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HomeMy WebLinkAbout043-700-012X43 moo , OTEVEN7 D.- -LANE #20 King Ct, .lot 12' PErmit#3320 --' Ch co 8B,P,E,M(new single family 024 3 --700 - o RICYA-RD WHEELER ContR:, Carefree. pools...._,, �p Permit#116-89B p / >E(new swimming pool) -42 - d`_4.3���0_ O12. 1784-91B ' WHEELER, Richard 20,Kingsburry Ct, Chico cont: Steve Lane (2 skylights/sf) 043-700-012 ` "' PERMIT#97-158 ' WHEELER', Richard 20 Kingsburry Ct., Chico INALE Cont: Bill Ginno " Add Shade Cover/SF 043-700-012 03-0548 WHEELER, HELEN .. 20 KINGBERRY CT, CHICO CONT: CRANE ROOFING INALE[ RE -ROOF \ GiJ 4 e Fi 3 1 1 �ftr �i 1 1 <- r r. y' s, m h. . {,:;, . , ..,. ,.. :: r 1 , t` . A t - tk A Z G i r�� $ h � a•il� r. 4 7 t � � e moi. r* ':� ¢ 2 y fih r ' W � F, Y, A' 4 i S is .t,"� L 'S ..k--' �(�� �: ?- t vi v l r 'i%I } �,r a N .i Y Vn { S 'x J 4,k. F 1� f. t:.tn' 1 '� r i 1! '...>.. $ ,. ...7.A. f Mt. :.. t:...l ,� ra-,... x': ': r.r .' .:.r . 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DIVISION 7 County`Center DriveOroville, California 95965 • Telephone,, (530) /�38-7541 } /� 1 N (Rev. 12/96) APPLICATIONAND PERMIT C- ASSESSORPARCELNUAI(/,U"J�(��73� �GD -01a // ZONING ° BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER ADD SHF S ► /y . fJ CONTRACTOR'S NAME I rfA &A,4 i TELEPHONE �+ 3 �J .+ - o .J 15 �\ (J Ob CONT TORS MAIUNO,ADDRE S Wh CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Flin Fee $ 20.00 Permit Fee $ , o o ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS .- hO 11 t (N Energy Plan Checking Fee $ $ L ►�1-t:C.(� PERMIT FEE $ 00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT (ling Fee 20.00 Each Trap7.00 USEOFSTRUCTURE SFXDuplex O Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4 e _:S t�W I 3©� SLd St4.tt bu I Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 22oon oa mss 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. /V�1 [,,� License Class %� { �,'j Q ' ��'1 I No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole;compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service 200AWEE To I000A 46.00 NEW CONST. DWELLINGOCCUP. OR ^DONS' a ACC. BLns. SO 3.5¢T: ,pµR61D BRANCH MULTI -OUTLET @G 7.50 POWER APPARATUS aswGLE ourLEr CIR. Ex. Occup. OUTLET BAL ®I:550 Ex. Occup. OUTLETS . APPLNS.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wrkers' compensation provisions of section 3700 of the Labor Code, I shall s. (with comply wwroz ( i X 4Date 2- ��b �� V Signpt're of Applicant - ❑ Owner ❑ Contractor ❑ Agent An 03S�A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 7777 Energy Inspection Fee $ fc ! SPE TOTAL FEE $ do HAZ. D. PE IMP FLOOD CDP PARCEL PD HD ISSUE (� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ( +�'/KY.(` (' 1.�1Date PERMIT EXPIRES ON C9 & W 08ta , Receipt No. ;36191__.1X WHITE-D.D.S.-B.D. , . CANARY -ASSESSOR PINK -INSPECTOR ' GOLDENROD -APPLICANT V" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 8-75416)�,/��Qy� (Rev.12/96) APPLICATION AND PERMIT- (JJ���yTT WA ASSESSOR PARCEL ZONING '73-�d-0/�- BUILDING PERMIT owNER / TELEPHONE (� SQ. FT. OCC. BUILDING VALUATION 10 V ,I OWNER D SRS S �. /�//ry`` CONTRACT R'S NAME TELEPHONE 45-055 I O 5 MA0.1NG DRES � CONT Ta CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS C�0 1 (`./^ ' /'{\. Energy Plan Checking Fee $ PERMIT FEE $7W4 v LAT NO. SUBDMSIONS NAME PARCEL MAP PLUMBING PERMIT Ming Fee 20.00 USEOFSTRUCTURE SFXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ' Describe Work: e `, V_ " ak&kt _666 Oojtp 301s — LJ Skut d4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 9W , ELECTRICAL PERMIT Fling Fee 20.00 Main Service '0.v oR LE59 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 Q -3(� LIC. NO. tU G. 1 G OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00 CCU000A NEW CONST. pWELLCKl OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BUDS. SO 3.5QFT; NEW NON-REOSID. " MULTFOUTLET @7.50 POWER APPARATUS &SINGLE OUTLET At EX. Occup. OUTLET OR FDRUREs B20 ® I.00 .SO Ex. Occup. ouT�/ ..) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the w ers' compensation provisions of section 3700 of the Labor Code, I shall with comply with o provisions. 2L\ �O X Date L Sign a of Applicant - ❑Owner ❑Contractor ❑Agent An permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ 3 PIE PE TOTAL FEE $-74,0() HAZ. D. FE IMP FLOOD CDF PARCEL M HD UE This permit is hereby Issued under the applicable provisions of the Buffe County Code and/or Resolutions to do work indicat above for which fees have been paid. B Datee,9 �� �� Y PERMIT EXPIRES ON fe ['Rfeceipt'No.,36926�_/rOli WHITE-D.D.S.-B. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT i jasoloohvQ Main Assessor Inquiry Feb 26, 2rj03 10:47 am Name H E E LE R T R U T Asmk # F3-700-012-000 Fee # 1043-700-012-000 Status ACTIVE Status Dake Addr1 1WHEELER RICHARD D &HELEN G THS ETA Tax1000 NORMAL OWNERSHIP TRA 05-10 AddrZ 20KINGSBURRYCT Situs 120 KINGSBURRYCT CHICO Addr9 CH I CO CA 95928 Base D k Addr Land753,350 Timber Pre er S kruekure 182,574 r7AgPres `Comments R E MAP FR M- 042-440-012'-000 - Fixtures B F7 E kal Creaking D oc#1 1999R 9999999 D aka rowing .0 ryo N eked Current Doc#119951031994D Data 9/19/199 Bands Total L&I 295,924 0 .Killing D ee# D ate - r Multi S iku Fix. R � FIag1 M H PP 0 '. Asmt D ese 20 .ISI N G S B U R RY CT S uplCnk F r— Flagg �PP 0 Zoning ASR 00 D well 1 . F'91 0 :M H E xemptl 7,000 Acres/S q Fk 10.99. N /C 049 Amk PP Pen Net 228,924 'Tax .C# PP Pen Appeal Pending T /R D k LF Split Pending R /C Stat . PH`N EPTAX. HON ,STT SIT AFC INCL rte' Find r _ .� O = Not OK -. Not Applicable Not Ready MOBILE HOMES, r. : ,!MISCELLANEOUS-, Date MOBILE HOME UTILITIES (Plans) OK except s -Date _ . C R Q lans).OK except' 's 1. Zoning Requirements - Setbacks - Easements - -` - •.. •. 'ng Requirementa=Setbadcs-Easements 2. Soils; Special MH Support Sketch s,,_ "pacivConnecWs-Steel -" 3. Sewer;Location Test Fal�C^DConcrete 3. Decks; Girders and/or Joists-Deckwo-Bracirp tays4Aails' 4. Water LocatarrTest Easement Needed (Sketch) 4:. Wood Awn.; f?osta Beams Rtha. Cannectore' __. " 5: - Electricity; Locabon-Clearances-Gmd-/ :- /Amp-Concrete •; Sh .-R ':-&aci ng ' ..6. Gas; Location,TesNNrap; / / -IL:.C 5:' Alum. Awn.;.CdumnsonnecOonsSplice=Decal-Enclosures (I P_/Nat or/ ' !L'ftJ /LPGc arports; Winows-Doors d 7: Well'Clearance & Disconnect -; _8. UtilityClearance SUs-AnchorsShAs-Rftrs-Treses, , - --9. Siding; Nailing-VeneerStucco-Mesh 10. Roof, Shthg=Roofing. -, Date Card B-1 Date Card B-t -11. Ext; Steps Dose-Landinps Date Card B-1 Date Card B-1. - 12. Braced WaII;Panels , } .Date MOBILE HOME INSTALLATION (Plans) OK except AE's - 1. Zoning Requirmnente-SetbackiEasements Dave Card BA Date Card B-1 - 2..Footings; SizeSpacing-Marriage Line . Date Card 134Date - Card B-1 - 3. Gas; MH TesEDenvwK VaKe-Connector_ Date POOLS (Plans) OK except #'s ------------- 4. Electricity; MH Test-Crossoym-Breakers-Clearances 1.. Setbacks Easernehts , 5. Drain; MH Test-Fall-Flex Connector ry:: - ... 2. Soils; CompectionSucture Stability , 6. Water, MH Test-Regulatoi-Connector . - - 3: Pool Structure; Steel-Connections-Thickness 4 , 7. Water and Sewer Connected-C/O-to Grade-HD Approval - Dead 'Men-Li nin a 8. Gas and Electricity Tagged - 4. • Elec.;'Receptacles and Lighting, Distance GFl 9. Tie Downs-Type-Installation Cert. 5. Elect; Pod Lighting;-15 Volts-GFl. 10. Exits; Insp.-Sketch 6. Elect; Enclosures; Conduit Entries-Terminals-Usted 11. Certof Occupancy 7. Elect; Bonding; Metal WS-Circulating Equip.-Heater 12. Permanent Foundation Only: License Decal 8. Elec.; Grounding; Equip. w/5 Circulating Equip. Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main•in Conduit Date. Card B-1 Date Card B-1 : `9: Health Department Approval .' Date Card B-1 . Date Card B-1 '10. Pkunb.;•Cir. TesFWater Suppry Test _ . 11.- 06111 NicN , • Date .. Card B-1- Date Card B-1 t Date .,Card Bit - Date ' Card B-1 ✓ = OK 0,= Not OK. = Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope 2. Fig., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth RESIDENTIAL (Single & Duplex) Date 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Bkxckouts-Wrapped 6a. Hold Dooms and Special Anchors . 7. Slab, Ste"rapped 8. Piers -Fireplace Ftg.-Steel Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 9. D.W.V.; Fall -Fitting -Test -2 Way Q10 -Sewer Test Garage Fire Protection Framing 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Line Firewall & Openings 11. Water Pipe; Test-Anchors-RegulatDr Service Test Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 12. Electric Underground Stairs; Width Headroom -Rise -Run -Landing -Fire Protection 13. Pienums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 56. 15. Access & Ventilation 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 62. PLUMBING (Permit) OK except # s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Card B-1 Date Card B-1 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access FINAL (Plans) OK except #'s 21. Test Tub & Shower, Second Floor -Tub Access Ext Steps -Door & Sidelight Protection -Landings 22. Gas Pipe; Sae & Anchors Smoke Detector 65. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 68. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec, Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Outlets & Recepticales at Kit Counter 28. 2 Appliance Circuits in Kitchen & Conductor Size GA Garage Fire Door; Swing -Landing -Closure 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI A.C. Duct in Garage -Damper 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. FurnanceVent Access -Comb. Air -Return Air Vent 115 outlet 89. 39. Attic Access & Platform if Furnace In Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred CeilingsStairs-Chasers-Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-Toff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size &.Rumex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52.Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54." Stairs; Width Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Donector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext 72. Kit. Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instki./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught Howse 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTYOF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION V 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12'/96) APPLICATIONANDPERMIT -ls ASSESSOR PARCEL NUMBER '. ZONING ASR BUILDING PERMIT OWNER RICHARD WHEELER TELEPHONE . 345-0243OWNERS SO. FT. OCC. BUILVALUATION MAILING ADDRESS 210 KINGS-111MRY Cl-, CHIC0, CA 95926 pDING '299 COV -J 807 . CONTRACTOR'S NAME - - TELEPHONE ., CONTRACTORS MAUNG ADDRESS .1175 WATTq ESTATES DR_ CHIM CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee - - $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADD RESS . -20 KINGSBURRY CT., CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOTNO. SUBDIVISIONS NAME PAROEI MAP 1 , - PLUMBING PERMIT FilingFee 20.00 USEOFSTRUCTURE SF )R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heai"pump water heater 23.00 ' Water piping 15.00 . Each asw_ater heater or vent 15.00 TYPE OF WORK New ❑ Addition )ff Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PATIO COVER Gas piping system 1 - 5 outlets 15.00 Building sewer".. . 15.00 Mobile Home SG W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service o.A o mss 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, ( g ) and my license is in full force and effect. `/ License Class /� Lic. No. �J G / O V tl OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( 6 ACC. BLDS. 3.50F ; NEW CONST. MULTI.OUTLET NON-RESID. 97.50 POWER APPARATUS a SINGLE OUrLET aR. Ex. Occup. OUTLET OR FIXTURES 20 ®' 50 BAL 00 50 Ex. Occup. ounFDrs RESIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .. PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 37DO of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT. FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �$( I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� �f �i /�f�,- Date L_ Signature of Applicant'- 0 Owner Contractor ❑ Agent An OSHA permit is required for excava ions 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 $ 123. HAZ. 1 CD PAR This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By D to PERMIT,EXPIRES ON % 2 Date Receipt No. 222395 WHITE-D.D.S.-B.D. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..+,`t`�''Tin�yrt"�irk,-IT, .rl��'?'h "�•r'�1rylyl i��e•CA A .,,.rr.yl. .v• r. Ilr,h{. . . y�. aP.. ;.,-;... �. ... V �.p♦ •-•r,♦.rvr��I I�S.,",c�'A�,Ta4..1f!w�rA7kwA^_il'6M'llCr�Po�'-1"��r`t: {RS�♦T �•Y,J,G'i L B 1 _ _.-.. :...• i�j- = _ i 41 r of V' .. � � I �.. :'fi, r .. Y• tt R`t . ..r. . i .. i all \ - '. , '."COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7, COUNTY CENTER DRIVE-OROVILIECJL,LF�ORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIONDATA SHEET r OWNER: VL c G ITHn-D �/�JN1 ED1 ASSESSOR PARC Proposed Building Use''" CAu 6 Building Inspector: Date: '-7 —q At time.of permit application, I was advised the following data moat be submitted prior to permit processing and/or issuance: . All i - -------------- Date Received By items have been submitted.----------=------------------------------------------------=---------- ❑2. Plot plans;'3/4 sets, signed by the preparer of plans. ❑3. Complete plans, 3/4 sets, signed by the preparer�of ❑4. Engineered plans, 3/4 sets, with wet signature on�] ❑5. Engineered truss details and layout in duplicate Q' ❑6. Energy Design Compliance and supporting doc ❑ 7. Statement of Intent for Non -Heated and A/C Bt El 8. Hazardous Material Form. ---------------=-------- plans. All engineering must be shown on plans. I prior to plan review) No faxes! --------- ❑ 9. Manufactured Home data and installation instruction's including Tie Down Specifications ------------------- El10. Fees of $--------=------=------ r------------------------------------------------------------- F ❑ 11. Impact fees as shown on the attached schedule. --------------------------------------------- ----------------- El 12. California Department of Forestry plan approval/fees.---`;-----=-----------=----------------- ----------------- 4. Sanitation and plot locertificate. lan a rovalt"(Lti -Health-Department ---------------------------------------- Ell ----- P P PP ---------------------------------❑ 15. City of Chico plumbing permit ------------------------------------- --------------------------------------------- ❑ 16. Plot plan and business license approval from,the City of Biggs -.---t ❑ 17. Planning approval for (A) Use: _ s (B) Parking: �r. -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ElLegal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prig ;moo occupancy). ---------------------------- .. El 20. Pre -inspection for required.. Request to Building Inspector on ❑21. Contractor's license information. (Number; Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- El 23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 0 24. Letter of signature authorization. -------------------------------------------------------------------------------- '❑25.;Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------------- U Lo. -----------------------------❑26. Letter of intent on building use. ------------------------------------------------------ -------------------------�_ 027. Manufactured Home utility clearance. ----------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.----------------------------------------------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .----------- ❑ 3 0. Other: --- i (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑M it to contr tor. ❑Telephone 34(2- "���—� and hold for pickup atC 0 ✓/ office. 11 Deliver with inspector. �T ` Applicant/z,"Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone,- 13 mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building_ Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: -1 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy -.Department of Development Services, Building Division. _I(5 VI TO: 111 Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal Clearance for dwelling. Other I Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 E.H. USE ONLY Plot Plan Attache Floor Plan Attached Sent to !r�' AP# Water Supply: Public Private Well % -.2-7 -q l 7 Date v;Y6 �DJr T !94 I I ! bloc btu, sr v;Y6 �DJr .. .r Y - � � ' .. -. .. -j' � _ - .• t. .. .. _ ,. - � t: � .�. I �' - :k� .. ., �. t i�. ,. i .. V=OK. 0 Not OK Not Applicable MOBILE HOMES' ' Not Ready ' MISCELLANEOUS.. . Date MOBILE HOME UTILITIES (Plans) OK except #'s Date, DECKS, COVERS, CARPORTS„GARAGE$, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; SpecialMH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3: Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4.- Water; Location -Test -Easement Needed (Sketch)_ 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 5.' Electricity. Location-Clea'rences-Grnd-/. /Amp -Concrete Shthg.-Rfg.-Bracing ` 6, Gas; Location-Test-WraP /" L" ft. 5: Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures /"Nat. or/ /" L"ft./ /"LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance .8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sidi rig; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) -OK except #'s 1. Zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line' Date Card B-1' Date Card B-1 _ 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.;.Pool Lighting; 15 volts-GFI . 10. Cert. of Occupancy 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater s 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date Card B-1" Date ' Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card .8-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test Date_., Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • J=OK O=Not OK =Not Applicable ' = Not Ready RESIDENTIAL (; Date UNDERFLOOR,(Plans) OK except #'s -B-1 Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope Fixture & Transformer Clearance -Ins. -Protection - ------------------------------- -------------------- 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 24. --- - 3. Ftg., Garage, Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Romex Installed Close to Edge of Studs & C J. 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 27 ------ 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped ------ Subfeed Wire Size ga. Cu or AI -A C Wire Size ga. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 29 6a. Hold Downs and Special Anchors nsulated Neutral ❑ Yes ❑ No 7. Slab; Steel -Wrapped 31 ---------- ------------ 8. Piers -Fireplace Ftg.-Steel Clothes Closet Light -Shower Light -Spa Light -------------- 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10, UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test Date 12. Electric; Underground 61. --- -- 13. Plenums & Ducts, Clearance -Material -Support - Ins. Smoke Detector 14, Girders -Sills -Anchor Bolts -Joists -Vents -Cripples -------- --------- 15. Access & Ventilation Bedroom Exiting ------------- 16. Insulation Date Elec. Trim & Subpanel; Breaker Sizes & Labels ------------------ Card B-1 Date Card B-1 Date 68 -------- --- Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except it's 70. --- ---- --- - -------------------------------------- 16. Water Htr.: Vent -Access -Combustion Air -Baffle 71. - - ----------------- 17. ------------ --------- Water Pipe: Test & Anchor -Nail Protection Garage Fire Door: Swing -Landing -Closer 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 74. 19. Shower Pan: Test, First Floor -Tub Access In Garage, Above Floor-Mech. Protection ----------- - 20. & Shower, Second Floor -Tub Access 76. -Test 21.-Gas-Pipe, -Tub ---------- Size & Anchors ------ ---------------------------------------------------- Date Card B-1 Date Card Date -B-1 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. -- ----------- Fixture & Transformer Clearance -Ins. -Protection - ------------------------------- -------------------- 23 Elec. Receptacles Spacing -Lights & Switches at Doors 24. --- - Size Boxes & No. of Conductors -Stapled --- - - ------------- ------------------------------------------ -------------- 25. Romex Installed Close to Edge of Studs & C J. 26 Equip. Ground made'up w/Meeh Fastners-Bond Gas & Water ------------------------------------- 27 ------ ------------------ ----- ---27 2 Appliance Circuts in Kitchen & Conductor Size/GFI - ---------------------------------------------------- 28 ------ Subfeed Wire Size ga. Cu or AI -A C Wire Size ga. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Cu or Al ---------------------------------------- 29 ---- Range Circ. / / ga. Cu or AI -Oven Circ. ! ! ga Cu or Al. Siding -Nailing Veneer nsulated Neutral ❑ Yes ❑ No 30 ------------- ---------------------- Service -Riser Conductors & Ground -Main Disconnect ----- ----- ----- ----- 31 ---------- ------------ - ----------- Equip. Clearances Panels-Motors-Mech. Equip. ---------------- ---------------------------------------------------------- --------- - - ----- 32 -------------- ------- Clothes Closet Light -Shower Light -Spa Light -------------- 33 Smoke Detector ------------------------------- -------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A C. Ducts Insulation & Support --------------------------------------------------------------- --- 35. Vent Fan: Exhaust -a - bove insulation 36. Condensate Drain.&Overflow: Size & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------------- ---------------------------------------- --------- Date Card B-1 Date Card B-1 --------------------- -- ----- --------------------------- ----------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except # s 39 Sils. Proper Material & Anchors - - - - - ------------------------ 40. --------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -_ _ --------------------------------------- - -- -- - - 41 Bearing Walls over Girders & Floor Nailing --- - - ---- --- ---- -- 42 Draft Stop in Walls (rat proof) 43. Fire Stops, Furred Ceilings -Stairs -Chases -Tub ------------------ ------------------------- eaders & Beam -Size & Bearing ;Ingle & Duplex) Date FRAMING (Continued) " 45. ers-Post Caps -Anchors -Connectors - - - - Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access, Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- 55. Siding -Nailing Veneer 56 Stucco Mesh -Drip Screed-Fd.Vents-Underflr. Access ---------------- 57. Glazing Area -Glass Protection - Skylights- Plastic 58, Shear Walls, Nailing -Bolts -------------- 59. ---- Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date ]G 7 ,, Card B_1 CC, Date Card B-1 Date _ Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. --- -- Ext. Steps -Door & Sidelight Protection -Landings - ----- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector- -------- --------- Above Floor -Ducts -Meth. Protection ------------------------- 64. Bedroom Exiting ------------- 65 G.F.I. & Bath Fixtures & Tub Access -Spa 66 Elec. Trim & Subpanel; Breaker Sizes & Labels ------------------ 67 Stairs & Rails 68 -------- --- Fireplace or Stove: Clearances -Hearth --------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. --- ---- --- - -------------------------------------- Kit,Fixt. & Appliance, Grnd.-Air Gap -Cooking Gap-CookingClearance 71. - - ----------------- ---- Elec. Outlets & Receptacles at Kit. Counter _ ------------72. 72. Garage Fire Door: Swing -Landing -Closer 73.-A.C.-Duct in -Garage -Damper 74. Wtr Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. ------------------- In Garage, Above Floor-Mech. Protection ----------- - 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Dec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 Insulation - Foam- Looked in Attic ❑ Yes 78 Guard Rails & Deck Construction -Post Caps 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 Following instld 'Drive ElYes ElNo; Walks ElYes ❑ No; Planters El ❑ No 81 Stucco Brown -Finish - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------ 83. Vents Above Roof, Plbg.-Appliance-Fireplace.-Clearance to ------------------------------------ Openings 84. - - - Water Well; Disconnect, Electrical, Plumbing - ---------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass'Protection 88. -- ------'-- -------------------- -- - - - -- ------- ----------------------- Corrections from Previous Inspections ------------- --------------------- 89. Gas Test -Meters Tagged, Gas -Electric __.. ---- 90. ------------- - ------ - ------------ Water & Sewer Connected -C/O to Grade -HD Approval 91 Energy Compliance Certificate -Other Certificates - ------------- Date -1-11 Card B_1 M' Date Card B-1 Date Card B-1 Date Card B-1 - -- -- ----- ---------- Date ------- Date Card B-1 /l Date Card B-1 Comments at Final: t y^ u4 .COUNTY OF BUTTE - DEPARTMENT`OF PUBLIC WORKS %,PERM T "7 County Center Drive - Oroville, California 95965'- Telephone: 916/538-7541 APPLICATION`AND PERMIT ,y A SESSOR PARCEL NUMBER' - 42-44—.12 :_ ZONING BUILDING .PERMI OWNER - - TELEPHONE .-Richard Wheeler OWNER'S MAILING ADDRESS .- 20 King s.burty"`Ct., , Chico 95926 OCC.SO.'FT. ' �. BUILDING VALUATIOfI, Est'.: 29000-.00 . CONTRACTOR'S NAME Steven.D. Lane Constructio_n,'-Inc. TELEPHONE 891-5110 . _ CONTRACTOR'S MAILING ADDRESS 3330 A Hwy 32, Chico, 95926 �Firep Iace CONSTRUCTION. LENDER .-None UNKNOWN- ••I Total Valuation Is 2,000.00 Filing Fee" -$ 10.00 LENDER'S MAILING ADDRESS `-' - ,- None �-�IC_. Perm;! Fee $32.50 ARCHITECT OR L.'4 INEEP, - - LENSE NO. " ' Plan f,�:• Che(ng Fee $16.25 - Energy g Fee `Pfan..Checkin $15.00 AR CHITECT•OR ENGINEER'S MAILING ADDRESS' Penalty - $ BUILDING ADDRESS. - - Permit fee - $ 73.75 PLUMBING PERMIT Filing Fee to.00 20 Kingsburry Ct. Chico Each Trap 2.00 Solar or heat pump .water heater - 20.00 LOT NO. 12 SUBDIVISION NAME Sacramento Park PARCEL MAP .Water piping 5.00 - Each qas water heater or'vent 5.00 - USE OF STRUCTURE SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel y Utilities ❑ Installation❑ Other ❑ Describe work: 'Install 2 Skylights Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00. Main service EA.-ADD'L 100 AMP - 2.50. • CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ .I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Profess' . nd my license is in fu force and effect. License No. Classification • • - ❑ 1, "as the owner, or my employees, with wages as. their Sole compen= sation, will do the work,and the structure is not intended or offered ' for sale. (Sec. 7044) - ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ( ❑ I'am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. I ; /Z 2sq ft NEW CONSTR. MULTI -OUTLET NON.RESID . -BRANCH CIRC ITS 2.50 ea - POWER APPARATUS &) SINGLE OUTLET-CIR. Ex. Occup OUTLETS OR FIXTURES .ALB 320 0 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): ❑ , T permit Js for $100.00 (valuation) or less. I -nave 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. ❑ Ishall 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 orthis permit shall be.deemed revoked, MECHANICAL PERMIT Filing Fee 10.00 ` Heating Cool in g Hood 3.00 Ventilation permit Fee % $ Contractor I certify t t have read this application and state that the above informatiod is correct -1 ree to comply to all County Ordinances,and State.Laws•relating_ ruction, and hereby authorize, epresentatives.of the Countyot $utteon the' a ove-mentioned prope y for inspection purposes: to;buBab 1 -alsave, I mnify and keep harml SS the County Of Butte against all,;Iiudgm s; .costs, and expense which may in any Way'acc eagainy corisequen ng o;fhi's per ,iL Y X Date Si nature of A licgnf — Owner 9 PP �: Contractor Agent ❑ An OSHA permit is required for excavations over 5'0' deep and demolition or construct- ion of structures over 3 storiesJn-,height Mobile Home Installation Fee $ .Energy inspection Fee $ occ CONST TYPE TOTAL FEE $ 73.75 HAL CUA PARK SCHL FLD CDF PAR PD ) HD, ISSUE This permit is hereby issued under sionvof the Butte County. Code and/or Work indicated ab ve •for which fees OR UBLIC B P MIT -EXP IRE eDate the applicable prove-.' resolutions to do have been aid. P WORKS' /moi/ Date C -'i Receipt NO. 88987 WHI.TC-D.P.W.. YELLOW-AS8E330R:_PINK-I NSPCCTOR, 'aOLDlNRO'-APPLICANT'. • '{' ;'• •�' I �: � -ice { .. .� _ , f f i .•i • 'J •' r .. _ tet,. . tom.. _, .5 .. -. _ � J `;• ' �;, OWNER i�ifd�I �}'�'p1. .. N!4'1 ��r kir: y�.V4i• �'�"�)H'.S:w�1, TV�' - r'XY Vr'M1 C�,•:�L'."��•Gyal�'Y'." r 14i . Y/ COUNTY OF BUTTE DEPARTMENT' -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLJ" lIF,ORNIA-.95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' Permit No. Proposed Building, Use Building.Inspector Date 9 At time of�ermit 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. ..... . ......... a; 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .: 5. Hazardous Material Form .......................................... . 6. Ener Design Compliance and supporting Energy g p documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. .8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $....................................... 11. Chico Urban Area fees paid g� 12. Park fees paid .................................................... 13. School District fees paid. .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: .... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21.'Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25.' Letter of signature authorization .................................... - 26. 27. 7ix ssue the permit, process as follows: Mai t owner. Mail to contractor. ephone 01— andhold for pickup at office. Deliver w/inspector. Other— Applicant ' Applicant Date `0/ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By - The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: to hli of -f Edd LG div YA((, /�e4rs i,s y� Cont or, designer, owner, was advised of above required data by_ hone--jnall_counter by_Gw_�date Contractor, designer, owner, was advised of above required data by—phone—mall counter by date Plans checked by Date Plans approved by Aj Date Sets of plans on hold in File cabinet AP'folder Copy—DPW ASSESSOR PARCEL. NUMBER I ZONING BUILDING .PERMIT OWNER: - ,TELEPHONE, ..SQ. FT.� . .. OCC. BUILDING VALUATION..: '. OWNER'S MAI'L'I������N!!!!!//////G ADORES3 ' •+ �',., ...� CO NT.R ACTOR' _ - TEL CONTR AC R1'S-MAI LINGADDRESS - Fireplace . r CONSTRUC 10 END _ [UNKNOWN - - Total Valuation $ pp . LENDER'S MAf Gy/A OPESS - - - .fl�;ItdEEP FiIJ Fee ARCH] TE{T.OR .. ,.- o. �� LICENSE NOr�_ Plan Che GCUng,F ee 'r-.. __,.$ - ARCHITECT OR ENGINEER'S MAILING ADDRESS " � Energy Plan Checking Fee $ Off. Penalty. $ BUILDING-ADDRESS. - �� - - Permit fee S PLUMBING. PERMIT Filing Fee '10.,06/ Each Trap Solar or heat pump water heater: 20.00 LOT/NO. SUB IVISION.N AME -. PARCEL MAP ' i ater piping w P P i g . 5.00 Eachpas water heatec'or-vent _ �_ ,5.00 >I `•. USE OF.STRUCTURE SF�DuplexF Mobilehome❑ = 'Other SPECIFY Gas piping system 16-7 5 :outlets '5.0b Building sewer. 5.00' Mobile. Home- S G W 10.00e TYPE.•OF ORK New Addition Remodel Utilities❑ .Installati'on❑ Other Describe work:'L-1�t�E�' 1' '�Ljl L� G /47� ` . > Permit $ Contractor - ELECTRICAL PERMIT Filing Fee 10.00', Main service '8001 OR LESS• 100 AMP OR LESS tO:OO. CONTRACTORS LICENSE LAW . I dec are— der penalty of perjury ; (check on • „. 'i I. I am licensed-under provisions.of Chapt 9, Div. 3 of the Business and `Profess' �ns/C and my license is in .full force and effect.SINGLE License No. Classification. 1 �r ❑';- 1 as:the owner,�'or my .employees�.with, wages as their sole coinpen-,, sation;,-will do the work,and the structure is not intended or offered for sale. (Se C: 7044) ❑ I, as the;,owner, am exclusively contracting with Licensed contract- ors.=,(Sec. 7044) n °I am,exempt'under Sec. Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING occuP.e` OR ADDNS.' , ACC. BLDGS. / , : /ZQsq it NEW CONSTR. I.OUTL T NON.RESID -BRANC CIRC TS - 2;50 ea - PowER APPARATUS 6 OUTLET aR Ex. CCCup(OUTLETS OR FIXTURES 200501 e ALB 30 .EX.00CU FLXED AP.PLNS. OR P-'OUTLETS-IRESID.1 'EA.) .2.00, Temporary service ' 10.00 Mobile Home Facilities- 15.00 Misc. Wiring 15.00 Permit Fee $ , WORKMEN'S COMPENSATION INSURANCE. I'decIare un r.penalty'of perjury _(checkon'e):' ' e•permit;is.for$100.00-(valuation)'orJess.- 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 S611`-Insure. ❑- I shall not employ any person In any manner.so•as to become subject' ----------to-the W C.--laws-of'Callfornia _ - - - - - - Notice to-Applicant:.lf'afte.r making this statement, should you ,become subject to the W.,C. provisions of.the Labor Code,.you,mus; forthwith Comply.with such provisions'or this permit shall be deemed revoked. : Contractor MECHANICAL PERMIT' •: Filing Fee ` 10.0 Heating Cooling g Hood 3,00 Ventilation _ permit Fee $ - Contractor I certify that ,I have read this application and state that the above information ` is correct. I agree-to comply to ali.CountyOrdinances .and State Laws relating" to building construction, and hereby, authoriie representatives of the,County of Butte to enter; upon the above=mentioned property for inspection purposes. I also agree<to save, indemnify•and keep harmless the.County of Butte against all liabilities, judgments, costs,'. and expenses which may in any,way,accrue against said Co my ' c se ence of the.granting of..this permit G %� ' `` Date Signature of Applicant - Owner❑ , Contractor ❑ 1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep,�and demolition or construct ion of structures-over 3 stories in height: Mobile Home installation.Fee . $ ,.Energy Inspection Fee $ occ. ' CONST TYPE TOTAL FEE $" 7 7 w,z, cuA PARK SCHL FLD CDF PAA PD ) HD. J.ISSUE Th s.,permit is'.hereby, issued urder the aPPllcable provi-_ "sions of the Butte County. Code and/or resolutions to do work. indicated above. for which 'fees have been paid. ,DIRECTOR OF PUBLIC WORKS i i i f I I 4 L•Tk DePT , co WS-. a � I i P. 10, z G%J V Pt" MEjE(LS, OrLLN S�6ZV'c /78 y-9/ BUTTE COUNTY BUILDING DEPARTMENT E. _ -' -- T I zl�rS��'` Szo i/V c, (77� tA tt� BUILDING DEPARTMENT p` APPR0VE.D ��� J1 _.. . 01 ,1 ti<� f= L 1. 1 - /IV IS t it 1,, VJV .1 45 •.�' j �� � Z' 2 � 5KY Ta ko 1, ��� ' 'L�n)'...C�� � !I � �. ��`��•�I` .l .i - _ ......... '�l --------- VOTE COUNT ILDING DEPARTMEMTLI. �,�>�" p REV IL I ,th �.� ,, � res i� � >�� i � :��. � �' t•, ADDITIONS TO`RESIDE'=' BUILDINGS_ ENERGY SHEET PACKAGE "A" "'.(Addi. tions) Owner , A .i �' �. - Clima e Zone 'Permit Floor Area _ W Ther following- data. "showing mandatory and required. features. of Package "A" shall r be. i ns;talied. for: additions' ,to dwellings ..'" ,Additions' `to.`dwelli ngs include room , . -additions,'converting"garages and patios -to Livingt,areas,' house. -moves_ that footage and attic conversions,, -and. any space .thatis existing.non-conditioned. -space that is converted` to conditioned space: Reinodeling.•of existing conditioned space is not.included. - {ZONE1. ZONE 16 x APPLIES TCFNEW -AREA CEILING R 30 R 38 WALL �11 - R 19 ' FLOOR R-11 R-19 R r SLAB R 7_ _ R 7 GLAZING° U 65 (Dual) +U 65 (Dual) SHADING SOUTH . 0PTIMUM___0VERHANG =s or Y x:.36FShading_oefficient v , a WEST :36 Shading 'Coeff icient - :. LOOSE FILL, INS.ULAT,ION (Density) - r� INF-I_LTRATION_CON.TROL-(Weatherstrip doors, certified windows, caulking) VAPOR -BARRIER, (Zone, - 16 ) DUCTS PER, UNIFORM, MECHANICAL CODE 'Ch:. 10 LIGHTING KITCHEN &':BATH* NOT LESS THAN -25 LUMENS/.WATT _MAXIMUM ,.GLAZING _16%-__OF_._AREA:.:PLUS', REMOVED __GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND.HOT WATER SYSTEMS IN i CONJUNCTION WITH ,-AN ADDITION SHALL BE INSTALLED -AS SHOWN' ON -BACK OF _THIS ;SHEET: ; OTHER. BUTTE�COUN ry MMEDING ENT M, L) 12/815 *1 , HEATING. VMIIATING, AIR CONDr=O;TLNG SYSTF-4 _ (A) Heating ❑ Central Gas Furnace Z (brand and model number) SE Btu/hr (heating capacity) .... _.__._._ ....__ . -.... __ .. Q Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47'7) Q Active Solar type..(liquid -or air), Collectgr brand and ft - ` model number solar fraction collector area collector orientation collector tilt raced y-i.ntarcepc rated slope ❑ Other -- ----- %----- ---r-� .� �o. �....., 2 �.... ft (backup heater type,. brand and model number) ::(collector are (collector orientation) (collector tilt) Q Location of Solar Panels_ Q Other (Describe) *� Submit documentation of.sizing heating and cooling equipment by *Manual J, sizing charts (form p4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating Load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling:. Summer design temperature ', cooling load BTU *2 Submit T.Z.P.S.E. chart or other approved syste form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE-SfaTE'•fE.`Tr: The above build sig is the requirements of Title 24, Part„2, Chapter 2-53 of the Califor i at -ion Code. R APPLICA.l- 0 - Not OK - r - = Not Applicable =•Not Readv MOBILE HOMES'-- MISCELLANEOUS. Date 'MOBILE HOME UTILITIES (Plans) OK except #'s Date . ' DECKS,COVERS,CARPORTS,GARAGES, (Plans,)OK except #'s 1. Zoning Requirements -Setbacks -Easements' ' t 1.•Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2..Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete. > 3. Decks; Girders and/orJoists-Decki`ng'-Bracing=Stairs-Rails 4. Water; Location -Test: Ease ment Needed (Sketch). 4; Wood • Awn.;,Posts-Beams-Rftrs.-Connect- ;-Shthg.-Rfg.-Bracing, 5 .Electricity; Location-Clearances-Grnd.-%_ /Amp=Concrete : _.. 6. Gas; Location-Test-Wcap:�/ /"L"ft: • ..; -•• � �- '. / P'Nat. or/ ' /„L” ft:/ -/"-LPG c ' ' . .: -. 5. Alum..Awn.; Columns -Connections -S lice -Decal -Enclosures p 6: Carports;: Windows -Doors 7. Utility Clearance T. Elea, 8."�Frmg`` Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh - Card -131 Date •.Card -131 Date c 10. Roof; Shthg-Roofing - Card -131 Date Card -131 Date :. 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) *OK except Ws <1. Zoning Requirements -Setbacks -Easements Card -131 Date - Card -131 Date 2. Footings; Size -Spacing -:Marriage Line Card -131. Date Card -131 Date 3: Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances,: Date POOL PI s OK e e t.#'s 5. Drain; MH Test -Fall -Flex Connector a; acks-Ea ts'. 6. Water; MH Test -Regulator -Connector .oil; Com tion-Str ure Staf}ility 7.'Waier and`Sewer.Connected-C%O to Grade -HD Approval, ool$Lrucfure; I -Con ions -Thi ess-, .`. Dead Mew -icing 8. Gas and Electricity Tagged;, `9. Exits; Insp`.-Sketch 4: Elec.; Receptacles and Lighting, Distance s-GFI 10. Cert..of Occupancy 5. Elec.;- Pool Lighting; 15 volts-GFI 6. Elect; Enclosu es; Conduit Entries -Terminals -Listed. .7. Elec.; Bo ng; Metal w/5' -Circulating Equip. -Heater, 8. Elec.;Grounding; Equip. w/5'-6irculating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date. Card -B1 Date Card=131 Date Card -131 Date 9. Health Department Approval Card -B1 �y>� . Dat _ /t,��j Card -131 Date Card -61 Date Card -61' Date = OK 0 = Not-OKApplicable - = Not plicable RESIDENTIAL (Single and Duplex) J Not Ready . ,Date` UPJDERFLOOR (Plans) OK except #'s Date . FRAMING (Continued) 1. Zoning- Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2.. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage;.SoiIs-Steel -/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Letearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Rbmex Protection -Draft Stop -Ins. Saffles' 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stem walIs, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -Bt Date Card -B1 Date Card -B1 Date - Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas. Pipe; Size & Anchors Card -Bl Date Card -B1 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights &Switches at Doors 24. Size Boxes & No: of Conductors -Stapled 25. Romex Installed Close to -Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -81 Date Card -131 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. &-Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper .74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In'Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) 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-.-I f 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. t� c.. Inspector Date 'CAT COUNTY OF BUTTE 196 Memorial Way; Chico - Phone: 891-2751 1... 7 County Center Drive, Oro villk,4f= Phone: 538-7541 747 E l l iott Road, Parad i se, - Phone: -872-6307 4 CORRECTION I11 OT I.CE OWNER PERMIT NO. A routine inspection indicates that the following -viol ations of County Ordinance exist at the above address and should be corrected. Please notify- this office s ` when correction of work is completed. "If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately: Jd- a Any P I -e V COUNTY OF BUTTE- -DEPARTMENT OF PUBLIC WORKS '. p IT 7 County Center Drive-OrovlIle, California 95965'- Telephone 916/538-7541 APPLICATIdR1 1N "RMIT ',.ASSESSOR,PARCEL NUMBER - •. ZONING - BUI.LDING:•'PERMIT s. aK'c TELEP �N.E - :SQ FT:' OCC. BUILDING V'ALUAT10N„•- • •" , OWNER ILING ADDRESS PO .C.ONTRACTORIS, AME , v TELEPHONE • CONTRACT,OR'S MAILING ADDRESS,. Fireplace 4 . CONSTRUCTl!I1O1N LENDER- - ,UNKNOWN""- - Total Valuation. Filing Fee_ - ,�' i -"- 10.00 '• LENDER!S,MAi LING -ADDRESS - _ - t 0.J cLICENSE Permit Fee ,ARCHITEG,OR ENGINEER - - - NO. '. C1��/+ �J" ` ARCHITECT OR ENGINEER'S MAILING ADDRESS PI an;Checkin Fee g: - $ Energy Plan Checking Feet $ Penalty $ BUILDING"ADDRESS l P'ermit fee $- _ s.a PLUMBING PERMIT` FllingFee10.00'. Each Trap.` <2.00' r Solar or heat pump water heater 20'.60:* 'LOT NO: Fs UBDIVISION�NAME PARCE�L,MAP - Water piping. 'f'S '' .ti, -5 00;•. Each qas wafer heater or vent 5.00 USE OF STRUCTURE' SF.. Duplex Q., MobllehonieQ•' • th r MaQ SPECIFY 9 Gas piping system 1 - 5 outlets -"5.00 Building sewer 5.00 . ,Mobile Home S G':W O.00.ea , TYPE OF WORK New Addition ❑ Remodel ❑ Utilities Q ' InstallationQ Other [J'_' Describe',work' -IS Co. ; f444 :Af 11 InL. ,'/i�lA- jar t'• s Permlt,Fee $ .Contractor ELECTRICAL PERMIT Fil ng Fee `10:00,', 1r - Main'service 600V OR LESS' 100 AMP �OR. LESS ! 10.00 �,Maln service EA. ADD'L 100 AMP•-- CONTRACTORS'LICENSE LAW _ _ i -declare Under penal ty'Ot perjury (check,One): v .ani licensed under provisions of Chapt: 9,_Div. 3 .of, the Business and Professions, Code -and: my license.. is. in full force and.effect. . 3•Q Q'g�1� ', �:.�5,3 License,No. Classification Q 1„ as- the, owner, or=my employees. with -.wages as the! r"sole. compen- "sation, will do-tbe work,.and the structure is not intended or,offered` for sale. (Sec. 2044) _FT .'i; as the owner, am -exclusively contracting.with. licensed contract- I .ors.'(Sec. 7044)'.- ❑ am _exempt under'Sec. Business .and Professions` Code for ihis reason NEW CONST. DWELLING;OGC UP. tlI .OR ADD S. A.CC-BLDGS.!;: /2�S,Qft ' N NEW CONSTR U LOUT LET. NON -R ESI'.D .BRA 'C H CIRC ITS' 12.50 ea POWER APPARATUS e.� 4 Q SINGLE OUTL'ET,CIR. 'EX. �CCUp OUTLETS OR.FIXTURES SA 030 -r FIXED APPL-N OR. '• Ex' CCUp. OUTLETS (RESID;I EA: 2.00 Temporary -service, ; 10.00 Mobile Home Facilities '.15.00 .. Misc. Wiring 1500':. Permit Fee $ . BSO Contractor ; 'WORKMEN'S COMPENSATION INSURANCE - .1 declare unden.penalty''ot perjury (check one):. .0 `The permit is for $100:00 (valuation) or less. LL have" placed on file with the County of`'Butte -Building Department- --: a. Certificate of -.Workmen's. Compensation lnsurance, or a Certificate of Consent to,self-insure. `' . ,. I.shalf not employ. any person in any manner:so as'to;become subject. to the W. C. law's of California.' " Notice to Appllcant:.,If'aftermaking* 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 shat l' be deemed revoked. : '. ' MECHANICAL PERMIT FiIingFee ` .10.00 Heating ' . - Cooling Hood, 3:00- `t Ventilation . permit Fee S ` Contractor "}I` certify that 1=have read this application and state ;that the.above information is' coifrect: I agree to comply to: al-1'.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.. 1• also agree; to 1 avge, ,indemnify and keepharmlessthe•Coynty of Butte against ;all liabi'litles; ud ments, costs :,and ex enses which may, in an way accrue in conselauence,ofthe granting of this permit. . Date �` �3.' cP� Signature of Applicant — .OwnerQ',,•Contractor KKA9ent'Q . An OSHA permit'.is required for excavation over' 5'0" deep and^demolition or Construct ion ofstructureitoyer`3 stories'In height. ' Mobile Home Installation Fee $ EnergyAnspection'Fee, TOTAL. PERMIT FEE $ '1571.•5 05CUP. coNST Tres . ISCHOOL'IFLOD PARC[L PD ND 137UC This permit is hereby :issued under si'ons of the Butte County Code and/or'resolutions work _indicated above for .which:'fees IRE OR PUBLIC=WORKS By' r SPE IT.EXPIRES Date' the applicable- provi- . to do .have been paid. l Date C ^— Receipt. No.����' WHIT[-D.P.W., TELLOW-ASSE350R. PINK-INBPECTOR.- GOLDENROD -APPLICANT J.vt..- - - < err`' > - X. = moi.. r Y A6 a i '� }F• 1.i. `-f qa-<'a. ,t ,,.f . 7 ..o. r `' =ir 1 r1 T r a+ .•.j'2+ s< A {. r.. i' _ Y� 1 _ i' / •�•f ..'t i'.i _r s. r' 'i i:� ii ;�. z. /..� ''7' �� r +{.«. r:'f�.:._ i7' 2 7 - / r t J _ •y 5 r .h f -Y .71f'y �ykt'!Y �f" i ..•A- �� r' .list - ".'�~ ? f.' r t S'a... . ~P, __� T,}r_ M. 1: v cA L% a' {:u ' `..- 1`,. - j 't.. a. J �j• i� r�.y. ,f r ^ '^', � .l [ '-L� r r .-4 ' / %•. 1 - :e, M . "fir ' ..l _ . C.. � ..+r - i ,/ '"t �. `• fi . Y" �rfir. ti,. >,+r. •` f- ( 1t •.�" .y +� .-":7 c + J' ,L J •+2`;l��.\ ':u: 1r ..r•i Z• ,�.� 'f,. ti tom,' -tsid. 4. ..y it -:'r 4-J .w, •! .ry . 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COUNTY OF BUTTE - DEPARTMENT OF PUBiLIC WORKS - BUILDING DIVISION 1 ' 7 COUNTY CENTER DRIVE-lOROVILLE,'_Citlt•L7R1 95965 -TELEPHONE: 916/538 -7541 - PERMIT APPLICATION DATA SHEET _ (� y Permit No. OWNER 0;C_k ar-iY. 0 k e a (,e .r— a A. P:.No.�– Proposed Building Use ,12f-14) 'Pn n I Building Inspector—,R 6- Date At time of permit application, I was advised the following data must be'submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted ...................................... `= 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. T. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation _.. instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ......................................... 11. Park fees paid .............. 12. 11 . School District fees paid ................. Sanitation approval fromef /7 Health Department .. ' ,. 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: . }. 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred . , , . Pre-Insperequest to p q 'Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. f When ,ota ssue the permit, process as follows: Mail to owner. Mail to contractor. Telephone,3q,2:_4& 39 and hold for pickup at office. Deliver w./inspector. Other Applicant 1 m 3W. Date — Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—mall—counter by date Contractor, designer, owner, was advised of above required data by—phone—mail—.counter by date Plans checked by Date Plans approved by Date 4 Sets of plans on hold in File cabinet AP folder Copy—DPW oL.—�_Q-�� ',%'t�'l�'se—��y�`J',' •/!/"�/%�c��- IA 'sAF�e' , •'jI v�7 ' `_ �`�Yls/.� �/ ��.G[/ L% .. � iE. ].�^r3+'"'�';�'i�rr'kY"��w[uf.�•&Gz�,��,,_, R'.:-�r_. ��.5'� .. '. /� t 3320-88B,P,E,M z PERMIT NO. / �f . PERMIT EXPIRES h OWNER STE EN D'. LANE dSteven Lane` CONTR. t, .. .rte a ; 42=44-12 ASSESSOR PARCEL 20t, Chico of •,'; ,,LOCATION � VI Na•�" Qe �� �'�a�a�., nti� �5•F ,efs tt w a.'tkh ^7�� �r {[yy. 4 w^+: 3 d fir_ •'i ". �'{� �`t r .� '�� -:. �'.� -� Temp. Power Pole Called PG&E f,+om lec. Service i c- Called PG&E i a.. }? emp. s Service f j -r Called PG&E Egg Q JOB FINALED (Date � - -J MT. 30 '1989 t' ) Signature �a.� -yam � � � � , • . - " . =•OK 0;= No A OK . ' Not'Applicable*~. Not Ready MOBIL"E.HOMES _ MISCELLANEOUS Date-, MOBILE HOME. UTILITIES (Plans) OK except.#'s •Date' '" %DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK•except#'s• 1. Zoning Requirements -Setbacks -Easements 1::Zoning:Regi7irements`=Setbacks-Easenieritst -. 2. Soils; Special MH.Support-Sketch. ;,2: Footings S6ils-Sii6-Depth-Spacing-Connectors-Steel,:"' '3. Sewer; Location-Test-Fall-C/0=Concrete •, :, :' r, 3.,Deck`s; Girders.and/,oi 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 §:;Gas; Location -Test -Wrap: / •' P'L' I !ft / ,'/"Nat. or/ _ /"L"ft.L /"LPG <.. 5. Alum: Awn ;'CoIumns.Connections Splice -Decal, -Enclosures 6.• Carports;; Windows=Doors "<.";_ 7: Utility Clearance": ;7, Elec. .. • - - - - 8. Frmg; Sills'Anchor`s�Studs Rftrs,Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh }; Card -131 Date- Card -B1 '`Date A0. -Roof; Shthg-Roofing' Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date" MOB ILEHOME'INSTALLATION (Plans): OK except #'s 1. Zoning Requirements -Setbacks -Easements " Card -B1 Date Card -131 Date 2. Footings; Size-Spacing-Marriage'Line �. • Card-131._,Date..,,.. ] Card -131 Date:" -r.: 3. Gas; MH Test -Demand -Valve -Connector " - 1" - V 1 , a —� � 7111 ,s . 4" ~"' 4: Electricity; MH "Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s " - 2 `' :\'•' 5. Drain;.MH Test -Fall -Flex Connector" 1. 1. Setbacks -Easements �'{ . y 6. Water; MH Test -Regulator -Connector 2. Soils;Compaction-Structure,Stability ^ 7. Water and Sewer'Connected-C/O to'Grade-HD Approval 3. Pool Structure; Steel -Connections -Thickness-, ' Dead Men -Lining - 8.. Gas and -Electricity Tagged" 9. Exits; Insp.-Sketch• ' 4. Elec.; Receptacles and•Ligliting, Distances,GFI. 10. Cert, -of :Occupancy 5. Elec.; Pool Lighting; 15 volts -GR. 6. Elec.; Enclosures; Cond6it Entries -Terminals -Listed ' .7. Elec:; Bonding; Metal w/5' -Circulating Equip:. Heater 8• Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 'Date Card -131. ','Date g. Health Department Approval 10. Plumb.; Cir.'Test"Water Supply Test Card -B1' Date; Card -B1 " Date' • ' Card -131 Date Card -61 Date " - 4 f t '< I = OK 0 Not OX - = Not Applicable = Not Ready RE,SI,QENTIAL (Single and Duplex) Date UNDE LOOR (Plans) OK ezc t #'s' Q Daie `'FR MING (Continued) oning=Sst cks;-Ess nts=Fleed 91op 4 . H ers-Post Caps-.. chors,-Connectors - tg., Main; • s -S -Ele rnd.-/ a./" Ftg. DepthC of - r.rlin-.Roof,Brac.-Tryss-Shthng R g., Garage; -Steer//,7 /" Ftg. Depth V eplace Ties or Type A,Flue-Fireplace-Throat Clears 4:)Ef .; rches & Decks; Soils -S eel-/, /" Ftg. Depth 4rAt_Oc Access; Size & Romex Protection=Draft Stop -Ins. Baffles t -Blo outs-Wrgpl d m. Windows or Exiting Doors -Sill Hgt. A Dimensions t walls; Garage;;S4eel-Bloom-W ed age Fire Protection Framing ab; Steel -Wrapped +rPr rty Line Firewall & Openings i s-FkopP aee-FI, 9tarel , xt. Doors -One 3' -Check Garage -3rd story, 2 exits SAW V.; FyaWIF gs= way C/ - er Tes idth- Head room -Rise -Run- Land ing- Fire Protection 10J(Gas Pipe; Size -Anchors I ood on Roof Overhang -Attic Vents -Rafter Outriggers w1water Pipe; -Anors-Regwlater a ice• ing-Nailing neer 12Electric; Undergroundtucco -Drip ed -Fd. Vents-Underflr. Access 1 - - _ 5 I ing Area -Glass Protection -Skylights -Plastic - e Walls; Nailing=Bolts , t5t nsulaCicA --�. nsoation-Walls-Clg. _ Card -B1 a Card -61 Difte filtration-Walls-Wndws ; Card -B1 Dat Card -61 Date Card -B1 Date 1 L-10 d -B1 i3, Date - Card -B - Date/Z,-LZ- and -B1 Date Date PL BING Permit) OK except #'s titer Ht. Vent -Access -Combustion Air -Baffle Date FIN Plans) OK except #'s r Pipe; Test 8 Anchors -Nail Protection . Ems. Steps -Door & Sidelight Protection -Landings 1 , est,Fttngs & Anchors -Nail Protection 62Smoke Detector ower Pn; Test, First Floor -Tub Access i urnace;,Vents-Clearance-Comb. Air-Connector- In tion ub 8 Shower, 2nd Floor -Tub Access as Pipe; Size &Anchors doom Exiting F.LA Bath Fixtures ,& Tub Access -Spa ec. Trim & Subpanel; B a er Size-Ltdb� Card -131 Date(Z -SOV ' d -B Date ` Card -B1:" . Date/z,-.2Z- Card -B1 Date = f r e or e ec. tlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK.exce t #'s 2 ure &Transformer Clearance -Ins. Protection • it. t. & Appliance; Grnd.-AirGap-Cooking-Clearance . 2I�c. Receptacles Spacing -Lights &Switches at Doors 7ec.Outlets & Receptacles•at Kit. Counter e Boxes & No. of Conductors -Stapled arage Fire Door;.,Swing-Landing-Closer, ex Installed Close to Edge of Studs & C.J. Pip. Ground made up w/Meth. Fasteners -Bond Gas & Water f� tr. Htr.,e; a s- tear - orpb. t inecti onn6cie� - In Garag_ oor-Mech. roton 211�.Appliance,Circuts in Kitchen & Conductor Size/G.F.I. , Elec. & Mech. Equip. Listed for Location �ju -A.C. Wire Size / /ga. JE Cu orM. J lec. Receptacles in Garage; (G. F.I.)-Romex Protec. *-� nge Circ. / / a. C,uP r AI- v Circ./ /#4 -AI. ulated Neutr sulation-Feer»-looked in Attic_ ostQao rvice-Riser Conductors & Ground -Main Disconnect K - Wq-EgFffi Clggranre I nnked ��t„ uip. Clearances Panels-Motors-Mech. Equip. 3 lothes Closet Light -Shower Light -Spa Light 80-PekvWing instld.; Drive q No; Walks a G1Xes= Yes �*^; Planters ❑ Yes i 3 moke Detector tycco Br n-Fi Card -B1 ,`e,Date/Z-LO and -B1 Date S,-i�' nit; Disconnect, Electrical, Plumbing Card -131 .�� Date Card -131 Date / is Above, Roof;'Plbg.-Appliance-Firepl.-Clearance to Openings. Date MEC ANICAL (Permit) OK except #'s seen i9eet, ng .C. Ducts Insulation & Support erior Elec. Trim; G.F.I. Receptacle-Ut d@r4Fermd • ent Fan; Exhaust above insulation 86-Vgntilat'on throughout House r 36(Condensate Drain & Overflow; Size & Gradess Protection ince-Vent; Access -Comb. Air -Return Air Vent -115 outlet o_rractjpns from Previous inpections 3 ttic Access & Platform if Furnace in Attic a e t -Meters Ted; Gas frit 0Q&Watef & Sewek CwKecteto Gra y Comp ianc er i ica Ot s Card -B1 Date )z= -2y .- and -81 Date r i is e Card -131 Da ZZ. J Card -131 Date Card -131 Date Card -131 Date Card -131 Card -B1 D er • , Card -131 Date Dat c' � and -B1 Date Date FRAMING (Plans) OK except #'s ills, Proper Material &Anchors .36 ells Studs -Nailing, Spacing & Bracin PI s- and Comments at Final: 41. Bea in Walls over Girders & Floor Nailin r St p in Walls (rat proof) re S ps; Furred Ceilin - tairs- hase - u e r Beam-Size6­BL_aUEZJ (NOTE: An entry must be made each time you visit job site) �: ay r -.r#'. I. `.r�.^r'"�'.v�'.�""KFxa!t".-+r+.. ,;yr.�--w•�:►c.w+ ,.,—•�.u-•.�''r� COUNTY OF BUTTE ' DEPARTMENT.OF•PUBLIC WORKS: 196 Memorial Way, Chico—:Phone:. 891.m2751- 7 County Ce ter Orovillel— Phone: 538-7541 ':747 Elliott Road, Paradise- Phone: 872-6307 CO RitECTION 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 corre Ion of work is completed. `If yodhave anyguestion pertaining to this matter, or need additional explanation',please ..contact' thie:office,l ediately.: , ' l X e A r. V Inspector \t�USJ`" C l� i�-J Date t f Inspector \t�USJ`" C l� i�-J Date COUNTY OF BUTTE DEPARTMENT OF,PU_BL'IC 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... . WNE._PER IT NO. I _ A routine inspection Indicates.that the following violations. of County Ordinance h exist at the above address and should be corrected. Please -notify thisk.office when correction of work is completed.' If you have:any'questlon pertaining to. this matter, or need additional explanation, please contact this office. immediately. ' ! ; S d.. / f ! ✓.tit , �'a �/ C . 6af /�cJ r f7 44 cLoo r AAJ AI -L r Inspector Date'��? emornndu�n Inter-Dep®rt;nental TO FROM: G�1i1c CAU SUBJECT: DATE: / / / ✓v' ezool.-rl •�' C(1 r6v � 1�. Gva.� �f COUNTY.OF.BUTTE =r: r DEPARTMENT'OF PUBLIC.WORKS.= ?; 196 Memorial Way, Chico —.Phone: 891-2751 r 7 County Center. Drive, Oroville Phone 538 7541 -y 747 Elliott Road, Paradise - Phone 87276307 CORRECTION -NOTICE..- OWNER NOTICE OWNER PERMIT ,NO;,_. y' A routine inspection indicates that' the following• violations of County Ordinance-, - exist at, the above_ address-.. and should 'be corrected Please.notlfy Ahis; office when correction of work Is•completed. If -you have'any question 'pertaining;;to this` matt r, or need additional_'explanation,. please contact this office, immediately: o C - .ice a oLcyer o w •t r-` a-�• S 7 O t moo. N -L5LA_ � 4:- e r, F''Cf. 16,4-j, Date YZ Za Q V _, tiz 4�yy^.ecrt+t,,:tti „ -%fir <�i�.-. -.a1� *5�_ .. �„^_ c ,:•: r r.n, COUNTY OF-BUTTE t DEPARTMENT OF PUBLIC WORKS o 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott, Road, Paradise— Phone: 872-6307 NOTICE CORRECTION �r OWNEPI, 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 pe-ri61ning"to this matter, need additional explanation, please contact this office -immediately. i r i �� O V v �-` D O ��r d r Jro- e p r� o r- .2 ov,u/I l0 tcC or of kS �•17C ',j ou: �(A o -fe ak Y A C •. t c - aL 1 Q - Z S5, _i.1-fee`fa r eC rcl. /�a o cow e :'v "r -s3 Inspector Date'/2 �- �;€s r COUNTY OF BUTTE ~' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751. 7 County Center Drive, •Orov.i Ile — Phone: 534-4541 Skyway and Elliott Road, -Paradise `- Phone: 872=2961, Ext. 57 CORRECTION NOTICE -,.OWNER- PERMIT NO. A routine Inspection indicates that the following violations of-County Ordinance exist atthea e�address and should be corrected. Please notify thls office, . when correc n of work Is.comp leted._If you have any question pertaining to this matter,,o need additional explanation, please contact this offi a Immediately. - c✓ cG, 1 N. J 111"TRi .: •' ,: ".„ aragent®I�InterDe em®randem gal Ul,�, FROM: SUBJECT:K� �.i%�.!%Z( •`.'vW�.�"' ( co DATE COUNTY `-OF BUTTE. -'DEPARTMENT 0'F PUBL' IC A0RKSi' ! IT, PI 7 County Center Drive - Orov,il le, California;959ti5°= Telephone::916/538 7541 Y • APPUCATfO�N-ANDPERMIT ' CCCJJJ 0 ' 000 •-ASSESSOR. PARCEL NUM R -. _ ZONING •' -• BUILDING PERMIT,` OWNER �✓ %�-; GSE ,TELEPHONE.. SO FT- OCC. .. BUIL-DING-VALUATION' .' T 'O WNER.'S• IL �D/PRESS •. p. q� c CONTRACT 'S' � �•J F� F � � � � d _ i _• ,CONTRACTRES ,/ F i rep l ace ,$• _ R CONSTUCT=�JiNDER,- - } ,,}. ,t /G UNKNOWN � , .Total',Valua on - '` / '� L DER.'S,MALLING':ADDRESS +_ �: - - ` . r, �- .•Filing Fee. '- $. '-10.00,. 'Permit"Fee ' [/ $ .,ARCHITrECT OR ENGI'.NEER - y LICENSE NOFee.'- y f y ARCHI TEC T'iOR ENG IN£ER.S.-M.AI LING,' ADDRESS_ 4 Plan Checking z 431,6-p Energy PlanChecking'Fee _ - $; $ /E -'B, Penalty S -BUILDING A.ODRESSA o- �• Permit fee° V i PLUMBING• PERMIT F(IingFee 10:00 Each+Trap. ,i 2:00 ;a0, a . Solar or heat pump water heater , 20.00 `LOT NO. SUBDI VISION NAME PARCEL. MAP'., Water piping '. • -. 5.00IP-0'-_ L . Each' gas'water heater or vent } 5.00 •� U 'USE OF STRUCTURE ., SF ' Duplex ❑ Motiilehome❑ Other' - - - - SFECIFV ` Gas pipirg, system 1 - 5. outlets ( •5..00, •',Q O Building sewer 5°00 C v 'MObIle'Home•, S G. W O.00.ea - - TYPE OF WORK' New , Addition ❑ ' RRe mg del ❑//: Utll.ities ❑ ;. Installation❑'Other=❑ Describe work: �`. N��'~a���%®Eff� c Permit Fee S.' - / 00 Contractor'. 4EL-ECTRICA'L PERMIT_ Fi►ingFee''. 10.00: s tr OV OR LESS. 'Main service 'TOOO AMP ORaLES4 10.00 0t0 .Main service EA.,ADDCL'100 AMP 2.50 a, CONTRACTORS LICENSE LAW ' I declare ^er penalty of perjury ,(check one): = I- am licensed under provisions of Chapt. 9, Div..3 of the,Business . and `Professions f4ode -and/my. •license is, in full 'to a and effect. -,SINGLE • } ' ;'• License No."' Classffication' - - - -, ❑ 'I,: as the'owner, or my employees' With wages as- their sole compen- sation'will do the work, and the structure'.is not •intended or offered' for sale. '(Sec: 7044) ' - ❑, I, as the owner, am exclusively contracting with licensed contract ors: (Sec. 7044) ? `❑ "'1 am exempt'underSeo. • Business -and Professions; Code 6 for this reason` NEW CONST. DWELLINc;OCC OR ADDNS.` "� ACC.•BLDGS. , /2¢SG ft`/ :NEW CONSTR. . .ou LET ON.RESI.D' BRANCH RC TS - 2.50 ea POWER'APPARATUS e). OUTLET CIR. , - Ex,. OCCUp OUTL-E•TS OR F.IX,TURES 5ALOy 0C FPXED:APP,LNS. OR ' Ex. Occup; OUTLETS (RESIDJ_EA. 2.00 Temporary service 10.00 16,00, Mobile Home Facilities, 15.00 Misc. Wiring; 15.00 ' - Permit Fee ' $ +. Contractor •MECHANIC4L-•PERMIT Filing Fee 10;0o WORKMEN'S COMPENSATION. INSURANCE •I declare Under penalty of perjury (check one): ❑ Th permit is for $100.00,(valuation)'or less: have place&on`file with the County of Butte Building Department a -Certificate of.,:Workmen's 'CompenIsation Insurance" or, a Certificate - of; Consent to'Self-lnsurre.` ' i shall not emp;l'oy any,persOn in -any manner so as'ao>become'subject ❑ .' . Jo, the W. C.'laws of California. Notice to,ApplIcant: , If after inaking this. statement, should you become subject to tFfe*W. C provision's of the Labor Code,•you must forthwith comply;,with.such' provisi'ons'or this,perrriit shall,be. deemed revoked. Heating - c Ge ' Clioling T Hood `•j-' 3.00 , �a Ventilation.. f ae . . Ptirmit Fes' $ Contractor ' ' -.Incertify that I..have'•read'ihis application' and state that ;the above information is .correct. 1' agree to comply'to alh County, Ord inances,and"State' Laws relating to building construction, and hereby authorize representatives of the.Countyot `Butte to enterupon,the above-mentioned property. -for inspection,purposes. I• aIso'agr, to save, ' demniff and keep, harm less•the-County of Butte against . all" liab(l' a judg ts,' costs, and exPenses which' may in any way accrue against s i unt n consequence of the granting of this permit. a i `,,D '°• Sign re of Applicant Owner ❑ ' Contractor Agent ❑ r ° a An -OSHA- ;is 're'quir'ed for excavations over ,'f) deep and.demolltlon construct= ion of structures.ovei.3 stories i height.: "MObile•HOme Installation Fee $ ,• - ' - Energy Inspection Fee :T.OT'AL' P.ERMIT•,FE�/ ;�j I;$ - occu P: n K 3 cONST,TTPL sceo L •FLOOD' RG L. PO. ND, 'ISSUE Thi's permit is hereby issued under sions ofAhe'Butte County"Code and/or work findIcated:above.,for which fees DIRECTOR OF,PUBLIC ' P hT EXPIRES> Date,' the applicable Prov(- ' resolutions';to:do'. have- been aid. p WORKS ' Date % z�, )' ➢ ' t Receipt NO oZ .` '^S ? v% r „ J . ., WNITL; D,: P.W ,.TEL LOW-ASeIOS ,PINK INDPQCT, 60LD[N ROD -A PLICANT . t -Rr rKi.. 2 1. i , 'l. - V !'. - ham. �� y t ) T , t ib 11 ' I`r "rh ro tx F ' k:;,.;. �i. l r r 'i + '.r }' �:,") . ,. ' ` r a '' q:... ;• - 9" $ ' + 'g J J .,- ,';...,.� i. cis' r. ��•f. ,r) .•7'T4., } ` t Y ! .�q. :`7 ', *� } q> i s 1 .7 '.� - e - - ` v _ r / 'f' t t -, �• ,, moi 'vr' ) 11 t f + - y,. _..� _ ^f�� t�,*I'" .r Y •V�l' 44. I' / 1R� '•'1. p _ ,1; .. ri..'F: 1 i rra� 1 ,kh - L 1 `xik. '-.3�'ri:''! ."; hS :r i 4: r 'd .7+• $�,._ ; 1.; �, r.'- i _ c 1,,..�@'+� 3 ^u Y. -'' ` rs y ".; 4 �` ''.` ,-.:-l:,r ' "r a't . "� f,'h F: y _ ' �y 'i :r ..`'�'•' .:,`r:' ° ,,, .r h ,t c ) ':..�,. . .. 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Y �_. -. y . . � �. .`.: .7'.. .:''`{... • -�'x`' �. 1..f�`"'r'd _:.,.'' .. rw Y :t hry c ;t `S y :�r V : %H 1k �+ 4� tlsr y to "! • i i yR 4{ip { ' a .4 COUNTY OF BUTTE - DEPARTMENTO PUBLIC WORKS- BUILDING, DIV ISLON �,,.. f 7 COUNTY CENTER DRIVE - OR6VILLE;'CAL"IZORNIA'95965 - TELEPHONE: 916/538-7541.. r� p PERMIT APPLICATION DATA SHEET /, Permit No. OWNER S'� eve n —is -A -Q A. P. No. ei a- 'yq — /,I, Proposed Building Use p Building Inspector Date 101 1 1 At'time of permit application, I was advised the following data must be submitted prior to permit processing arid:/Or issuance: DATE RECEIVED APPROVED 1... All items. have been.submitted. .... . . . .. . . . 2.. Plot plans in duplicate/triplicate, signed by-,preparer of plans.,, 444 _4L 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature:on plans. 5. Plans with Energy Design Compliance Statement'. e"` dies �K6. �U School District ."Fees Paid" Stamp on Floor Plan. �� 7 Statement of Intent for Non -Heated and AC Buildings. Fa Letter of signature authorization. Sanitation approval from C-L"C,d Health Dept.470 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) _15. Improvements may be required. . . +' 16. Mobilehome Installation Data. •. iL Pre-Inspec. request to : T17. Pre -Ins ection for Re uired. (Date) p q Building In corded copy of Agricultural Acknowledgment Statement. iveway Permit. o:� . Plot plan approval from city of � 3 Engineered trusses in duplicate (requi4ed prior to plan cheV<). o -,A CUA RECEIPT # oZ ',When you issue the ermit, process as follows: Mail to owner, '�` 9/ -Silo Mail to contractor. Telephone and hold for pickup aV�noffice, Deliver w/inspector. Other ` Applicant Date Copy'. of plans sent Health Dept., Fire Dept., Other Date The Yollowing data must be submitter or t permit ' suance: (Circle new item not checked above). 1. Index\ permit for above items No. . 2. Additional items required: Contractor, design<jjjjMRas advised of above required data by �ne____tnall—counter by to / d Z Contractor, designer, owner, was advised of above required data by—phone _mail�Onteby date Plans checked by ` Datepa Plans approved by Date Sets of�plans on hold in �ile cabinet AP folder (.nnv_nPw t✓ ! Ld A_ r � ; , - - _ _ - _ __ ,. '.'. -• Ali;. � ` `� - - • � - -- �— _ -- - ._ �°'_ '.r-'. .(��� t, �. cid. .�� •r: - - Aj Ili 1 • 1 � .. .. _ - � _.. ;.. �t�.ii �.:i. - _. car ,� .. .. 'C .� - •f. Y' � �'J.�' � `T ' .. ,- .� G y TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance.. Z1,Z - I-/ V owner rocatioA AP # Driveway permit has been'issued for.the above.property. 7-7 s i/ature date iqlopq -will" lgvi BUTTE, COUNTY SCHOOLS DEVELOPN4EN.TEFEE:;CERTIFICATION.,FORM =5.... (One Form -per Building) „y r , s' `°A P r� Numberl�+; Bui.lding' D p'artment" N,o , r k School District l�►^ y Cj C;iyty :0 Countyz Jura dic-tion Property:' Owner ��,� Prod°ect Loca'tlon/Addy; ��� (7G.�rC' r ` . e� qs��, ` •. i Yii.� C �-" �t+.,. _'p �p� ,* {'�.� ��� � w 1 r * .� Y "'�Ykr � '�' `•h ' � z .' p `<`Res$enti'al �De�el�opment 8 y'' `8,°ya g, j y� 'z, .Y ;iZ dAy k Footage. ,)�R of Living." MH4I� Addi�t'ion :`�(Gro�up R;) J�ycy� p [ a.�`"g'7t A._.y�i �E1 -1 Ft Y, ,'} 1• Un1tS i Y X i` z S i i. F � :Y ..1'+" C 4 4r, f It � 2 `4 5. ', l ri i • 'S 7 S ^T fy �b ,M .1 �a ;� �Commerc'al/rIndustrila Sq Footage, T: 3 ` Ad `��tl�o;n(In`clud^',ngExterior t 'RofSe9 d.�, + t„Ar3`earY s) a.2 "d CQ ' 1 BuI dir1'g D.epartment..'R TeSentatlUe�� y. i 't 14, All d .• •. ° . ,� " - r a"'G`. e'�ny "ft ,an '�` ;+ y :3 7 : �4" i . Dls�trlct' Id :No .l) �`". ? ''' x�'. y�.:i dYy 5` V '�`ts ;'i. `-' ^,• n School District ce t"if'ies ,that ` r -14 n ;(Applicant -Name.) (Phone-Number) r , n 6 (Street" Ad` ress), irl(City) ;(State) has complied with the re uirements.of Resolution.No'.. ' p q by the ayment , of $ / S" Q representing,"y� 9 quare ;feet . Sc ool}District R rese ative ate. PAID BY CHECK NO. _! -7 I.3 REMARKS': ' 1 BANK NO. PAID BY CASH white -applicant, yellow -building department, pink -school district;: SCHOOL . FEE ( 5/88) , w; �'� . _ ' ' *.. '° }- ?- � � � e r�' `,� ! N - � ���° A' �� � -so- ,1 ,., t t � 5 Ir: s' �� .t r ice' �'�. °, t t �� i i �. _` •: '. � i � � � � jam., - � , t + I �r"'' � � i .. � - - r �..r J� � � { t . _ .. � � 1 � � 1 � � 7 � � � � i d • .. ,t rte,. v� t� t� ; �-� � t j ; ry x ,� -�a ��� {> i { � Jr. .i z ; � .� .f ,.0 � �',� . � e... '� � 1 � � - �. �i . �� 4� o f � �k r� t! t i � �, .� �S` �. � 1 � � S:: r 'l , �� f �'� � �t � ti � ..F � � � �. i. S '' .e's' e � '. i �� � 3 << ,'i � 9 i ti r 9,, � �� J; ,y � # � � � 3 � �.. n; C- a 1'; � ' f x YY �. , t y t i» � � S 11 _ i _�, n }�:'�.. f .� - .. �.. ..u- . _ � - Y� �k .. .. ' � � �`. .. ...cru - _ .. � � � � - Certificate of Compliance: Residential' SHEET (Page:l.of2) CF-IR, leaTtu� .'Data rrojIccwaarm G� tcr� Bob Metzger — O.D.S. 8659688 or 34219688 sm7diogPe®icr DocmnmMd=aAtbw, . Te+pho". ayi n,� 9 Point system.. 11 meas Comidanee mamm (,=doge. Point System err Cc: paaw) cumawzaft 19faee wu Amy Uu only. GENERAL INFORMATION Total Conditioned Floor Area: ZA iA ft2 Building Type: Single Family Hotel/Motd ' (check one ar more) Multi-Family (less than 4 stories) : Addition Multi-Family (4 or more stories) Ezisdng-Plus-Addition , Front Entry Orientation: No /East South / West / All Orienmdons . (chnie one or mom) - Number of Dwelling Units: Floor Conti action Type: Raised Floor (cirde aye or both) Infiltration ConlroL- S fight (code time) B=- ING SHELL INSULATION Component Insulation Location/Comments: 4 Type R-Value. (attic. to tan enc.) Wall ..............: c WaIL-.. i ROOF ? xe Roof.... Floor...... Floor..:.._.....: Slab Edge-... GLA2aNG Shading Devices Glazing Area Glass Type Interior Exterior Overhang' Framing Type Orientation (sf) (sin double) (roller bland. e=) (sbrdexxrem ac.) ) (maWwood) Front.__ j- Front.._ ( ). Left--LefL_ Rear.... Rear. ( ) Right.-. Right.. (. ) skyli8ft--»--- Skylig�ht------- .THERMAL: MASS Type/Covming Area. Thidmess (slab/a�toosed, tile, ea-). (sf) (mches) Location/Descaintion admhm- bath. etc) . Mandatory Measures Checklist Residential" `SHEET NOTE: Lowrise residential buildings subject to the Standards mq u contain these measures regardless of the compliance - approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirementslisted, on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted small be considered by all parties as binding minimum component performance specifications for the mandatory measures. C whether they are shown elsewhere in the documentsor on this checklist only:. DESCRI MON ( Reference loc . on plans. or FO DESIGNER ENRCEMENT. Building Envelope Measures L_notes on s s .. * §2-5352(a): Minimum ceiling insulation R-19 weighted average. $2-5352(b):. Loose fill insulation manufacturer's labeled R -Value.: Sects. E-12 * §2-5352(c): Minimum wall insulation in framed.walls R-1 l weighted average (does not apply to. HVAC and Plumbing SysteMeasures nfo . ' by A/C. contractor, or E-5 exterior mass walls). Sects- , $2-5352(k): Slab edge insulation- water absorption rate no greater than 03%, water vapor, 2-5352 and 2=5303: Space conditioning equipment sizing: attach calculations. E-11 transmission rate no greater than 2.0 perm/mch. N/A E-11 $2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. E— 12 . E-6 §2-5352(f): _ . Vapor barriers mandatory in Climate Zones 14 and 16. only. N/A E-4 $2-5317: Inf ltration/Eufiltsation Controls §2-5314(c):. Gas -fined space hearing equipment has intermittent ignition devices-. E-10 a. Doors and windows between conditioned and unconditioned spaces.designed to limit air leakage.: $2-5314: HVAC equipment, water heaters, showerheads and. faucets certified by the CEC.', b: Doors and windows certified. . §2=5352(1): Wates heater insulation blanket (R-12 or greater) or combined interiodexterior C. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. E-14 E — 9 e §2` 53522(e): Special infiltration barrier installed to comply with §2-5351 meets CEC'quality N/A §2-5352(d): Installation of Fireplaces piping. E -9d 1. Masonry and factory -built fireplaces have:: §2-5318(d): Swimming Pool Heating a. Tight fitting, closeable metal or glass door 1. System has: b. Outside air intake with damper and control („ c. Fine damper and control 2 No continuous burning gas pilots allowed. HVAC and Plumbing SysteMeasures nfo . ' by A/C. contractor, or E-5 supplier � 2-5352 and 2=5303: Space conditioning equipment sizing: attach calculations. E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating system. E-11 * $2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have damper controls.. E-4 §2-5314(c):. Gas -fined space hearing equipment has intermittent ignition devices-. E-10 $2-5314: HVAC equipment, water heaters, showerheads and. faucets certified by the CEC.', . §2=5352(1): Wates heater insulation blanket (R-12 or greater) or combined interiodexterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). E — 9 e §2-5312(Exception I): Pipe insulation on steam and steam condensate ietm & recirculating piping. E -9d §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 175 percent thermal efficiency. 3: Pool cover. 4. Time clock. 5. Directional water inlet... N/A Lighting and Appliance Measures . §24352&L Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.: E-7 §2-5314(c): Gas fired appliances equipped with inDermitient ignition devices.. E-10 §2-5314(x): Refrigerators, refirigerator-freezers, freezers and tluorescernt lamp ballasts certified: E-19 by the CEC. Indicate make and model number.. Fam Revised December 1997 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) ,1 Bldg. Permit # OWNER S �""�" �. jvANF�4 'A. P. # 4/a - VY+ I L GENERAL&I-oning requirements: (sideyards and number of permitted living units). P!/_Valuation. i! Plans signed by designer. Energy Design and Compliance. �xisting violations on property. PLOT PLAN �Co.m--��lete ;parcel size and dimensions. xr��backs,' sideyards, easements, etc. & 0 er buildings or structures. ding, fills, drainage. 64*1 od hazard. b! Special conditions on creation map or compliance document 7/85 FLOOR PLAN ��mplete to scale plan with dimensions. quired windows for light and ventilation (Sec. 1205). quired windows -for second exit (Sec. 1204). 4-00>!Sy-lights (Chapter 34 & Sec. 5207). J�.n n.impact glass (Sec. 5406). 6�RReeanr`red room sizes, ceiling heights (Sec. 1207). 7a�GG C.I.'s -in baths, garage and exterior outlets (Article 210-8). 3�— Light fixtures, switches, receptacles, and exterior receptacles for maintenance of anical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas Duipment, and plumbing fixtures. rage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). 12.e� pnd wood/ove location. 1 Smoke detectors (Sec. 1210). STRUCTURAL DETAILS F- Foundation plan complete enough`:to construct -building. &--.--'Floor construction details complete enough.to construct building. Elevations and wall construction details complete enough to construct building. 400-Moof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR exposure I plywood on exposed locations and overhangs. .airway details: landings, rise and run, head clearance, handrails (Sec. 3306). —3 --Guardrail details (Sec. 1711 & 3306(j)). 4.'��r.jck or stone veneer (Chapter 30). !BExterior plaster — weep screeds (Sec. 4706). 6! --'Pro er roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Certificate.of Compliance: n/E Residential Component. Insulation Location/Comments Climate Zone 11 i Wall ............... wau ........... Roof .._ Mandatory Measures Checklist: Residential MF 111 Floor ............. 2-` t Slab Edge,. ... GLAZING Shading Devices _ - Glazing Area. Glass Type Interior Exterior _ Project Title • Orientation (d) (singK double) (roller blind. etc.) (shadescreen. etc.) (yeshto) (meta ood) North ( ) �4 Qbwo6& $.. ' j NOTE: Loverise residential buildings subje t io the Standards must contain these ffcwura rtprdkst of tM eompHa int approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed �� ^� •�) ��, � �� East ( ) B Permit if South i on the Certificate: of Compliance. When this checklist is incorporated into the permit documents, the features noted shall Project Address ,► West ( ) gyp% �n�Q� N THERMAL•MASS beminimum the documents argon thisnt �checklist onlormance yficationa for the marndawry measures ehether they shoall wn elsewhere as binding -Type/Covering Area Thickness . 1 (stab/exposed. tile, etc.) (Sf) (inches) Locadon/Description (kitchenu bath. etc.) i C hedted By / Data HVAC SYSTEMS Minimum; Duct >' Type (tutYtace; aur _ Efficiency Location Duct Output Manufacturer /Model # Documentation Author equal) -� 7S *m 460 r 9�vi� Erdoreement Agency Use Only 4 DESCRIPTION DESIGNER ENFORCEMENT HOT WATER SYSTEMS Tank Manufactumr/Model #. - Telephone System Type (store a gas, etc.) Capacity . . (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Building Envelope Measures BUII.DING DATA Glass Area % Glass, ' 111 • §2.5352(a): Minimus, ceiling insulation R-19 weighted average. North %`j ( §2.5352ror Loose fill insulation manufacturer's labeled.R-Value. Con itioned Floor wised " Number of Stories East _ .Z _ • §2-s3s2(e): Minimum wall insulation in framed walls R• IJ weighted average (docs not apply to exterior mass Floor s Number of. Units I South West G. i' b edge §2-5352(k): Slab edge insulation - watts absorption rate no greater than 0 3`se, water vapor 2.0 [fiftgle Family Detached (SED) [ ] Addition Alone t;r O. j; transmission rate no greater than permrmch. [ ] ' Single.Family Attached (SFA) [ ] Existing Building Skylight 4 §2.5311: Insulation specified or installed meets California Energy Commission (CEQ quality. standards. Indicate type and forth. [. ] Multi -Family (MF) [ ] Existing -Plus -Addition Total�t95.5 _ f . �- §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. ' 92-5117: Infltrati fl ti C 1 BUILDING SHELL INSULATION 1 Component. Insulation Location/Comments Type R -Value (attic. to gangs, typical. etc.) Wall ............... wau ........... Roof .._ Roof ............. Floor ............. ' Floor ............. Slab Edge,. ... GLAZING Shading Devices _ - Glazing Area. Glass Type Interior Exterior Overhang Framing Type Orientation (d) (singK double) (roller blind. etc.) (shadescreen. etc.) (yeshto) (meta ood) North ( ) �4 Qbwo6& $.. North (_) East' ( ) .• i East ( ) South Sou Ch ( ) West. ( ) " ,► West ( ) -Skylight ....... N THERMAL•MASS -Type/Covering Area Thickness . 1 (stab/exposed. tile, etc.) (Sf) (inches) Locadon/Description (kitchenu bath. etc.) i HVAC SYSTEMS Minimum; Duct Type (tutYtace; aur _ Efficiency Location Duct Output Manufacturer /Model # conditioner, heat plump) (SE, SEER,HSPF) (attic, etc.) . R -Value .: (Btuh) (or approved equal) -� 7S *m 460 r 9�vi� f Maximum Furnace Heating Output: Soil g Btuh ' HOT WATER SYSTEMS Tank Manufactumr/Model #. - System Type (store a gas, etc.) Capacity . . (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) u o x r ver on ontro s a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage - b. Doors and windows certified. c. Doors and windows watherstripped; all joints and pencuations caulked and sealed 12.5352(e): Special infJtration barrier installed to comply with 02.5351 meets CEC quality standards - §2 -5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fitting. closable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gat pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach cakuLdons. , 12-5352(h) and 2.5315: Setback thermostat on all applicable heating systems, • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. 62-5316(b): Exhaust systems have damper controls. 12-5314(c): Gas-fired space heating equipment has intermittent ignition devices - §2 -5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 12-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or grater). §2.5312(Exception p: Pipe insulation on steam and steam condensate return A recirculating piping. §2.531g(d): Swimming Pool Heating 1. System har. a Onloff switch on heater. b. Weatherproof instruction plate on hater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. . 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 62-5314(c): Gas fired appliances equipped with intermittent ignition devices - §2.5314(a): Refrigerators• refrigerator -freezers, frmcrs and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certmcate of compliance lists the building features and performance specific adons needed to comply with. Title 24. Chapter 2-53 and Title 20, Chapter2. Subchapter4. Article I of the California Administrative code. This ctmficate has been signed by tine individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner ^ //�v✓ Name: Nantr-,�,,�/�. — TukJF'trra: Titk/Furn: N � � it/s; !::yi^<.G Addriess; Address: 1<11IJ6 S Teteplwnc Tekphone: A Lic. (si6rtature) (date) . Documentation Author Name: TitkJF•iim: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stones Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -68 -4 -2 R-30 0 -1 -1 R-38 "`���TTT 0 0 U -value 8 6 1 0.50 176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawlspace -14 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation 4 - 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -14 -48 Number of stories -64 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 4 - -90 Number of Stories -26 R -value One Two Three . R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 0.90 -4 -3 1 0.80 -1 -1 0 0.70 2 2 1 . . 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) Specification Points 6. Glass Heat Loss Total -14 -48 -69 -64 U -value 16 Percent -42 -59 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 2 SE None 45 -23 -15 -11- 7.,Shading (Shade Open) -14 -48 -69 -64 Effective Pei ces It Glass 16 , -12 -42 -59 (percent glass x SC) na Effective " -35 -50 -46 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 3.5 2 5 8. Shading (Shade Closed) EffeWve Pei cent Glass (percent glass x SC) Effective %Glass Nor11 East South West Skylight 18 -14 -48 -69 -64 na 16 , -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 37 na 11, . -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30. 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 ra=rxtalkwed- 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Famk Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 14. Wall Famk Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 . 13 8 10 5 7 - 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 it 13 11. Heating System SE or KSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assume; ducts In attic) Sum of 7-10 -25 or -24 to -14 to -410 Sum of 14. 16 or SEER less _ -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 9 6 Effective SE or HSPF Effective SEER 0 (SE or HSPF x duct efficiency) (SEER Effective -25 or -24 to -14 lo 410 +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30. na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assume; ducts In attic) Sum of 7-10 No Cooling System Installed Stories One - -5 -4 -4 3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -410 +6 to 16 or SEER less -15 -b +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -1 Effective SEER 0 21 HWR -18 (SEER xduct efficlency) -7 -6 3.6 Sum of 7-10 -25 -16 Effective -25 or -24 to -14 to -4 to +6 lo 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 I 6.0 -12 -11. -9 -7 -6 -4 l 6.6 -5 -4 -4 3 -2 -2 J 7.0 0 0 0 0 0 0 1 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 • 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 to Zonal Control Adjustment or Type 10 8 7 6 4 3 No Cooling System Installed Stories One - -5 -4 -4 3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. Unit Size (sf) y c. Water d. 1199 1200 1700 2200 2700 Heater Credit or 10 to to or Type Type less 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 15% WSB 5 3 3 2 2 56% POU 6 5 4 3 _ 3 SE None -37 -24 -18 -15 -12 0.6 Solar -1 -1 -1 0 0 21 HWR -18 -12 -9 -7 -6 3.6 WSB -25 -16 -12 -10 -8 5 POU -18 -12 -9 _-7_ -6 IG None -5 -3 -2 -2 -2 25 Solar 7 5 4 3 2 4 POU 3 _ 2 1 1 1 IE None -28 -19 _ -14 -11 -9 1.4 Solar 8 5 4 3 3 29 POU -10 -6 -5 -4 -3 4.3 Multi -Family (Individual units) 5 5.2 5.4 56 Unit Size (SO 0.5 Water 0.9 699 700 1200 1700 2200 Heater Credit or to to to or Type Type less 1199 .1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4 WSB 9 4 3 2 2 5.5 POU 9 5 3 2 2 SE None 45 -23 -15 -11- -9 3 Solar 2 1 1 0 0 4.4 HWR -23 -12 -8 -6 -5 5.9 WSB -25 -13 -8 -6 -5 1.8 _e0U .23 -12 -8 -6 -5 IG None -8 4 -3 -2 i -2 4.7 Solar 6 3 2 1 1 6.2 POU 1 0 0 0 0 E None -30 15 -10 -8 -6 3.5 Solar 18 9 6 4 4 5 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East y c. South d. West e. Skylight _ or -' R-value[19] Interior Mass/CFA _60- or . 016 R -value [01 F2 factm [0.77] Standard ._X_ TYPE 2 MTS 11.7•utuC•4.2) (carp.t.d slab) U -value 10.651 TYPE 1 MASS AREA 8 InteriorN GOND. FLOOR AREA t TYPE;I MASS (9InC h 4.2, See■ sed : -�- slab) - AREA __ $ Exterior Wall Mass ND. L OR AREA - %J X 0% 6% 10Y. 15% 20Y. 25% 3D% 35% 40% 45% 50% 56% 60% 6t t 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 27 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 25 " 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 701/. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 26 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 62 6 4 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90% 1.5 -1.7 2 - 2.2 24 26 2.8 3 3.2 3.4 3.5 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2` 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 8.2 6.4 6.7 6.9 100*/. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5S 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 66 6 8 7 110*/. 1.9 21 2.3 2.5 21 29 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6 9 7.1 115% 2 2.2 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 1-2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 .6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East y c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures - or Eff. % Glass R -value [38] U -value [0.030] . 1_.3 or R -value [11] U -value [0.098] _ or -' R-value[19] U -value [0.037] _60- or . 016 R -value [01 F2 factm [0.77] Standard ._X_ Type [double] U -value 10.651 Point Scores 1 9_ 0 1�• �'n 4 44P %Total Glass (161 Sum 1-6 % Glass SC Eff. % Glass X .7 7 = I. /& o X -��- _ .2. 31 (0-foX •. ( / _ .,3 X _77 % Glass SC Eff. % Glass X 1.918 X G = . 016 G, X- ._X_ .L ' TYPE 1 MASS AREA 8 InteriorN GOND. FLOOR AREA TYPE 2 MASS AREA __ $ Exterior Wall Mass ND. 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I - -_ I - I , 0 W N E 4Rh '.' � 1, -, I I -- 'CONCRETE REMOVAL BY: .,- ­­­­ ,­_. ,, - I . � . I � I � I � - 1h 11 P - � - I � 11 � I PEkMIT OFFICE � � — � �� 11 I I 1, 1. .11 .. I I 'TO DETERMINE APPROXIMATE ELEVATION N Ito SCAL15 1/811 I= is 00, I SALES OFFIC,F_�..��___ RA"MVONO BEAM . I . W10 -m ,.--.,:I— � I I OTL � � YES d NO (3 HEIGH%_ _ " Z_�, OF POOL ON DAY OF EXCAVATION. # � I I . - �, , . � 1. I - .�_."__�, _,"�_*,w--t ­­ 1. �, , . .--. , ­_­ , �­i ­- 11-1 I . I ,--.-- . . I I I i 1- RL A S T ERR WHITE PHONE NO, � __ . _� MG9. �,_ __." ____., . I � _ 4, : - _ -, " _ � , , - , , " _., .. - � - _ , - _ `,_ . .'I _ _-, � I I I I � -_1A"`IttI _.­#.*__.4...A�_­.: j ! � � I � . .1 11 � # I 11 � I I I 0 1 � I i jo a NO. IL­­,� SALESMAN'. -I I .- � - � 1. I .. L __­ - - - �__­ � � � I � , .0 WNERW I 1.11 . � .. � ''I''. . , `!1111111i� 1. X H , : ' , OATE , � . . I I 0 - � - "MAP' SOOX NO, _�_. rA mu I I 1, '' " I POOL AREA TO BE FENCED, PER COUNTY —I— I swimml PAG P Aft A'ft L I ; I . I I ' I 09 (*�ITY OJ�DJN'ANCE. 6ATE$ TO 6E 'SELP � ! . I 1;1 - . Wd ­ .1--ttt I � I � R1 Cfl A R D W HE EL E R ­� . -.1111,11 .. I ��� 11 11 w � iCLOSING AND SELF LATCHING, I 14AME I I I LEC�AL DESCRIPTION �l � � . �;I`z� . . I � 0 -1,,,1 t � ' Ir � I I gy OwNgp , .11 , " " I I 011 ,;:") � , 14 ­--�_,�`II�, 6.'­� , �,., KING'�­SURRY C I I .11 111. I I l ,AP 42-44-12 - ,,,�i,�,*X- "k_��, Dy4tc ey t"t 20 ­ ...... 0� � I , 4�,;, t, I I . , - , - i��­ .ADDRES5_. I � I ti,w� -t - , I I n ik I I �� , . 11 4- ­­ ­ "-� I .. I . . . . . . .. � ­­... ­.. I 1-1 ­�, eg� ,ti, L'' L, I I . , I I 1� 1A — I ! � . ,I i, I � 4 1 %11 I—' C'H I C 0 __l_.* , ,w-tt . I , t ' , � , " � OWNEK , 4 CA I T \ I . I I ­�__,,I.�_#­,.�� .. �- "11104", ------" 0" I I I I . I , 'A *4', 1 1 � . _4­4­4�_ � I 't , r I I � . 11 � . � ,. ..*..1..._,64 .1 Pi - I . I I, I, . . � �_._ ­_I"l­� , ��� , ,., � lz�, ,,, � - ��,4 : � , WET �OWN CONCRETE SHELL AT LEAST I 1. �, ,,�l ," ,I�_, , . . 11 I r r��., ... -7I, , t, f Twj;�;_ I . I ----" --r, 11, - ,r 1, ­ .1 . � CROSS STRE'ETS._ - � I I l 1, 6AILly POR I DAYS. I _-"_.-A_-" . �, I - � �� ... I 11 , r ­ . I ­ ­�ft� I .�� LOT NOJ-, , .1 4 . I 1 ,­­��_­­�_,, - , , 1��'. . . �', ,- , , � � � 0 ttt��,. d - CK "O, 13 y � . -1 I � I DO'N0 TURN ON POOL LIGHT WHEN POOL . ­... I 0I 1. L41 I �k "'I" ""�C�� i " I I � ' I I - 1-1.1__-- . . ..... I .. ­ ­ 'i � - 0 � I 1. I 11 - �, �­,I_,,,,*,­� TRACT , � '. -, 11 , IL .1) � ­ It' .k - I I x , _k5 Rt _,,._��, I � I$ IWPTY-� NO.", _­ .-I, , _.� , �1.1, f " 1 V t. PHONE_ ­­_tut� PHONE_ .,,_ ___ ­.­ I � - ­' , ir M HOT U $E RUBBER HOSE W HEN PILQNG : 11 - E", ')v �,,� I I 111.111 I ­�,,,, 111i- . 111-1-1.1.-, --.1 I ­­­ PAGt "_'f" ALOCK_, I I � I I ­ A"w­4- -41-_��­4`4�___ WOK_ � � I . _. ­ -1 .. ­­_. I— i I .1 ­ �, t . I .1 POOL AS IT WILL MARK 'PLASYEk. 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