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043-710-004
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S 3- �7- 296-86B P E M PERMIT NO. > > > PERMIT EXPIRES— OWNER XPIRES OWNER ROBERT MORTON CONTR. Anderson Brothe?cParadise 1 ASSESSOR PARCEL 42-46-04 c LOCATION 862 Westmont, Chico ..'OFFICE -COPY :_' it I Address_ _ 1 IF } -GAS ` Meter By Date a ELECTRIC s -'M eter By Date OFFICE COPY t Address 4 t GAS t rMeter By --- Date 'ELECTRIC Meter. By - Date OFFI t CE COPY Address S. GAS t Meter By T 'ELEC'TRIC r..,Da e zj n Meter By - pate_.. `Temp Elec. Service___ Called P Temp. Gas Si Cal led P .1 JOB FINALE r1 t� Signatun F J = OK O = Not OK — = Not Applicable . MOBILEHOMES * = Not Ready 7 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements « a 2. Soils; Special MH Support -Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4, .Water; Location—Test—Easement Needed (Sketch) 4. Wood'jAwn:; Posts-Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracing - 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures '. 6. Gas; Location—Test—Wrap:/ /"L"ft./` /"Nat'. or/ /t'L"ft.% /"LPG 6:- Carport s; :Windows—Doors - •-- 7. Utility Clearance 7. Elec. Card -BI Date Card -B1 Date Card -BI Date Card -BI bate ' Card -B1 Date Date Card -BI Date -. MOBILEHOMEINSTALLATION (Plans) OK except #'s" 1. Zoning Requirements—Setbacks—Easements - Card -BI Date Date Card -Bl- - Date POOLS (Plans) OK except #'s - 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability," - 3. Gas; MH Test—Demand—Valve-Connector 3. Pool Structure; Steel—Connections—Thickness-Dead Men -Lining , .4. Electricity; MH Test—Crossovers-Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distance's -61`1 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test-Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals— Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool, Lghtg. . Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date' Card -Bl Date Card -BI Date Card -BI Date. Card B -I' Date Card -Bl "Date Card -BI Date Card -BI Date • V = OK 0.. =.Nen OK - = Not Rble * = Not Readyeady RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FR ING Continued Hing requirements -Seib -Easements roperty Line Firewall & Openings Ftg., Main; Soils- Steel -E rnd.- / /" Ftg. De h Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth W/Stairs; Width-Headroom-Rise-Run--Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" h Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped _52A Siding -Nailing -Veneer walls, Garage; Steel-Blockouts-Wrap b Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access F e a e e-Ftg-_-S Tee V 5 Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test S ear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water es Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Iqll Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI DateCard-BI Date Date FIN (Plans) OK except p's Card -BI Date ;L ._;L4.- fir'( Card -BI Date Date UMBING (Per_a1jQ. OK except #'s teps-Door&Sidelight Protection -Landings moke Detector 1I ' Water HL Ven Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Meth. Protection . Water Pipe: est & Anchors -Nail Protec ion .W. V.: es Fttngs & A ' ors-Nai rotection Bedroom Exiting _ IV Shower an; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access est Tub & Shower, 2nd Floor -Tub Access . Elec. Trim &'Subpanel; Breaker Sizes -Labels tairs & ils 1p,/ Gas Pipe: Size & Anchors _ - -- . Firepl a or Stove; Clearances -Hearth le . Outlets at Wood Panel; Int. & Ext. Card -BI �� Date a'� �� Card -BI Date t. Fixt. & A fiance; Grnd.-Air Ga-Cookin Clearance Card -BI Date r Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer L67--Garage Date ELECTRICAL Permit OK except q's .68-A.C. Duct in Garage -Damper - _ 2 fixture &Transformer Cleara -In rotecti n bg%_S,,tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- n garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights wi c es at Doors - �ze Boxes & No. of Conductors -Stapled 7K Yfb., Elec. & Mech. Equip. Listed for Location 71f'Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. /Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water U, -Insulation -Foam -Looked in Attic ❑Yes _ 2 Appliance Circuits in Kitchen & Conductor Size � Guard Rails & Deck Construction -Post Caps _B J_ amrmd'�e / / a. Cu or AI-A.C. Wire Size / / ga. Cu or?A-) Range Circ. / ga, or AI' ven Circ. / / ga. Cu or AI, Insulated Neutral -;Yes No �W4-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowing instld.: Drivel s E]No; Walks Yes E] No; Planters Yes L4 No Service -Riser Conductors & Ground -Main Disconnect S ucco; Br n -Finish 2 Equip. Clearances: Panels-Motors-Mech. Equip. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - _ Clothes Closet Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -- - -- --- -- -- ---- -- Card B S Date fC �j Card BI Date C--- - Card B-IDate Card -BI Date - --ZQ.-Water Well; Disconnect, Electrical, Plumbing 3eExterior Elea Trim;;G.F.I. Receptacle -Underground Ventilation throughout House Glass otection Date M ANICAL (Permit) OK except q's rrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. W ter & Sewer Connected -C/O to Grade -HD Approval - . A.C. Ducts: & Support Vent Fan_Exhaust above Insulation _ _ Condensate Drain & Overflow: Size & Grade Energy Compliance Certificate -0 er Certificates _hftA_ -.SIA -Drain Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic _..__ Card -BI Date -3-/ Q Card -BI Date Card -BI Date Card -BI Date - Card -BI Dat 1 1p and -BI Date Card -BI Date Card -BI Date Card -BI Date GZ Z {� Card -BI Date Date FRMING Plans OK except p's Comments at Final: Sills; Proper Material & Anchors -- - - -- — - Waallls:-- Studs -Nailing--- - --- ,- Spacing- &--Bracing-Plates_- - - - --Sou--nd Bearing Walls over Girders & F_loor_Nailing - 3 Draft Stop in Walls (rat proof) - Fire Stops. Furred Ceilings -Stairs -Chases -Tub — - Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Conn r �s Cing. Joist-Rftr. Ties-Purlin o r -Truss-Shthng.-Rfnq. 4 Fireplace Ties or Type A Flue -Fireplace Throat Attic Access, Size & Romex Protection -Draft Stop I of Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry 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:'534-45411 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at. the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this utter, or need additional explanation, please contact ntact this office Immediately. T. Inter -Departmental Memorandum TO: FROM: 4�^ SUBJECT: DATE: '��c r6-66`0 0 PC --2-- 4a?,84xv�cl. 14. P. tt--- q2__ q6 - � V , -�) " COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico - Phone: -891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise = Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. /./ G�/..,.c (AdCiL�' 4-,.•. 1-C j r U rC UT^ , U���.,�� c Inspector�l Date .3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —. Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 9 6", �� 7WNFR PCoRAIT kin 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 con acl s office IrnM iat ly. 6 2 ., Vec Inspector, /QDate S COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates, that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. InspectorAh7 Date I r InspectorAh7 Date I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville,- Phone: 534-4541 Skyway and Elliott Road, Paradise—.Phone: 872-2961, Ext. 57 CORRECTION NOTICE VNER 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 ma ter, or need additional explanation, please contact this office immediately. Inspector_ Date 3 % l •j` d COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE NNER PERMIT N A routine inspection indicates that,4e 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 haverany question pertaining to this matter, or nee additi nal explanation, please contact this office Immediately. M -EX -11-P IMM, My 'AWMASSOMM. Inspector__ Date_ Owner: Permit No. 1 E N E R G Y, C ERT . I F I C A T -1 0 N. Lot#lll Westmount Drive, Chico 42-46-0-0.0.4 LOCATION A.P. No, DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R.Value) EXTERIOR WALL Material Fiberglass Batts Brand Name Manville Thickness(inches) Thermal Resistance.(R Value) R13 CEILING < Batt or Blanket Type Fiberglass Batts Brand Name Manville Thickness(inches) 10" Thermal Resistance'(R Value) R3n Loose Fill Type FjhRrq1Rss Brand Name Manville Minimum Thicknes�s(Inches ln�" Number of Bags 3.7 ".Wt. per..bag 40 lb. Area covered(ft.`)' 1,797 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material ..Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material -Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R`Value) I hereby certify that the above insulation was installed in the -.above building in conformance with the State of California Energy Requirements. LOERKE INSULATION -CO.; INC. #432518 FIRM NAM`/EE/OWNER STATE CONTRACTOR'S LICENSE NO. ;• /t ii h P 11_ l � � May 12, 1986 SIGNATURE OF INSTALLATION APPLICATOR DATE .I hereby certify the above insulation and all.required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All'equipment, devices and materials are of the quality prescribed or are spe cif nicall approved by the.S a of California.' �s d FIRM NAME/OWNER - (Please print) STATE CONTRACTOR'S LICENSE NO. d SIGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS,CERTIFICATE MUST BE.ON FILE WITH THE BUILDING'DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL ANDA COPY SHALL BE- WITHIN THE. BUILDING.. January 1984 COUNTY OF BUTTE ' DEPARTMENT OF'PUBLIC WORKS 7'County Center Drive - Orovilfe, California. 95965 - Telephone 916/534-45.41 APPLICATION AND PERMIT P0I&I T ASSESSOR PARCEL NUMBER - y a ZO BUILDING PERMIT OWNER 11' `` TELEPHONE SQ, FT. . OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS .L. Lt.Ai CiNC.. • ��I LtY 5% �O 1,0. 0 AJ, Qd TR'S NAME - CONTRA O r. TELEPHONE ' p p . 00 - ,' CONTRACTOR'S MAILING .ADDRESS •' / - _ Fireplace 600• 00 CONSTRUCTION LENDS No r1elp UNKNOWN. Total Valuation $ C? O ,043 Filing. Fee @ $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $Q - ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Feb $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ,- -� Penalty $ BUILDING ADDRESS UPermit Wes- dv fee $ / PLUMBING PERMIT ' Filing Fee 10.00 Each Trap '2.00 ,dU Solar. or heat pump water heater 20.00 LOT NO. SUBDIVISION"NAME ` f�S4 PARCEL MAP Water piping - 5.00 .5"06 Each qas. water heater or vent 5.00 - ao USE OF STRUCTURE , SF VDuplex7 Mobilehome.❑ ,Other SPECIFY Gas piping system1 - 5 outlets 5.00 S.00 Building ew r 5.00 $, Mobile Home I S' G W 10.00 Pa TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑' Installation[:] Other ❑ Describe work: ►,>edf.f5, Permit Fee $ &-o Contractor ELECTRICAL PERMIT Filing Fee 10.00'' Main service 1000 AMP OR ORSLESS 10.00 /C, 00 Main service EA. ADO'L 100 AMP 2.50 0" CONTRACTORS LICENSE LAW ;t(oq$ -� penalty p I y (check one):. I declare under. enalt of perjury _ I am licensed under provisions of. Chapt. 9, Div. 3 of the Business/POWER and Professions Code �d my License IS In full force and effect. License No. J Classification ❑ I,, as the'owner, or my employees with wages as their sole compen- sation;' will do the. work,and the, structure is not intended or offered. for.sale. (Sec. 7044) 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. / /20sgft v NEW CONSTR. U T .OUTLET 2,SO ea NON.RESID BRANCHCIRCUITS). APPARATUS tr1 (SINGLE OUT LET CIR. / Ex. OccupOUTLETS OR FIXTURES aAL930 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): ❑ The permit is for $100:00 (valuation) or less. I have ,placed on file with the County of Butte Buil,ding Department' a Certificate of Workmen's Compensation Insurance or a Certificate" of Consent to Self -Insure. I 'shall not employ any person in any manner so as to become subject' to the W. C. laws of California. to. Applicant: If after making this. statement, should you become subjectPertnft the W. C. provisions of, the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating loo Cooling Hood. 3.00 VentilationNotice Fee $to Contractor A�_w 1 certify, that I have read this applicatiowand state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating' to building construction, and hereby authorize representatives of the County ot' Butte to enter upon the above-mentioned property'for inspection purposes. I also agree to sa4e, indemnify and keep harmless the County of Butte against' all liabilities, judgments, costs, and,expenses which may in any way accrue again said County in consequence of the gr nting of this permit. X Date �- -/ �. �� Signature of`Applico'r,t -. Owner Contractor'J�-,Agent ❑ An OSHA permit is required for ezcootions ove,�5.'0" deep and dem lit' `r oJys t- ' ion of structures over'3.stories in height. noT Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE, $ OCCUP. coxST.TY KI ���lll _ PIAOD 5 PARC P ND 39UE This permit'is hereby issued under sions of the Butte County Code and/or work indicated above- -for which DIRECTO F PUBLIC • - T By. PER EXPIRES Date the applicable provi- resolutions to do fees have been. paid. WORKS - Date' S' �� S g �� -90 _p Receipt No. 0 J _ WHITE-D.P.W., YELLOW -ASST SSOR, PINK•INSP CTOR. , E - I T: - 'W' t1 r x •E. t ,� -4. ! .!. 'Pt' -el' rk+'� 'f' 1 F . d 4 t . J, r \ ' r p rt `('�t y , t � a l i '! qe'y - ' e L ^3d �F - �•,, t �,t - 1F� `r,. *' . •�,{ � ' 1I }', G4�* � �;� +�+ a ` �, � T,,> �x:�1i, 4^f 1 � T.' 4` - •i � .. �, �j1 4E-i.••� I��.y r .. - .tr 7r ��' waw -o'V '�'. .: e.' �,0 •l �'• +wl.}Ii 'r' .l� ae r. :7 i � �? - � t - _ rt•.' � p i;�5 r.x *$h� �:� �.'� -,-.. t ;.r..r� t - +C � . a � t ? � �Y, \ i i. ! { , �� � . .. x:,._ _ 1�� ,. ��+ ��-' .rF `� 4 1- .'e � ",r - 7 -..ti.,._ , :yx,� .�.:✓:r ,-,r�..r.:...-y ` `;� r y�. - -! ✓ r.h. `t 1. .}'.• ; ✓' -.y* wl � ��s j.� . i. 1• r � ., ! f.•,4 _ , �� x ' gra _�" �7 1 1' ti,1 ���'" t ,. ��f�.-a� .. •Tt. k1 1- i .fit ��t � �.. P� 1�.. �� . . . ,. -01 1 S �.�P. •Ilk -K'. Qi" 1=�,�. l = .T .'�:}',y: .1J:,. _} _ �,a•...•-. til ,4 �.a7.,�..Cy ��� � r � "� `tlr � � 4'cE .�yj}<+,tn'��?k 1l i _ � r 'l•y .t�� ,t ., .. f 1- .. '_ r �15t !S l +. �y. � 4 4 ..fit k �•'. 1 t '' 1, y�` ! .�' S ! r t +na} t v-. r•`:�E�`" .1 ..' "�'\ �,�'' k t 3 ` �. A -?-. f i. `. ti •�L-C `'y et :><8 El.` ill rv", 3� i}' -F 't r •y, . Yf .. L. � r ISL S .l . 'V j L ' .♦ _ - 1 � 'S 1 f ` ,- ' f ,' 5. "� fel t Itl ,r.. SE. t i .i t ,�.a, ,�vl rI•.r.! ti ,>y,a r� _j i'4 _,t ��T I•N �. . 'I[. y. !tq,. y'(� .. �f �F 1.� i•lii - ••k t•,r. t 'ti lAw k �, - ,.1: c I{.. � ,f.. r 4. ea-. ,w � irJ. �.� � •ti. -`� �J, G[ •:t � fl.:` lk y�f[:• ���, s i'y A !tr _ .,;%.- .r .1 w4 : .iS , r sr •'•r a, .1 Y} "�K ...r .t i�. � _+ w k`ti 3t `• },� t `k r . �^ Sr i.,j }-. �` ify >x t ..''y < ri h; �' . �''".� .:.:.;. T�'`,.�.0 � •:� Ak . 1. F t �''_ f 1. v ar _`' � [ 1,= :r r ,� ' 't �,' 3 1 - vt S t..j�_ Z r `r h4y y` � t I ' `2:'� ` � -. f -P ., ety.,, .'•'1.[�.«nl ,tt i J. ,r �j �^J [�`W,`Yt 1c ''i.. `.}P�•V ...`i 1t 1. }iy}• ll��y: Y ! .. •'S1 t l,. aw w `;� _M � y �.iy�� �fN f��r J* +,l.''.i. _ i E J ��_;�1 4 Y[ h �;-'..,�t�r ' •�t '.� - '• � �f Apt { t � 3 r 'b. 777 r, ,r -,�- vv --La yams? -..i ,•..r- r -`.`K r.,i"7>. -r^.r COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRW'E 7OROVILLE CAL,IFORNIA•95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ` Permit No. OWNER Es,66nt M6rA3.J A. P. No.. J4�I(o- Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I.was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .1 2., Plot plans in duplicate/triplicate. V 3. Complete plans in duplicate/tri.plicate. . . 4. Complete engineered plans and calcs. -T. Plans with Energy Design Compliance Statement. v 6. CU,SD "Fees Paid" Stamp on Floor Plan . . . . . . , . 7 ,Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. c10. Sanitation approval from G�a�� Health Dept. • 11. Planning approval for (A) Use: (B) Parking:. 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Maii,to owner ❑ ) 15. Improvements maybe required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . • . . Pre-Inspec.'request to 17. Pre -Inspection for Required. Building Inspector (Date) 8. Recorded copy of Agricultural Acknowledgment Statement . 19. Other Driveway permit & const. approval require for to Occup ncy When ypu issue the permit, process as follows: .Mail to owner. Mai 1. to contractor. 1� Telephone W5-1777 and hold for pickup at 4XIO office. Deliver w/inspector. Other Applicant, �f2'x Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above attime of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised'of above required data by Telephone Mail Other Plans checked by Plans approved by Other: — Copy—DPW By Date Date Date 2 Z 6 O l_5. JU TO: Building Department FROM: ;Environmental Health, Chico SUBJECT: Sanitation Clearance Z ` 6 Owner Location AP# Plan approved for: sewage disposal water -supply Hold final for: water supply v' Final clearance O.K. for: water supply., Clearance for___;( bedroom mobile home. Other I i Note'** Sanitarian Date ,' ; {j .tee..•}' `r- .. . �, a.- C RESIDENTIAL PIAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) .1�8� Garage door or porch header sizes. ,�9-:^ Adequate bracing. Jk'� Living area over garage - complete 1 -hour separation required on garage side. including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. +Noise requirements on duplexes. ,1,?! -Adobe soils- special foundation design. J,8111 -Retaining walls. requiring design. 1y --Unusual shape, size or split level house requiring lateral design. RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM I Owner O at:7' A2g�,f_7ZW C1'imate Zone _ Permit No.,4? Floov Area .Compliance path*: Package ❑ A ❑ B E3 C ❑ Point System ❑ Budget 0.Other ' j4 3 MIN-VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: �}.. Roof/Ceiling 30 ®. WallAt—/3 ❑. 4a Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1,.14 & 16. ®: (B) All manufactured windows and sliding glass doors:shall meet the -1972 ANSI'Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple ® Total Bldg- North G ® East all ® South West 7G ® Skylights .Qf ei (B) Shading Shading Coefficient Description ❑ East. ❑ South [3 West West ❑ Skylights. (C) South Overhanf Length of projection ft. Description/.� (D) Moveable insulation: Area ftZ Description (E) Thermal mass -�-r Pj,� .O/ /eibT C Gso ❑ Type Area Ft.2 HC= Rm MC= Location ❑ Type - Area Ft. HC= R= MC= Location Q Type - Area Ft.2 HC= RID MC= Location 3 ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ -Type - Area Ft.z HC= R= MC= Location 7/83 p ®. (4).MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped -,with tight fitting closeable metal or'glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the - outside of the building:; and a'tight fitting flue damper with a readily accessible control. *1 (5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A)..Heating 40 Central Gas Furnace 7 % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number)' ACOP Btu/hr (heating capacity at 47°F) ❑. Active Solar '',type (liquid or air). Collector brand and ft2 model number - solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ . Other (describe) . *1 (B) Cooling �. Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 950F)' ❑ Electric Heat Pump EER ' Btu/hr. (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for.heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. }�. (E) AN INTERMITTENT IGNITION DEVICE shall,be provided for all gas-fired fan type central furnaces, gas-fired fan type.wall.furnaces and f. gas cooking appliances. (� (F) BACKDRAFT DAMPERS shall be provided:for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition.. 7/83 2 *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other -approved methods,'section 2-5352(8), and fill,out the following: Heating: Winter design temperature 07.0,.elevation Z400_', heating load ..3 BTU elevation factor I—A x heating load maximum outlet capacity gas furnace 1b.30(, BTU Cooling: Summer design temperature /bZ °,.cooling load kjku (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of Polar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2753 of the California,Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 FORM 1 (6) DOMESTIC WATER SYSTEM (A)- Gas Only P .� Gallons (brand and model number) (tank size); 13; Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 132 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2. (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑' Other (Describe) TANK INSULATION. Storage.type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation'or greater. (C) PIPE INSUTATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). 49 (D.) FLOW RESTRICTORS-shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® . (A) Lamps used in luminaries_ for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other -approved methods,'section 2-5352(8), and fill,out the following: Heating: Winter design temperature 07.0,.elevation Z400_', heating load ..3 BTU elevation factor I—A x heating load maximum outlet capacity gas furnace 1b.30(, BTU Cooling: Summer design temperature /bZ °,.cooling load kjku (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of Polar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2753 of the California,Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 ZONE 11 `Shadln OWNER POINTS /� p.+,�tJ: Table 3-3a.' Ceiling Insulation Table 3-7. SoutA-Facin •Clazin 'Pts Table 3-10.. -CoefficientPoints' PERMIT. N0: ASSIGNED ACTUAL Pointe - f I - I Glazln 2 I B• Ype 1 SC by : ` 1 1•. SLAB - I'A-Yalu_ of Insulation i Point$ ',I I Total i - I" i' Orien- 1 Z Floor Area .INSULATION I ) I x of I.Sngl. I Dbl, Trpl, 1 Cation 1 " _ 2. • RAISED FLOOR - . R-19 ) 19 •' I -4: _ 1. I• Floor I (U • I (U - I (U I Area • :' I 1:10) 1.0.65) 1 0.41)1T I '3 _ CEILING -`R 30 '. /e• �- 22 ,. I -2 I 1 I I 'I lots I nines I otntsl I Gar' ..I 1 3 1 . �30 0 I 38 I :: ' :i I I O 13 up to 1.5 1 +2 1 +3 -63. +2 1 +1 I I I „ 10-3.1 1 to 1 6.4 up - I I 6.3 1 4. WALL -, R-19 Z-13 49 1_ +4 I 11 6- 3.6 I -1 I 0 1 0 .: 5:. NORTH GLAZING- _ 2.4-3.6% , . ` 1 I I 3.7•• s.z I -4 1 =2 I 3.3- 6.5 1 . _-6 1 -4 1 -3 ;_. I 1 0 .19 1 :'' 0. I - 6. EAST GLAZING 2.5-3 6:' Z i ;,.• I I 6.6- 7.7 1... -9 1 -6 I -5 ' I 7.8- 8.9-1 -11 I -8• 1 -7 "I` I .20-.36 I 37- +1 ' 1 0 . 1 p ; 1 0 ( 7 SOUTH GLAZING 1.6-3.6% .3, �/ fable 3-4a. Wall Insulation Points I 9.0-10.0.1 -13 1 -10 . I -9 . I I 10.1-11.5 1 -17 1 -13 1 -11 I .. " I .-67-:82 1 :63 0 1 0. .1 0 8 _ 4IEST. GLAZIC G• - 2.9-3.6%' mss. V 1 A -Value of :Insulation i ' points I 1,11.6-13.0 I -21 I =16 I '14 I I 13.1-14.5 I -25- ( -19-16 .1 upI=- I 0 I -1 I I i -2. 9 r SKYLIGHT - 0-1 3% �• 1 114.6-16.0 1, -29 I -22 1 -19 1 I 1 South _ V 0 1 3.2 1 6.4 1 8.0 19.6 10. ' SHADING (Ei' clude Overhang) _ I I1 I j I I 19�-�. - I "'♦j l I' I I I I I " I i to 1 to. I; to I to ' I up 1.3.1 I 6.3 1. 7.9 .1 9.5 1 . Table 3-8. hest=Facin GlazingPes. EAST- - - 3.5 . 66'1 24 1 +2 1 - 10 1 +3 I 1 I Glazing.Type . I ;0 -.18. I .I9-.42 I .0 I'+1 1 +2 I +2 I +3 O.I.. 01 SOUTH - 3l 19.- 42 Total I I. 1 x af. I.Sngl. Dbl, Trp! .1 .43-.66 I .1 0 I 0I 0 I b I -1 i -2 l -2 I. -3 WEST -. 3 G .13- 36 y able J -S. 'NoEth-F!c1nS Glazin¢ Pt a , I Floor ( (U.•: I (U I (U ,1. 0 1 -4 ( -4 I `-6 .SKYLIGHT. - d.Z .37-.57 ►Z --�- r I Area 11.10) 1 0.65) 1 0:41)1 I I oints. I oints I ointsl We -at ' 1 .1 1 1.61') 3.2: 1 6.6 1 9.0' HORIZONTAL, SOUTH OVERHANG 2' . !. s •� Glazing T g Ype 1 I Total . ' I I 0 •:' +6', +6 +/� I: up to 1.3 ' +5 I +6 1 +6 ;1 (to ' 1 to 1 to I to I up 1 1:5 1 3.1 1-6.3 'I 7.9 I 12'.: MOVABLE INSULATION -NONE NONE (� I of Sngl, Dbl, Trpl, I Floor I U •' I U - I U • I .1 . I 1.4= 2.2 1 +3 I +4 1 +5 1' ' :'1 � 2.7- 2.8 I 0 1 . 1 . _ :1' Atee i. 0.66 1 0.41- I 0:41 I 1.10 0.65 dope +2 I +3 I' 1 1 -3 1 0 +1 1 ; 0-:12. `� 0-1 +1 1. +3 1 +6 1 ',+-77 13.', INFILTRATION (Standard=0)(-Tight=+12) � 7 - 4.21 -5 ( =r 0- I •13-36 0 T 0 I 0 THEOIAL MASS' SF ' II +1 +y +4 1.2 +4 4.3- 5.0 I -8 I -4 5.6 1 .3Z-.57 0 -0.1- 3x -6 114:, 1 1.3- 2.3,1 +1 "I +2 1 +2 1 .1- -10 1. -6 1 -S 58-:92 I -1 I -3a .-6 Ir -12.1 15., GAS-FURNACE"(SE) 71-76% I 2.4- 3.6 I -2 I 0 1 +t I -1 5:7- 6.2 1 =13 1 -8 1 -6 I 16:3- 6.9 1 -15 I �u�P� I, -2 '.I •-4. 1. -'�I 16.""'HEAT PUIiP (EER) 7.5-7.9% .. ' r I ,-1 ' 1 . 1 4.9- 6:1 1 -7 1 =4.' I .-3 I'' I 6.2- 7.3 i -6 -10 I -T I 7.0- 7.6 1 -18 I -12 1 -9 ..1 I 7.7= 8.2 I .-20 I -14 1 -11 1 Skylight','I .:1,, I ,8 1 1.6.1 3.2 I 4.0 -`. 17. DUAL ,,� (SE,. SEER) $;-0=8.3/71-76% , -9 i I -5 I -' 7.4- 8.2 -12: _-8. '-7:''1- I 8.3- 8.8 1 -22 I -16 1-13 1 :1 4.5 -25 -18 I 1 to 1 to --.I -to I to -• I to '7 1:5 13.1 I 3.9 15.2. -PACK WOOD, STOVE 'r� .-�14 -10 -8 I 9.8-10.8 1 -17 1 , -12, 1 -10 1 1 10.9-12.0 I -19 .8.4- -15 -27.-1 -20 1 -16 J 10:2-11.0 1 -29 'I . -23 I '-17 1 9-12 -T---T---T 1 0 I +1 ' 1 .+7 I +6 I +7 WATER,`11EATER_ 1 -14` 1 -12 1 I 12.1-13.2 -22 -16 -13 1 1 11.1=11.8 I .'-35 I -26 1 -21 ) 11.9-12.7 -29 -24' •13 36:.1 ..]7 .57 • 0. 1 .0: 1. 0 I :0 I 0 0 1 -3. -13:3-I4.5 -- 0 V -24 -1 8,12.8-13.5 1 14.6-15.3 I -2i 1 -20 I -17 1 .-33 . -42 -32 -27 .58-.82, . [:-1 I.-3 I -6 I -12 I -. ATTIC �1i. !o ' .f3 I i 1 113.6-14.3 I -46 I -35 1 -29 1 •83 up 1'-2. 1 -4 .'1''-8. I -16 1 -25 I I.. 114:4.1s.z•I -so I '-3s I -Ji OTHER I Table 3-11: He-rizontal South TOTAL POINTS: • _� Table 3-6. East -Facing Clazin Pts. Table -3-9. Sk lipht Points - Overhane Poin*_• South Glazing._ 1, Length Out L 'Arca, i of Floor, I' -. 1,. 1 Glazing �Pe' I I from: wall - l I Glazing Type 1' , I Total I 1 1 It F - --1 Total 1 Z -of I Sngl, of Sngl, Dbl, Trpl. I Floor I U- I U :.' I Q 1 rl 0-6.3 I 6.4 up.). DbI., Trpl, • Table 3-1. Slab Floor Points - Table 3-2. Raised `Floor Points' I Floor. 1 (U I'(U I (U -•I.. I Area I. 0.66- 1. 0.42- 1"'O.41'i 0 0.5 22 I-rn:vla- f A -Value of'Insvlatidn l I A-Value*of • I 1' Area 1'1.10) 1. I1po:nts 1 0.65).1 0.41)1., Points I 1 11.10`•1 0.65 I down i 10.6 1.0 - I -2 „ i rept I I Insulation f I Depth, : ' Polnta I I a- 1 +4 ointsl +q_ •s4 1 up to 1.3 1 -1 1 0 1 4.1 1' 1.1 - 1.9 1• �l'0'G$- 1 1 : 2 1 ,' 1 0 1.` 1)' 1 I I I Lnches 1 0-2,1 3-4'"1 5-6 1 7+ 1 I I up to 1.3. 1 +3 1 ) 1.6- 2.4 1 +1' +4, ( +4 F 1 +2.•1 +2"1 ' I TrTTI -3 I T I -1 I I : 2.3- 2.8 1 '-6.•I -4 I -3 1. I I I. below 3 1 -12 .' I I 2.3- 3.6 1 -2 ' I 1 0 1 0 1 I 2.9- 3.6 I -9 ' 1 -6 i' -S 1.. Table -3-12. Movable Insulation I I 3 - 4; I 1 0 - -11 1 -5 l -5 1 -S 1 S I -..7 -B ( I 3.7- 4'.6 ( -S -'3"f�1 I �„ I -1 I - I 3.7-• 4.2 I -11 . I . -8 1 -6 Points , . . I S I I 12-- 15 I -5 1 -3 I -2' :I 1' ,I i 8 - 12,' I "-S ,' -6 -4'• I I 1 1-8 -1 S.7- 6.7 i '-10, ' -4 I -3 1 ' I. -6. (. -5 ' 1 _ I, 4.3- 5.0-1 -14 I - -10 I -8 (. 1 5.1. 5.6 1 .:-16 I -12 I -PO I. I Nnveable, Insulation I 1 16, - 19' I . I -2 I . -1 'I' 0 1 J 13 - 18 . I ' r2 ' ; "' 1 ". ( 6.8- 7.7 I -13 . 1 _' -8 : 1 -7 I ; I ' 5.7- 6.2 "1 •'-19,.) -14 1 -12 1' ` I Area, ,Z ,of I " Floor 1 1' 20 + 0 1 +1 I I 19+ 1 0 1, I 7.81-8.7 I -15 1 16-, I • -8 1 • ; 1 6.3- 6.9 I, -21 1 -16 i -13 I 1 1 8.8 -..9.7. I -1.7 i -12. 1 -10 ('. I 7.0= 7:6 1. -24 1 =19 1 -15 1 I 0 5.5 1 0 I; 1. 1 9.8 11.2 1 -21 1 11.3-12.7 1- . -25 ' 1 -15 ,I -13 i -18. I -15 ( „ 1 7.7- 8.2 I -26 1 -20:.1 -17 I I 5.6 - 11.5 1 . 8.3.: 8'.8 I -28 1 -22 1 -19 I 1 11 6 = 17. S ` +4 ./7/83 (' 12.8-14.0 1 -29 I _21 I-. -18 I -' 1 .8.9-, 9.5 1 . -31 1 -24 . -1' -21 I 1 : 17.6 - 23.5 ."1 I ;, 14.1-13.7 ( -32 1 -24 I -20 I„ I 9.6-10.1 I '-33 1' -26 1 -221:123.6+, 8 Table 13. lnfflttation'Control_ Feervres Points . I Control Features I Points I T- I i I Standard I 0 11.9 air changes per hr i I I Tight I +12 " I I 1 0.6 air changes per hr I I i i Table 3-15. Gas Furnace -Without _ Ref ri eration C7ol!ng Points �Seaagnal Efficiency I Points I I (SE). � I I I 71 - 76 I 0 1 77 - 82 I: +2 1 I 83--•38 ( +4 I I 89 - 94 } +6 . I 95' up, I +8 . 1 � 1 Table 3-16.� Heat Amo Points I Energy Efficiency I Points I I Patio (EER) ;: 1 I 7.5 - 7.9 I +3 I 1 S.0 - 8.3 I 4.6 I I 8.4 - 8.7 I +9 I I 8.8 - 9.1 I +12 I .•TABLE 3-14 (ADAPTED) MASS ZONE 11 INTEAIOR'THERMAL MASS POINTS AREA 1,000 v-11 I I 12.4 - 13.2 I +30 I 1,500 the CEC I I I I 2,000 Cas Only i _ 2,500 I Ileat. I 3,000, Table 3-18. Active Solar Space 3,S00 - Heatiwith Cas.PointsCas.Points 4,000 ' 4,560 - Refrleeration Coolln Points 5_,000 - 1 Sl)., FT. I. A B C 0 A B C D A 8 C D� A 8 C 0 A B C D A 8 t '0 A 8 C 0 A 6 C G A B C •, 1 40 - 47 I +10 I _ I. 9.3 - 9.7 .1 +61 +81+101-121+14 1 ( 48 - 55 1 +12 I. " 1 9:8 - 10.3 1 +31+101+121+141+16 1 1 56 - 63 1 +14 '• 1 1 10.4 - 10.9 j+1GI+121+I4j+1,6j+18.1 .1 64.- 71 I +18 1 111.0 - 11'.6 I+121+i41+161+181+20 1 I . ' 72 up I +20 I' 0 +4 +9 +13 +17 0 r 0 0 1.00D••1,199 0 +4 +7 0 +15 4-19 +22 6 F+2 50 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0_ +7 +8 0 0 0 0 0 0 +3 0. 0 4.7 0 0 103. 4 4 4 2 2 J 2 2 2 2 2 2. ,2 2 2 2 0 2 2 2 0 2 2�0 -� 0 2 2 0 0 2 2 0 O I 0 0 0 0 1 150 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 ..2 2 . 2 2; 2 2 2 2 0 2 2 2 0 2 1 2 0 j 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 .2 2 2 2 2 A 2 0 1 250 10 10 B 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2., 2 2 2- ^2 - 2 2 7 2, 2 2 I 2 2 2 2 2 2 i s 309 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4'4.. 2- 4 4';- 2- 2 2 2 2 7 2 2 2 7` 2. 2 ,.2 2 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4. 4 2 4 4 2 2 I 4 4 2 7 2 2 2 2 403 14 14 ;12 8 10 10 8 6 8 8 6 4 6 6- 4 4 6• 6. 4 '2 4 4- 4`- 2 4 4 4 2 4 4 I 2 4 "4 2 2 509 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6. V 4 6 6 6-. 2 6 6 4 2 4 4 4 2I 4 4 4 603 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 6 6 4 2' 6 6 4 2' 700 24 24 20 14 18 16 14 10 14 14 12 3 10 10 10 -6 10 10 'B 6 8 8 -6 i 8 6- 6 4 h A 6 41 6 6 F 7 2)0 26 24 22 16 70 16. 16 10 14 14 1.2 8 12 10 10 6 10 10 B 6 10 R B-4 I e 6 6 4 8 6 6 4I 6 6 6 903 28 28 74 16 22 20 � 1 B 12 16 16 13 10 14 14 12 8 12 12 10 6 10 10 3 6 3 8 ' 8 4 8 8 6 4 1 8 B 6 c i 1,0.0 30 30 25 18 ?Z 20 20 14 18 18 I6 10� 14 14 12 8 12 12 10:x. 6 12 10 10 -6 I 10 ID B 6 8 8 0 41 ,^, _ 8 G 4 i. I.;OU 32 32 28. 20 24 '24 22 14 20 20 18 10 16 16 14 8 114 14 12 • 8 12 12 10 6 10 10 to 6 13 10 8 GI 1J e e 1,200 34 32 .30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 1.4 12°'` 8 14 12 12 8 •11 1 12 10 6I 10 10 8 6� 10 In 8 '6 ; 1,3CO � 34 14 32' 22 28 26 24 16 22 22 20 12 18 19 lE 10 1J 14 14"'• 8 14 12 12 8 12 12 10. °6 112 :0 10 LI 10 ;0 F, fi 1-,400 34 34 32 24. 28 28 26 18 24 24 20 14 20 20 18 12 18 16 1'4 10 lA 14 12 8 14 14 12 8 12 1? l0 6 l0 10 19 5 1.500 36 34 :34. 24 30 30 26 18 24 24 22 14 122 20 18 12 18 IS 1:6 10 116 16., 14 8 14 14 12 t 117 12 10 L I ; 2 l2 1' o i 2,300 I 34 34 32 22 30 30 26 18 26 X26 22 16 22 22 20 14 20 20 1.8 .12 18 18 16 10 16 16 i4 LI 14 14 12 --j 2,500 2, 500 I ... 34 34 30 22 130 30 26 18 26 26 24 1.6 124 24 '2?- 14 22 22 i 3 :2 20 20 18 1. I l y 15 J,000 34 32 30 22 30. 30 26 18 28 26 24 1b I24 24 22 14 22 22 20 i41 :i 23 ,'_ It j -3,500 32 32 30 20. 30 30' 26 ..ld I28 28 24 16 26 24 27 lid '.4 i4 20 14 1,030 _ 32 32 .30 20 30 30 26 18' 28 2Fi 24 It 5 25 .. if I 4,500 32 32 28 20 � 30 30 26 .I s.eoa -- ----_---- 1 72 -,,' ZJ 201 iJ I v :'6 , Aj A) .1. 3's- Concrete -Slab: HC -8.93; R-.29; Factor -7.3 2. 3.3/4' Thick Common Brick: IIC=7.125; R--.13; Factor -7.3 - 3) 1. 5k' Concrete Slab: HC --14.106; P -.45B; Fuc for -7.1 C) 1. 8" Solid Filled Block; .HC -20.63; R-1.93; Factor -6.1 2. 8- Solid Filled Block Wft;O Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Theraal',Mass Area: HC -10.164;, R -.96S; Factor -6.1 D) 1- Thick Concrete/Ti.lei HC -2.55; R-.083; Factor. -3.7 1 9.2 - 9..6-. 1 +13 1 Table 3-19. Zonally Controlled _I 9.7 - 10.2 I +18 i Electric Resistance I 10,3 - 10.8 I,,.. +211 I- Space Heating Points I 10.9 - 11.5 1 +24 I Table 3-20 I P i t f h 1 11.6 - 12.3• I. +27 1 o a s or t is measure v-11 I I 12.4 - 13.2 I +30 I I be comp!eted after the CEC I I I I I has approved an Alternative I Cas Only i I Component Package for Resistance 'I ' I Ileat. I 1 Table 3-18. Active Solar Space 20-29 - Heatiwith Cas.PointsCas.Points Table 3-17. Gas'Furnuce With 60-69 70-•79 , 600-799 Refrleeration Coolln Points I Net Solar Fraction I Points I T- I (NSF), % I +21 I. !Refrigeration) "`-'Gas Furnace 0 +3 +5 Cooling I SE ; I +11 +16 I.171 -171 -j$3 -189-f95 1 0 - 6 1 0 +2 I 1'761 821 881 9,11 up 1 I 7- 14 1 ': +2 1 +12 I 13 - 23 j +4 I 8.0 - 8:3.1 .ol +ti +•41.+61 +8 1 :, 1 24 - 30,+6 +4 I. 8.6,- .8.7 1 +21 `+41. +51 +SI+10 1 1 31 - 39.. I +8 1 1 9.8 - 9.2 1 +4( +61 +614101+12 1 1 40 - 47 I +10 I _ I. 9.3 - 9.7 .1 +61 +81+101-121+14 1 ( 48 - 55 1 +12 I. " 1 9:8 - 10.3 1 +31+101+121+141+16 1 1 56 - 63 1 +14 '• 1 1 10.4 - 10.9 j+1GI+121+I4j+1,6j+18.1 .1 64.- 71 I +18 1 111.0 - 11'.6 I+121+i41+161+181+20 1 I . ' 72 up I +20 I' .7/'7/83 wood stove #33 points'(no back up). casallanca fan + l,point. Multi famil (per unitpoints) - Floor Area Net Solar Fraction (NSF), S per unAt. ft2. 1 System Type I I Points i Cas Only i 0 i I Beat P.mp I I I 0 I I I Solar with Electric I 1 0.9. 10-19 20-29 30-39 40-49 50-59 60-69 70-•79 , 600-799 0 +3 +7 -+10 +14 +17 +21 +24 800-999• 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 " +1 +3 +4 +6 +7 +8 +10 000 and up 0' +1 +2 +4 +5 +6 +7 +9 All others (pe build ng points) BUO-899. 0 +5 +10 +14 +19 +24 +29 4 900-999 0 +4 +9 +13 +17 +il +26 0 1.00D••1,199 0 +4 +7 +11 +15 4-19 +22 6 F+2 1,20fr1,499 0 +3 +6 +9 +12 +15 +18 1 1,500-1.999 0 +2 +5 +1 +9 +12 +14 2,000-2,999 0 +2 +3 +5' +7 +8 +10 1 ),nGO.ar.d no 0 +! +3 +4 +5 4.7 +9 +10 Table 3-21. Other Water Heating Pts. 1 System Type I I Points i Cas Only i 0 i I Beat P.mp I I I 0 I I I Solar with Electric I 1 I Re+istance_Bnckup 1 I 1 Meeting the Require- 1 I 1 ments In Part 2 1 1 t 0. I i I Electric Resistance I I I Only $ L I -40 ! i COMPLIANCE CHECKLIST or �o.1 ,4e e Building Shell Measure Points *Total Floor Area . . . . . •-ft2 1. Slab -on -Ground Perimeter �_ft;Depth•�_in• R 2. Raised Floor R -Value . . . . . . . . . . . . R-- 3. Ceiling Insulation or Construction 'Assembly, R -Value . . . . . . . .. . R- 4. Wall Insulation or Construction Assembly,R-Value R - Glazing Total X Floor, Area Single Double Triple S. North-Facing•.X ft Q '• ft ft 6. East -Facing . ft2 ft2 ft2 7. South -Facing ft2 ft2 ft2 8. West -Facing• ft2 ft2 ft2 9. Skylight ft2 ft2]i . . 10. Shading Coefficient (exclude overhang) a. East . . . . . . . . . . sj SC (� b. South . . . . . . . . . . . . . . SC . . . . . c. West . . . . . . . . . . . .. C d., Skylight ... . . ... . . SC . 11.• Horizontal South Overhang Length . . . ��_�'') ft . 12. Movable Insulation, % Floor Area . � . . . . . . 13. Infiltration (indicate Standard or Tight); —�L 14. Thermal Kass (J�niJ�(�, Exe�ier '�laj�l Thermal Mass D�b,�`"461 '� ; Area, Heat Capacity, R -Value . . ( ftp"j HC, R- �2 Interior Thermal Mass /� Area, Heat Ca a ity, R -Value . 4J ft f HC, R- I `! T HVAC System** V I lAc� �.�•t���,� mil 2�r.� �' : �` 15. Gas Furnace Without Refrigeration Cooling . . . . . SE a (Sea"sonal Effic'ency) 16. 17. Heat Pump (Energy Efficiency Ratio) . . . . . ----- EER_ Q .fir Gas Furnace with Refrigeration Cooling . SE Seasonal Efficiency -(SE), [ q -(SE) Seasonal Energy SEER — r , Efficiency Ratio -(SEER)]., 18. Active Solar (Net Solar.Fraction, X) . . . . . . --~ % NSF 19. Zonally Controlled Electric Re Space Heating stance . . . . . (Yes/No) Lo oosiSole. 'Sourer Domestic Water Heating** 04.e -r- •20. Solar With Cas'Backup (Net Solar Fraction, X) _.-- % NSF j!? 21. Other Water Heating (Describe type) r�...r... Point System Compliance Total (must be greater than or equal to 0), *Checklistitems; not a point system measure. **Attach documentation for efficiencies and NSF. For �Aoy4ov, - 'j'o A i I Go K c emed ; ht,`i ?off 20 a, V16. �Tll.e. ,eA- 64- . clrGulI v.q w�a I I uJvr�.�-�leV- Peet ib� l u4 4e. tnew 6ci t'c-, — �6&W%Mi(� la�&VA5, We C.-C',t- +te -b Gvla •e r1 �� o� fie, c.�.e.c.kl�-s-t--5�e�-�-. l cl�ecl` skrvz Wvr, -Prove -4 e. regal P uj MANDATORY REQUIREMENTS CHECK LIST I. Plans. A. Adequate detail (1403-b), Title 20 -.Chapter 2 - Subchapter 4, Article 1) j B. Statement of Compliance (14037c)- 11. Foundations A Heated basements or crawl space 1. Foundation wall - minimum R-7 insulation (2-5352-c-1) 2. Wood frame - minimum R-11 insulation (2-5352-c-1) 3. Insulation from foundation to floor above (2-5352-c-1) 4. Vapor barrier - Zones 1, 14, and 16 (2-5352-e) 5. Infiltration control (2-5352-d) III Floors . A. Infiltration control (2-5352-d) ED) B: Vapor barrier. -.Zones 1, 14, and 16 (2-5352-e). IV. Wal 1s �A. Wood framed 1. Minimum R-11 insulation (2-5352-c-1)�- -i 2. Infiltration control (2-5352-d) Sole plate Exterior wall panel joints ' c. Windows and doors 1 -3. Vapor barrier - Zones 1, 14, and 16 (2=5352-e Masonry, concrete or other types of walls (2-5352-c-2 1. Minimum insulation as per method of compliance �2. Infiltration control._(2-5352-d) --as_ per wood framed 3. Vapor barrier - Zones 1, 14, and 16 (2-5352-e) Ceilings A. Minimum R-19 insulation (2-5352-a) �,.�...� ! thfiltration control (2-5352-d) '�' Openings sealed _ F= � J, 2. Attic.access--weatherstripped.;Y, Vapor harrier - Zones 1, 14, and 16 (2-5352-e)' ��,, D�jxhaust systems (2-5352-d-4) [YBackdraft damper VII. Fireplaces (2-5352-d-5) HA. Combustion air to firebox B. Damper on combination air C. Damper in flue D. Tight fitting doors VIII. Ducts (2-5352-f) . . Installation as per U.M.C. B. Insulation as per U.M.C. IXL..L General lighting --kitchen and bathrooms (2-5352-m) -Fluorescent light duct X. Piping A. Water Heater - to and from (2-5352-i-2) --R-3 insulation minimum - for 5'- Recirculating (2-5352-j) --R-3 insulation minimum 9C. Showerheads and faucets (2-5307-b) --Water saving type XI. Equipment A. Heater �ater Minimum R-12 insulation wrapping (2-5352-i-1) - a --Certified (2-5307-a-1) n Natural gas cooking appliances --Continuous burning pilot.light (2-5352-t) Space conditioning - Certified (2-5306)_ --Siied (2-5352-g-1) --Set-back thermostats (2-5352-h) XII. Additions, alterations, and repairs (2-5301-c) A. Additions to conditioned space 1. Foundations - see Mandatory Requirements 2. Floors - as per PACKAGE A Requirements , 3. Walls - as per PACKAGE A Requirements , 4. Ceilings - as per PACKAGE A Requirements 5. Glazing - as per PACKAGE A Requi ement l terations and repairs (o• All. a:�vr`}4: Appil , -as per .local jurisdiction C. Additional Insulation (2-5306) , XIII. Swimming pool requirements (275352-k) A. Heating system -B. Cover , C. Directional inlets D. Time clocks , E. Solar connection , A. Insulation Certificate (1403-d) E5XIV Requirements of equipment suppliers, and contractors B. Occupant information (1403-e) l , L e � r C Pry, o �j S Pry, .S cs #86226 MC .: SECORDED IN OFFICIAL RECORDS . , ' JF BUT MCOUNTUALIFORNIA AT.THE REQUEST OF .1986 FEB .10 PM: 12:- 33 ELEANV M:BECKER CLERK -RECORDER FEE 8_�S ' Return to DPW - AGRICULTURAL STATEMENT OF ACKNO�I_ i N'1 FOR"RESIDENTIAL DEVELOPMENT . Section': 26-8:1.of the Butte County Code requires th_is.,acknowledgement be recorded prior .to issuance of a building permit. The 'property. described herein is adjacent to land or included .:.. EDAM ORIGINAL ., within' an, area; -zoned for agricultural ' purposes,. and residents ,of'.this DOCUMENT y5 .prope'rty,,maybe°subject'to inconveniences.or discomfort arising from �,. ` the use of -agricultural ch_emicalfs, including- but.not'limited to herbicides, pesticides, •'- and' fertilizers; and 'from. the -.pursuit of agriculturaloperations including, .but, not limited to`'c'ultivation '_plowing,:spraying, pruning, and•harvesting:which occasionally generate dust;° smoke, noise, and odor. -Butte Count•'.has established agricultural zones which have as a prio.rity;.use-'fo,r productive ,agricultural purposes ;'and residents within said zones and on 'adjacent,proper-ty should-be:pre'pared to. accept such,inconvenience or-.disconform from normal, .necessary farm_ operations.' A1'h •that real property situate in 'the -County. -of Butte, State off`' -California, described as _.follows Lot 111,'as,shown on':that_certaih-Map entitled, "BIG CHICO CREEK ESTATES UNIT 4";:which Map was filed in'the Office of the Recorder of .the County.of.Butte, State of,.California, on May T3,,1983, in .Book. -.91 of 'Maps, at Pages 28 ahru 33. Date:` '' rZ' '/ V PROP RTY OWNERS -State:of, calif_ ) On this the 10 day of February. 19 86 before SS.. me, the undersigned Notary Public, personally appeared County of '.Butte ) Robert R. Morton /x/ Personally known to me. / / Proved.to.me on -the basis naa®ld-CFSffiaET;WL VRIO of satisfactory evidence. MARY to be theperson(s) whose name(s) subscribed to NbTARY PUf LIC-CALIt IRNIA the within instrument and acknowledged that ,p• FS�ha Cc>�„ry . ,,.��,• � m"i�.ar � r1_>,ra4Nw30��;8: � executed the same for the purposes therein contained. , IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public ; Present A . P . No. y a --'YC� - " Mary R. CAsebeer j �-� ' ! 043-710-004; 98-2948P YKIN Ra BO ymond 862 Westmont, Chico Cont: _ Watts Plumbing Install. water Heater 4 i _1 � err •'COUNTY OF BUTTE -DEPARTMENT: OF,DEVELOPMENT SERVICES.- BUILDING -DIVISION 7 County Center Drive Oroville, California 95965 • ,Telephone (530) 538775.41 PERMIT NO. (Rev. 12/96) APPLICAT1 -N-AW-PERMIT I ASSESSOR PARCEL NUMBER 041 r /d -0.06 ZONING 2 BUILDING PERMIT OWNERTELEPHONE. f1 G .v &3 ' AJ SO. FT. OCC. BUILDING VALUATION . OWNERS MAIuNG AbDRESS J - CONTRACTOR'S NAME I J4 i1•s PIiA �. TELEPHONE AY:)51*0 CONTRACTORS MAIUNG ADDRESS Uo A., , .,, , ,f- t^ L► I r � , CONSTRUCTION LENDER [Fireplace . LENDER'S MAILING ADDRESS Tota[ Valuation $ ARCHITECT OR ENGINEER DENSE �' Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS - R A-' Energy, Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONSNAME ._ PARCEL 'MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTUREA, SF D, --Duplex ❑ Mobilehome ❑, Other / sPECIFr Each Trap 7.00 Solar or heatpump,water heater 23.00 Water piping 15.00 Each as water heater -or vent 15. . 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utllities ❑ Installation El Other ❑ Describe Work: 4�N G /r`*.:.'. A..'a ,6 ti' t7 •yrs• 7r V'/ I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (x]20.00 PERMIT FEE .t' ELECTRICAL PERMIT Fling Fee 20.00. i Main Service z•oovn CR mss. 23.00 LICENSED CONTRACTOR'S DECLARATIONMain ( 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 fulLforce and effect. , ? „� r _ f •�; ,,,, `��j — -, -License Class r Lica No. , ` OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for�the following reason: OSI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered. for sale. ❑ I, as owner of the property, am exclusively contracting with licensed_ contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: . ❑ 1 have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation' insurance carrier and-poll`cy number -are: Carrier ~/'? i'i� "t'�.�.!%�� Service 200A TO 1000A 46.00 NEW CONST. DWELUM OOCUP. OR ADDNs. a ACC. BUDS. So ' 3.5¢FT; NEW GO NOWR6ID. N5T' MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET OIR: :. - EX. OCCU . OUTLET OR FORURES e4L ®1.550 Ex. Occup. o .GEA= 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood. 6.50 Ventilation PERMIT FEP $ Policy Number (The above sections need not.b`e 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 subjec4 -to workers' compensation laws of California, and agree that if I should become subject to the . r workers' compensation provisions' of section 3700 of the Labor. Code, I shall forthwith comply with those provisions. ,c Z. } X rlr�ar- % �- ' u�' Date A*, /7�if Signaturerof'SApplicant' - 13 -Owner- GI-66ntractor ❑ Agent/ An OSHA -permit is required for excavations over 60" deep and demolition,or,construction of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr.TrPE TOTAL FEE•,$ 3:5, v -o I+Az• D• FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit Is hereby issued under the applicable.provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. M1 By 3+` Date->''' PERMIT EXPIRES ON (Data) rReceipt No. „2 a� a`o 9 1TE-D.D,S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR. GOLDENROD, -APPLICANT COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES: 411 Main Street * Chico, CA;-, (530):.891-275,1 7 County Center Drive e0roville, CA -: (530) 538-7541 CORRECTION NOTICE' OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the abo'ye.address and should be corrected. Please notice this office when correction of work is completed. If you have any:questions pertaining to this.matter, or need additional explanation, please contact this office immediately. e e - 7L -0 "V?lo Ile, 7 K' I. I . bate REV 10) Inspector P� K' I. I . bate REV 10) Inspector ` ( 043-Z1&-004,; 03-0932' \VE BOYKIN, RAY 862 WBSTMONT DR, CHICO Cont: BAIRD ROOFING j RE-ROOF COUNTY OF BUTTE°- DEPARTMENT OF DEVELOPMENT SERVICES - E$UIL"DIN DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530)5 -7541 Np (Rev. 12/96) APPLICATION AND PERMIT- C 3- ASSESSOR PARCEL NUMBER nL7.,, �/� +. V� L V zOfHN° BUILDING PERMIT OWNER TELEPHONE,/' SO. FT. OCC. BUILDING VALUATION .-OWNERS�A1lJ�lJNOi A`DDR,E6($ !i � + � Jj�f✓' f/�) /n b' 100 CONTRACTOR'S NAME f� o0 ���i �' TELEPHONE �'�,� U4..906. o0 CONTFU f ^ // �� "/�.• �'J (j TORS MUNO ADDRESS V,V/ J CONSTRUCTIONS LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER -. LICENSE NO. Filing Fee $ 20.00 Permit Fee //'^' $ , 60 ARCHITECT OR ENGINEERS MAIUNG ADDRESS - Plan Checking Fee $ BUILDING ADDRESS �, 1 •� 14111( ` j !/ Energy Plan Checking Fee $ $ PERMIT FEE $5< .Q LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.0.0 Water piping 15.00 Each gas water heater or vent - 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ,.:.... /� 7 Describe Work: /t f�JC �VVi' } �i�,/C C" � 1 .���'%�.%✓ O.0 Gas' i in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z80o0o�v, 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. ��///I License Class Lic. No. ( 61 O WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason:. a ❑ 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 2O0A TO 100 -OA' 46.00 NEW NCONST. DWEWNG occuP. P- OR ADDNs. ( a ACC. BLDs. ISO N—ON-I ESID MULTI.OUT ,, 7,50 97.50 POWER APPARATUS. & SINGLE OUTLET CIR.. Ej(, OCCU OUTLET BAL O 1 00 so Ex. Occup. Aoa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the . performance of the work for which this permit is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the.performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AM Policy Number i R' --(n (The above sections need not -lie completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this.permit is Issued, I shall not employ any person In 'any manner so as to become subject•to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions -of section 3700of the Labor Code, I shall fo with comply with those provisions.. /�l ~ _Z// /j X Date / / Sigriat re%%of Applicant. Owner gContractor ❑ Agent /'• An OSHA'plrmit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCP tz • J TYPE (71k'[ TOTAL FEE $' g3 , 0 HAZ. FEa IMP V 'FLOOD COF PARCEL PD HD SSUE ✓ 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 ��/1LJL �Y/F��/ Date �- PERMIT. EXPIRES ON para Receipt No. S. f WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/961) APP)-ICATICN AND PERMIT C ASSESSOR PARCEL NUMBER 77 ZONING BUILDING PERMIT OWNER E SO. FT. OCC. BUILDING VALUATION .OWNER I/O qqjjii /�J^ V /]� CONI "S 'S .a N /) r . 00 CO IS KWUNG ADDRESS /J C0*N&TR[-uc7ncX LENDER Fireplace LENDERS MAILING ADDRESS Total Valuatlon $ 1 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ r 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS n p� Energy Plan Checking Fee $ $ PERMIT FEE $ ,Q LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY 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 3pA� ��))Work: c .t/ f,[7 Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ r S' ,1 �ob I ELECTRICAL PERMIT Fee 20.00 LESSFling Main Service ='A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful f Le and effect. �j // License Class Lic. No. /Qt 6� IAo INNER -BUILDER D C ARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service To 100 -OA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( DW:CU W: ACC. BLOS. SO 3.5¢FT. ON -REBID, OUTLET +NEW MULTI1 CIRCUITS - 97.50 POWER APPARATUS a SINOLE OUTLEU OIR. Ex. OCCU OUTLETD!D OR FIXTURES �L ® + Ex. Occup. ounECTs�EsID°EA. 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' comppens�� n inur nge�carrier and policy number are: Carrier ,'r 7 /1/', Policy Number a&' (rhe 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, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the wor ers' compensation provision f section 3700 of the Labor Code, I shall comply with th se rovi o s. X Date Sigpplicant - ner Contractor ❑ Agent +rA An is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee 77777 Energy Inspection Fee $ �,_5 E TOTAL FEE $ g3 , 00 J (l 1 T�FE HAZ. D IMP I FLOOD I CDF I PARCEL PD HD ISSU 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. LLJJ By rm Date "7'^ PERMIT EXPIRES ON 7 �/ g4.1 ate Receipt No. .S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ER I (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0y3 - 10 e) o'4 ZONING BUILDING PERMIT OWNER� 1 Ci �i own 0 0 1W I AY TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNO AbDREsS �- + J 5 9��. CONTRACTOR'S NAME TELEPHONE C G 21 CONTRACTOR'S MAIUNG DRESSL .i./ T CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � 4- .v � - Energy Plan Checking Fee $ t L O PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPEcFv Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 So TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: TA, $ y'Q /� Lcl(,� tf 6j �p B� 7j't'/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Q20.00 PERMIT FEE S 3 $ . o—a ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20w oA LES 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 / J is i l o c a d effect License ClassR. ic. No. -2020 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law f e 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 PDA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50Fr; MULTI NO"ENEW SID. OUTLET 97,50 Ic a SINGLE OUTLET APPARATUS Ex. Occup.OUTLET OR FIXTURES ® 1'00 BAL @ .50 Ex. Occu , ovrLEtsA�pio, C.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t 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' comp�tio insur ce carrier a I number -'are: Carrier Policy Number — (The above sections need not be completed fte per it 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, a agree that if I should become subject to the workers' compensation provisio of section 3700 of the Labor Code, I shall fo h comply with se pro ions. X Date rASignature pplicant - wrier ontractor ❑ Agent n OS erm is required for excavations over 60" deep and demolition or construction st ftures o r 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $, 35, e -a D FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Receipt No. 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) J OK ` ^J '` O. Not OK - ='Not Applicable' . =Not Ready MOBILE, HOMES p I� �SC�LLPi�G�US ,' Date MOBILE HOME UTILITIES (Plans). OK except Ws-: Date EC VERS, CARPORTS,"GARAGES, Plans OK exce t #'s',' " I 1: ZoningRequirements-Setbacks-Easements. oning Requirements -Setbacks -Easements - 2 Soils; Special, MH Support. Sketch,.- F20 tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer: Location -Test -Fall -C/O Concrete , Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ` t 4. Water; Location-Test-Easement'Needed'(Sketch)4:-Wood ' f Awn.;Posts-Beams-Rftrs.-Coonectors, . �.•/AmpConcret 5: Electncity; Location -Clearances Grnd-/° e Shthg:-Rfg,-Bracing ' 6., Gas;.Location-Test-Wrap:/ /LYt Y < 5. Alum. Awn.;. Col umns-Connectlons-Splice-Decal -Enc losures • '. r4, I"N_af.'or/. /''L"tt./ /"LPG 6: `Carports;•Windows-Doors 7::Utility. Clearance, . .... 7. Electric. = 8. Frmg:,Sils-Anchors-Studs-Rftrs-Trusse's.' 9. Siding; -Nailing -Veneer -Stucco -Mesh •'.10: R of;Shthg-Roofing" ., Date - Card 8-1, Date Card B-1 . ' 1 :Ext.;.Steps-Doors-Landings Date Card Bc1 r, ., Date =• Card B-1 Date MOBILE HOME JNSTALLATION (Plan's) OK,exceot Ws 1'.Zoning'Require men ts-S etbecks.Easements .. ` ' DatexS16. / • 'c Card B-1 Date Card B-1 2 Footings; Size-Spacing-Marnage•Une.,.' Date ,'_4 ( Card 13-1' r� 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-Soilsi `Coinpaction-Structure Stability 6, Water; MH Test -Regulator -Connector ., 3. Pool Structure; Steel -Connections -Thickness T. Water "andSewer Connected -C/O to Grade -HD Approval ', , Dead Men -Lining , 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Ughting, Distances-GFI :w 9. :Exits: Ins Sketch p` 5.: Elec:;;Pool Ughting;'15 volts-GFI a 0. Cert. of Occupancy •. 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7.,Elec:;,Bondin Metal w/5' -Circulating Equip. -;Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lgntg. Date`,' Card;B-1 Date -'Card B-1 Boxes;Enclosures-Panelboards=Ins. to Main in Conduit Date Card B-1 Date ' -• Card B -T 9. Health Department Approval grovel 10., Plumb.; Cir. -Test -Water Supply Test Date. Card -B-1' Date Card B - T. Date Card B-1 ' Date Card B-1 t J=OK ' O = Not OK - = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK'except N's 1. Zoning -Setbacks -Ease men ts;Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3..Ftg.;:Garage; Soils -Steel -Elea Grnd.-/ r Ftg. Depth 4` Ftg., Porches &Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls Garage; Steel-Blockouts-Wra G g pped 6a. Holli Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel, 9. D.W:V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10., Gas Pipe; Size -Anchors 11. Water Pipe; .Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15.'lnsulation Date Card B-1 Date Card B-1 Date • Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except p's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water'Pipe;,Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower'Pan; Test, First Floor -Tub Access 2,0: 'Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date. ELECTRICAL (Permit) OK except ti'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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or Al, -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main. Disconnect 31. Equip. Clearances Panels -Motors -Meth. 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 a's 34. A.C. Ducts Insulation & Support 35. Vent'Fan: Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B -1 - Date Card 6-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearino (NOTE: An entry must; be mad i jingle & Duplex) Date FRAMING (Continued) J 45. Hang ers- Post. Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. I 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- ill H t. 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 a , Date Card -B-1 DateCard B-1 Date Card B-1 bate Card B-1 Date _FINAL (Plans) OK except 11's 61, Ext. Steps, Door & Sidelight Protection -Landings 62. Smoke Detector ' 63. Furnace; Vents -Clearance -Comb. Air -Connector- E In Garage; Above Floor -Ducts -Meeh. 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-Cooki ng' 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 -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A:C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance-firep lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation .Throughout House 87. Glass Protection 88: Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date . Card B-1 w Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: each time you visit job site) 'COUNTY OF BUTTE - DEPAR:TMENT OF'PUBLIC.WORKS- PERMIT NO. ' 7 County Center Drive.-,Orovllie, California 95965 - Telephone: 916/538-7541 ` APPLICATION AND PERMIT A n ASSESSOR PARCEL NUMBER _ ,' -. _ - - - 42-46=004 •; ZONING - .. BUILDING PERMIT _ O INE lay -Boykin C TELEPHONE 894 0942 SO. FT. OCC,. BUILDING VALUATION. 0 840.00 OWNER'S MAI;LI.NG ADDRESS - ' 862�stmont Dr.;, Chico. 95926 - CONTRACTOR'S NAME - - John Conngr 40 1 — ';TELEPHONE 3. - - CONTRACTOR'S MAILING AD RESS - 2 •.. 2 Fireplace CONSTRUCTION LENDER.- - UNKNOWN' Total Valuation.- 1$840.00 Fee X0.00 L`ENDER'S MAILINGADDRESS - _Filing Permit dee $16 00' A R CHIT F CT .OW -1-T, WEEP, .- - - - ',LICENSE NO. Plan Che --king Fee, - - $ 19-00 Energy -Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS - P.enalty. $ BUILDING ADDRESS' - - - Permit fee - - $ 41.00 PLUMBING PERMIT Filing Fee 10.00 862 West-mont Dr. Chico . Each Trap 2.00 Solar or Beat pump water heater 20,00 LOT NO.SU BDIVISION_NAME PARCEL MAP ,(`tater piping 5.00 - Each qas water' heater or vent 5.00- USE OF STRUCTURE GG SFIR .Duplex❑ Mobilehome❑ Other ti�T ""�.C�L� SPECI Fr Gas piping 'system 1-5 outlets 5.00 Building sewer 5.60 Mobile Home S G W 10.00 ea TYPE OF WORK New Add ition❑ Remodel[:] Utilities.[]" Installafion�-- Other. Describe work: Pool -Deck.- " "Permit Fee- $ Contractor . ELECTRICAL PERMIT ' Filing Fee:. 16.00•' Main "service e0ov OR LESS 100'.AMP OR LESS 10.00 Main service EA, ADD -L 100 AMP 2.50- '4 CONTRACTORS LICENSE'LAW I declare underpenalty of perjury er'urY (econe): : _ ❑ I am licensed under provisions .of Chapt. 9; Div. 3' of the Business _ and, Prof essi ons 'Code and my license'is in full "force and effect. License No. Classification. ❑ I, as the owner, or my .employees with wages as their sole::conlpen-_ 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, SLOGS. , h�SQft NEW CONSTRU .OU LET 'NO N•R ESID BRANCH CIR ITS 2.50 ea . POWER APPARATUS & (SINGLE OUTLET CIR. - :Ex. Occu p " OUTLETS OR FIxTURE3" eA L&3o Ex. OCCUp. OUTLETS P(RESID )FIXED APLNS. REA.1 2.00 Temporary service 10.00• Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of..perjury (check:one):MECHANICAL ❑. The",permit i.s for $100.00 (valuation)_ or Less. '` ❑ 1 have placed on file with 'the -County of Butte.Building Department a Certificate of Workmen'_s Compensation.lnsurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any -manner so as'to become subject. to the W. C. laws of California. Notice to.Applicarnt: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such 'provisions or this permit shall b63 deemed.revoked.- . PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.06. Ventilation Permit.Fee Contractor L certify that I have read this application and state that the above information is.correct.1 agree -to -comply to'all County Ordinances. and State Laws relating. to building construction, and hereby authorize, representatives of the County of Butte to'enter,upon the,above-mentioned property.for' inspection purposes.TOTAL I.also agree to save indemnify and 'keep harmless the County of Butte against all liabilities, judgments, costs,'and expenses which may in any way accrue again 'd Co sequence of the granting :of this permit. X �— -Dat Signature of Applicant —' Owner Contractor El.-*, Agent.❑ ." ion of structures over.T-stories in height: An OSHA permit is required for:excavations'over 5'0' deep ond'demol,ition or construct-6ZV Mobile Home Installation Fee -$ Energy Inspection Fee $ EHAl corlsTTrPE FEE$.41.00 CUA PARK SCHL FLD• CDF PAR PD ) H ISSUE, Th' s. permit is'•.hereby issued unoer the appllcable prove'.:. sions of the•Butte County. Code. and/or resolutions to do work indicated ab for which .fees have been ;paid. P LIC WORKS Bv Dat PERMIT'•EXPIR S Date / Receipt No. >WNITE-D.P.W., YELLOW-A3DE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT, � ` ~, `'' - fi ,.�•,' r' of - �'� r7}? s �,� •>;c:�: -�Y+ 1 _ S { _ J f f.:>' lr �} { ..r a ,- . , •o-.. -} ,11 ,rl � _ th .•��; lY',. i= 1 _..u'': n. �'.; "'U' t - ,. - , ,L°.. • � � � 1. 7.1.E . i ., 2 � 1 �� � - - - _ - .j. .. Iii; f - � �- .. 1 f .. n i,. ! O. .. • 81 Sw • .. - .tib '-. •� , W F' f t;, \. Z � , , r r , F •, �. •� � ,� i . y Q9t4" S� i �. .11 J{ �� ♦w .~ , 1. •�6 ( '\'f .. it � 1. M { % t % _1... \ ,.arwva ">.b •nr2`a'�m �'".awd. �.:a d,Lfi:��'�:.>e.SSRS:,�.4Ye.:!�eJI�,J.�..1Y,�r".�iht?c'!.tY.r3mh�E•.{%+94.'xAAw VwFe`aYa��JK4I��Ktti' i�'"�`'G�xYAt�a��a�waawr'� �:Y'w•. f.�,straeav�c�fn ugcu�yw.a rvdvanxv�'a.bnaw���� > , .._ '��� U >. e{^h (t `t .iivr}. �':-..,.. 1: '^! r�W�•J�t '�. ��"7'4� ...r .,L."�'.{^t:R. ,it;.-l.]v iKi, J,s `•• 1t' y'�.6^" '� ,. v.: e.y L.' ,yc^ Aa l� �':n {.. COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEs'Cf LIFORNIA 95965 - TELEPHONE: 916/538-7541 f PERMIT APPLICATION DATA SHEET y ` . %; Permit No. OWNER 7 /� /\% P o. Build.i.ng Proposed Building Use��C Inspector Date At time. of. permit application, I was advised the:following data must be submittedprior to permit processing and/or issuance: DATEJRECEIVED APPROVED 1 .All items have been submitted............ ............................. 2�Plot plans in duplicate/triplicate, signed by preparer of plans.....'... . . f � 3. Complete`plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans.and calcs, with'<wet.signature on plans .. 5. Hazardous Material Form ..................:::...................... 6. Energy Design Compliance and supporting documentation ......... ' 7. Statement of Intent for Non -Heated and AC'Buildingsn ..._.. -a' 8. c h Engineered truss details and layout it 'dupk@$ (required prior to plan ck)� 9. Mobilehome installation data including manufadeurer's installation instructions .............................: ....... 10. Fees of $ .... .. ........ . 11. Chico Urban Area fees paid ............. 12. Park fees paid ........ ........... 3. School District fees paid ............... anitation approval from �'/ C 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 appro.val.for (A) Use: (B) Parking: ' 18. Improvements may be required. Contact LandZevelopment 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, Classification„ ` 22. Certificate of Workmans Compensation. Insurance.... ............. 23. Owner -Builder Verification (Given to owner:o;..Mail to owner ❑) .. .. ' 24. ' Recorded copy of Agricultural Acknowledgment St t , ent ... 25. Letter of signature authorization 26. ` 27. '1 When you issue the permit, process as follows: Mail .to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. t Other 77 Appl icant L ----Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of:plans sent Health Dept. Fire Dept. Other- Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 9_ Aririitinnal 'itamq ramlirari- Contractor, designer, owner, was advised of above required data by_phone_-jnail—counter by ..date Contractor, designer, owner„ was advised of above required data by_phone_mall_counter by date Plans checked by Date! (96 (91 Plans approved by I;W' Date Sets of plans on hold in; File cabinet AP folder Copy—DPW Buildina.Department FROM: Environmental'Health SUBJECT: Sanitation Clearance.-.,, Owner Water Supply �,. 'Plan Approved for:. Sewaqe Disposal Hold. -final for: Water :Supply , Water Supply 7inal clearance O.K. for: Clearance for bedroom mobile home. Other NOTE *** 41 Sanitari COUNTY BUTTE 'DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County C ter'rlve - Orovllle; California 95965 Telephone: 916%536-75' APPLICATION AND PERMIT, _ ASSESSOR PARCEL NUMB R- - :42-46-004 ZONING s 'BUILDING PERMIT'_ 'OWNEr. Tay' Boykin TELEPHONE -'. 894-0942 - FT. OCC. BUILDING, 'VALUATION , 84o. oo OWNER'S OWNER'S MA ILING.A.DDRESS - 862 Wastmont. Dr. ; Chico"' 95926 CONTRACTOR'S NAME', _ - AWk John Conn r 0-77 I — TELEPHONE l 3 RACTOR'SLMAILING ADDRESS T . 240. Fireplace. CONSTRUCTION LENDER - -' -. UNKNOWN- - Total -Valuation'' � - $ Filing Fee $ - - 0•�'{q LENDER'S MAILING ADDRESS ,•. ,_ •� ,'"r - _ Pe`rnI Fee $1'6 00 ARCHITEC 7'OR c.v ;I;JEER" - _ !CENSE NO. Plan Che,_king Fee _ $ .- - an Energy Plan Checking Fee $ ARCHITECT OR'ENGINEER:S'MAILING ADDRESS Penalty $ BUILDING ADDRESS .• - - -. .- Permit fee ". $ Ai nn PLUMBING PERMIT Filing Fee :• 10.00 862=:West=mint Dr., Chico. Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - 'PARCEL MAP Water piping .5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE G SF�''Duplex ❑ Mob ilehome❑ Other DST- SPECIFY Gas piping system1 - 5 outlets 5.00 Building sewer 5.00 'Mobile Home - S JGJWJ 1b.00ea TYPE'OF WORK New Addition❑: ,Remodel❑• Utilities❑ Installation❑ Other--' Describe work: -'Pool Deck '—' Permit Fee.' $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service spiv OR LESS 1 100 AMP OR LESS 10.00 "Main Servlce'.EA. ADD'L 100 AMP 2.50 - = 'CONTRACTORS•LICENSE LAWN I declare under enalt •of perjurycheck one): P Y ( ) •❑ I' am licensed under provisions of Chapt. 9, Div.,:3 of the Business and Professions Code and my - license is' in full force and effect. :License No. Classification. ❑ I, as, the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure .is not. intended or offered for sale. (Sec.. 7044) I, as the owner, am'`ezclusively contracting-with,licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS., // , /20sq ft NEW CONSTR __Q .NON•RESID BRANCH CIRCUITS) POWER APPARATUS a\ ( SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20S50t BALe30 FIXED APLNS Ex. OCCup. OUTLETS P(RESID IREA.). 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):MECHANICAL ❑ Th'e permit' is.for $100.00•(valuation).or.less. ❑ 1 have placed'on file with. the. County of Butte'Bui,lding Department- a Certificate of Workmen's -Compensation •Insuiance.or a Certificate of Consent to Self -Insure. I shalknot .employ any person in any mannerso.'as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W.,C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked., PERMIT Filing Fee 10.00 Heating Cooling. Hood 3.00 Ventilation pertnit Fee $ Contractor I certify that. i._have read this application and 'state that the above information is correct: l agree to'comply to all County. Ordinances and State Laws relating'• to building construction,'and hereby ;authorize representatives -of the County of Butte to enter upon the above-mentioned mentioed 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 again id Co sequence of the granting of this permit. .1 X T^_ G-�t �— Date'' Signature of Applicant - ,Owner Contractor ❑ : " Agent ❑ - OSHA -permit is required for excavations, over 5'0" deep and demolition or construct- f structures over 3 stories in.height ..; ^` 'Mobile Home Installation Fee $ Energy.lnspection Fee $ OCC CONST TYPE TOTAL FEE'$41.00 HAz. CUA I PARK SGML , FLD CDF I PAR PD I HD • ISSUE This permit is hereby issued unser the appiicable provi- sions of the Butte County. Code and/or resolutions to do work indicated -above for which fees have been paid. •t -DIRECTOR OF PUBLIC'WORKS By Date PERMIT EXPIRES Date " Receipt No. M� WHITE-D.P'.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ~COUNTY.OF BUTTE. DEPARTMENT OF PUBLIC; RKS PERMIT NO. 7 County Cenfer,_Drlve - Oroville, Cal,Lfornia 95965 -'Telephone 9;16/538-7541 , ASSESSOR PARCEL NUMBER '. •• - , ; -;�, -- - .ZONING, �_T[[�yE,LL�E,PLHONE - FBUILDING:'PERMIT :• OWNER ��` '. SO., FT. 0 BUILDIN •- LUATIOW-' - OWNER'SM,,Cp�.�LING DDR ESS, t�(oZ estor�t.: CONTRACTR'S,NAME- '/-y, -: LING: HON TELEP, E .- CONTRAC R,'S_MAII ADDRESS r f=fireplace . CONSTRUCTION LENDER •, •ADDRESS,.. 1 UNKNOWN Total ValUatlOn$ - Filing Fee, -, - $ .10.00 - LENDER'S MAILING .,. Permit Fee $ ARCHITECT OR:.ENGINEER ` - "-LICENSE .. NO,' ..Plan Checking Fee• - -;. 1 Energy •Plan Checking ,Fee $ . •, ARCHITECT OR ENGINEER S,MAI-LING ADDRESS- - - Penalty_ $ ;00 . BUILDINGo DRESS. - T a ti' Permit.fe@ - .$_ PLUMBING PERMIT Filing ee 10.00. Each Trap 2.06. . Solar or heat pump water heater 20.00- LOT.NO. SUBDIVISION NAME.; _ y =PARCEL MAP. Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SF DuplexMobilehomeOther ❑ ❑ . SPECIFY .. - Gas piping -system -1 - 5 outlets 5.00 Building sewer 5.00 ' Mobile Home S G W 0.00 ea TYPE OF WORK. New ❑: Additio em_odel ❑ Utilities ❑ I/nstallation❑ Other ❑ Describe work: Permit Fee' $. Contractor ELECTRICAL PERMIT Filing Fee .10.00 , - Main service 800V OR LESS 10.00 100 AMP OR LESS ' .Main service EA. ADD'.L 100 AMP.,, ' 2.50 CONTRACTORS LICENSE' LAW .. I declare under penalty of perjury (check one): " ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business' and Professions -Code. and my ,license :is in full force and effect. - License No. Classification. ❑ I, As the owner, or my employees with wages as their sole compen• sation, will do the work,and the, structure is not intended or offered foraale. (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.d ' I h¢saft DG New CONSTR.ACC. BLOUT LET NON.RESID BRANCH IRC ITS 2.50 ea " 7 /POWER APPARATUS e l SINGLE OUTLET CIR. 20 050t EX. Occup( OR FIXTURES - eALdF 30 - 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 $- Contractor WORKMEN'S COMPENSATION INSURANCE I declare "under penalty of perjury .(check one): Q ;The permit is for -$.100.00 (valuation)'or less. "'I .have placed on file with the County_of. Butte Building Department ❑ a Certificate of Workmen's Compensation Insurance or-a'Certificate of Consent to Self=Insure. I shall not' employ any person in any. manner so as to become subject- ❑ to,th'e W.'C: laws'of California: -Notice to •Appllcantt 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 FiIirig Fee 10.00 Heating , Cooling -. Hood 3.00. Ventilation ,Pelt Fee Contractor. I certify that I. have read this application and state that the above information is correct. l agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot; Butte'to".enter upon the above-mentioned property for inspection purposes. I al so'agree,to.save, indemnify and keep harmless the County of Butte against, all liabilities', 'judgments,.:costs, and expenses which may in.any'way accrue against said-County'in. consequence of the granting -of this permit. X Date Signature of Applicant - Owner 9 P,P ❑ Contractor ❑ Agent ❑ - An OSHA permit is requilred for excavations over 5'0". d.eep and. demolition or construct-, ion of structures over 3 stories ih height. Mobile Home Installation Fee $. Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz.- CUA PARK scHL FAD. CDF . PAR PD I HD. Issue: This'permit is -hereby issued unser the applicable provi,- sions- of the Butte County. Code and/or resolutions to .do :work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No k + Lam' ' � n � i• , rl l j ,,• .;: r'.Ww..�w r�.�-... i l w w *v.--.......- v- •.� ., ..�— .. ... .... .. ...r w y.,. -_-v ..-..+� -, _ w-� .--..... -. -.t -T . .- . Y a,}^yyY^ .�r�.r.. f . � r vvv-_. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cjr,lifornie„95965 -Telephone 916/534-4541 APPLICATION AND'PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER _L C ,TELEPHONE C51 67 -SQ..FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME -: jf f � YUlj �1Y LJ�J'wHOP. S P.lt:vl)G.'%6'Jf t .v TELEPHONE �j 5115 ` _ 5 / CONTRACTOR'-StMANUING-. ADDRESS:,,f = fr.. ),f .� a,:,, x. _• ," i0,t ,i��r�r '��f �iF:' `l :Fireplace' r,t u ~ CONSTRUCTION LENDER '1?�. 1 UNKNOWN Total Valuation" $ Filing Fee''' !" $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR"ENGINEER LICENSE NO. Plan Checking' Fee - - $ Energy Plan Checking Fee $ ARCHITECT OR ENG'INEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS (7�3- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar oP-heat pump water heater - 20.00 c LOT NO. SUBDIVISION NAME PARCEL MAP & /A ) e 4 ('&,74 /C Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: l .lie —&-Lea <;- �� /-�- r� _ �tu� �,.a�•o. L/vi �t- s rS- •;-- Permit Fee $ 1/0 Contractor ELECTRICAL..P,.ERMIT-•,-..- Filing Fee, .10:00' -; //C7 Y Main service 6100v OR LESS 100 AMP OR LESS 1 0.00 } Main service EA. ADD -L 100 AMP 2.51) CONTRACTORS LICENSE LAW -•(• declare under penalty df -perjury (check one):NEW Q"' I am licensed under provisions of Chapt. '9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �^� '2 ' .- Classification �''•� ?'7 - ❑ I, as the -owner, or my employees with wages as their sole compen- sation, will do the work,and the structure, is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec.,7044) ❑ 'I am exempt under Sec. , Business and Professions Code for this.reason NEW CONST. ( DWELLING CCUP..) OR ADDNS.- ACC. BLDGS. , hOsgft .t CONSTR LOUT LET 2.50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS y) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20A50t eAL930 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESIDJ EA.) 2.00 Temporary,,service 10.00 Mobile Home'Facilities •. `` 15.00 n - Misc. Wirigs ,a 15.00 Permit Fee,..'.:"$ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0 -*`I. have placed on file with the County of Butte Building Department a, Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permi,1_shali be deemed revoked. MECHANICAL PERMIT ''Filing Fee' 10.00 Heating Cooling ` Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read' this application and state that the above information is correct... agree to, comply to all County Ordinances and State Laws relating to building construction, and herebyauthorize representatives of the Countyot . Butte to enter upon the above-mentioned property for -purposes. + I also agree tosave, indemnify and keep harmless the County of 'Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said -County in consequence of the granting of this permit. X , p w 7 , -;!�'- = Date s` Signature of Applicant — Owner ❑ Contractors Ag nt ❑ 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 $ TOTA L,PERMI,T F.EE OCCUP, CONST.TYPE [IrLOO;=MD ' 199U E' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ?`� �" e By if -- PERMIT EXPIRES Date the applicable provi- resolutions to do fees. have been aid. p WORKS Date 6 J I 6Jr f f! Receipt No. 4i r.`}>. -/n WHITE-O.P.W.. YELLOW-ASG&SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r ,- COUNTY OF BUTTE;- DEPARTMENT OF: PUBLIC WORKS - PERMIT NO. 7 County Center Drive- Oroviller'Calif�,, iia 95'965 = Telephone 916/534-4541 APPLICATION AND PERMIT„A- ASS,ESSO P RCE�N MB R 62 ZONING _ BUILDING PERMIT ' OWNER TELEPHONE SO. FT. OCG BUILDING VALUATION - OWNER'S MAILING. ADDRESS 1 ,`3,,,,&4” -CONTR AC OR'S NAME - - TELEPHONE CONTRACTOR'S MAILING ADDRESS- - Ab 49" 9 Fireplace CONSTRUCTION LENDER] UNKNOWN Total Valuation $ Filing Fee ,$ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER . LICENSE N0. 'Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'SMAI LING -,AD DRESS - Penalty $ BUILDING ADDRESS- - .Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N1* SUBDIVISION NAME ,JAG t�� cGa C�Il�idC PARCEL MAP Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SFZJ' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1. - 5 outlets 5.00 Building'sewer 5.00 Mobile Home JSJ G W O.00ea TYPE OF WORK,o6ez, Newx Addition❑ Remodel❑ Utilities El Installation[] Other ❑I Describe work: �'�va�.r/�fac. ��.c1-.--,r, V,y(,rx,. S _ Permit Fee $. - �Q Contractor ELECTRICAL PERMIT' - Filing Fee 10.00 Main service 610V OR LESS 100 AMP OR LESS 10.00 - Main service EA. ADD'L 100.AMP . 2.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of I y (check one): �i -am licensed under provisions of Chapt. 9; Div. 3 of the Business and .Professions Code and my license is in full" force and effect. License No. UK 212:2L Classification,_ -�7 .❑ I, as the owner,. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with Licensed contract- ors. (Sec..,7044) • ' ❑ I am exempt 'under Sec. Business and Professions'Code' for this reason NEW CONST. DWELLING OCCUP.d+ , /zQsgft OR AODNS. ACC. BLDGS. NEW CONSTR. I -OUTLET NON•RESID BRA C CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS,OR FIXTURES 30 BAL9 20@930 •Ex..Occup. our LETS P(RESID•)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities .15.00 "Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. .have` placed on file with -the County'of Butte Building Department a Certificate of Workmen's Compensation_ Insurance or a Certificate of Consent to Self -Insure. I shall not -employ any person in any manner so as to become subject' ❑ ' to the W. C. Laws of California. Notice to Applicant: If,after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT, Filing Fee • 10.00 He ating Cooling Hood 3.00 Ventilation permit Fee $ ,. Contractor I certify that I have reIad•this application and state that the above information is correct..) agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against' ..all liabilities, judgments, costs, and' -expenses which may in any way'accrue against,said ounty in consequence of the granting of, this permit. X Date Sign of Applicant — Owner❑ 'Contractor' A t:❑ An OSHA permit ii required for excavations over 5'0" 'deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. CONST -TYPE IFLOPPFARCELI PD ND Is 9UE This permit is.hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTPfI OF,PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been ,paid.' WORKS Date Receipt No:6&66 WNITE-D.P'.W., YELLOW-As2E3sOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 5 1- J,4' 1 ♦F l e- R , -_ .Lr - 4�yf � 1 - ' •�r } '1{ .ti's .s, � F S tiY= .f Jr �- `1 '� L�r.r �(, j'.i" _ ? 1J S•' " .-` y t - - ,t *" a � .R J �'� Yf. .. � s� ' - . •k r .. �..'. .��. 'Yt V _ .�,\,°,�a.2 1. ?"v 1 "xi' _ J. '? t, ,j f. _" Ly. - "•".w• '�' %� L.- t. �. F,'�.. c'. '+�, °` .�:�.� -• L..�'• - +'� Tii.._. ,. { �;t � ,, s %`+ � �':t� ' ' �I aU�i.1a l,�.r.; I:sA..,f. 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':'�'�✓,ti €. r. :r,l ''. 11 e�' .7.. }�. -� 'di, Lj'�• i :,:: '� Y4 i.. e� i�' .may 1 ♦1 N , 1." �l i - j•i •R -} _ '•i ♦ u f^, ttJ` 9 {� � ! ,sr - 7 ,.fia •L - <';` ,s r t. , ^ ' ,1 .. .f r, � .: {r �� i -rk , 1rr .4 _ .'� .. �, a 'i-^ F � � tl ] y °°•�' ".''- {+ :-... - � T i - r �.. farr 4+ - - - 'r I iii) .}� 't.. r - � _n - •� - .��t ".. �_ � 1 t r '.r� i. �_ - � ,t .>f •� .' 1 lam_ ....-•.y 1r.0F �4��k9e�'.N�� .;e'' -;i '. - .t':.-�s i .,,4 ✓ ��1..4'{_,- ",—""- t r ,. qty 'Li i ». •7 _ _ r COUNTY OF BUTTE - DEPARTMENT-OF.PYBLIC WORKS- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILT7-E CALIFORNIA 95965 TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET. Permit No. ' OWNER =. /�D ✓' 0�: A. R. N CV Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Otherin)- rt1. le . Building Inspector Date f. At time of ermit application, I was advised the following data must be submitted prior;,to permit processing and/or • uance: DATE RECEIVED APPROVED 1. All items.have been submitted. .... . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . • . . . . O 3. Complete plans in duplicate/tri-plicate. ... . . . 4. Complete engineered plans and calcs. , 5. , Plans with Energy Design Compliance Statement. .,;. 6. CUSD "Fees Paid" Stamp on Floor Plan 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. �. Planning approval for (A) Use: (B) Parking: 2. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) '. 15. Improvements may be required.: ... . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to ' (Date) 17. Pre -inspection for Required. Building Inspector 18. RecoOther rdb�A�f o�t JUonstkruoctio�mapproval requires prior to occupancy 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver"w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., ther Date ' . During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above' Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: 7 Copy—DPW a' -, ,. ! .` t ... ... t,l a r, . r .. ,.� � .. m .., . �Y;.w- .. ".. ^t,•. r;.', ', xw..�.:✓s' :rerW.+aU..-,ity., aw. Ju. ... ,. ., f', '. .. tt��,,..�� ..: � _. r :.")) :...1%�::1kuHA sP,Nir+- , u •�*N"W,r M. �o.Yl .. , ,1 . +ih`w«.4�'h...... t..y P' F'^ : : Vi , � � x..r_ .. Lt>wwHx. 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