HomeMy WebLinkAbout047-030-052T
STORM DAMAGE RBPOR
0 -
_052
lu
47-03-52
1968-91E F
SULLIVAN, Kevin h�Al(
q_�O_q 2-
72- f/ Cana -R#, Chico
-E—OntWolfe Elec
(elec for well & lot. development)
47-03-0-052
92-0101
JANI-CS-'
IVAN, KEVIN
&
CONT - -OWNER
7211 C HWY,
CHICO
MH-UTIL,-
'LEC
AS
/0
OM
UPPORT STRUCT REQ
��047-03-0-05
92-010
SULLIVAN EVIN & JANL-CE
CONTR- VALLEY HOiNES
7 CANA HWY,
CHICO
HI
047-030-052
PERMIT#96-2292
SULLIVAN, Kevin
7211 Cana Hwy, Chic
New Single Family
-ilfllf7
0 -
_052
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q
NorthStar
ENGINEERING
Civil Engineers* Planners- Surveyors
Department of Development Services
7 County Center Drive
Oroville, CA 95965
RE: Plan No. 9701793
Dear Ms. Whitney,
,� 6 -.2 2 9 ?--
September, 1997
I have reviewed the truss design provided by Longfellow Lumber Co. Inc. and referred
to by Longfellow as "Sullivan".. All design criteria have been met by the truss manufacturer
including requirements for lateral design.
If you have any questions, or need further clarification, please call anytime.
Sincerely,,
i"
Jeff Richelieu, P.E.
NorthStar Engineering
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95973
916-893-1600
FAX -893-2113
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RESIDENTIAL
047-030-052. PERMIT#96-2292
SULLIVAN, Kevin
L211 Cana Hwy, Chico
New Single Family
w-97
OL-,
OFFICE COPY
Address n7z//f cAA4yA- 144"Li
GAS
3
M
vleter By Datejj—�Z
ELECTRIC
Meter By =Ya —te----
OFFICE COPY
Address t7 24 1 bh/y —
GAS
Meter By— ate—
ELECTRIC Dat
Meter By�:� 4�:"
4
17
JOB FINALED (Date) 7, -
'signature 46�:eL- r-rz_ 6 D
v1 = OK
0 = Not OK
- = Not Applicable
* = Not Readv ,
RESIDENTIAL (Single & Duplex)
Date /. UNDER FLOOR (Plans) OK except #'a
169./tg., Main; Soils-Elec. Gmd.-/ t'Ftg. Depth
fjftg. Garage: Soils-Steel-Elec. Gmd/ PFtg. Depth
ig. Porches & Decks; Soils -Steel-/ , t'Ftg. Depth
.,Ot�mwalls, Main; Steel-Blockouts-Wrapped
Vtemwalls, Garage; Steel-Blockouts-Wrapped
W. H61d Downs and Special Anchors
4 7' Slab, SteelAAlrapped
'8. Krs-Fireplace Ftg.-Steel
9' D.W.V; Fall-Fitfing-Test-2 Way C/0 -Sewer Test
10. 9F'Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
1X Water Pipe; Test -Anchors -Regulator -Service Test
1?4-"Electric Underground
ij,,Ilri�nums & Ducts; Clearance-Mate(.al-Support-ins.
14..,dirders-Sills-Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insufation
Date Card B-1 Caj Date Card B -I
Date Card B-1 Date Card E-1
Date _,PMMBING (Permit) OK except #'s
.aterl-itr.; Vent -Access -Combustion Air Baffle
Wa ipe; Test & Anchor -Nail Protection
. ., estFittings& Anchor -Nail Protection
-)KShower Pan; Test, First Floor -Tub Access
4�-.Testj
11b & Shower, Second Floor -Tub Access
I '_ V 2&�'Sas Pipe; Sixe & Anchors!
19-11.t -0 7;;j --
I. ltky- _%'� 4 & j�Z?l
Date -3-41-97 Card B-1 (/ Card B -I
_per Date
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
-C.',T'Fj�We & Transformer Clearance -Ins. Protection
RebeSReeeptacles Spabing-Lights & Switches at Doors'
*-IT&J3 �so. of Conductors Stapled
�p A�onsqW Close to Edge of Studs & C.J.
21�swllfrouncl made up w/Mech Fastners-Bond Cid`s& W6Wr'--
. 2 . nce Circuts in Kitchen & Conductor Size GA
�§�Su��ire Size+----��Cu or 4A.C. Wire Size / /ga Cu or Al
ta-11ange Circ. *—/ ga Cu or Al -Oven Circ. gCp r At
Insulated Neutral 0 Yes 0 No
-eZ&" Service -Riser Conductors & Ground -Main Disconect
a2. Equip. Cjpe<ances Panels-Motors-Mech. Epuip.
V!O!!7e:s Closet Light -Shower Light -Spa Light
-At""Smoke Detector
Date"�_ Card B-1 Date Card B-1
Date- Card B-1 Date Card B-1
Date __WCHANICAL (Permit) OK except #'s
,,2d-cts_!psulation & Support
Ar'Ve5Ae-
, Exhaust above insulation
on e Drain & Overflow, Size & Grade
4!i5! nce-Vent Access -Comb. AJr-Return Air Vent 115 outlet
31�411ic Access & Platform if Furnace in Atfic
Date;�
,;'-f J -q Card B-1 Date Card B -I
Date Card B-1 Date Card B-1
Date 11 ofIRAMING (Plans) OK except #'s
�Aaterials & Anchors
,W/ W.41KXuds-Nailing Spacing & Braces -Plates -Sound
4 ri Walls ver Girders& Floor Nailing
.��aft top in Walls (rat proof)
4/ �_�Stops, Furred Ceilings -Stairs -Chasers -Tubs
44'Heatlerq R Reams -Size & Bearing
4;P.`Cli9,%.,Mist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng.
pla ��Ies or Type A Flue -Fireplace Throat clearance
_�ceqs; Size & Romex Protection -Draft Stop -Ins. Baffles
9R-Bqp;,Wifido%vs or Exiting Doors-Silltgt. & Dimensions
t!:�Wage Fire Protection Framing C6_1"A�_4
, �-Pr rty Line Firewall & Openings
84"tA.'Doors-One 3 -Check Garage 3rd Story, 2 Exits
idth-Headroom-Rise-Run-Landing-Fire Protection
K?Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Sidiap��iling Veneer
t,-1Scco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. ShearWalls; Nailing -Bolts
60. B Wall Panels
Date'��/!� Z Card B-1 �,4rjr Date Card B-1,
Date Card B-1 Date Card B-1
Date _.fJAh(L (Plans) OK except #'s
60, -Ext ��Door & Sidelight Protection -Landings
6A,15�21POelector
%e'ru-mace; Vents -C lea rance-Comb, Air-Conector-
Ing
Above Floor-Ducts-Mech. Protection
&.-Teqp�jting
69-*I-F.I. & BAlb-fixtures & Tub Access -Spa
Q4 -Vic. Trim & Subpanel, Breaker Sizes & Labels
4,45-eplace or Stove, Clearance -Hearth
7J E1!5,Qutlets at Wood Panel, Int. & Ext.
*'Rit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
ta-Ere—c u
J'� tlets & Recepticales at Kit. Counter
*ellarage Fire Door; Swing-Lancling-Closure
_-.,,,Duct in Garage -Damper
0600'Wtr. Htr.; Vents -Clearance -Comb. Air Connector -PRY
In
_Atffa—ge; Above Floor-Mech. Protection
9:�Plb., Elec. & Mech. Equip. Listed for Location
[7V Elq�,�eptacles in Garage (G.F.I.)-Romex Protection
7W.olIns-dation-Foarn-Looked in Attic
& Deck Construction -Post Caps
Lj.�n. VBents-& Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor
.o-627 Foq9wvwjinstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
S -05t -SP -aro -n -Finish
9L<_�C it Disconnect, Electrical -Plumbing
Illp-*'Vents Above Roof, Plbg-Applian6e-Fireplace-Clearance to Openings
�,�Water Well, Disconnect, Electrical, Plumbing. a
Q�Zxte��Trim, G.Fl. Receptacle -Underground
_EL,WF�
Wafo-n Throught House
VeCo��hs from Previous Inspections j
9`1"Gas Test -Meters Tagged, Gas -Electric ff.T � Cj
V42^ater & Sewer Connected -C/O to Grade -HD Apooval
93. Energy Compliance Certificate-OtherCertificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V = OK
O=NotOK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) Ok except #'a
1 . Zoning Requirements -Setbacks -Easements
1 . Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists-Decidng-Bracing-Stairs-Rails
3. Sewer Location -Test -Fall -C/0 -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. AJum. Awn.; Columns-Connecfions-Splice-Decal-Enclosures
5. Electricity; Locadon-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / tVft.
/ /Nat. or/ /Lft./ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLA11ON (Plans) OK except #'a
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; SizLL-Spacing-Mardage Line
POOLS (Plans) OK except Fs
3. Gas; MH Test-Demand-VaKAe-Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/O to Grade -HO Approval
5. Elec.; Pool Lighting; 15 Volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins: to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists-Decidng-Bracing-Stairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. AJum. Awn.; Columns-Connecfions-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except Fs
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins: to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
COU14TY OF 6UTTE- DEPARTMENT OF DEVE�OPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-7541 PIERMITJO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
47-03-52
ZONING
A40
BUILDING PERMIT V
OWNER
KEVIN SULLIVAN
TELEPHONE
393-8002
SQ. FT. OCC. BUILDING VALUATION
-
2693 R
145,422.00
OWNERS MAJUNG ADDRESS
7211 CANA HWY CHICO, 95973
778 U
14,004.00
CONTRACTORS NAME UNKNOWN
TELEPHONE
483 C
6,279.00
CONTRACTORS MAIUNG ADDRESS
Fireplace
1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
167.205.00
Filing Fee
$ 20.00
LENDERS MAJUNG ADDRESS
Permit Fee
$ 877.50
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$ 570.40
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty
$
BUILDING ADDRESS 7211 CANA HWY
PERMITIFEE
$ 1490.90
PLUMBING PERMIT
Filing Fee 20.00
CHICO, 943973
Each Trap
It 7.00 105.0(
LOT 140.
SUBDIVISIONS NAME
1
CEL MAP
-
Solar or heat pump water heater
23.00
Water piping
15.00 15.0(
USEOFSTRUCTURE
SF 15 Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00 15.0
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15,00
-
TYPE OF WORK
New 6 Addition 0 Remodel 0 Ublifies 0 Installation 0 Other 0
Describe Work: 3 BEDROOM
Mobile Home S I dT7WF
@20.00
1
PERMITFEE
185.00
Contractor
ELECTRICAL PERMIT
Filina Fee 2 O.'o 0
V OR LESS
Main Service 8�0.0. OR LESS
23.00 9,3-00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. & ACC. BLDS.
3.50 N.' 191 - 9(
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
0
Misc. Wiring
J�203'.000
PERMITFEE
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
90-00
Cooling
gn-oo
Hood
6.5 0 6-50
Ventilation
PERMITFEE
$
66-150
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Alo�certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith com
,p!)�Mith those provisions.
Date
Sign;ture oi Applicant Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. I
Mobile Home Installation Fee
Is
Energy Inspection Fee $ 46.00
0 C
PE
My
I TOTAL FEE $ 1952.9
o
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By 04 e1170W%--
PERMITEXPIRESON hJteL9-?
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. 650.40 - 206228 /30)'0- -2 0 6 07 4�73
WHITE-D.D.S.-B.D. CANARY -ASSESSOR jPINK-INSPECTOR GOLDENROD -APPLICANT
W
IS
72WOM 't, -W Lo
Mz;
BUTTt'COUNTY SCHOOLS IMPACT FEE dERTIFICA'TION FORM
(One Foftn Per Building)
School District Building Department No.
A.P.Number OLn- 030AQ4�Z. Jurisdiction:
PropertyOwner kyu-j�r�-- I-IdM.4�
Property Location/Address
Subdivisc.n,
= City, �Q County
N
Lot No.
Residential Development
K,41A . No. of Living MHl Addition
Ell 16
Commercial/Industrial
New Addition
Sq. Footage
(Proup R)
Sq. Footage /0'7
(Including Exterior
Roofed Areas)
Building Depa�ment Representative Date
(Floor Plans reviewed by School District Personnel)
A
District Identificatidn-No.
School District certifies that At& -t/? J- J61'Zlce-.�
(Afplicant)
R
3Y�3
FStreet Address) (Phone Number)
(��Jd o NL
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. bypaymentof$
3
representing square feet. AB 29Z6 $
FULL MITIGATION $
94�
School District Representative Date
Paid by Check #
Bank Number
Paid by Cash
Remarks: -j� qR 6YI7 ;k
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmki (1 1/94)dmm
Ei"USE ONLY
P14 Phu Anachad
Fbw Phn AURcW
Smi to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
P& T,,"11&- �Ulllb4, '7211
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other 1`71tee &W,-wein
Hold final for:
Final clearance O.K. for:
4
NOTE: It Ad/eZ,--S AAKe Md,,&Z' IAMIMP " 4 - A.- Z.,AO"
8/92
Date
COUNTY,,OF BUTTE -DEPARTMENT 017,�EIELOPM ENT SERVICES -BUILDING DIVISION
A
7 COUNTY CENTER DRIVE - OROVILLC,.' ALI FORN IA 95965 -TELEPHONE (916) 538-7541
4q
PERMIT APPLICATION DATA SHEET
-7
OWNER gvz A.P.No.--4
Proposed Building Use Building Inspector Date LOLL--? Lqc
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 . All items have been submitted . ........................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Stat ment of Intent for Non -Heated and A/C Buildings . ......................
�8. Engineered truss details and layout in duplicate (required prior to plan check).
�9. Mobilehome data anAinanufacturer's installation instructions, 2 sets . ...........
-11 of$ /50Z
��10. Fees . .............. ......
�mpact fees as shown on attached schedule. :§� ...........................
12 California Department of Forestry plan approval/fees ........................
3. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: _ (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy) . .............
Pre -Inspection request
20. Pre -inspection for required. 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 Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ...........................................
29. Documentation of legal access . ...................... .
...................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ................
31. Existing violations/expired permits; ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: . Mail Mail to contractor.
Telephone 704- 1'401- and hold for ickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. - Fire Dept. _ Air Pollution Date Fil.
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:_ -4�
ance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date
Contractor, designer, owner,.wqs advised of above required data by _ phone mmil C ter -Ph . Date
AA) Date
Plans checked by_ Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
r�
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUMDING D[VISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER
A.P. #
PROPOSED BUILDING USE DATE 101319-K
REC. # DATE REC
1. SCHOOL DISTRICT FEES -D,
(paid at District Office)
-7-
2. SHERIFF FEES (paid at Building Division)
Residential. .
x
amt.
Commercial (sq.ft.). -x
3. URBAN AREA FEES..
(paid at Buildi Division)
Ing
Residential (per unit) x
#units amt.
Commercial (sq.ft.). . x
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
5. 1 RMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
-7
7. WATER TENDER FEES
(BATTALION #
a0i
$200.00 (paid at Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9-- OTHER
At time of permit application,.. was advised the above fees are required'to be' paid prior to. issuance of the
permit.
APPIICANT
0
DATE
KEVIN P. SULLIVAN
7211 CANA HWY TELEPHONE: 916-343-8002
CHICO, CA. 95973
I October 1, 1996
County of Butte
Department of Building
Department of Health
Regarding Property: A.P. 47-030-052
7211 Cana Hwy.
Chico, Ca.- 95973
. As property owners ofthe above referenced property; We are in
the beginning process of building a permanent home behind our moveable mobile
home.
As acceptance of this letter please confirm that our intention is to remove the
mobile home after co'Mpletion. of the permanent home built.
Attach to this letter is a drawing of plot plan and county map; with the
submission of home plans.
Sincerely,
e=�anld
I
b
I-, J
fT
tul
1010.0 HWY 10415-7
to
38.3 Ac
N
0
/04 88 A c.
i 1 1110 1 -- /J10 -- - —
age Igzs. 4 till. I -------
14SI.J CANA
D/c
10
—41 -4 -2 -Ac.
70. 963 Ar. 763.6
V1 %
2072.
to 4,
40Ac. 0
85 01-- % "VC//
31.64 A C.
20 A c. IOJ41 . :1
36.lAc. 20 Ac
C-5
5 4 �c
20
1646.04 % 2 9-94 AC
54.24 AC. _ X _ _ A
"23;
,?0 A c.
160j.j 19 JJK 0
a k48
5 Ac. pr LOT r
61 Pt LOT E
85 70 AC.
A 64 A c.
oc
54.,?4 Ac.
so
G; �,q
.7. 2 �3.N,
R. 1W
8
R.2W
AID.B. 8 M.
021
,.;"I /101L) It 5 1",.:
— —
!;-4 r
— — —
— —
—
Z3 1 24
4
jf7
30. Ac.
467027
ar V1 I I,
200
46
AC A
40A
sly'n
40 Ac.
tul
1010.0 HWY 10415-7
to
38.3 Ac
N
0
/04 88 A c.
i 1 1110 1 -- /J10 -- - —
age Igzs. 4 till. I -------
14SI.J CANA
D/c
10
—41 -4 -2 -Ac.
70. 963 Ar. 763.6
V1 %
2072.
to 4,
40Ac. 0
85 01-- % "VC//
31.64 A C.
20 A c. IOJ41 . :1
36.lAc. 20 Ac
C-5
5 4 �c
20
1646.04 % 2 9-94 AC
54.24 AC. _ X _ _ A
"23;
,?0 A c.
160j.j 19 JJK 0
a k48
5 Ac. pr LOT r
61 Pt LOT E
85 70 AC.
A 64 A c.
oc
54.,?4 Ac.
so
G; �,q
pppp-
March 19, 199'1*
n
COUNTY OF BUTTE
Department of'Building
#7 County Center Drive
Oroville, California 95965
Attn: Jim Glander
RE: KEVIN SULLIVAN
Cana Highway, Chico
AP# 47-03-52
Our Job No. 91-016
Dear Jim:
.BACHMAN
tic.
& jp/� �r
ASSOCIATES
/S //V
On March 12, 1991, a level net was run from Butte County Monument
#927 which is loCated on Cana Highway, to the above referenced
property. I have also reviewed Panel 100 of the FIRM . map for Butte
County arid -the Sacramento River flood data.
Based upon this data, the flood level in the 'subject area was
50' - A temp
established As ,_1-"6 2-- orary benchmark was established by
way of a rebar r "i'V 9 n a power pole on the North property line
of the subject properLy. The referenced rebar is at elevation
160.96. If the finish floor is 1.54 feet or more above said.rebar,
it will be above the 100 year flood level.
If there are any further quesLions that I can answer for you,
please feel free to call my office.
Very truly yours,
L
C.W. BACHMAN
CWB:trb MITTE Cou"
BUILDINGDEPA OftMENT
CC., Kevin Sulliva
APPROVED
_1`1
F
4 Po,_,�"* - �PAO
<
Exp.
6.30-93 7
.2
Vo,
0 Q AQ�
ENGINEERING SURVEYING PLANNING - DESIGNING
3012 The Esphinidn, Chico, Cafifornia 95926 Telcphone: (916) 342-4136
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Penter Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PE!32N�O
A routine inspection indicates that the following violations of Butte.County Ordinances exist at
the above address and should be corrected. Please notify 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.
Cj
&j1 -60-4#c& Cie, —,"7- 1�,o7
/
C r
Yn Kupx."v
4-:<e L
go C -'l -
--0
Date Inspector
REV 10/92
k"
M
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
5uz,614141v ?zg� Z -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinancds,2 exist at
the above address and should be corrected. Please notify 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.
'a, <1 0
Dzte.!3-1 Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
-7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
5:1,11,10MAI ZZ C/ I?
0VNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify 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.
Dzte. � W�<
REV 10/92 -
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751 -
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6�07
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify 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.
ZA- �p
Date Inspector
REV 10/92
BA'CHMAN &
December 23, 1996 ASSOCIATES
.COUNTY OF BUTTE
Department of Building
4th & Main Streets
*Chico, CA 95.928
RE: KEVIN SULLIVAN
7211 Cana Highway
APN 47-03-52
ATTN: Dave Wasney
Dear Dave:
On Thursday, December 19, 1996, 1 made an inspection of the forms for the
Sullivan's foundation.
Based upon my elevations report, I have determined that the finished floor for
the residence will be 163.56. This elevation will be 1.06. feet above the flood
elevation.
If I can be of further assistance in this matter, please do not hesitate.to let
me know.
Very truly yours,
C. W. BACHMAN
CWB:jb
ENGINEERING - SURVEYING -
3012 The Esplanade, Chico, California 95926
PLANNING - DESIGNING
Telephone: (916) 342-4136
December 23, 1996
B A C H M A N...,
ASSOCIATES
COUNTY OF BUTTE
SURVEYING
.Department of Building
- - DESIGNING
4th & Main Streets
Chico, California 95926
Chico, CA 95928
(916) 342-4136
RE: KEVIN SULLIVAN
7211 Cana Highway
APN 47-03-52
ATTN: Dave Wasney
Dear Dave:
On Thursday, December 19, 1996, 1
made an inspection of the forms for the
Sullivan's foundation.
Based upon my elevations report, I
have determined that the finished' floor for
the residence will be 163.56. This
elevaion will be 1.06 feet above the flood
elevation.
If I can be of further assistance in
this matter, please do not hesitate to let'
me know.
Very truly yours,
C. W. BACHMAN
(\FES -3/
Exp.
CWB:jb 6-30-�7
rn
No. 03 r1i
r� Z-0
1 V
OF C k
ENGINEERING
SURVEYING
PLANNING
- - DESIGNING
3012 The Esplanade,
Chico, California 95926
Telephone:
(916) 342-4136
LOERKE INSULATION GO., INC. INSULATION CERTIFICATE
7211 Cana Hwy Chico
Number and Street Citv
Butte
Countv Lot Nuffiber
DESCRIPtION OF INSTALLATION
1. ROOF
Material
Thickness (inches
1
2. CEILING
Brand Name
Thermal Resistance (R -Value)
Batt or Blanket Type Fiher-glass Batts Brand Name Schuller Int.
Thickness (inches) 13.0 Thermal Resistance (R -Value) R 38
Loose Fill Type Fiberglass Brand Name Schuller Int.
Contractor/s min. I nstalled weight/ft sq. lb. Minimum Thickness inches.
Manufacturers installed weight per square foot to achieve Thermal Resistance (R Value)
3. EXTERIOR WALL
Material Fiberglass Batts Brand Name Schuller Int,
Thickness (inches) 3.5 R 13
Thermal Resistance (R-Valpe)
4. RAISED FLOOR
Material Fiberglass Batts Brand Name Schuller Int.
Thickness (inches-) 6.75 Thermal Resistance (R -Value) R 19
5. SLAB FLOOR PERIMETER
Material Brand Name
Thickness Thermal Resistance (R -Value)
Perimeter Insulation Depth (inches)
6. FOUNDATION WALL
Material
Thickriess (inches.)
DECLARATION
Brand Name
Thermal Resistance (R-Vilue)
11
I'hereby certify that.the above insulation was installed in the building at the above location in conformance
with the current Energ Efficiency Standards for residential buildings (Title 24,Part 6, California Code of
Regulations) as indica ed on the !Certificate of compliance, where applicable.
C.L.#499150 3-a-9-97 LOERKE INSULATION CO., INC.
ing
Item s t1garnature, Da,te Install' Subcontractor (Co. Name) Or
General'Contractor (Co. Name) Or Owner
Item Vs Sig—nature, Date Installina Subcontracto�(Co. Name) Or
-General ontractor (CO. Name) Or Owner
Item #s Signature, Date
Installing Subcontracto� (Co. Name) Or
General Contractor (CO. Name) Or Owner
e7 15: 10 SEQUON SUPPLY 1 -"(0( 8b4, b,(e6,-
m
CAt r
� In if,
C erdift e of Co b ra
Certificate 3 &83A
THS UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the, structural wood/,prod'u'':dts'
identified below and marked with a collective mark of American Vo O*'d!S'
wittms,"(Aft' Y',
manufactured in accordance with the specifications indicated below'.
ANSI Standard A190.1-19k,*for trubtur6l'GfUO'a'C�'m'in�'a"t'�'i'd'"Irir�ibEr'
7KVV;V CONVE" ZND 30INTS
Job,Name PRIME 'SOURCE ING.
SUI;LIVAN 7211 CANATWY. CHICO, CA 95973: C/O D. JE'F'FRIES.
46.-Locati.on
7;;�
4
N
o. 9003,68-6,8 0 7 jil&/,95
Mi
__ _
Customer's Order N1 Date
3-1/8 x 13-1/2 24F V4 GL'B
Signature 40., Title
Company WILL IND. VAUGHN, ORMON _'�-,0.7130�A
,,915 - - ,
Address Date 1
IT IS HEREBY CERTIFIED that the, structural glued laminated timber productl6h-,,9 Xl��Vc
named manufacturer which carries a collective mark of Ameritan Wood' ystems(AWS�iii�,,,,§u'bj"e"c'l"-'
to regular audit by American Wood Systems, such audit consisting of, the i , nsprp L c tio641 fh
reasonable frequency of the manufacturing process, with �Ad'equdteisarripll'nglto,�IvOri 9jthe'-f'q'u'a4lr
glulam�construction and the adequacy of glue bond.
41,
0io.
'z
SEAL
do Z by- 4
omas GIMIM
40,
MCM 1,
V iv
..........
1VOING,
GREGORY A. PEITZ
ARCHITECT
1907 Mangrove, Suite E, Chico, CA 95926 (916) 894-5719
Structural Calculations for ..: -
4::�; (4_L L I V* A__N J2�_- -5 I'D G-114 - CI -97
D AR
f(y A. -
No. C 21283 r4
REN.
BUTTE C0jm_ 1-y
F3LkQm'fx.:PARTyZN
APPROVE*D
>CAI VC,
-LOAD SUMMARY
*Use normal force method
*Exposure B
*Bas-ic wind speed: 75 -mph
P = Ce'Cq qs I
Wal Is
P
= .6-2
*
1.3
*
14.5
*
1.0 =
.0117 ksf
< 15 ft.
P
= .67
*
1.3
*
14.5
*
1.0 =
.0126 ksf
@ 20 ft.
P
= .72
*
1.3
*
14.5
*
I.o =
.0136 ksf
@ 25 ft.
P
= .76
*
1.3
*
14.5
*
1.0 =
.0143 ksf
@ 30 ft.
Roofs 2:12
to
less than
9:12
P
= .62
*
1.0
*
14.5
*
1.0 =
.009
ksf <
15 ft.
P =
.67
*
1.0
*
14.5
*
1.0 =
.010
ksf @
20 ft.
P
= .72
*
1.0
*
14.5
*
1.0 =
.011
ksf @
25 ft.
P =
.76
*
1.0
*
14.5
*
1.0 =
.011
ksf @
30 ft.
Roofs -6:12
to
12;12
P =
.62
*
1.1
*
14.5
*
1.0
.010
ksf <-
15 ft.
P =
.67
*
1.1
*
14.5
*
1.0
.011
ksf @
20 ft.
P. =
.72
*
1.1
*
14.5
*
1.0
.01'2
ksf @
25 ft.
P =
.76
*
1-.1
*
14..5
*
J.o
.012
ksf @
30 ft.
COWVT�
A. PPRO
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22-142 100 SHEETS
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I RESIDENTIAL PLAN CHECKING GUEDE . I
SENGLE FAINEILY, DUPLEX AND MISCELLANEOUS ONLY
96 - -;;� ��
PLAN CBECKER: A- P. NUMBER: 7 -3
GENERAL:
,7' Zoaing requirements: (side yards and number of permitted living units). R&4270 1/& Cb,/ -
2. Valuation. -Prom �i t--1 �4;-X'/
Plans signed by designer. -!'ao
Proper description of work on application.
Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation.
PLOT PLAN:
/I/ Complete parcel size and dimensions.
/�r Setbacks, side yards, easements, etc.
14 Other buildings or structures. AAA
Grading, fills and/or drainage.
Flood hazard.
.6. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.).
,7-' F.A-U. & F.A.S. road setback.
:2/ Building or utilities across lot lines (Record form).
FLOOR PLAN:
Complete to scale plan with dimensions.
2. Required windows for light and ventilation (Section 1203).
/3� Required windows for second exit (Section 310.4).
Skylights (Section 2409 & 2603.7).
Glazing in Hazardous Locations (Section 2406).
Required room sizes, ceiling heights (Section 310.6).
G.F.C.I. in badis,--g"e,-'K:tc'nen-,-we,.-lyar-ard-e.venor outicts-k-INT.E.C. 210)..
8. Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
Location of water heaters, hea"g -d coc!;= e-i-ment, other -electrical or gas equipment.
Garage firewall, door size and closer (Section 302.4).
Minimum of one 3'0" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 3 10.9. 1).
14. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS:
Conventional Construction - U s (Section 2326.5.4). CAPFI-0-T te,�
Standard bracing or engineered design (Section 2326.11.3).
Clerestory requiring-b—allo-o-n7x�aming aanor engineering.
44"' Three story building requiring engineered calculations and plans.
,5-" Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Rafter ties or bearing ridge beam.
Fireplace construction details and calc. if necessary.
,I -r'- Garage door and/or porch header sizes.
J� Stud heights.
J,3'� Adobe soils - special foundation design.
J4' Retaining walls requiring design.
Special Inspection requirements.
JANUARY 1996
3.2
NffSCELLANEOUS ITEMS TO LOOK OUT FOR:
X" Stairway details: landings, rise and run, head clearance, handrails (Section 1006).
2,**' Guardrail details (Section 509).
Brick or stone veneer (Section 1403).
Exterior plaster - weep screeds (Section 2506).
Proper roof pitch for roof covering (Section 150 1).
I& Roof covering type - (fire hazard).
Foam insulation - protection.
36' halls and stairways.
Living area,over garage' -,complete I -hour separation required on garage side including supporting walls and posts.
Two exits'on three - story dwellings (Section 1003).
Underfloor access and ventilation (Section 2317.7).
Attic access and ventilation (Section 1505).
Confaustion air for fuel burning appliances - L.P. G. requirements.
Noise. requirements on, duplexes.'
EnerU design.
Flashing at all exterior openings.
C.D.F. responsible area requirements.'
JANUARY 1996 3.3
GREGORY A, PEITZ
ARCHITECT'
1907 MANGROVE AVENUE, SUITE "E". CHICO, CA 95926. (916) 894-5719
TO 6 ew r -
16U
Yee � e� //"
//, 4- -9 &
7 7C;a
"efq ci 4.1 14-4-7
14 7 e-
kAeviR5--a �4;s
9
BUTTE COUNTY BUILDING OFFICIALS
JURISDICTION
Block Parcel No..
Rapid Evaluation Safety Assessment Form
BLMLLNG' DESCREMON: -
Name: ktul-At
Address:
No. of stories:
Basement: Yes No Unknown
Primary occupancy: Dwelling 1--,
Other Residential 0 Co mmercial [I Office 7
industrial 7 Public -Assembly [I School 0
Government 7 Emer. Serv. [] Historic 7
Othe
OVERALL RATLNG: (Clieck One)
LNSPECTED (Green)
Ex[erior only
Exterior and Interior
LIMITED ENTRY (Yellow)
UNISAFE (Red)
Inspector ID (2-0 0
Affiliation
INSPEMON DATE:
Mo/day/year _F�T j -1D --q6 n pal.
Time
*,. to'l, 2, 3, or 5 is
Instructions: Review structure for the conditions listed below. A "yes" answer t4 .
grounds for posting entire structure UNSAFE. If more review.is needed, post LIMITED ENTRY.
A '" answer to 4 requires posting ARE A UNSAFE and/or banicading around the hazard.
"yes
Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted and/or
barricaded to indicate AREA UNSAFE.
Recommendations:
o further action required
F1 Detailed Evaluation required (circle one) Structural Geotechnical Other
F-1 Barricades needed in the following areas:
" - , �.AL�4 .
Posted at this Assessment Dyes Lno
"tzi e, 4 /, 41 j F
Comments:_11,00 lu P11111
YI I ffc-.> t t, — ___ZL
IWO re
Review
Condition
Yes
NO
Keeded
1.
Collapse, partial collapse, or building off foundation
n-,
El
2.-
.3.
Building or story noticeably leaning
Severe racldng of walls, obvious severe damage and distress
11
4.
Chirimey,.parapet or other falling hazard
5.
Severe ground or slope movement present .
A
Other hazard nresent
Recommendations:
o further action required
F1 Detailed Evaluation required (circle one) Structural Geotechnical Other
F-1 Barricades needed in the following areas:
" - , �.AL�4 .
Posted at this Assessment Dyes Lno
"tzi e, 4 /, 41 j F
Comments:_11,00 lu P11111
YI I ffc-.> t t, — ___ZL
DATE 4q
TIME 9! Q
9:qT1 Tm nA Arr-
BY �/ m I-S�
I
DAMAGE REPORT
FOR INITIAL ASSESSMENT
FLOOD JANUARY 1995
PUBLIC INFORMATION OFFICER
. 538-6947
Name Reporting Party Auqj�-\ - Sxj I I A ro /�'x
Address/Location
Telephone Number —3C/,:3 —900 City
Type of Damage ( 1
(Note: Emergencies Refer to 911)
Building Description
Commercial/Usage
Residential Type and # Units
Currently Occupied/Use
Abandoned/—Va`4c17D' MA�Q-&�
2-40
County
C-A�l
0
Electric
Any electrical submerged On Off
x
Obvious damage (failure, downed wires, arcing)
Gas
Obvious problems (odor, leaks, leaks, propane tank floating/submerged)
On Off
Structure
On/Off Foundation
Flooding above/below floor
Obvious leaning, tilting
Sever Damag Collapse AQ!S=e
I U
Debris Hazard
an
Sanitation
Plumbing wor
Running wate
Well Flooded
Obvious Sew;
Chemical/Fuel
Wet, flooded, lost chemicals
Type pesticide, fertilizer, otl�
Amount
Fuel tanks (above or
Obvious hazards
chemicals
w ground)
Agriculture Loss
Crop Damage JLJ aft',xi ia_e_w
Livestock Lost
Building Damage
Roads (Public)
Road Name
Obvious Damage/Hazards
Location/Land marks
Traversable (Sedan, 4 wheel)
Involved Utilities (downed wires)
K—Levee—i ublic Private
'-�Waterway Name on ak cila4,1-L . (Ai CLU
Location of damage/problem (,Ajj-DAia &aA:&2a
f
Obvious hazards
Nearest Landmarks
Overflow/freeboard
Copies:
OES Agriculture
Health Fire
Building Sheriff
CHICO UNIFIED SCHOOL DISTRICT
1163 EAST SEVENTH STREET
CHICO, CALIFORNIA 95928
(916)891-3006
C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT
Terms and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND
pursuant to C.U.S.D. Resolution No.
I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor
Parcel No. represented by C.U.S.D. ID
for one of the77fdl`17U�ing'reasons:
I will not be building a i�esidential unit on this parcel and
I have cancelled my building permit. X/\�
Credit for demolition of an existing residence.(copy of
permit & County Appraisal Report attached)
Other
Development fee paid
Less administrative fee
Total refund
Applicant Signature
$ 455. nv —
$ I'a
$
($2.50 per residential unit)
Date
Ise k). -r- '� Ck U a
Printed'Name q3* - WO Cq
51.1 1 1 4A i'0 or�i' 1 017
Address Phone No.
0 0 (A
City/Zip
ScHbol District Re -presentative /Date
White -applicant, pink -building department, yellow -school district
REFUND.APP
B.S. 43 (2/91)
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Numbe 72':L31 -1�/4S-2"Building Department No.
School District (�� 61S D -4 City 0 County E��Jurisdiction
Property Own. J fi't/
Proj'ect Location/Address // a/ �/ //- a
Subdivision Lot Number
Residential Development: Sq. Footage
# of ' Living MHI AQon (Tr�oupR)
units
Commercial/Industrial:
De
New
nt Representative
Addition Sq. Footage
.(Including Exterior
R;oofe;cd, ZAAr as)
Da e
(Floor Plans reviewed by School District Personnel)
District Id No.
School District certifies that
Ap p 1 i c a n—C,? N —am e
(StreetWd1_r6e:Ss
1
Phone Num er
ulty) (state) (Z
has compl*e with the re ments of R 01 'on No.
91 AV& I
bretLhe. p ymeut of ( C.
$ Iti representing _�&A6 square feet.
__&Sc�hool �Dist�rict �Reprr�esentative
bate
PAID BY CHECK NO.
REMARKS:
BANK NO
_4�
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
�'E/S I D E N T I A L loz
.047-03-0--'
052 GJT:�pbp- 2-0101
SULLIVAN, KEVIN & JANIC
CONTR- OWNER
7211 CANA HWY, CHICO
MH UTIL
'w
9aA- --�- yw-Qj�� m '? , "'�)
OFFICE COPY
Address
GAS
Meter B
y D a t,,,_—
ELECTRIC
Meter By— Date
OFFICE COPY
Address
GAS
Meter By— Date.3
ELECTRIC
Meter By Date
JOB FINALED (Date
Signature
'Q.
V OK
0 Not OK
- =Not Applicable
* = Not Fle@dy MOBILE HOMES
Date MP@ILE HOME UTILITIES (Plans) OK except #'s
C�<nin'g Requirements -Setbacks -Easements,
3;01 Special MH Support Sketch
*Ksewer; Location-Test-Fal(C/Okfn��
_
4.sP�ocation-Test-Easement Needed (Sketch)
*F&�ctricity; Location -C lea re nces-!G rn d -0101�m pC_on_c_r_ete_*j
s; Location 4dDWd`p` dit"t-1t.
*A_,/"`,/"Nat. or/
7. Well.,efearance & Disconnect
Date �:,�_�arcl B-lffv Date3— Y -V& Card B -1r_/5
Date3-q-Vt Card B-1VIS Date Card B-1
Date MOBIL_E HOME INSTALLATION (Plans) OK except If's
,,"eo,ro,rg'Requirements-Setbacks Easements
g.-6'otings; Size -Spacing -Marriage Line
Lp�-< H Test-Demand-Valve—Connector
t,-15rectricity; MH Test -Crossovers -Breakers -Clearances
L,Dra'in; MH Test -Fall -Flex Connector
§fjCater; MH Test -Regulator -Connector
and Sewer Connected -C/O to Gracle-HD Approval
ajs-and Electricity Tagged
- "xits; insp.-Sketch
twt'ert. of Occupancy
Date Card 13- 1 Date Card B-1
Date Card B-1 Date Card B-1
5
r 1�
MISCELLANEOUS
'Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
-1. Zoning Req u irements-Setbacks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists- Dec king -Bracing -Sta irs-Rai Is
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
um. wn.; o umns- onnect ons- -plice-Decal-Enclosures
6. Carports: Windows -Doors
If -
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors-Landi ngs
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane I boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
If -
V OKA
0 Not OK
Not Applicable
Not Ready RESIDENtIAL (Sin & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks- Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel7BIockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall-Fifting-Test-2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test7Anchor-Regulat.or-Servicle Test
12. Electric; Underground
13. Pienums & Ducts; Clea ra nce- Mate ria I-Suppo rt- Ins.
14. Girders -Sills -Anchor Bolts -Joi sts-.Ven ts-C rip p les
15. Acces� & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except #'s
Water Htr.: Vent-Access-Coimbustion Air -Baffle
17. Wafer Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
Shower Pan: Test, First Floor -Tub Access
20. -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 #'s
22. Fixture & Transformer Clearance -Ins. Protection
------------
23. Elec. Receptacles Spacing-Lighl� & Switches at Doors
--- - -------------
24. Size Boxes & No of Cond uctors-Sta pled
-- - ---------- 25.- Romex -Installed Close to Edge of Studs & C.J. ----------------
26. Equip. Ground made up w!Mech. 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 At
------------ - ----------------------- ----- - --------- - -----------------------------
29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
--------------------------------------- - -- - - -------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------- - ---------- _ ----------------------------
------ - ----- 31.-Equi-p.-Cleara-nces Panels- Motors- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
- - --------- 33....Smoke-Detector --------------------------------------------------
-------------------------------------------------------------------------------------
-Date -------------- Card - B-1 -------------- Date -------------- Card -B-1 --------------
Date Card B- I Date Card B-1
Date MECHANICAL (Permit) OK except h's
------------- 34.--A.-C.- Ducts-Insu-1ation &-Support -- - ------------------------------
35. Vent Fan. Exhaust above insulation
- -- ------------
36. Condensate Drain & Overflow: Size & Grade
--------------------------------------------------------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
-- ---------- - - - - -----------------------------------------------------
- _____.38._.Altic -Access - & - Platfo - rm - if - Furnance in -Attic -----------------------
----------------------- ----------- ---- --- --- -------------------------- -- -- -------- -
Date---------- --- Card -B-1 Date -------------- Card B-1 -------------
Date Card B -I Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
-- - ------------- --------------- ----------------------------
40. Walls StUds-Nailing. Spacing & Brac ing- 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 & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or.Type- A Flue -Fireplace Throat clearance
48. Attic Accjs�s: Size & R'omex Protection - Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
56. Garage Fire Protection Framing
51. Property Line Firev�nll & Openings
52. ExL 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 Protectidn-Skyl ig hts- Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
-------------------
60. Infiltration -Walls -Windows
-----------------
- ---- - - -------
-----------------------
- -----
Date Card.B-1
-Date ------
Date
--.----Card
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
61.- Ext. Steps -Door & Sidelight Protection -Landings'
62. Smoke Detector
--------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
in Garage: Above Floor- Ducts-Mech. Protection.
---------------------
64. Bedroom Exiting
-------------
65. G.F.1 ' & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------------
67. Stairs & Rails
--------------
----------------
68. Fireplace or Stove: Clba rances- Hearth
-----------------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
------ -----------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
-----------
7 l.- Elec. Outlets & Receptacles at Kit. Counter
---------
72.- Garage -Fire -Door: Swing -Landing -Closer
--------------------------------
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
--------------------------
---------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--------------------------
7-,. 1 nsulation- Foa m- Looked in Attic 0 Yes
-------------
78.-Guard-Ra-ils & Deck - Construction -Post Caps
79. Fdn. V6nts & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor Yes
------------------------------------------
- -------
80. Following instId.: Drive 0 Yes E) No: Walks 0 Yes [1 No;
-------------------------
Planters 0 Yes 0 No
-------------------------
81. Stucco: Brown -Finish
---------------------------
82' A.C. Unit: Disconnect. Electrical, Plumbing
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-------------------------------
84. Water Well: Disconnect, Electrical, Plumbing
__
-----------------
85. Exterior Elec. Trim; G.F.I. Receptacle- Underground
---------- ------
--------------------------
86. Ventilation Throughout House
87. Glass Protection
-----------
---------------------------- - ------
88. Corrections from Previous Inspections
---------- -----------
-------------
89. Gas Test -Meters Tagged; Gas -Electric
- -------------------
-------------
9O...Water &-Sevver Connected -C/O to Grade -HD Approval
-----------------------------
91. Energy Compliance Certificate -Other Certificates
- -------
--------------------------------
Date
Card B-1 - Date Card B-1
---------------------
Date
-----------------------------
Card B-1 Date Card B-1
- ---------
Date
Card B-1 Date Card B- I
,Comments at Final:
-------------------------------------- -
----------------------------------
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
2
PERMIT NO. /L
Address or location of mobilehome /-/Ui,/ ICU
Owner's name 5,4
Owner's address /1�9 All,
Insignia or hud number
Manufacturer's name 6 093'L/P -4- F I
q2—
Serial number of V.I.N. Year of manufacture
r
elf— 9
(Official Ap�roving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
'-MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
-1.469 Humboldt Road, Chico, CA - (916) 891-2751
7 �County Center Drive, Oroville, CA - (916) 538-7541
347 Elliott Road, Paeadise, CA - (916) 872-6307
CORRECTION NOTICE
5.4 W, 0 0, M-) k) �-- 5� z --
OWNER PERMIT N0 -
A routine inspection indicates that the following violations of Butte County Ordinances existat
the above address and should be corrected. Please notify 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.
Pr D il '. J -e r— e < 'S
xf 10 e
Z � ec-k qt--� /X/::F
Date - S - 9 - q ?- Inspector K -u 5; ge ( ( '6
REV 11/91
OWNER PERW NO-
�6
A routine inspection indicates that the following violations of Butte County Ordlinances exist at
the above address and should be corrected. Please notify this office when correction of mm
is completed. If you have any questions pertaining to this matter, or need additional ejqdanatwm*',
e /c
pleas on ct this office immediately.
0" Ou-m koa
211X-41.15-�
A Daie
T
REV 11/91
M 4,71
Inspector
0
N re'. I All
7�'
CGUNTY OF BUTTE
N,
DEPARTMENT OF PUBL16:WORKS
1469 Humboldt Road, Chico, CA - (�l 6) 8 - 91-2751
7 County Center Drive, Oroville, CA -,(916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
1 CORRECTION NOTICE
G/
OWNER PERW NO-
�6
A routine inspection indicates that the following violations of Butte County Ordlinances exist at
the above address and should be corrected. Please notify this office when correction of mm
is completed. If you have any questions pertaining to this matter, or need additional ejqdanatwm*',
e /c
pleas on ct this office immediately.
0" Ou-m koa
211X-41.15-�
A Daie
T
REV 11/91
M 4,71
Inspector
0
N re'. I All
COUNTY OF BUTTE - DEPARTMENT OF� PUBLIC WORKS PERMIT NO.
7 County Centeii; Drive - Oroville, California 95b65 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
47-030-059
ZONING
1 .1
BUILDING PERMIT
OWNER TEL�EPFI ON E
Keyi--n—&--J,anjrP Sullivan 1343-8002
OWN"__ , .,' I
911 Qifi�p—pA Ct-., ChiL' 95926
SO. FT. OCC. BUILDING VAL-UATION
CONTRACTOR'S NAME
V,-) 1
TELEPHONE
CONTRACWH4�ESNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
s 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
s 35.00
PLUMBING PERMIT
FilingFee 1 15.00
7911 ('q11.q HuTW Chi r n
Each Trap
1 5.001
Solar or heat pump water heater
20.00
LOT NO.
1
SUBDIVISION NAME
PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF F-1 Duplex[] MobilehomeM Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home Is
COI-,
TYPE OF WORK
New 0 Addition E:1 R emode I D Uti lities Installatigng Oth
Describe work: M -HT (Updroom) Of
P ninit Fee
$
Contractor
ELECTRICAL PERMIT
I
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
.
Main service 200A TO I OOOA)
—
37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
R 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. i ' Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.81
OR ADONS. ( ACC. BLDGS.
3.54 sq.ft.
NEW CONSTR. M ULT' -OUTLET
NON.RESID, BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES
20 @ 761
A[ PAU-
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO ) EA
_
3.00
Temporary service
15.00.
Mobile Home Facilities
15.00
Misc. Wiring
'15.001
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R The permit is for $100.00 (valuation) or less.
E:] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
ventilation
I
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyol
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
ag Pint said County inc n Len f the granting of this permit.
X Date A/6-- 9,>-
f
Si n ture of Applicant OwneX Contractor El Agent 0
An OSHA permit is re construct -
,e yiuired for excavations over 5'0" deep and demolition or
ion of structures,o r stories in height.
Mobile Home Installation Fee $70.00
Energy Inspection Fee $
occ
CONST TYPE
ITOTAL FEE $105.00
HAZ
D FEES I
-IMP
[ FLOOD
I COF
PARCEL
=
VE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicateA aboA for which fees
By ZYA�f: O'PUILIC
PERMIT EXPIRE9 bate - ':5--(e-,
applicable provi-
resolutions to do
have been paid.
WORKS
Date
?Z3
11
Receipt NO. -3
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE DEPARTMENT dF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - 0 , �OVILLI�>CALIFORNIA 9596�, ) - TELEPHONE: 916/538-7541
PERMIT UPLICATION DA -T"' EET
OWNER
Proposed Building Use Building Inspector
Permit No.
f
V'�7 Date
At time of permit application, I was advised the following data must be submitted prior to perm'it processing and/or issuance:
DATE RECEIVED APPROVED
1 . All items have been submitted . ........... ..................... ....
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signedby preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
.-Engineered truss details' and layout in duplicate (required prior to 'plan check)
Mobilehome installation data including manufacturer's installation
instructions .... ....................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12 Pa k f
r ?s p(ai E
School District fees paid ..............
Sanitation approval frbm Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0).
24. Recorded copy of Agricultural Acknowledgment Statement .........
2 Letter of signature axthorizati ...
6�� i5 v.
7 -2-
W*en Lyou issue the permit, process as follows: to owner. Mail to contractor.
Telephone
Other—
V"�byoo ft-493�
and hold for pickup at
Applicant
office. . -Del.iver w/inspector.
ate
Copy of Hlaz-Mat form sent —Health Dept. —Fire Dept. -----Air Pollution Dat /
Copyofplanssent ____HeaIthDept. —FireDept. —Other— Date By
The following data mustbes-Ltbmitted * pr
1. Index permit for above items No. 4
2. Additional items required:
nce: (Circle new, i t�em- notc�heoked above).
1 0
Contractor, design r,(own�er was advised of above required data by
phone --mai I —counter by —IV..date 1471(f �Z 1P
0 r.
Contractor, design:r, o er, was advised of above required data by—phone —mal I —counter by� date
Plans checked by U —Date- � 9AJ�)Z, Plans approved by—
Sets of plans on hold in File cabinet _AP folder
y -DPW
(�p
Date
9(;- Y5/
IL
ce-yyf
316
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSES tCEL NUMBER
S;7 P�, — cl
ZONIN
BUILDING PERMIT
NER'
W e� V
TELEPFtQNE
Y001>_
S _QF T. OCC. BUILDING VALUATION
CIW FER AILING ADDJ3JESS
'K 7 cl:vlc�rl&dO22
CO IE
AUJ�1_4
I/ Ht ym &,::->
HQNE
[;r/ 19-61
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICEN9E NO.
Plan Checking Fee
$ 0119,151,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADD�41ESS
Permit fee
$ 00
PLUMBING PERMIT
Fi ling Fee 15.00
Each Trap
5.00i
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00
U SE STRUCTURE
SF[1 Duplex F_ lehome�K Other
J Mobi
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mobile Home S G I W
TYPE OF WORK
New17 Addition 0 deli Uti I i ties [I InstallationEl Other
Describe work: /E 94
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 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 Ao. Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed connaut-
ors. (Sec. 7044)
0 1 am exempt under Sec. Business and Professions Code
for this reason
Main service 20CA TO IOOOA)
37.501
NEW CONST. ( DWELLING OCCUP.&)
OR AODNS. ACC. BLOGS.
3.64 sq.ft.1
—
NEW CONSTFL ',AULTI-OUTLET
NON-RESID, BRANCH CIRCU I TS)
5-00
(POWER APPARATUS.&)
SINGLE OUTLET CIR
I I
Ex. Occup( OUTLETS OR FIXTURES
120 (0) 764
RAL (@ 4F;kl
FIXED APPL.NS. OR
Ex. Occup. 0 UTLETS (RESIDJ EA.)
1 3.001
— Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
r_J The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Cooling
Hood
-Ventilation
6.50
F
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner 0 Contractor [I Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuresover 3 stories in height.
Mobile Home Installation Fee s ;7(). C9
Energy Inspection Fee $
Occ
CONST TYPE
I TOTAL FEE $ / 0 _S� 69
HAZ
I D FEES I IMP
I FLOOD
I CDF
I PARCEL
I PD I HD
I ISSUE
T his permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
I
WHITE-O.P.W.. YELLOW -ASSESSOR. PIMA -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER_
<5 �) i'� �
tl"'�
"'�/
PROPOSED
BUILDING USE
/*
P
A.P. NO. V7,1-69;
DATE
REC.
#
DATE
REC
School Distric Fees
L,1�(paid at District Office) ..........................
2. Sheriff Fees
(paid at Building Department)
Residential .......... x $33�
unit amt.
Commercial(per sq.ft.) x =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) x
# units amt.
'Commerical(per sq.ft.) x , =$'
sq. f t. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit. I
APPLICANT DATE
4�_ CIt-AL. - �rV
BUTTE COUNTY'DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1.
Owner's Name: -.5'
the
2.
Installer's Name:
mobilehomo site service? ---------------------------------
Yes No
(If yes, identify the load and size:
(Load) —(Amps)
Yes
No F]
—2
(in.)
3.
Is the site currently under permit?
Natural LPG
10.
What is the type of gas service? --------------------
(if yes, furnish permit r)umber
What is'the gas pipe length from meter or tank to
OR
Yes El
No
(ft.)
12.
Is the site an existing site?
(BTU)
tion no d if—p ipe—l-eng th— 16 s�� than ft. on�
(This informa t require
(If yes, furnish two plo t plans.)
�BgrfE CGRATY
4.
Will the mobilehome be located at least
5 ft. away
from septic
tank and leach
1j"
1-1
fields and clear of all setbacks and easements?
Yes
No
(if no, clarify
5. What is the mobilehome electrical rating?. ----.--7 --------- Amps
6. What is,the mobilehome site service rating? ------------- Amps
7. *What is the mobilehome site circuit breaker rating? ----- Amps
8.
is there any other electric load to be served by
the
El
mobilehomo site service? ---------------------------------
Yes No
(If yes, identify the load and size:
(Load) —(Amps)
9.
What is the mobilehome site gas pipe size? --------------
—2
(in.)
Natural LPG
10.
What is the type of gas service? --------------------
11.
What is'the gas pipe length from meter or tank to
the
mobilehome? -----------------------------------------------
(ft.)
12.
What is the mobilehome gas demand? -------- --------------
(BTU)
tion no d if—p ipe—l-eng th— 16 s�� than ft. on�
(This informa t require
�nat ra,l�gas or,less than,-—on—LPG.-)----r
�BgrfE CGRATY
BUILDING DEPARTME
APP ED
r(ur_ (Cof
MOBILEROME SUPPORT DATA
if other than single widc-
Mobileho furnish Setup- Model No. RJD
me M f r
Width -7 (f t. ) Box Length (ft. ) Tagalong or Expando Size ft.. X, ft.
On all mobilehomes manufactured after October 7, .1973, furnish manufacturer' s' installation
manual and structural setup sheets (if not on file with'the County of'Butte).
FOC)TlNGS (check one)
SUPPORTS (check one) mi.
Line I :
�jl NCLE-WIDE
Wood -pressure treated or foundation grade-. 1:1 2. Other (specify)
Concrete block. El 2. other (specify)
Pier Footing Sizes and Locations
MULTI -WIDE
Line I
Line 2.� Line 2
M.1in seams >
Line
Lin.—El— LinV_j
S ize-M hi - ------------
Spav Ing -Max - ---------
Fr,,m-I:iids-Max --------
Size -Min -------------
Spac I -Ig -Max ----------
Fr,,m Ends -Max --------
I.Ine 3 Pwo
_ _... ...
Size -Min -------------
Main Beams
Llne 4
Tag or Triple >
Line
As
Line 1 Openings:
Size -Min - ------------------
Each Side of Openings
With Width Over --------- =
Line 3 Piers: (Under Bearing Wall Oiily)
Size -Min -------------------- ..x
Spacing -Max ----------------
From Ends -Max --------------
A'20--f-
Uwjti,,n (From FronL) 33, -!Oz,- 60,-oo -, 1- .1, 1- 1.
Line 5 Piers: (I.Iiider Rearing W;1la Onl
Z, 11 -------------- x ------------------- .x
Spa, I..X-Mnx ---------- Spncing-Mnx - - ----------
I.,rom F11ds-Mqx -------- Ll From Endn-Max --------------
Size-Mill --------------
,x ..x "x "x "X
101C.lLion (Fr6m'Front)
A
64 e-4.
,x ?_4
,x 2+
1,x 1. ,x 11
Uwjti,,n (From FronL) 33, -!Oz,- 60,-oo -, 1- .1, 1- 1.
Line 5 Piers: (I.Iiider Rearing W;1la Onl
Z, 11 -------------- x ------------------- .x
Spa, I..X-Mnx ---------- Spncing-Mnx - - ----------
I.,rom F11ds-Mqx -------- Ll From Endn-Max --------------
Size-Mill --------------
,x ..x "x "x "X
101C.lLion (Fr6m'Front)
A
10
GOLDEN'wE T DMES 80602F1
FLOOR PLAN
'q998 OLD PLACEWULE RD -
MODEL NUM13ER
SACRAMENTO. CA DRAWiNG
J,
.;tit D -A
March 19, 1991 1 L6 I
'BACHMAN
i 4,
COUNTY OF BUTTE
Department of Building
#7 County Center Drive
Oroville, California 95965
Attni Jim Glander
RE: KEVIN SULLIVAN
Cana Highway, Chico
AP# 47-03-52
Our Job No. 91-016
Dear Jim:
1� M
&
ASSOC—'IATES
/S
czo
On March 12, 1991, a level net was run from,Butte County Monument
#927 which is located on Cana Highway, to the above referenced
property. I have also reviewed Panel 100 of the FIRM map for Butte
County and -the Sacramento River flood data.
Based upon this data, the flood level in the subjec t area was
established as [ 71 T62�_5 0—'.,7 A temporary'benchmark was established by
way of a rebar d_Ffv—en-/into a power pole on the North property line
of the subject property. The referenced rebar' is at elevation
160.96. ''If the'finish floor is 1.54 feet or more above said rebar,
it will be above the 100 year flood level.
If , there are any further questions that I c an. answer for yout
please feel free to call my office.
V y truly yours,
C.W. BACHMAN
CWB: trb
WTIE COU"
W&DINGDEPARTMM
CC: Kevin Sulliva on ,
A, F-rROVED
v0FESS/ 1,t_�
Exp.
J 6-30-93 -3
J
�c i �Vl
OF 0 A
M�
ENGINEERING SURVEYING PLANNING - DESIGNING
3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136
Ira
Mo
1'. S-2
ocd
Co
ELE TRIC
GAS
Support
Struc.
Compaction
Test Re
Service
Size
—�ther
Load
__��e
Pipe
Size
Length
YES NO
YES NO
-Z C)
F
. e_
11
V%(z
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Fcrm per Building)
2
A.P. Number
ill-dihg"Department No.
School District i t y 1::J County J�&Jurisdiction
AJ 5
.Property Owner_
Project Location/Address 72-11 C-f'460� /v U/J
Subdivision
Residential Development:
# of Living MHI
Units
Lot Number
Sq. Footage
Addition I I (�;roup R)
Commercial/Industrial: Sq. Footage
New Addition.(Including Exterior
Roofed/.Ar as/)
Buildin/Dep TtmEt Representative DaYe
(Floor Plans reviewed by School District.Personnel),.
District Id No. Q .1)
/CK t�94
School District certifies that
Ize
(Applicang/Name). (Phone Number.)
(Streetg�Addres-s-)
(City) (State) (Zip Code)
has compl�ie4 with the recruir-ements of Resolutjon No. 4�'&
-I/P., -/ 9 / . /. f �; 21r ffe ( .-uS9. &0')
bf t�he payment of $ representing square f eet.
Q-A 2z
School District Representative "Date
PAID
BY CHECK NO.
BANK
NO
PAID BY CASH
2 _Ago] RWJ W,
W
white -applicant"-, ellow-building department, pink -school district.
SCHOOL.FEE (8/8
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAT16N AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
047-030-052
ZONING
A-,J'C)
BUILDING PERMIT
Z
[��
OWNER
Kevin & Janice Sullivan
TELEPHONE
343-8002
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
--'5 511 Cliffwood Ct., Chico 95926
CONTRACTOR'S NAME
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT FilingFee 15.00
7 911 ("q 13,q 14wV (14i r n
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
,4�
SUBDIVISION NAME PARCEL MAP
J?J '&J 7__J?
Water piping 7.00
Each qas water heater or vent 7.001
USE OF STRUCTURE
SFEJ Dupl-3x[-] lvlobilehonreFX� Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
'0* 'J
Mobile Home S V G 15.00 30.00
TYPE OF WORK
New F-1 Addition [] RemodelD UtilitiesP Installation[] OtherE]
Describe work: MHU
Permit Fee $ 45.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
4L_
Main service 600V OR LESS 18.501 j7p,. 50
200A OR LESS
Main service 200A TO 1 OOOA) .50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed C011LICICt-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.& _=37
OR ADDNS. ACC, BLDGS. 3.64 sq.ft.1
NEW CONSTR. MULTI -OUTLET
0 RESID, 2RANCH CI C ITS) @ 5-00
N N �!�
P7 — W_T
W r�
E _ R �TUUS.&)
(SINGLE OUTLET CIR
20 @ 761
EX. OCCUP( OUTLETS OR FIXTURES JAL_ 0 4F;J
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EA.1 3.00
Temporary service 15.00.
Mobile Home Facilities 15.00 15.00
Misc. Wiring 15.00
I
Permit Fee $48.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shal I not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT FilingFee 1 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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
ag st sa gence o the granting of this permit.
X i Co 041 &Aa , — Date L- 45
.Lunty in rise f
Sig. '. r. . f Applicant Ownerjr Contractor E] Agent 1-1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST TYPE
I
1
TOTAL FEE $113.50 I
F__THArS
-
1_��
FlOOD I CDF
ft.5
PARCEL
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
vvor� ica� �b@e rFwhich fees have been paid.
0 PUBLIC WOR KS
By — :)ate r-1
PEF5RWEkPIRES Date
Receipt NO. 103426
WHITE-D.P.W.. YELL.W-ASSES.... PINK -INSPECTOR, GOLDENROD-APPL I CANT
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
5-111,va-ki 72- Cam4-e kx-, / . 4/7-03-5-'Z- "
owner location / AP #
Driveway permit
si,eature
has been issued for the above property.
Z - /-�?- �17
date
OWNER
COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE -- 9ROVILLI?;- CALIFOR�IA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATIP,10AWSHEET"' -1 - -
_.Krmit No.
A
Proposed Building Use
g-il�inh Inspect r Date
-.0 or
At time of permit application, I was advised t�O following data must be submifted prior to permit processing and/or issuance:
DATE RECEIVED APPR9VED
All items have been submitted . ............. .......... ..........
11 - 7
..2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Cbmpliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to p*lan check)
9. Mobilehomeinstallation data including manufacturer's installation
instructions .......................................................
10. Fees of $ .........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid .....................................................
1.q School District fees paid ..............
Sanitation approval from e—',M L'_' 0 Health -Department
15. City of Chico plumbing permit ..................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
1 8._Jmprovements may be required. Contact Land Development Section DPW
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) ...
41 22. Certificate of Workmans Compensation Insurance ..................
23..Gwner-Builder Verification (Given to owner 11, Mail to owner 11)
3
jMt_��4.' Recorded copy of Agricultural Acknowledgment tatement., .........
Of i' ature alllhorizat', n—.,.
-a7-7
27.
When you issue the permit, process as follows
ai I to owner.
Telephone and hold for pickup at —office.
I -An -le- J"
Applicant
Mail to contractor.
i\�
-Del.iver w/inspector.
ate
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. -----Air Pollution Date
Copyofplanssent -----Health Dept. —FireDept. —Other— Date— By.
The following data must--be�subfn-iftect prior to. perm�it i�suance: (Circ�e peV_i-temnot-c-heeked above).
1. Index permit for abov�<tems No.) _R Y yd"01 �ry I W,
2. Additional itemsrequ
Contractor, designe<:oDwner was advised of above required data byZphone---jnai I —counter by_21ILdate
Contractor, des i ner, owner, was advised of above required data by—phone —mal [—counter by— date
I
Plans 6110i& by-- Date �2T_ Plans approved by Ok k) Date
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
U
APPLICATION AND PERMIT
ASSESSO PMCEL NUMBER
ZONING
I BUILDING PERMIT
TL
P
SQ.FT. OCC. BUILDING VALUATION
9WNE['S M�JNF
f'UORESS
CONTRACTO-R'S NAME
CO�XA C.T_aR'S M
,hl,LINR ADDRIES-S11
Fireplac
CONS UCTIOt4 L . ER
UNKNOWN
Total Valuation $
Filling Fee
$ 15.00
LENDER -S MAILINP ADDRESS —
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS —
Penalty
$
BUILDING ADORE
Permit fee
$
PLUMBING PERMIT
Filing Fee 1 15.00
Each Trap '
1 5.00i
Solar or heat pump water heater
1 20.001
LOT NO.
SUBDIVISION NAME
L MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF R Duplex[] Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mobile Home LW V
1
TYPE OF WORK
Ne* -Addition [] Remodelf-_1 3lIti lities Er Installation F-1 Other F�
Describe work: IL/ tel
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15-00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20r A TO 1 OOOA,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADONS. ( ACC. BLDGS.
3.50 sq.ft.1
NEW CONSTRL 1AULTI-OUTLET
NON.RESIO. BRANCH CIRCIJI S)
J@ 5.00
PO ER APPARATUS &)
SINYZE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
5d
5AL_ (@ 464
FIXED APPLNS. OR
Ex. Occup. OUTLETS
3.001
Temporary service
15.00
Mobile Home Facilities
j 15.00 L9 0
I'
Misc. Wiring
15.00
Permit Fee
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you beco e subject
to the W. C. provisions of the Labor Code, you must forthwith complynwith such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 1 15.00
Heating
Cooling
Hood
6.50
. Venti lation
— —_
[Per;lt Fee
$
L� ontractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity 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 — Ovrner 0 Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
acc
CO ST TYPE
TOTAL FEE $
HAZ
1 11 FEES I IMP
1 11000
1 COF
PAliCEL
PC)
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES' Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW-ASSfSSCR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT
COUNTY OF BUTTE -'Deoa*rtment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-5318-7541
OWNLER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has.been applied for in your name and bearing
your signature.
Please complete and return this information at your earl�est opportunity to avoid
unnecessary delay in.processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the ma. 1 , nd materials for construction of
abor a
the proposed property improvement K oes or no)
2. I(��ve have not) si-ned an application for a building permit
fo e proposed work.
3. 1 h`Ave contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Si-ned:
Property Owner
Social Securit Nu
Date mber
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
TO Buildina Department
FROM: Environmental'Health
SUBJECT: Sanitation Clearance
2- C I
01-1 �VL AP
�Owner � % Location
Plan Approved for:
Hold final for:
Water Supply
Sewaqe Disposal
Final clearance K. for:
Clearance for ttw-obedroom. mobile home. other
Water supply
Water SuPP17
NOTE
Nate
Sanitari
!�D
17 4* w V
wjll
"W
R-.
R
M R
BEDIC��
14! W
7
11
liqh.
-'r
/C
WING
vwM
181 w
ice OF T 0
-s. cr:b -
R v 5--
P4
DMING
ROOM
BMROOM 03 BEDROOM 62
/Vi ove
( �TUBI
UtqWER
OFOWALVANOM
ICY 8! 5:4*
\/P
BD 602F 1 * 1620 SQ. : FT.
3 Bedroom wffh Fca* Room
ReLur.!-.i,to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENT
4jAL DEVELOPMENT
Section 26-8. t of the Butte County 'Code
requires this acknowledgement be recoried
prior to issuance of a building permit.
9 2 - 0 6 7 7 3
Rec Fee
Cash
3.
11.001
I 1.. 00 i
PUBL XX 3,
occasiona.11-y generate d.ust, smoke, noise, and odor. Butte County has establ-ished agri.cu]-
LUral zones which have as a priority use for productive agricultural. purposes, aiid residew F;
within said zones and on adjacent property should be prepared to accept SUCh i ncoiiveiiiencc.
or discomforL from normal, necessary farm operations.
All that rea]. property situate in the County of Butte, State of California, dc:�cri-bed cis
FoYlows:
Date:
State of
CounLy Of
OFFIPIAL S6
RMECCA.H
a&��xh,6 Dao- 4.564a��
� wo-Iku'a, ot-mm-Z,
PROPE. Y OW
On this the day of
19
SS. the undersigned Nocary Public, persona ly appeared
Lev ;-1v SIA J11 -V413
A-)
PqPersonally known to me. F-1 Proved to me on the h�i s i s
of satisfactory eviden(.ic.
R N 1to be the person(s) whose name(s)
-subscribed to the within instrument and acknowledged that
1A 'I executed the same for the purposes the'rein contained 'rN wrTNESS
WHEREOF, I hereunto set my hand and official seal.
MY- commission txpirs.SOL 14.
-gs
Present A.P. No.&J
(24,6'-C�
Notary uhl-ic
I
92-006773 1
1'he
propertv described herein is adjacit
I
to�
Tand or i-ncluded within an area zoned
Recorded I
for
agr.i.CLII.tural purposes, and residents
official Records I
o % F
thi,s property may be subject to -incon-
County of
venlences
or di.scomfort arising from the
Butte
use
of agr:icultural chemicais, including,
Candace J. Grubbs
but,
not I.i.MiLed to herbicides, pesticides,
and
Eert.:ilizers; and from the pursuit
Recorder
0 f
agricu] t ural operations including,
10:07am 19 -Feb -92 I
but
not. Jimited to cultivation, plowing,
spraying,
pruning, and harvesting which
Rec Fee
Cash
3.
11.001
I 1.. 00 i
PUBL XX 3,
occasiona.11-y generate d.ust, smoke, noise, and odor. Butte County has establ-ished agri.cu]-
LUral zones which have as a priority use for productive agricultural. purposes, aiid residew F;
within said zones and on adjacent property should be prepared to accept SUCh i ncoiiveiiiencc.
or discomforL from normal, necessary farm operations.
All that rea]. property situate in the County of Butte, State of California, dc:�cri-bed cis
FoYlows:
Date:
State of
CounLy Of
OFFIPIAL S6
RMECCA.H
a&��xh,6 Dao- 4.564a��
� wo-Iku'a, ot-mm-Z,
PROPE. Y OW
On this the day of
19
SS. the undersigned Nocary Public, persona ly appeared
Lev ;-1v SIA J11 -V413
A-)
PqPersonally known to me. F-1 Proved to me on the h�i s i s
of satisfactory eviden(.ic.
R N 1to be the person(s) whose name(s)
-subscribed to the within instrument and acknowledged that
1A 'I executed the same for the purposes the'rein contained 'rN wrTNESS
WHEREOF, I hereunto set my hand and official seal.
MY- commission txpirs.SOL 14.
-gs
Present A.P. No.&J
(24,6'-C�
Notary uhl-ic
I
I
ORDER NO. BU -114826 BG
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL 1:
LOTS "I't AND "H", AS SHOWN ON THAT CERT'8.lN MAP ENTITLED, "DICY J.
BENNETT RANCH NUMBER I", WHICH MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
NOVEMBER 8, 1919, IN BOOK 8 OF MAPS, AT PAGE(S) 28.
EXCEPTING THEREFROM THAT PORTION OF SAID LOT "H" DESCRIBED AS
FOLLOWS:
BEGINNING AT A POINT AT THE ACCEPTED QUARTER CORNER BETWEEN
PROJECTED SECTIONS 19 AND 20, TOWNSHIP 23 NORTH, RANGE 1 WEST,
M.D.B. & M.; THENCE SOUTH 89 DEG. 531 WEST 404.8 FEET TO A POINT
ON THE EAST AND WEST CENTERLINE OF SAID SECTION 19, SAID POINT
BEING THE CENTERLINE OF VINE CREEK; THENCE SOUTH ALONG THE
CENTERLINE OF SAID PINE CREEK THE FOLLOWING COURSES AND
DISTANCES: SOUTH 43 DEG. 301 WEST, 158.5 FEET; THENCE SOUTH 19
DEG. 591 WEST, 299.1 FEET; THENCE SOUTH 11 DEG. 211 WEST, 192.9.
FEET; THENCE SOUTH 30 DEG. 561 WEST, 221.0 FEET; THENCE SOUTH 4
DEG. 450 WEST, 110.3 FEET, TO A POINT ON THE SOUTHERLY BOUNDARY
LINE OF LOT "H'@, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DICY J.
BENNETT RANCH NUMBER I", WHICH MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
NOVEMBER 8, 1919, IN BOOK 8 OF MAPS, AT PAGE(S) 28; THENCE
LEAVING THE CENTERLINE OF PINE CREEK, AND RUNNING. EASTERLY ALONG
THE SOUTHERLY BOUNDARY LINE OF THE SAID LOT "H", 784.5 FEET TO A
POINT ON, THE EASTERLY BOUNDARY LINE OF THE. ABOVE MENTIONED
SECTION 19; THENCE NORTHERLY ALONG SAID EASTERLY BOUNDARY LINE OF
SECTION 19; 888.4 FEET TO THE POINT OF BEGINNING.
ALSO EXCEPTING THEREFROM AN UNDIVIDED 50% OF ALL OIL, GAS AND
OTHER HYDROCARBON SUBSTANCES AS RESERVED IN DEED FROM CANA FARMS,
INC., A - CORPORATION TO U. S. HERTZ, INC., RECORDED JUNE 3, 1971,
IN BOOK 1679, PAGE 17, OFFICIAL RECORDS.
C.0
a
PARCEL II:
97-06773
ORDER NO. BU -114826 BG
A RIGHT OF WAY FOR ROAD AND OTHER PURPOSES, OVER A STRIP OF LAND
30 FEET IN WIDTH AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE EAST AND WEST CENTERLINE OF SECTION
19, TOWNSHIP 23 NORTH, RANGE 11. WEST, M.D.B. & WHICH POINT IS
ON THE EAST LINE OF THE CANA WEST ROAD AND WHICH -IS ALSO LOCATED
40 FEET EAST OF THE SOUTHEAST CORNER OF LOT §',,OF THE HOWARD
SUBDIVISION OF A PART OF THE BOSQUEJO RANCHO,,- ASI� . SHOWN ON THAT
CERTAIN MAP, RECORDED IN TTTE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CAL.CFORNIA, ON JULY 24,1923, IN BOOK 9
OF MAPS, AT PAGE(S) 42; THENCIE ALONG SAID CENTERLINE SOUTH 89
DEG. 531 EAST A DISTANCE OF 508.5 FEET TO A POINT IN THE NORTH
LIKE OF LOT "I", AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DICY J.
BENNETT RANCH NUMBER 1",, WHICH MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
NOVEMBER 8, 1919, IN BOOK 8 OF MAPS,, AT PAGE(S) 28, WHICH SAID
POINT IS 30 FEET EAST ALONG SAID NORTH LINE FROM THE NORTHWEST
CORNER OF SAID LOT; THENCE NORTH 30 FEET; THENCE NORTH 89 DEG.
531 WEST, 508.5 FEET TO THE EAST LINE OF SAID CANA WEST ROAD;
THENCE ALONG SAID EAST LINE SOUTH 0 DEG. 181 WEST, 30 FEET TO THE
POINT OF BEGINNING.
END OF DOCUMENT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
r'k
11?68 -9'1
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.
c 4o
-V
Or
A.4. /7 /V -
Date—? —/I? --q/ — Inspector— /Wee -
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
030 —0sz
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 correctig,"t work is completed. If you have any question pertaining to this
matter, eed additional explanation, please contact this office immediately.
Y\o4 CkigporoceoC
r, + ulf
Ul�
s4c (-ecA
C)
0 C' �-r r
?rc�u'
C'
V-1 V\CA,
Date 40 Z Inspector
IL -
1968-91E
-03-52
47
SULLIVAN9 Kevin
A
Cana Rd, Chic.0
cont: Wolfe Elec
(elec for well & lot development)
Jr
�e -ec, C,
7-1c( At
1/,(' c
74
Lj 0 o
e e
-�ovk 74,
C44 0 V e-
I it COUNTY OF BUTTE -D,EP-ARTMENT OF PUBLIC'WORKS PERMIT N
f e!� 0*V
7 County Cent;r Drive - Oroville, Californ,� 95965 - Telephone: 916/53N7541
...APPOC"ATION Ai�D-FERMIT
KSSESSOR PARCEL t$UMBER
47-039�-052
ZONING
A-40
BUILDING PER MIT
OWNER
Kevin P. Sullivan
TELEPHONE
343-8002
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
511 Cliftwood St., Chico''95926'
CONTRACTOR'S NAME ITELEPHONE
W01fle, Electric & Likhting
045-9330
CONTRACTORIS,MAILING ADDRESS
2795 EsplaniWs, Chico 95926
Fire , Dlace -11
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Pe -mit Fee
$
ARCH-17ECT OR EN.-,INEER —71
CENS NO.
Plan Che��king Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
J Qma Rd.. Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCELT,',MAP
Water pipind
5.00
*Eacl�.Qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 Duplex F-1 Mobi lehome n Other Electric
SPECIFY
Gla's piping system 1 - 5 outlets
5.00
Bililding sewer
5.00
Mobile Home S I G W�
[10-00 ea
TYPE OF WORK
New n Addition [I R emode I El uti iities [A Installation OtherE]
Describe work: Future Well & Development
Permit Fee
$
Contractor
ELECTRICAL PERMIT
F i.1 i ng Fee 10.00
600V OR LESS 1 110.00 10.00
Main service 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.
1, as the owner, or my employees with wages as their solelcompen-
sation, will do the work,and the structure is not intended dr offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business,and Professions Code
for this reason
NEW CONST.� DWELLING S. 21/2 Osci ft
OR ADDNS. ( ACC.BLDGOCCUP
NEW CONSTR. MULT 1.0 LET
NON-RESID. BRANCHUCTIRCUITS) 2.50 ea
P (POWER APPARATUS.&)
SINGLE OUTLET CIR
20050C
Ex. Occup(OUTLETS OR FIXTURES BAL@30q
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Hom� Facilities 15.00
Misc. Wiring 15.010 15i.W
Pre—Inspeatia, Mr 1 5.00115.00
Permit Fee s 50 . 00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00,(valuation) or less.
"'iile with' the Co'' Inty.�of Buite'B"'U'ilding De'partment
I have lace on u
a Certificate of Workmen's Compensation Insurance or a C6rtificate
of Consent-to.Self;lnsure.
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 mu�t forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT
Filing Fee I O..O�
Heating
Cooling
Hood
,�t �r3.00
Venti lation
. ........ T
Permit Fee
$
Contractor
I certify that I have read this applicaticin-an'd st I ate tha I t the above information
is correct. I agree to comply to all Cou'rity Ordinances and State Laws relating
to building construction, and hereby authorize rbpresentati�bs-of,.th,eCountyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the Count g
.N!.Putte agaii�nst
all liabilities, judgments, costs, and expenses which may in -any wa accrue
y cc
against.Vid County 41 c nseq ence of the granting of this,permit.
X eean? Date
Signature of Applicant - Owner XJ Contractor E] Agent
An OSHA permit is required for excavations. over 5'0" deep and demolition or c'onstruct-"
ion of structures over 3 stories in height. V
Mobile Home Installation Fee,
Energy Inspection Fee - C,
occ
CONST TYPE
TOTAL FEE $50.00,
HAL
I CUA -1
PARK
I SC7LD
I CDF
I IAR�
PD
ll-HD.IISSUE
This permit is hereby issued unaer tne
si'6;s of the Butte County. Code and/or
wdrk indicated above for which fees
U DiJIEC.W6 0"um� C
� M-,)
PERMIT EXPIRES Vate
applicable provi-
resolutions to do
have been paid.
WORKS
Date
7
Receipt No. 93742
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK-tNSPECTOR. GOLD ENROD-APPL I CANT
NI
LOCATION
2108 FT. WAYNE, OROVILLE
6496 L014ER WYANDOTTE, OROVILLE
EAST AVE & MRRIPOSR, CHICO
2031 ORO CHICO HWY, DURHAM
5498 ORD FERRY RD, CHICO
14753 BRIARI-0-00 OR, MA13ALIA
MILL RD,FERTHER FALLS
6490 STATEN CT, MRGRLIA
4523 GRROEN BROOK DR, CHICO
2551T HHY 32, CHICO
295 MT. IDA' RD, OROVILLE
14004 STETSON CT, MAGALIR
1403i DREXEL DR, MRGALIA
IQ82 COUTOLENC RD, MRGALIR
14804 CHIPWOOD CT, MRGALIA
9570 REO CT, DURHAM
302 NIELSON AVE, GRIDLEY
5370 FALL RIVER CT, OROVILLE
65017 SHAW CIRCLE, MAGALIA
f�'71-1 MT YnA Pn npi-ivu i F
ISS.
CONST. TYPE tiffl-LIA1 ION DfITL
REHAB/SF
25,760.
11� i 2 ,:
MH UTILITIES
f -j / I Ic
REMODEL/OFFICE
2,0110.
8/1-
RENEI-IRL/RDDITION
----------
I'Ll/ I t
MH UTILITIES/LIFFICE
8/2
MH INSTALLATION
-----------
8121
MH UTILITIES
8/1�
NE14 RESIDENCE
74,126.
8/1 -
NEW RESIDENCE
91il-..
NEW OFFICE & Wff-E
1-14, 166.
Oil,:
NEW RESIDENCE
6 9, 4
9 / -K�
HH UTILITIES
8/2�
NEW RESIDENCE
-i6,616.
3/1!
NEW RESIDENCE
83,915.
8/2 -
NEW PESIDENCE
94, 770.
S/ I -e
ADDITION
9, ')Ili).
81,14
NEW RESIDENCE
69,904.
9/2"
NEW RESIDENCE
195,450.
8i"'t
NEW RESIDENCE
76,25-6.
101 / I �
NEW RESIDENCE
151.390.
8/0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center DrIve 9 Oroville, Callfornla 95965 - Telephone: 916/538-7541
APPLICATIONAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
47-030-052
ZONING
A-40
BUILDING PERMITL!,,"
OWNER
Kevin P. Sullivan
TELEPHONE
343-8002
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
511 Cliftwood St., Chico 95926
CONTRACTOR'S NAME
Wolfe Electric & Lighting
ELEPHONE
�45-9330
CONTRACTOR'S MAILING ADDRESS
2795 Esplanade, Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Penmit Fae
-,0.00
$
A R C P. 17 E C T 0_F7TL:71T_-, IN E F P.
CENSE NO.
Plan Checkling Fee
$
Energy Plan Checking Fee
$
ARCHITECT DR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT FilingFee 10.00
Cana Rd., Chico
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIvISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 Duplex F-1 Mobilehomen Other Flertrir
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00"
Mobile Home S I G W�
10.00 ea
TYPE OF WORK
New n Addition n R emode I [] UtilitiesFN Installation[] Other
Describe work: Future Well & Development
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS 1 10-00 10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ad)
OR ACDNS. ACC. BLDGS. 21/2 Osq I t
NEW CONSTR. MULTI -OUTLET
NON*RESID, BRANCH CIRCUITS) 2.50 ea I
POWER APPARATUS &I
(SINGLE OUTLET CIR. / 1
20@50t
Ex. Occup(OUTLETS OR FIXTURES 15AL@ 30o
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 1 15. 5.00
Pre -Inspection 1 115.00 15.00
Permit Fee $ 50.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
F] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
0 f Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes. .
I also agree to save, indemnify and keep harmless the County of Butte against
all i liabilities, judgments, costs, and expenses which may in any way accrue
against spid County nseq ence of the granting of this permit.
X eo Date
�Zc
Signature of Applicant — Owner W Contractor El Agent 11
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy inspection Fee $
'oCC
CONST TYPE
ITOTALFEE $�O,ov
kHAZ.
I CUA
I PARK I SCHL
I FLD
I CDF
PD
il"
This permit is hereby issued uncier the applicable provi-
si�A oi the Butte County.Code and/or resolutions to do
work indlcaVtedabbo,, for which fees have been paid.
DI E R :01C WORKS
1 By 17 1 aN —Date _7_/Z_0//
PERMIT EXPIRES &1ate_____t"—
Receipt NO. 93742
WHITE-D.P.W., YELLOW-ASSE3SOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
PRE-INSPr-CTT-ON
WNLER: L111AI
DATE
LOCATION:
A.P.
CONTRACTOR: ZONING
. . .......... .. ............
PRE-INSPvCTION FOR: W 5.
DATE TO INSPECrOR
PERlMIT HISTORY: NONE El AS FOLLOWS:
110+ e n o ...... f
BUILBING USAGE:
lwiff=01-4110
RM
OCCUP
1, !ED HAS ELECTRIC HA S r.A q A C
HEATZD-COOLED
OTHER COKMNTS.
u u
k ACILITIES
PERSON COYrACT..E:D /M4-ytz--,
A
ACrION RECOMMENDED:
E::] ISSUE . . ll� HOLD FOR.
OTHER:
M� ME
=� - X-t-� ;hz;�- -
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, 0A.LIFORNIA 95965 - TELEPHONE: 916/538-7541
I
PERMIT APPLICATION DATA SKET
ermit No.—
OWNER Ap. P. No.
Proposed Building Use 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 . .. ........................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer.of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit ...............
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
2�0. 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 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When y u issue the! perapit, process s follows: — Ma
,�, tp/owner. —Mail to contractor.
=Telephone -3 �Z nd hold for pickup a4�t
office. —Del.iver w/inspector.
Copy of Hlaz-Mat form sent —Health Dept. —Fire Dept. -----Air Pollution Date
Copyofplanssent ____HealthDept- —FireDept. —Other— Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: —
Contractor, designer, owner, was advised of above required data by—phone---jnai I —counter by—..date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
OAF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -Ordvi I I e, Ca I if orni a 95965 - Te I ephone: 916/538-7541
APPLICATION -AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER .
6,v'? - 0s.-2- - 0
Z;�ING
BUILDING PERMIT
OWNER�� P
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS-
.5-// &-i)q-LOo�W
CONTRACTOR'S N�AM;
, e A
Lr- 1A)d _r
TELEPHONE
I
CONTRACTOR'S MAII,ING ADDRESS
FireDlace
CO�NSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Pemil Fee
$
ARCHI-ECT OR L14-.1.4EER 7_r�i
SE NO.
Plan Che,_king Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS AZD
Permit fee.
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE—
SF [:1 DuplexF� Mobilehomef-I Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
—
Mobile Home sT`Gw I
110-00ea!
TYPE OF WORK
New F� Addition [I Relmodei[] utiiitie,sx Installationo Other
Describe work: '042/
Permit Fee
$
Contractor
-ELECTRICAL PERMIT
Fi I ing Fee 10.00 1
Main service OOV.OR LESS
00 Am.r OR LESS
10-00 /7A
Main service EA. ADD -L 100 AMP
2. 0
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not -intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed CUIRICLUt-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.ad
OR AODNS. ACC. BLDGS.
2160sqft
NEW MULT'_OUTLET
CONSTR
NON RESI., BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OLITLETS OR FIXTURES
0@50t
1.2ALO 30q,
FIXED.APPLNS. OR 11
Ex. Occup. OUTLETS (RESID.) EA./
2.00 1
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
190
15.00 4
P T r--, 2 V
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code. you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state,that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
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 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 El Contractor E] Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over -1 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
AZ.
I CUA ]
PARK
SCHL
I FLD
I
PO
HO.
ISSUE
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. Z44
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Csn'ter,Drive, Oroville, CA 95965 PHONE: 916-538-7541
. . I
Kevin Sullivan -
511 Cliffwood St.
Chico, CA 95926
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
" We need the following information:
DATE June 21. 1991
RE: Permit Appin #1968-91 for elec
A.P. # 47-03-52
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Pa-rad-ise...
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.'
Recorded copy of deed showing'
Recorded copy of agricultural acknowledgement statement.
/XXX OTHER Pre -inspection of your property for electrical service indicated that
there is a travel trailer being used for occupancy. We cannot issue a permit
for a service for lot development until the trailer is removed.
Should you have any questions concerning the above, please contact
of this office.
Yours very truly,
William Cheff
Director of Public Works
Iwa LAO
J.F. Glander
JFG/aj 'Chief Building Inspector
ROD TAYLOR
PRE -,,INSPECTION
OWNER: I L) 0 VN DATE ?
LOCATION: A.P. # z-1 0 3
CONTRACTOR: ZONING
(�:o
PRE -INSPECTION FOR: L)e r
R 3 r -e- 4-P e
DATE TO INSPECTOR
PERMIT HISTORY: NONE F-1 AS FOLLOWS:
o4v- Q-erl rx o tq a
TYPE OF OCCUPANCY
------ -- -------
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
OCCUPIED HAS ELECTRIC F:]HAS GAS , F--jHAS SANITATION FACILITIES.
E:j HEATED7COOLED
PERSON CONTACTtD,
OTHER COMMENTS: 7� tZ e rn o t --p- ra, — k,
o4 �p
ACTION RECOMMENDED:
ISSUE E:] HOLD FOR
OTHER: s
b r- ,, L E 0 -r 91
BY DATE 2-
01/101
50
F
20-
01/101
50
F
March 19, 1991
BACHMAN
COUNTY OF BUTTE
Department of Building
#7 County Center Drive
Oroville, California 95965
Attn: Jim Glander
RE: KEVIN SULLIVAN
Cana Highway, Chico
AP# 47-03-52
Our Job No. 91-016
Dear Jim: �
ASSOCIATES
On March 12, 1991, a level net was run from Butte County Monument
#927 which.. is located on Cana Highway, to the above referenced
property. I have also reviewed Panel 100 of the FIRM map for Butte
County and -.'the Sacramento River flood data.
Based upon this data, the flood level in the subject area was
established as 162.50. A temporary benchmark was established by
way of a rebar driven"'into a power pole on the North property line
of the subject property, The referenced rebar is at elevation
160.96. If the finish floor is 1.54 feet or more above said rebar,
it will be above the 100 year flood level.
.are any further questions tha
if t.here ' t' I can answer for you,
please feel free to call my office.
Veryltruly youts,
L
C.,W. BACHMAN
CWB:trb
CC: Kevin Sullivan
ENGINEERING -
SURVEYING.
PLANNING
- DESIGNING
3012 The Esplanade,
Chico, California 95926
Telephone:
(916) 342-4136
CLAIMANT:
ADDRESS:
eoutd*i of Joutte
OROVILLE, CALIFORNIA
GENERAL CLAIM
Kevin & Janice Sullivan
511 Cliffwood Ct.
CITY & STATE: Chico, CA 95926 IMPORTANT:
December 13, 1991 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
PROJ.
Owner has decided not to do work. Permit #2494-91B,P,E,M,
AP#47-03-52, Receipt #96644, dated 7/22/91.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
Total Permit Fees Paid ---------------------------------- $1040.40
Retain Building Permit Filing Fee ------------- $10.00
Retain Plumbing Permit Filing Fee ------------- 10.00
Retain Electrical Permit Filing Fee ----------- 10.00
Retain MechanicaI Permit Filing Fee ----------- 1O.UO
Total Permit Fees Retained ------------------------------ 40.00
TOTAL REFUND DUE ---------------------------------------- $1000.-4��
COUNW
BUILDIN
rh r d
DW
U L
il "a %J! I
TOTAL $1000 40
1, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this alif.
!�4 day of ........... . i at
............... . .' (;"j
........... C
...... .... ............
Signature oi almant
1. the undersigned, hereby certify that. to the best of my knowledge. the services or articles specified above have been performed or de -
"'e red and that there is a Budget Appropriation D or Specific Board Approval E:] (Check o�e �' h e s -e.
Dated this ........ 13th day of December 91.,..Oroville .... . .
r
............................ ........................ Calif.
........................... 19
en tv
'�e t i�ead
Dept. Exp.
Code ..... 4.4.0.-.0.0.2 ................... Code ...... 4.2.10.500 .. .................. PAYABLE FROM ...... st. Permits FUND
.. .. ..... ........ ........................................... I ............
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ. CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
I A A '
uw
I
04,
t:��Q A �
V� t�u
vv�
�pw pT� no. 7 - 0 30 - 0,!�a
0�� Pu -ko llo-�& I-. 1�1�
0,_C, W,3 PVA PtA- M�t
u
-3 C7'
C�A
e I-,
DEC
l,'2Z-e
............ .
COUNTY DF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 CountWC6nter Drive - Oroville, Calitornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
RMIT 0.
:�!" N V-14
ASSESSOR PARCEL NUMBER
47-030-052
ZONING
A-40
BUILDING PERMIT
CrWNER
KEVIN RD SULLIVAN
TELEPHONE
30-8002
SQ. FT. OCC. BUILDING VALUATION
2636 R 1344-36
OWNER'S MAILING ADDRESS
511 CLIFFWOOD CRT CHICO
470 C 6110
CONTRACTOR'S NAME
R & A BUILDERS 1877-3212
TELEPHONE
CONTRACTOR*S MAILING ADDRESS
6366 DIAMOND AVE PARADISE
Fireplace "All (2) 30.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 1439
6
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 943, 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 271.90
Energy Plan Checking Fee
$ 19-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
72- ill CANA M' CHICO
Permit fee
$ q v) - 9n
PLUMBING PERMIT Fi I ing Fee 10.00
Each Trap
1� 2.00 22.00
Solar or heat pump water heater
20.00
LOT NO.
#
SUBDIVISION NAME
I
PARCEL MAP
I C?,
Water piping ,
5.00 5.00
Each qas water heater or vent
5.00 75. GG
USE OF STRUCTURE
SF[� DupIexF1 MobilehomeR Other
SPECIFY
Gas piping 'system 1 - 5 outlets
5.00 1 5-.
Building sewer
5.00 5. 67
Mobile Home S I G I W
10-00 ea.'
TYPE OF WORK
Newo Addition[] RemodeiEl UtilitiesEl InstallationD OtherF]
Describe work: I 'RDRM
I
Permit Fee
$ 52.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA, ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ai)
OR ADDNS. ACC.BLOGS.
21/4sq ft 65.90
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS)
2.50 ea I
POWER APPARATUS &I
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
—
20050t
- 5 -AL@ 30C
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.)
2.00
—
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
_L
$ 85.90
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100-00 (valuation) or less.
E]. I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
MECHANICAL PERMIT
Fi I i rig Fee 10.00
Heating
(I - 00
Cooling
Hood
3.00 1
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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, Llidgi ents, costs, and expenses which may in any way accrue
d Int f n c rise uenc J_Ihe granting of this permit.
against 1i e o
-7-d:)-qf
X Date
Signature of Applicant — Owner X Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy inspection Fee $
'Occ
VHAZ
CONST TYPE
TOTAL FEE $
I CUA -1 PARK]
SCHL
I FLD
CDF
I PAff/T
HD.
ISSUE
T.his permit is hereby issued unaer tne applicable provi-
si ons of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
8 eceipt No.
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
-.Ad
N�
COUNTY OF BUTTE -DEPARTRjfN_T-GF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE fOROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
? PERMIT APPLICATION DATA SHEET.
Permit No.
OWNER td 1541 0141 A P
Proposed Building Use — 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
—.—I. -All items have been submitted . ....................................
2.)Plot plans in duplicate/triplicate, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans
4.
Complete engineered plans and calcs, with wet signature on plans
5.
Hazardous Material Form ...........................................
6.
Energy Design Compliance and supporting documentation .........
�e-Statement of Intent for Non -Heated and AC Buildings ..............
te- 8. Engineered truss details layout in duplicate to 'plan
and (required prior check)
9.
Mobilehome irstallation data including manufacturer's installation
instructions .......................................................
10.
Fees of $ ........................
11.
Chico Urban Area fees paid .......................................
12.
Park fees pai , d .................................................
3.
9 i:> School Dtbitrict fees paid ..............
/ 6
4.
Sanitation approval from <-- - Health Department -a
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of.
(see City for other requirements)
17.
Planning approval for (A) Use:—(B) Parking: . ......
18 -Improvements may be required. Contact Land Development Section DPW
_A.e<
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 0, Mail to owner 0) .....
�ecorded
N
copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
26.
27.
When
you issue the permit, process as follows: ----VMail to owner.. —MAil
to contractor.
Telephone and hold for pickup at —office; —Del.iver
w/inspector.
Other
Applicant �
.2 Z_/F
�ate - Z/
Copy of Haz-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent ____Hea1thDept. —FireDept. —Other— 9,ate—
The followin data must-be.-submi.ite-d prior to permit issuance!
9
1. Index permit for above items No.
2. Additional items required:
By
c.heQke,d-above).
Contractor, designer, owner, was advised of above required data by—phone---jnal I —counter by_date
Contractor, desij;ner, owner, was advised of above required data by —phone —ma I I —counter by— date
by
Date Y�5:�5,Z Plans approved by
Sets of plans on hold in —File cabinet _AP folder
Copy -DPW
Date
V/1
mWed" IV,
.1y, '.
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE'CERTIFICATION FORM
(one Form per Building)
A.P. Number 7-4�7�- Auilding Department o.
School District city F--1 county Jurisdiction
1 Al
Pronertv Owner
Project Location/Address
Subdivision Lot Number
Resid . ential Dev . elopment: Sq. Footage
# of Living MHI Addition (eroup R)
Units
Commerlciadl/Indus�trial:
- / Build.ing W6par
New
I
Representative
Sq. Footage
Addition (Including Exterior
Roofed Areas)
Dat
(Floor Plans reviewed by School District Personnel)*
District Id No.
(_ � 0
04��
(City
ress
School District certifies that
(Phone Number)
State
Zip Co
has complied with the requirements of Resolution No. -
by the pay nt of $ representing -2&36 square feet.
121
�Sbzhool'Di-gtriVf Rftrresentative Datie V
PAID BY CHECK NO.
BANK NO
PAID BY CASH
T his Certification is valid only upon the issuance
of a Butte County/City of Chico Building Permit
prior to 8/5/91. Building Permits issued on or after
8/5/91 are subject to re -certification and additional
school fees of $1.00 per square foot of assessable space,
white -applicant, yellow -building department, pi
SCHOOL.FEE (8/88)
-school dY-s
COUNTY OF BUTTE Deoartment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has. been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) V &F -I
/.2. 1 (have/have not) _hA V 6 signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan Co provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date '7 -
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
Ifle V/ II Sk /4' V-& e7 E3
owner location AP #
4�
Driveway permit has been issued for the above property.
2 -
date
si ature
Lp 1411 1 L
07�1�Cl- RECEIPT 9 42
R
2�� ARINIEN SSUING RECEIPT
Received frilitifilli:: ;111, 6 J I
The Sum of
For OP
Received:
Re y
CASH
Title
CHECKNVr
,6-1 /' By
OAVC0 . BUSINESS FORMS (916) 743-8511
Received from 2==,�
The Sum of
ForL��
Received:
CASH
CHECK
DAVCO BUSINESS FORMS (916) 743-8511
UNTY OF BUTTE 86207
FFIQIAL RECEIPT
?d 9
C R E�PAqTMENT IS NG RECEIPT
Received B.
Title
By
DAVCO BUSINESS FORMS J916) 743-8511
LISINESS FORMS - (916) 743-8511
49
COUNTY OF BUTTE
OFFIC;Vj
6/6 oEje 9,,66 4
OFFICE OR DEPARTMENT ISSUING RECE
/T -71.,;12-
Received from
The Sum okWjGE 7771,e9e2�� 7C/
For 7 -
Received:
CASH Title
CHECK--J;Z/
By
DAVCO BUSINESS FORMS (916) 743-8511
COUNTY OF 5 TTF.
IAL REzIPT 10 426
R 11 -1 BEL—
OFFIC/O ?1_5
Received from 12, S --
The Sum of igtV
For '41 Z
Received: ece'
CASH Title
CHECK
"a
D Q�O P,
iet Q01
0
'P
r-
0
00 P
77
$�� Zt
C^
i&
LN L-\ *
7�
Location of structures
e I quipment shall be as shown
& clear of. all easements.
Z5, 51 C)O-- t-, �ekl*oc
YA V- C) S 0- 0hc-"
Rx
'-YSTEM t>ES(6(,Je-0
tt0eJZ0NT7,L- t=:Oe-cec, OF 15 F:51F AtJ(D
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ROOD Z-ONJIG A
Finish floor, electricel, HVAC
equipment and servicas ci!,"a
flood elevation USGS. This set of plans and specifications MUST be
kept on the job of all times and if is unlawful to.
make any changes or alferctionson some without
wrp.+fen permission from the Department of Publ;,�
Works, Couryty of Buffe.
NOT�.:-An Materizals & VVorkynarrship Shall be jr�
Ac=irdat-rce- Mth Reco-nized Good Practicat
ctf is clLiallty, prescribed for tho Sf--ecifitcl tm* in fiv
UrvlforFn BuiI43rg, Plumbing & Mechrmical Ccx4es
o,nd the NulkxialEloctrical Coc�e.
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Location of structures
e I quipment shall be as shown
& clear of. all easements.
Z5, 51 C)O-- t-, �ekl*oc
YA V- C) S 0- 0hc-"
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tt0eJZ0NT7,L- t=:Oe-cec, OF 15 F:51F AtJ(D
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t'(W . rd3�jc-o GY DEPr, OF ttouSir,16: (MAKJU-^PPe0\JC-00
W too
ROOD Z-ONJIG A
Finish floor, electricel, HVAC
equipment and servicas ci!,"a
flood elevation USGS. This set of plans and specifications MUST be
kept on the job of all times and if is unlawful to.
make any changes or alferctionson some without
wrp.+fen permission from the Department of Publ;,�
Works, Couryty of Buffe.
NOT�.:-An Materizals & VVorkynarrship Shall be jr�
Ac=irdat-rce- Mth Reco-nized Good Practicat
ctf is clLiallty, prescribed for tho Sf--ecifitcl tm* in fiv
UrvlforFn BuiI43rg, Plumbing & Mechrmical Ccx4es
o,nd the NulkxialEloctrical Coc�e.
qz- I o*z
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BUIL DING DEPARTIVIEN1.
APPROVED
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Ceruxicam oi t�omPuance: ikesiaenuat
Project Title
.. Project Address
Documentation Author Telephone
Building Permit 0
Checked By/ Date
Enforcement Agency Use only
BUILDING DATA Glass Area % G1=
North
Conditioned Floor Area Number of Stones East
slab/Raised Flo -or Number of Unit; South
Single Family Detached (SFD) Addition. Alone West
Single Family Attached (SFA) Existing Building Skylight
Multi -Family (MF) Existing -Plus -Addition Total
B UII,D ING SHELL INSULAXI.Ur4
Component Insulation Locafforx'Cornments
Type R -Value (attic, to gwage, =i=ZL etc.)
WaU..............
wau ..............
Roof .............
Roof ..........
Floor .............
Floor .............
Slab Edge .....
(3LAZING Shading Devices
�-GIazling Ama Glass Type Interior Exterior Overhang FmingType
Orientation (SO (single, double) �oller blind. etc.) (Shadestcram etc.) (yes/no) (meAltwood)
No rLh
North
Ea-st
East
South
SOULh
West
West
Skylight .......
THERMAL MASS
Type/Covering Area TbLickness
(slati/exciosed, tile_ etc.) (Sf) (inches) L0cad0nMmcrJ2tion (kitcher% bath. etc.)
HVAC SYSTEMS Nlirimum, Duct
Type (furnace. air Efficiency Location Duct Output Manufacturer Model #
condi(ioner. heat pump) (SF- SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
- ---------
Maximum Fumace Heating Output: Bruh
HOT WATER SYSTEMS
Tank Manufactumr/Model #
System Type (storage gas. etcA Capacity (or approved equal) . Special Featum(s)
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
N I hme me= zrdS= Om
OTE: Lo-ru;c residential biaildings sub*t to the Standards must comain t tres reg ofthec pli-
31191—h—A Items matted with an Jkllwiuk (')maybe superseded by mom strinlIcnitcompliancz, requirwicnits listed
0 he Ccftir documcritgthc calurctinowdshaU
IN u 'case Of COMPlianC& When this checklist is incorporated into the permit f
be considered by all parties as binding minimum component parformance specifications for the mandatory measuees
whether they am s1lown elsewhere in thi: documents or on this check! lin only.
DESCRIMON DESIGNER ENIRMICEMOff
Building Envelope Memures
�2-5352(ak: Minimum ceiling insulation R-19 Vmighuxl avenge.
42-5352(bY I rill insulation manufacturer's bbcicd R-Valuc.
12-5352(c): Minimum wall insulation in frAmcd waft R-1 I weighted average (does not apply to
exterior Rum wails).
12-5352(k)c Slab edge insulation - water absorption rate no VeA= than 0.3%. Water vapor
uansmission rate no gmier than 2.0 pcmilinch.
12-5311: hisadation specified or installed meets C&Iifamia Energy Commission (= quality
stand2rdL Indicate type and form.
§2-5352(* Vapor buries mandatory in Clinute Zones 14 and 16 only.
42-5317: Infiltr3tion(EitfiltrationConvois
Doors and windows between conditioned and unconditioned spaces designed to Limit air
leakage -
b. Doors and windows ccrufic4
c. Doors anil windows -caLherstripped; all joints and pcnenations caulked antl sea Wd
62-5352(c)r Special intilowitin barrier installed tocornply with §2-5351 mccu CEC quality
standardL
12-5352(d): Installation of lFimpLaces
1. Masonry and fac:ory-built fireplaces; havc
a. Tight rating. closeable metal or glass door
b. Outside air incLkc with dampm and conatti
c. Flue damper and control
2. No continuous buming gas pilots allowed.
HVAC and Plumbing System Measures
12-5352(1) anel 2-5303-. Space conditioning equipment sizing: attach C1kUI2d0M
§2-5352(h)aW2-5315: Setback thermosmCin all applicable heating syswxm
12-5316(aY Ducts conaructed. kLsWlcd and insulated per Chapter 10. 1976 UMC -
§2 -5316(b): Eahaust systems have damporconvoki.
62-5314(c): Gas -fixed space heating equipment has intermittent ignition dcvic=
§2-5314* 14VACcquipmemwater hcatasshowerheads and faucctscertirbedby the CF -C.
J2 -5352(i -r. WawhcauxinsWationbL%nket(R-12orgeaw)orcombis�inLerior,,�-,xLerior
insulation (R- 16 or pieamr); rLrst 5 fect of pipes closest to tank insulated (R-3 or g=tcr).
§2-.33I2(F-xccptionW. Pipe insuLationon steam and stcam cond-n-, retam&recirculaiing
piping.
§2-53 18(d)- Swimming Pool Hc2ting
1. System has:
a. ONO(( switch an heater.
b. Weatherproof instruction place an hmicr.
c. Plumbed to allow for solar.
2. 75 peiccnt thermal c1ricicncy.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lightint and Appliance Measures
12 -5352(j -x Ughting - 25 turmnstwattor great= for general Lighting in kitchens and bathrooms.
12-5314(c)- Gas fired appliances equipped with intcmiacnt ignition devices.
J2 -5314(a). Rcfiigcmwm refrigeratoe-(reezem fmczers and (luorcw=t Lamp ballasts certified
by the CEC- Indicate make wid modd number.
COMYLIANCE STATEMENT
This O=fi=c Of compliance H= tlr� building featim-cs and peribrmarlce spedfications needed to comply with
Mile 24. Chapter 2-53 and Mile 20. Cluptrr 2. Subciutpter 4. Article I of the Califonria Adminis=tive code- This
certfficatc has been signed by the individual with overall design respcnsibilicy and the building owner. who shall
muin a copy of it and Umumit dx ceitficate to xay subsequc= purcliaser of the building.
Designer
Name:
Tuk/Fu=
Addres=
Tckphonc:
Lic. 8-
(signa (date)
Documentation Author
Name:
TiEWFUTIX
Address:
Building Owner
Name:
TkkiFunx-
Address: -
Tck-phanc
� 41 V�/
(sign& (dauc)
Enforcement Agency'
Name:
Ac—r-
TcL-4-�,-
S. Infiltration (Air Leakage)
specifimition Points
Standard 0
6. Glaiss He2t LAss
Total
1. Ceiling Insulation
interior
Number of stories
U value
SEER
R -value One Two Three
(percent Stan x SC)
R-0 -103 -4
-32
Alto
R-1 9 -8 -4
-2
Single
R-30 .2 -1
-1
.50
R-38
0
50
U -value
-53
-39
0.50 -176 -84
-54
4
0.30 -102 -49
-32
-37
0.10 -26 -13
-8
-3
0.08 -18 -9
-6
-75
OX6 -11 -5
-4
-9
0.134 -4 -2
-1
30
OM 4 2
-21
-13
0.00 5
3
12
2. Wall Insulation
-58
-20
Single- Single -
-3
5
Family Family
Multi -
'-55
R -value Detached Attached
Family
-2
R-0 -68 -51
_11
27
R-1 1 0 0
0
-9
R-1 3 2 2
1
13
R -I 9. 8 6.
-49
-15
Lk-alue
.1
7
14
25
0.50 -91 -68
-As
-7
0.30 -47 -36
24
14
0.10 a 0
0
-12
0.08 4 3
2
8
0.106 9 7
5
-40
0.04 14 11
7
2
0.02 19 14
10
22
0.00 24 18
12
-3
.-3. Raised Floor Insulation
9
is
lamlaition In Floor
-34
-7
Number of stories
4
10
R -value One Two
Three
-31
R-0 -8
-5
5
R-1 1 -3 -2
.1
19
R-1 9 0 0
0
1
R-30 3 1
1
16
U -value
7
. .3
-144 .70
-46
.12
0.50 -120 -58
-38
-23
0.40 -95 -46
-30
8
0.30 -69 .34
.22
16
0.20 -43 -21
-14
4
0.10 -17 -8
-5
17
0.08 -11 -6
-4
1
0.06 -6 -3
.2
14
0.04 -1 0
0
-14
0.02 4 2
1
10
0.00 10 5
3.
13
'..Controlled Ventilation Crawlspace
4
Number of stories
11
is
R -value One Two
Three
-9
R-0 -11 .7
-S
12
R -S -4 -4
3
11
R -I 1 -2 -2
-2
10
R -I 9 .-1 -2
.2
19
4. Slab F Insulation
-3
9
Jdge
14
17
Number of Stories
9
.1
R -value One Two
Three
15
R-0 0 0
0
8
R-5 8 5
2
14
R-7 8 6
3
20
F2 factor
-2
Two +
0.90 -4 -3
-1
2
0.80 .1 -1
0
(assurnes ducts In attic)
0.70 2 2
1
14
0.60 6 4
2
Water
0.50 9 6
3
-25 or -24 to -14 to -4 to
0.40 12 8
4
S. Infiltration (Air Leakage)
specifimition Points
Standard 0
6. Glaiss He2t LAss
Total
EffectlytPes, CCU=
interior
EfrectIve Pea cc it Glass
U value
SEER
Percent
(percent Stan x SC)
slories Stories
.51 to
Alto
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
Im
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
a
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
'-55
-18
-10
-2
5
13
27
-52
-17
-9
.2
6
13
2S
-49
-15
-8
.1
7
14
25
-46
-14
-7
0
7
14
24
-A3
-12
-5
1
8
14
23 .
-40
-11
-4
2
a
is
22
-37
-9
-3
3
9
is
21
-34
-7
-2
4
10
is
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
_18 - _,-26
7
. .3
2
-,.7
.12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
-15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
a
11
is
18
12
-9
6
9
12
is
19
11
-6
7
10
13
is
19
10
-3
9
11
14
17
19
9
.1
10
13
15
17
20
8
2
12
14
16
18
20
7.5hading (Shade Open)
EffectlytPes, CCU=
interior
EfrectIve Pea cc it Glass
Slab Floor Raised Floor
SEER
Mass
(percent Stan x SC)
slories Stories
Effecm
1CFA
% Glass
NoM
Ead
% Glass
North
East South 'West
SWight
18
S
1 4
1
na
16
2. 5
1
na
14
4
2 5
1
na
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
a
2
3 5
2
2
7
1
3 4
2
2
6
. 1
3 4
2
3
5
1
- 2 4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
0 1
0
3
1
-1
-1 -1
-1
2
0
.1
-2 -4
.2
0
na - not allowed
-2
6.0
.9
& Shading (Shade Closed)
na . not albwed
9. Interior Thermal Mass
EffectlytPes, CCU=
interior
(Percent tia= X SQ
Slab Floor Raised Floor
SEER
Mass
slories Stories
1CFA
% Glass
NoM
Ead
South
West.
SkyfigM
18
-14
-48
-69
-6�
'na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
I 1
-7
-26
-as
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21
-56
7
-4
-14
-19
, -18
-47
6
-3
-11
-15
.14
-38
5
-2
-9
-11
-110
-30
4
- 1
-6
-8
-7
-23
3
0
-4
-5
-4
.-16
5
a 9 11
1
-2
6.0
.9
8 10 12
13
1
1
6
-4
0
2
3
4
3
0
na . not albwed
9. Interior Thermal Mass
or
interior
R -value 1381
Slab Floor Raised Floor
SEER
Mass
slories Stories
1CFA
One
Two Three One
Two Three
0.0
-8
-5 -4 .2
-1
.1
0.1
-8
-5 -3 -1
0
0
0.3
-7
-4 -2 0
1
1
0.5
-6
-3 .1 1
1
2
0.7
-5
-2 .1 1
2
2
0.9
-5
.1 0 2
3
3
1.1
-4
.1 1 3
4
4
1.3
-3
a 2 3
4
5
1.5
-3
1 2 4
5
5
2.0
-1
2 4 5
6
7
ZS
0
3 5 7
7
a
3.0
1
4 6 8
8
9
3.5
2
5 7 9
9
10
4.0
3
6 8 9
10
10
4.5
3
7 8 10
11
11
5.0
4
7 9 11.
12
12
5.5
5
a 9 11
12
12
6.0
5
8 10 12
13
13
6.5
6
9 10 12
13
13
7.0
6
9 11 13
13
14
7.5
6
10 11 13
14
14
8.0
7
10 11 13
14
14
&S
7
10 12 13
14
is
10. Exterior Wall Thermal Mass
4
Exterior
single. SINle.
-4 -4
-3
wan
-2
Family Family
1104UN
0 0
Mass
0
Det3ched Aluched
Family
0.00
8 6
a 0
0
3
0.20
16
3 2
1
7
0.40
10.0
5 4
3
13
0.60
7
8 6
4
23 19
0.80
12
10 8
5
30
1.00
IS
13 10
7
13.o
1.20
29 24
13 12
a
10
1.40
Zonal Coatrol Adjusment
12 13
9
10
1.60
6
10 13
11--
32
1.80
4.3
10 ... 12
12
4.9
zoo
5.3
10 11
13
-5
11. Heating System
-3
-2
-2
Two +
SE or HSPF
3 2
2
2
1
(assurnes ducts In attic)
Attached
12
14
Sum of 1-6
18
Water
4.3
139 12MY
-25 or -24 to -14 to -4 to
+61:0
isor
SE HSPF
less -15 -5 +5
+15
mom
0.72
6.60
0 0 0 0
0
0
0.75
6.88
3 3 3 2
2
1
0.80
7.33,
8 7 6 5
4
3
0.85
7.79
13 11 10 8
7
5
a.go
8.25
17 15 13 11
9
7
0.95
8.71
20 IS 15 13
11
a
2
2
Effective SE or HSPF
POU
8 5
4
(SE or HSPF x duct efficiency)
3
Effective -2S or -24 to -14 b �4 to
+6 b 16 or
SE KSPF
less -15 -5 +5
+15 more
-12
0.30
275
-73 -64 -56 -47
-38
-30
na
3.41
-45 -39 -34 -29
-24
-18
0.40
3.67
-34 _M -26 -22
-18
-14
0.50
4.58
-10 -9 -8 -7
-5
-4
0.56
5.13
a 0 0 a
0
0
0.60
5.50
5 5 4 3
3
2
0.70
6.42
17 15 13 11
9
7
0.80
7.33
25 22 19 is
13
10
0.90
8.25
32 28 24 20
17
13
1.00
9.17
37 32 28 24
19
is
8 5
4
Zonal Control Adjustment
3
System Type
POU
-10 -6
Resistance
10 9 7 6
4
3
Other
6.1
6 5 4 3
2
2
12. CooUng Syst.:m
or
R -value 1381
SEER
or
(Luumeg ducts
In attic)
InteriorMassICFA
U-VaLue 10.0981
Sim of 7-10
or
-25 or -24 b 0410
-4 In
46 to
ISO(
SEER
leu
-15 -6
+S
+15
mom
8.0
-14
-12 -10
-a
-6
-4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
-2
.2
-1
9.5
0
0 0
0
a
0
10.0
4
3 3
2
2
1
10.5
7
6 6
A
3
2
11.0
10
9 7
6
4
3
12.0
IS
13 11
9
7
6
75%
4^0
17 14
12
9
6
.13.0
0%
. "I
'
*
IN
(IS
1.1
Effesitive SEER
13
1.7
1,9
(SEER x4act efficiency)
2.3
2.5
2.7
.%-n of 7-10
3.2
'13
14
Effective-2Sor
-24to -1410
-410
+6 lo
16 or
SEER
less
-15 -6
+5
+15
mom
5.0
-30
-2S -21
-17
-13
.9
6.0
-12
-11 -9
-7
-6
4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26.
23 19
15
12
8
12.0
30
26 22
IS
14
9
13.o
33
29 24
20
15
10
2
Zonal Coatrol Adjusment
Z4
Z6
10
a 7
6
4
3
32
iNo Cooling Systeris installed
4.3
-Stories
4.7
4.9
S.1
5.3
5.6
One
-5
.4 -4
-3
-2
-2
Two +
3
3 2
2
2
1
Single-F&I111111117 L*ached and
Attached
12
14
IUFA Size (so
18
Water
4.3
139 12MY
1700
2200
27W
Heater
Credit
or - 10
to
to
1 or
Type
Type
less 16M
2199
2699
more
SG
None
0 0
a
a
0
or
Solar
12 a
6
4.4
4
HP
HWR
8 5
4
3
3
6.1
WSS
5 3
3
2
2
1.8
POU
8 5
4
3
3
SE
None
-37 -24
-18
-15
-12
4.3
Solar
-1 -1
.1
a
0
56
HWR
-18 -12
-9
-7
-6
12
WSS
-25 -16
-12
-10'
-a
ZS
P0_U_
-19 _-12
-9
-7.
-6
lG
None
-5 -3
.2
.2
-2
5
Solar
7 5
.4
3
2
63
POU
3 2
1-
1
1
E
None
-28 -19
-14
-11
-9
3.2
Solar
8 5
4
3
3
4.5
POU
-10 -6
-5
-4
-3
5.7
MuIU-Fam4 (Individual .,It,)
6.1
64
70%
I Unit size
(so
1.6
Water
2
699 700
l2oo
I 7oo
22oo
Hewer
Credit
or In
to
to
or
Type
Type
lost " 1199
IM
21 qg
more
�SG
None
0 0
0
a
0
or
Solar
14 7
5
4
3
KP
HWR
9 5
3
2
2
IS
WS8
9 4
3
2
2
5.1
POU
9 5
3
2
2
S E
None
45 -23
-is
-11
-9
2
Solar
2 1
1
0
0
13
HWR
-23 -12
-a
-6
*-S
43
WS8
-25 -13
-a
-6
-5
5.8
EQU
23 -IZ
-a.
-6-
_5
n
None
-a -4
-3
.2
-2
2.7
Solar
6 3
2
1
1
4
POU
1 -0
0
0
0
IE
None
-�30 -IS
-to
. -8
-6
65
Solar
18 9
6
4
4
2-2
POU
-6 . -4
.3
-2
-2
Point System Summary: Climate Zone 11
SCORE CARD Measures
1. Ceiling Insulation
2. Wall Insulation
3. Raised noor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Lass
Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. -West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N
12. Cooling System
Zonal Control? (Y/ N)
13. W*aterHeating
or
R -value 1381
U-vaiuc 10mol
or
R-vaLUc [ 111
InteriorMassICFA
U-VaLue 10.0981
or
R -value 1191
_U-_,;Zuc (0.0371
or
R -value [01
F2 factor ((XT71
Standard
U-vsluc 10AM
% Toul, Gl&u J 161
Type (doubicl
Glass
SC
Eff. % Glass
X
X
X
;TPC I MASS
WIPIC b 4.2. lot e!M3ed Slab$
4
X
% Glass
0%
S%
10%
15%
20%
25%
30%
3S%
40%
45%
50%
55%
W%
SM
70%
75%
1117%
MY.
90%
05%
0"
1 .105%
Oy 20%
It .115% 1 125�
0%
0
42
114
IN
(IS
1.1
12
13
1.7
1,9
71
2.3
2.5
2.7
It
3.2
'13
14
3.6
3.8
4
4.2
4.4
-4.6
4.8
5
53
10%
U
0.4
0.6
0.8
1
1.2
1.4
1.8
1.9
LI
Z3
2,S
27
19
3.1
15
3.7
4
4.2
k4
4.6
-4. L
5
52
5.4
20%
0.3
Q6
0.8
1
1.2
1.4
IS
1.8
2
Z2
Z4
ZI
19
11
13
15
17
19
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
U
0.9
U
1.4
1.6
1.8
2
22
Z4
Z6
2A
3
32
3.5
3.7
32
4.1
4.3
4.5
4.7
4.9
S.1
5.3
5.6
So
40Y.
1117
U
1.1
13
1.5
1.7
IJ
Z2
Z4
24
21
3
12
14
16
18
4
4.3
4.S
4.7
kill
&1
5.3
5.S
S.7
59
50%
11.9
U
1.3
1.5
1.7
1.9
ZI
Z3
2.5
27
3
3.2
U
U
IS
4
4.2
4.4
4.6
4.8
&1
5.3
5.5
5.7
&9
6.1
SS%
19
1.1
1.4
IS
1.8
2
12
14
2.6
Z3
3
3.2
15
1?
3.9
4.1
4.3
4.5
4.7
4.9
it
53
56
5.8
S
62
60%
1
12
1.4
1.7
1.9
ZI
2.3
ZS
U
19
3.1
3.3
15
3.8
4
Q
4.4
4.6
4.8
5
5.2
SA
5.6
S.9
6 1
63
65%
1.1
1 .3
1.5
1.7
1.9
Z2
2.4
16
21
3
3.2
3.4
36
3.2
4
4,3
4.5
4.7
4.9
SA
S3
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
Z2
25
ZY
Z9
3.1
3,3
15
21
3.9
4.1
4.3
4.9
4.8
5
5.2
5.4
5.6
58
6
62
64
75%
1.3
LS
LY
1.9
ZI
2.3
25
ZY
3
12
14
15
IS
4
4.2
4.4
4.6
4,11
5.1
5.3
S.S
5,7
19
6.1
6.3
6.5
Wy.
1.4
IS
'11
2
12
14
16
18
3
13
IS
11
29
4.1
4.3
43
4.1
kg
5.1
S.4
56
5.8
6
62
64
66
85%.
1.4
1.7
1.2
2.1
13
2.5
2.7
19
3.1
3.3
3.5
18
4
4.2
4.4
4.6
4.8
5
52
54
5.6
59
6.1
63
65
67
90y.
1 .5
1 .7
2
2-2
Z4
2.6
2.3
3
3. 2
14
3.6
14
4.1
43
4.5
4.7
4.9
11
53
.55
&7_
5.9
5.2
64
66
68
95%
1.6
1.1
2
2.2
15
2.7
Z9
3.1
33
15
17
3.9
U
4.3
4.6
kill
5
5.2
5.4
5.6
SA
6
6.2
6.4
6.7
6.9
100y.
1.7
IJ
2.1
23
IS
28
3
3.2
3.4
3.0
18
4
4.2
4.4
4.6
4.9
M
S.3
51
5.7
S.9
&1
5.3
6.S
6.7
7
105%
1.8
2
2.2
2.4
ZS
7-8
3
13
3.5
3.7
3.2
4.1
4.3
4.5
4.7
4.9
&1
5.4
56
5.8
6
5.2
6.4
6.6
68
1
I IV.
1.9
ZI
Z3
25
17
Z9
&1
3.3
16
3.8
4
4.2
4.4
43
4.8
5
5.2
SA
5.7
5.9
6.1
&3
6-S
6.7
69
7.1
115%
2
U
14
2A
Z8
3
3.2
3.4
3.6
3.3
4.1
4.3
4.5
4.7
4.9
5.1
5,3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
Z3
ZS
2.1,
2. 9
3. 1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
&&
$11
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
11
2.3
25
2.8
3
12
14
16
3.0
4
4.2
4.4
4.6
a
SA
U
15
5.7
5.9
U
U
6.5
6.7
7
7.2 ',7.4
Point System Summary: Climate Zone 11
SCORE CARD Measures
1. Ceiling Insulation
2. Wall Insulation
3. Raised noor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Lass
Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. -West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N
12. Cooling System
Zonal Control? (Y/ N)
13. W*aterHeating
X
SEER 19.51 Duct Efficiency J(1741 Effective SEER (7.031
I ,
Type JSGl Credit (nonci
Point Scores
Point Total:
Sum 1-6
Sum 7-10
or
R -value 1381
U-vaiuc 10mol
or
R-vaLUc [ 111
U-VaLue 10.0981
or
R -value 1191
_U-_,;Zuc (0.0371
or
R -value [01
F2 factor ((XT71
Standard
U-vsluc 10AM
% Toul, Gl&u J 161
Type (doubicl
Glass
SC
Eff. % Glass
X
X
X
X
X
% Glass
sc
Eff. % Glass
X
X
X
X
X
TYPE 1 KASS
AREA It
Inu:xior1V--%ss/CFA
COND. FLOOR
AiE-A
TYPE 2HASS
AREA
Exterior Wall Mass
COND. FLOOR
AREA
X
SE or HSPF
Duct Efficiency (0.781
Effective SE or
(0.7216.61
HSPF J0_W5. 151
X
SEER 19.51 Duct Efficiency J(1741 Effective SEER (7.031
I ,
Type JSGl Credit (nonci
Point Scores
Point Total:
Sum 1-6
Sum 7-10