: Area of ft Description , (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location �_ ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location 7/83 TF -01R M i ❑ (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. a Fol FBI *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°F) Active Solar ACOP 7/ % SE 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) Btu/hr (seasonal EER) (cooling capacity at 95°F) ® Electric Heat Pump 0010 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. ® (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. d (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 FORK 1 (6) DOMESTIC WATER SYSTEM ' (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electri,cBackup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 13 (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. (backup heater type, brand and model number)..(collector area) (collector orientation) Location of Solar Panels Other (collector tilt) ft ® (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, section 2-5352(g), and fill out the following: Heating: Winter design 'temperature �2 7 °, elevationtt', heating load BTU elevation factor �.O x heating load = maximum outlet capacity gas :furnace 579 O BTU c Cooling: Summer design temperature /O }i°, cooling load 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 1 i powlew x CITY dF CH1�0 -� i�CIAL �#ECEI0T NOTICE;TO PAYOF� Check this beceipt carefully. It. is your proof of pAym6nt t , City �f emOLint 4K h below for purpose stated. 1035. r '1 If Receipt is incorret;11 i6i!10 F116 0.6 Officd immediately. C ::,,I. FO POSTING REFERENCE ; .. II. PAYMENT INFORMATION Fund Acct.i Aenouid 1'. -.bate 2. Amount Peib' 1 0 GF. 4 9 r. ::,,I. FO POSTING REFERENCE ; .. II. PAYMENT INFORMATION Fund Acct.i Aenouid 1'. -.bate 2. Amount Peib' 1 0 GF. 4 9 D PFS: 5 'D' SF(� rpdse ! 4. Re a v`66by i 6 �D PRF .7 ❑ AFS I 5: Payor bt 6Nl I/ice .i DISTRIBUTION: White—FO Serial -File; Yellow—FO Date File; Pink—Payor. 15-1 5-85 15M ; I - I I •! t CITY OF CHICO NOTICE TO PAYOR: , OFFICIALcRECEIPT r t of Payment to Ci y. It is your proof If Receipt is inco�ectan titytshown below Finance Office fim Purpose stated. Immediately. N° 10 3 5 7.1 i` y I. FO POSTING REFERENCE ma Fund Aool. II. PAYMENT INFORMATION Amount I. Dateto q� 1 13 GF y�OD I''' /0 2. Amount Paid ❑ z 4 PF ` 4 Fdo 5 ❑ SFT87 43 t/00, 00 3-yurpose 6 Ci PRF y o Cin��G 4j4. Re e'ved by 7 C1 AF per 90 TF 3 y 5. Payor is ! N7 col C� g '3 v7 DISTRIB r' � ON: White—FO Serial File; Yellow Ow— FO 5-85 15M FO Date File; Pink—p ayor. I ..;iy ^�r l T t` .,�1 %`j � , � I y�✓1r1 l�' Z,..t� i '1��"e, 11.E � � ° i•-..� ��,� �� � � ;��5^" � !� v �/! � � �r�C� �,' � A� Yl_� • �o�� � � � . _+ � � . Y. .. �� . . i .. �. v ,� ./���U �� , ,�� . :� � � �,� �,�. � ' f ' i 0 r, f COUN l'Y *'IF EIOTTE: - DEPARTMENT OF PUBLIC WORKS ,PERMIT NO. 'yy 7 County Center Drive - droville, California 95965 - Telephone: 916/538-7541 LS/ APPLICATION AND PERMIT /// ASSESSOR PARCEL NU' BER ,^f ZON NG BUILDING PERMIT OWNER/ _ t // jeE NE SQ. FT. OCC. BUILDING VALUATION OWNER:1 IADD CONTRACT��01�S_� M, r/e CONTRA'CTOR'S 4A1 ING DRESS 7 r 7/L �(Gd Fireplace CONSTRUCTIO44 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 1,4112 � / A J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUB 3V)SIION A E (` PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 14 SF ❑ 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 ❑ t Remodel Utffi'ties.V InstallationOfher/0 Describe work:. ` - D 1 /S' <+-� Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP S00V OR LE SLESS 10.00 Main Servide EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under ne alty of perjury (check one): U__11"am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Jqode a d 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. -4 DWELLING OCCUP.Ei� ,�Z¢Sgft OR ACDNS. ACC. BLDGS. NEW CONSTR U TI.OUTLET2.SOea NON-RESIO BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. / Ex. OCCup�OUTLETS OR FIXTURES eA 0 20 0 0 Ex. Occup. OUTLETS FIXED P(RESI D.)RE A./ 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 fog $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a C , i'ficcate'of Workmen's Compensation Insurance or a Certificate QfeConsent to Self -Insure. ®f 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 againstOCCUP, all liabilities judgments,/costs,/and expenses which may in any way accrueJ against said'County/in consequ ce of the granting of this permit. f / r�a��� X e Signaturepylic nt — Owner ElControcforAgenf El / An OSHApermit;is required for excavations over 5'q" deep and demolition or construct- ion of structures,over 3 stories in height. Mobile Home Installation Fee = Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.TYPE SCHOOL FLOOD PARCEL PO NO 39UE oThis permit is hereby issued under sions of the Butte Count Code and/or work indicated above frt which �DlRECTOOF PUBLIC p; / By PERMIT EXPIRES'Date the applicable provi- resolutions to do fees have been paid. WORKS 7� Date -21�'n' Receipt No. / —7--7 WHITE-D.P.W., YELLOW-Aee[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT IFA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANO PERMIT PERMIT NO.rf P4 ASSES OR P`RS'„EL NU BER_ C-%C70'�C , ZON NG BUILDING PERMIT OWNER E HONE r SQ. FT. OCC. BUILDING VALUATION OWNER "1 ADO" �n S �L CONTRAC E C& / T IIJ 6V CONTR CTOR'S1 ING DRES �Cd Fireplace CONSTRUCTIOON LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i 4f 04 Penalty $ BUILDING ADDRESS f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUB qE � PARCEL MAP Water piping 5.00 .. Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ ( Remodel U Ii�SlnstalVion a Penult Fee $ Describe work: I Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOY OR LESS 100 AMP OOR R L 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING // OCCUPAW) ,20sgft I declare u r penalty of perjury (check one): OR ADONS. ACC. SLOGS. NEW CONSTRMULTI-OUTLET '2,50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID .BRA CH CIRC TS POWER APPARATUS (SINGLE CIR. ode and Professions Cd my license is in full force and effect. OUTLET .&) License No. Classification Occup(OUTLETS OR FIXTURES Ex. Occu 20e50s eAL030 FIXED ALNS Ex. OCCup. OUTLETS P(RESID )REAJ 2.00 ❑ 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 Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ 1, as the owner, am exclusively contracting with licensed contract- Misc. lyirin 15.00 ors.(Sec. 7044) g ❑ 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 Fi ling Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have pla ed on file with the County of Butte Building Department a C icate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. Cooling 1 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 becomesubject penult Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such 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 $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ c uction, and hereby authorize representatives of the Countyot to buildi�ree Butte toer up n the a ove�nenti ned property for inspection purposes. TOTAL PERMIT FEE $ I also to ve, i e fy a keep harmless the County of Butte against ocCUP, CONST.TYPC PD ND 159UE all Ii ilitie dg ts, osts and expenses which may in any way accrue ISCHOOLIFILOODIPARCELI ag ' st sai nt I i c s qu ce of the granting of this perm This is hereby issued under the applicable e permit provi- sions of the Butte County Code and/or resolutions to do Signature of Ap i nt — Owner El Contractor Agent ❑ work indicated above fo wh' fees have been paid. An OSHA per t s required for excavations over 5'0" deep and demolition or construct- IRE O F BLIC WORKS ion of structur s over 3 stories in height. Receipt No. /f '�72 By Date WHITE-D.P.W., YELLOW-ASelSeOK. PINK -INSPECTOR, GOLDENROD -APPLICANT PER EXPIR Date