Loading...
HomeMy WebLinkAbout043-550-008E EPerm Fro Fro Or Lot 28, HollybrooC ico :�%mss ; �; .B,P,E,M(new single family) 043-550-008 01 -25 3 EAST, CYNTHIA , V AL.- 55 HAMPSHIRE DR, C ICU CONT: MCCLELLAND HVAC NEW HVAC 043-550-008 0 -25� ��,OZ EAST, CINDY J,.0 55 HAMPSHIRE DR, CHICO CONT: BAIRD ROOFING REROOF 0 ZLi M L!D J Ltd R44 -AA ............. Richard Heath and Associates, Inc. 310 Salem Street, Suite B • Chico, California 95928 • 530-898-1323 • 530-898-1325 fax July 22, 2002 County of Butte Building Department 7 County Center Drive Oroville, CA 95965 To Whom It May Concern: On July 16, 2002 permit number New 2002 was pulled for 523 Macedo Road in Gridley. The permit was pulled for the replacement of the hot water heater, however, before we were able to make our appointment the landlord had it replaced. Richard Heath & Associates is a contractor for PG&E's Energy Partners Program and this resident would have had to wait a few days before we were able to do the work. The owner decided it was to long for the renter to wait and replaced the unit himself. Due to the above circumstances we were unable to complete the job and therefore request a refund for the cost of the unused permit. Please call Tami at (530) 898-1253 if any further information is needed. Sincerely, Tami ProtheroV Administrative Assistant D �� 3 ' •, ry`, a a`•`r e. M1.. .' 1 ♦. BUTTE COUNTY Alameda Chico Fresno Los Angeles Sacramento San Diego ,��_�,,. �a _ - .. "`'�n!!f� �'"��".'.dia'.�"yN�l �r.",�yr���� �r�+�',t.�..'�`!'��i,;.3"""",.."�`!"�C�ri's-'..a!�w.Y'�,°-.".�« v:s, :.se �a"�;z>a-.0--.�ms� r.. v`,K.�•n-c:v'U. n ' 043-550-008 X01-2503 EAST, CYNTHIA 55 HAMPSHIRE DR, CHICO CONT: MCCLELLAND HVAC NEW HVAC �� a 7 �10 i �"�✓'-'r"r�,r�-�'i,,,r�wwMKr.,;.-.+�`4 +'L..-«-,r,�R..�t�ti.rw'i.w��w '� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0-a 5 ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER• ►. � �-- TELEPHONE 44 Z �� �7 SO. FT. OCC. BUILDING VALUATION . OWNERBr1.�AIL1�paADDRE S ' . , • �' ,S` -r; I r ��(j, e1 CONT- 1$� `yam o Ai,,- o ✓�[..7 07,k �H, NE CONfRAC ORB IL1NG AQORESSpi° I �.�� ar-.t,It CONSTRUCTION LENDER - Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checking Fee $ BUILDING ADDRESS" . Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME • PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE ., SF F Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.11010' Water piping 15.00 Each as water heater qr v nt 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities; ❑ Installation ❑ Other © Describe Work: (� ( i L/tai ice. Gas piping systemA---,5_oufletS 15.00 Building sewer 15.00 Mobil #Home I S I G I W 920.00 r PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOLES Main Service 2DOAOV OR OR LESSS 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. f �. 1 License Class) 1 Lic. No. 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the \/ performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier t &#, : =0 AJ I--) Main Service 200A To 1000A 46.00NEW CONST. DV=NG OCCUP. OR ( G cDOHs MUircou�TLSS. NON-RESID. 97.50 POWER APPARATUS— & SINGLE O . • CIR. Ex, Occup.oVnEFOR fORUR6 0 p00': BA Ex. Occu . �U�APRRESID,oEA 5.00 Tem orar,, Service 23.00 Mobil Home Facilities 20.00 Mist. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Policy Number q i - -LS%J (The above sections need not'be completed 0 the permit Is for work of a valuation of one hundreddollars ($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 1 should become subject to the workers' comperisatior?I provisions of section 3700 of the Labor Code, I shall fortKwith comply,wRh thoseaprovisions.- • - - f, (� f / X Date �f`'SZ'i'o / A,---- Signature o.A�ppljcant - ❑Owner ❑Contractor ``� Agent An OSHA permit is required for excavations over 5'0" dbep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ .� �oNST. PE TOTAL FEE .$ , I HAZ D FEES '.IMP I FLOOD I CDF PARCEL- PD HD 5 UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By �`^� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4 �� Date Gq " / • F /fa, — Paw Receipt No. %i V WHITE-D.D.S.-B.D. #� CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT I ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERs O 0 vCp_ ZONING BUILDING PERMIT OWNERL.�Jj o TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS IU DRE S Wt i lS CONTRA O SNAM T HO e,"' Arco."kIM112,02- CONTRAC R5 IU � , o v CONSTRU ON LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �1 ) Energy Planking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY_ Each Trap 7.00 Solar or heat pump water heater Water piping 15.00 Each gas water heater ont 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1 Describe Work: ( (� ! A L/ /T Gas piping systemo- 5 outlets 15.00 15.00 —Buildingse Mobme S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR UE Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f II force and effect.`l ✓f Q License Class Lic. No. �"� �' y \ 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,Mobi 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 TO Main Service TO 46.00 NEW CONST. DWELEE DWOCCUCUP. OR ( NEW9 cad MuiCC. BBUDS. NON•RESID. @7.50 POWER APPARA a SINGLE o CIR. Ex. Occup. G R rNS. REs 20 �' 00 BA0 .00 Ex. Occup.OFIXED IRRES D.GEA 5.00 Tem ors Service 23.00 ome Facilities [Wc. 20.00 Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section /// 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier �(W :?—'=(�N 4 --)PERMIT Policy Number Ili - '2 3V (The above sectiongneed notbe completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall note ploy any pars In any manner so as to become subject to workers' com nsation law al'rfornia, and agree thatrf I should become subject to the wor rs' compe provisions of section 3700 of the Labor Code; I shall fo with com y Ith os rovisions. //�� X Ya e ''Ls r S na ure of pli - ❑ Owner ❑ ContractorAgent An OSHA pe mit is required for excavations over 5'0" cland demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.0 Heating Cooling E� Hood 6.50 Ventilation o FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ D- �°106T TOTAL FEE $ Q ES IMP FLOOD CDF PARCEL Po HD SUE 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. 70 �/ ' 01 By Date 1' 7 PERMIT EXPIRES ON 0 P ?ii (-) Z ate ReceiptNo. 0 WHITE-D.D.S.-B.D. ANARY-ASSE SO PINK -INSPECTOR GOLDENROD -APPLICANT :::) 0\ o e--5 1/ II �.-,ry'�^--^.� .. .�rw•,..�•"cc+ .+r...�S.i:+.-•r�a.i irY.6.vv'+►�.,r?i`+¢�. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. F r� A routine inspection indicates that the following violations of butte county Ordinances exist at the •- above address and should be corrected. Please notice this office when correction of work'is<' completed. If you have any questions pertaining to this matter, or need additional, explanation, please contact this office immediately. ti -7`/-14, r. `!; t.A, r. REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS 040 _T'Q um r_> I,zn , yd L4 ST - ASSESSOR PARCEL # 04S -SS® , MDR PERMIT # RECEIPT NUMBER (S) Request a. refund of fees paid on the above receipt. number(s) for the following reasons: all&w Y1V7-1A/A Vi i . - ,by2 - 2S"o 5- � - - -=-- - - - w Dail QVV11l:QU1Q LCQS lIl Lice IOi i owt na` C8 (Check those categories which you wish to have refunded. ] Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area'Fees [ ] Plans returned to me at counter. Please mail plans to me at above address. Please dispose of plans. SIGNA DATE : 0- .N FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: _H( C1 c,_aXA0 A%�,, Amount: Sa - Fees Retained: _ Processing Fee: S _ Fee. $ Plbg Filing Fee 5 Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection) Fee S Total Amount Retained S TOTAL REFUND DUE S COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON RFVFRSF .qInl= DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL i I, the undersigned, declare under penalty of perjury that the services or articles claim have been pert ed or del' ered, and that this claim is true and correct as stated. _ r, i Dated this day ofQ , Z(Lt at -7 Calif. ?r Agnaldre-R-Claimant j I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation I j or Specific Board Approval I j (Check one) for the same. Dated this day of , 20_, at Calif. Department Head or Authorized Deputyi Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND Det Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably -.,-.n.--. -'ti.�. 'E7.-.-'S6--�•p�"„p�CFp"^+=^'�'7F-•.+,-....ea..p�..,u..pr,..�=-r•.r.a.--...u,,.w,.q.."„V.,.r,.IA;..a, .t - i ' 1 I I { { { r 043-550-008 01-2537 EAST, CINDY 55 HAMPSHIRE DR, CHICO CONT: BAIRD ROOFING REROOF ' Ml-d- 6L- a - - r-� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (536) 53&7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �' f w }' -( 7 ZONING BUILDING PERMIT OWNER \ TELEPHONES'"O. FT. OCC. BUILDING VALUATION a 4 OWNERS MAILING ADDRESS CONTRACTOR'S NAME ( TELEPHONE CONTRACTORS MAI NG ADDRESS (rte 1 CONSTRUCTION LENDER._ Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ ,GO LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap ,. 7.00 USEOFSTRUCTURE SF 2' Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um !ter heater 23.00 Water piping 15.00 Each as water heater or vent 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: .?� i5 t : �[ �'�l' :1 �L ,�,Gd/� Gas piping system 1 - 5 outlets 15.0 Building sewer 15.00 . Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa t�Ess 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 Z Lic. No. ,h O WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. - ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. ( DwELLNVG BO�CSUP. SO OR ADDNS. 3.5¢FT: EW NON-=. ' MUL ourLEr @7.50 a SIiei o ,. CI . _ ®,,00 Ex, Occup. OUTLET OR PORURES L .50 Ex. Occup. O� R p,I EA 00 Temporary Service 23.0 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 1 have and will maintain workers' compensation insurance, as required by Section Iv 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier Policy Number (The above sections need of a completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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 sectio 3700 of the Labor de, I shall fo hwith comply with those pro 'signs. X Date / v0 &JA Signat of pplicant - ❑ Owner D3 -Contractor ❑ Agent An OSHA pk it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00. Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE •. $not HAZ. D. FEES ETOTALEE CDF PARCEL PO HD ISSUE This permit i91hereby issued under the applicable provisions of the Butt4//County Code and/or, Resolutions to do work indicatedFabove for which fees,haA been paid. //, By Date PERMIT EXPIRES ONI`/ U- I Date Receipt No. I I �Z17 3 7 T 59.C& WHITE-D.D.S.-B.D. CANARY -ASSESSOR' PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 2Q7 ASSESSOR PARCEL NUMBER �-f 7 7J vo ZONING BUILDING PERMIT OWNER TELEPHONE �c SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG DRESS r+ , y CONTRACTORS NAME\f11y' i TELEPHONE 2 - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 16 5V ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Fling Permit Fee $ co ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 55 H_AWPSiA(KL Energy Plan Checking Fee $ PERMIT FEE $ ,GU LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pumpater heater 23.00 Water piping 15.00 Each as water heater or vent 5.00 TYPE OF WORK New ❑ Addition 0Utilities ❑ Installation ❑ Other �7 (Remodel /13 �❑- Describe Work: ppb S db �1�'✓% r�Cr Gl Go'�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VR UE Main Service 20.AORLESS 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. l � , 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 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. i 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service YooA To ,000A 46.00 NEW CONST.ELUNG OCCUP. OR ADONS. ( c. BIDS. SO 3.50FT. NOOrFRESIUT' MUL UTLET @7.50 POWER APP 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES @ + 0 Ex. Occup. DLITLEEDrsA M.OE RA. 0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Policy Number a (The above sections need 'not'he completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAT. compensation laws of California, andshould become subject to the wo kers' compensation provisions a sectio 3700 of the Labor C • de, 1 shall si. fo hwith comply with those pro 'r s X Date / Signa pplicant - ❑ Owner ntractor ❑ Agent An OSHA pdcfnit is required for excava ons over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ V D. FEES IMP I FLOOD CDF PARCEL I PD I HD I ISSUE This permit i ereby issued under the applicable provisions Of the Bu County Code and/or esolutions to do work indicate ove for which fees a been paid. c By �yDate ' UZI PERMIT EXPIRES O ate Receipt No. .6V WHITE-D.D.S.-B.D. CANAR -ASSESSOR If PINK -INSPECTOR GOLDENROD -APPLICANT F i PERMIT NO. 625-85••B3P,E,M PERMIT: EXPIRES OWNER SHASTAN CONTR. Shastan 555 Hampshire Dr. ASSESSOR PARCEL X}g80}5@X lot 28, Hollybrook LOCATION MO$X& 43-29-77 125 r C OF ICE dOPY Address 4 GAS Meter By ELECTRIC- Meter By S•f+'Date s j I • Add � fir- .. "Y Nfeter"By .ELECTRIC ,N;� Meter By• -r- Date Temp. Power Pole Called PG&E Temp. Elec. Service Called P( Temp. Gas Sei Called PG JOB FINALEI Signature t s f Owner: 154 iA57 /U C&I LOCATION Permit No. E N E R G Y C'E R T IF ICAT ION ion DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Batt'or Blanket Type Fiberglass Batts Thickness(inches)_;____9;" Loose Fill Type Fiberglass Minimum Thicknesls(Inches) 14' Area covered(ft. ) 1437 FLOOR,. ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) vs y -/, oCJ A. P. No. Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Brand Name Owens-Corning Thermal Resistance(R Value) - R30 Brand Name Owens-Corning Number of Bags 21 Wt. per bag 35 lb. Thermal Resistance(R Value) R30 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name 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. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. August 13, 1985 SIGNATURE 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. �f1/ eo FIRM NAME/0 (Please print) STATE CONTRACTOR'S LICENSE NO. _j . 65/9 -5 - OF GENERAL CONTRACTOR OWWER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 _,•—��`COUNITY OF BUTTE fr -� DEPARTMENT OF PUBLIC WORKS f1 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 S ' kyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 r 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 wh n correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please cot t this office immediately. 4 Inspector ��' �Lt�l Date 0? �� I J _,-COUNTY-OF-BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r" 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. 6*"' � I Ill �)•J1,�/G-c� (YI.Wt.f/2.4 4 AOJ 41� 12 3 Inspector. �t�`u Date J =SOK 0 = Not OK `.+ = Not Applicable RESIDENTIAL (Single and Duplex) �E = Not Ready. Date UNDERFLOOR Plans OK exce Ws Date FR NG Continued Zoning requirements-Setbac ase roperty Line Firewall & Openings , Main; Soils -Steel- - / /" Ftg. Depth . Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection 4. FA., Porches & Decks; Soils -Steel- / /" Ft Depth Plywood on Roof Overhang -.Attic Vents -_Rafter Outriggers Stemwalls, Main; Steel -Blockouts-Wrapped- „ ear -- temwalls, Garage; Steel-Blockouts-Wrapped-SI tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 -4:-�Piers=Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fitting est -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -A ors 10. r Pipe; Anchors -Regulator -Service Test 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 Date t Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLU ING (Per K except H's 5 Steps -Door & Sidelight Protection -Landings oke Detector Water Ht. ccess-Combustion Air (WFurnace; Vents -Clearance -Comb. Airo ctor Garage; Above Floor-Ducts-Mech. Pro Water Pipe; Test & Anchors -Nail Protection 1 D t-Fttngs & Anchors -Nail Protection 1 Broom Exiting Shower Pan; Test, First Floor -Tub Access F.I. & Bath Fixtures & Tub Access Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 1 If. Gas Pipe; Size & Anchors _62v -Stairs & Rails Fireplace or Stove; Clearances -Hearth ,,iG.if lec. Outlets at Wood Panel; Int. & Ext. Card -BI Sk Date Card -BI Date t. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date EL CTRICAL Permit OK except H's 4--A arage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- jA Garage; Above Floor-Mech. Protection Kiiixture & Transformer Clearance -Ins. Protection Alec. Receptacles Spacing -Lights &Switches at Doors jK.jize Boxes & No. of Conductors -Stapled Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. JyZRomex Installed Close to Edge of Studs & C.J.nsulation-Foam-Looked Equip. Ground made up w:/Mech. Fasteners -Bond Gas & Water in Attic ❑Yes 2 Appliance Circuits in Kitchen &Conductor Size 3 uard Rails &Deck Construction -Post Caps Seb4eed-WireSt;e / .ga. Cu or AI-A.C. Wire Size / ga. C or AI n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance ooked under Floor ❑Yes V./'Range Circ. / / ga C or AI-OwrrGi Insulated Neut I es ❑No Following instld.: Drive es ❑ No; Walks es ❑ No; anters ❑Yes o Y814Service-Riser Conductors & Ground -Main Disconnect If 1 . Stucco; B n-Fi ' Equip. Clearances; Panels-Motors-Mech. Equip. JZ_mr.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light 8. ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ter Well; Disconnect, Electrical, Plumbing 0. terior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -B1 Date entilation throughout House Card B-1 Date Card BI Date Glass Protection Date ME H NICAL (Permit) OK except p's 83. Corr! ions from Previous Inspections $ 84. Ga est -Meters Tagged; Gas -Electric 5 ater & Sewer Connected -C/O to Grade -HD Approval C. Ducts; Insulation & Support ent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates ondensate Drain & Overflow; Size & Grade 3tZ Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 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 Date FR MING Plans OK except q's Card -BI Date Card -BI Date Comments at Final: Sills; Proper Material & Anchors alls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 0 Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng._ Fireplace Ties or Type A Flue -Fireplace Throat CT* Attic Access; Size & Romex Protection -Draft Stop ns f S 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions . rage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) o'K .` . 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except p's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANDrP.ERMIT PERMIT NO ASSESSOR PARCEL NUMB R �� V3g _ ZONING BUILDING PERMIT OWNER ! ,/� - VVI�l•` r1 TEL P,.yH1 NM / V SQ. FT. OCC. BUILDING VALUATION /n !t/3 / O 'S AILING ADD ESS i q30 a CONTRACTORAME TELEPHONE CON RAC MAI IN ADDRESS L Fireplace a �`1. CONSTRUCTION ENDER UN NO N Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 021-3/1 lop A HITECT OR ENGINEER, LICENSE NO. u Z L ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee ,$ C G. $ Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 Solar Water Heater 20.00 hj Water piping 5.00 LOT NO. 626 SUBDIVISION NAME 11 � �/��� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF. Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 5, Mobile Home S G W 10.00 e TYPE OF WORK New � Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: A-Sle, 4,2,0 Permit Fee $ IWO. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 ✓1 tl " OL ` Main service EA. ADO'L 100 AMP 2.50 W CONST ( ACC •BLDG OR n�sgft _ - CONTRACTORS LICENSE LAW I declare rider 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. Q'��ff License No.- 3r� 7- — Classification r Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NdSN:REg1n BRANCH CIRCUITS 2.50 ea wCONSTR. POWER APPARATUS & N -R ESID. ( SINGLE OUTLET CIR. 20®50t fix. Occup(o OR FIXTURES SALO 30 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA,) 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): Ve permit is for $100.00 (valuation) or less.ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating C oling (o.Q� Hood 3.00 ,. Q� Ventilation permit Fee ti V $ Contractor Icertify 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 Countyol Butte to ter upon the abov -mentioned property for inspection purposes. I also Oe to s de n' y a keep harmless the County of Butte against all liaies, j d is oIts nd expenses which may in any way accrueagainsd Con i c equ a of the granting of this permit. Date 3-7 �� Signature o Applica t — ner ❑ Contractor ❑ Agent Fk] An OSHA permit is quired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ekami TOTAL PER IT FEE $ occuP GROUP '3 TYPE oP CONST. PARC PD HD SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3 —12-- f J (y� --z r+ Receipt No. 3-2,M WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916.'534-4541 OWNER Proposed Building Use Permit Fee Based Upon PERMIT APPLICATION DATA SHEET Permit No. Complete Contract Price LDPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/orissuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. pp —iVE7-6. State Energy Forms No. 7. Statement of Intent for Non -Heated and AC Buildi 8. Fees of $ 4LI9. Letter of signature authorizI n., , Sanitation approval from ML CO Health Dept. 11. Planning approval for (A) Use:. (B) Parking 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner ❑, Mail to owner, 15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobilehome Installation Data. 17. Pre- ins p tion for required. �1-8. Other When you issue the permit process as follows: Mail to owner. Mail to contractor. Telephone 7o� and hold for pickup at IWoffice. Deliver w/inspector. Other Applicant Date ✓?-%`d'� GENERAL INFORMATION(/ 6 — BUILDING DEPARTMENT OFFICES HEALTH DEFAR MEN OFFICES Chico. . . . 196 Memorial Way . Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 _. Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - Orovi Ile 7 County Center Drive Oroville . . . 7 County Center Drive Phone: 534-4541 Phone: 534-4281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 9:30 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 916/534-4601 CALIFORNIA ENERGY COMMISSION — 1111 Howe Avenue, Sacramento — Phone 916/322-3725 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS — 7 County Center Drive, Oroville — Phone: 916/534-4339 Original—Applicant Section 26-8.1 of the Butte County Code requires this acknowledgement BAR. 7 55 41' be recorded prior to issuance of a b:iilding permit. CLtR!C - F CR The property described herein is adjacent to' land or included' 6425 EE within an area zoned.for agricultural purposes, and residents of this property way 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: Being a portion of Lot-, 13, of the Second Subdivision of the John Bidwell Rancho, according to the Official Map thereof filed in the Office of the Recorder of the County of Butte, State of California,.September 17, 1.900 in Map Book 5, at page 27; and beuga portion of Lots 3, 4 and 5 of the Mu=ley Block formerly Lot 12 of the Section Subdivision of the John Bidwell Rancho, filed for record May 5, 1903 in the Office of the Recorder of said County of Butte, State of California in Book 4 of Maps, at page 23, rmre particularly described as follows: Parcel 3, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte,.State of California on May 18, 1983, in Book 92 of Parcel Maps, at page 70., Date: February 15, 1984 State of County of W H c U m c n a E SC3 V U gC U� N CD to N 0 Present E .Z On this the PROPERTY OWNERS: SHASTAN OOMPANY, INC., A CALIFORNIA CORPORATIOr a drt, President 15th day of February 19 84—, before — j _ I STATE OF CALIFORNIABute ass. COUNTY OF. -_ ---_-- On February 15, 1984 before me, the undersigned, a Notary Public in and for. said State, personally appeared JayS . Halbert ---_and _-__, personally known to me encebasis. to be the persod who executed the within instrument as encet0 the President and --------- Secretary, on behalf of ibed Shastan Coirpany, Inc. - - the corporation therein named, and acknowledged to me th such corporation executed the within Instrument pursuant to i by-laws or a resolution of its board of directors. WITNESS my hand and official seal. Sharan R. Howell OFFICIAL SEAL SHARON R. HOWELL NOTARY PUIUC — CALIFORNIA COVIrry of surre Comm. Exp. AprH 12, 1985 �nennnneeecte�i4i°�e�4��4'�f'd1tiM;�M�I�'41?�'�'4 al seal. 6 �. Z J 64.00 N 70.00' = 88' � N ZZ.00� ZZ.00 I ,op/, . N z N O o .3f D g � �a Z N .ao' it I '6C 4 -o ' 24,42' t O &./u' 1 3Z-Qo I� ,7- li I m IS, C See Mcsfer Plari Wn file for building 0 _ plans. A setb_- - ack of 5 r t o Q This set of plans and specifications MUST tip property lines and a t kept on the j i at all times and it is unlawfJ to `��50ft: from the road make any chak,es or alterations on same without cen er ' e shall be clear of o written permi s ran from the Department of Pablie structures equipment exceWarks, Coun v of Butte- for a 2 ft. eave verhang. c 57ooi �® WILDING DEPARTMENT ,Ho 1 IoN I��AN FOv; SHAS7AN co, _ N�; -''- g*:11No/ E5URMAN MWKUJS joF, 83133 III C-NIG01 c-4. PHASE ; 3 2.21'85 _.. %^Y< ;,,;� C��. �Gf/�r / -77- FORM � RESIDENTIAL ENERGY PLAN CHECK/IIJSPECTION SUMMARY . F -A; •c_-wnerClimate. Zone / Permit No. nor Area .pliance path: Package. ,❑ A ❑ B ❑ C M Point System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ' D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling /Z-'0 ® Wall ❑ Slab Floor Perimeter ❑ Raised Floor 7/83 (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 shall be fully weatherstripped. Tight - the above standard features ❑ (D) Continuous infiltration barrier ® (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location leading to unconditioned areas BUTTE COUNTY plus: BUILDING DEPARTMENT APPROVED ❑ (D) Moveable Area Glazing y,Floor Area Single Double Triple Q Total Bldg 4-hpo5 /3J - - Area /,Ft .2 ® North .&OV0 �,3 +,S,e _ Location 5Ei5 East $Z.S 41,10 South /0 ® West ?'0'0 1,173 R= ❑ Skylights --� =— .(B) Shading ❑ Type Shading Ft.2 HC= Coefficient Description ® East i(o(o. DuAt- c! ,-... South �o% �� Type ® West 9S OFF - wf ir-v F , 'r!c c. t. r.r,: FDR M 1 _ _ ❑ . (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or gl.ass doors covering the entire opening of he ire ox; a comus on 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. =r- TcSTED" �6° "-!? t40T ZIF-k- *1(5) HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace wii� `'� % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept -rated slope p Other (describe) *1 (B) Cooling ® Electric Air Conditioner �'1//�• & n. (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. ® (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps.' '— ® (E) AN INTERMITTENT IGNITION DEVICE shall .be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to. conform. to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 (6) DOMESTIC WATER SYSTEM - 3G, Gallons _ ® (d) Gas Only UMKNDWtiI (brand and model number) (tank size) 0 Heat Pump w/Electric Backup (brand and model number) 0 *2 Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (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 chartsorm #4 or other approved methods, section 2-5352(g), and fill out the follow o?, y Heating: Winter design temperature _° , elevation 2 ' ,; heat ing .load, d BTU" elevation factor L D x heating load - maximum outlet capacity! gas `furnace Pj2Q BTU USE O LY AS SIZLN ;1GUIDE, P COI _ BE INADEOUATE Cooling: Summer design temperature r cooling bad _BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. DESIGN COMPLIANCE. STATEMENT: The above building design meets the requirements of Title 24, Part.2, Chapter 2=53 of the Californif Administr ion Code. 7/83 3 k1 1� UILD G DES GNER OR AP (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-1.2 insulation or greater.. ® (C).PIPE INSULATION. The five lent 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). s;® (D) FLAW 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 chartsorm #4 or other approved methods, section 2-5352(g), and fill out the follow o?, y Heating: Winter design temperature _° , elevation 2 ' ,; heat ing .load, d BTU" elevation factor L D x heating load - maximum outlet capacity! gas `furnace Pj2Q BTU USE O LY AS SIZLN ;1GUIDE, P COI _ BE INADEOUATE Cooling: Summer design temperature r cooling bad _BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. DESIGN COMPLIANCE. STATEMENT: The above building design meets the requirements of Title 24, Part.2, Chapter 2=53 of the Californif Administr ion Code. 7/83 3 k1 1� UILD G DES GNER OR AP COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. r�vC.�iT- A SESSO PARCEL N MBER _3 ZONING BUILDING PERMIT O y.E TELEPHONE SQ. FT. OCC. BUILDING VALUATION OER's AILING ADDRESS ' t / 3 CIAW 00 C NTRAC O NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ` d PVq&I4r C� $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING- PERMIT FilingFee 10.00 Each Trap At 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIv ION JAM PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 JC, aD �,f USE OF STRUCTURE SF L"J Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e 4— TYPE OF WORK New Addition ❑ Remodel ❑ U i 'ties ❑ stal I tion ❑ Other ❑ Describe work: '' Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 0 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING & OR ADDNS. ( ACC. BLD t 2/20sq ft CONTRACTORS LICENSE LAW I decla a under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s C deAd my license is in full f e 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 CONSTR u TI•o TLET 2,50 ea NON•R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. 20®50e Ex. Occup(OUTLETS OR FIXTURES BAL®3o 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 MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. K2� 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 shal I be deemed revoked. Heating Cooling Hood 3.00 3,IWO Ventilation ,8D 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 liabiliti s, judgments costs, and expenses which may in y w accrue against said County a in o seq ce o the granting of this permit. X Date Signature of Applicant – caner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over tories in height. Mobile Home Installation Fee $ �h TOTAL P6hAIT FEE $ c3 OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELL W -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT