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056-120-088
ADDITIONAL BUILDINGS WITHOUT PERMITS ZONING PROBLEMS SPECIAL INSPECTION 22-91 8/29,./44 Vii' o rI A-150 bey //4 r f 4. b 13 `5`6-12.� Milton � 56-- 12-88 W/S Cohasset'Rd'. ap"p."l 3/10mi. i rj Vilas Branch Rd., Cohasset -STARKEY, Karen' , Permit #1 45-78P,E(uti.,MH) r 1`6 Mendocino Way,. Cohasset ; ELEC.�aT_ pp ,p "'A a Exem bion. Permit •- = j ('flay storage .x - _ SUPPO T STRUCTURE REQ, r7,1, COMPACTION TEST HQ • s.� 7//.2/7,f S6-12- �$ Permit #1746-78 I a- _ Issued $0-F, ' F Permit #2839-7788jBB(/n/eL/ry covered deck/MH) 56-12 X Permit #68 0-78P(inst.�rnew gas�f line) MHS ! 56-12-88 1164-91B,P,E,M STARKEY, Karen 16 Mendocino Way, Cohasse (new sf) 056-1'2"0-088 492=275 B STARKEY, Karen. <' G 16'Mendocino Way, Cohasse 116.4 ° 1st renewal/91- /1 _16-y2_ 056-12-0-08892-2749B STARKEY, Kar 16 Mendocc'-fto Way, Cohasset conv a tic to•.storage/sf • R;DEENTIAL 56-12-88 00-rS t, 1164-91B,P,E,M STARKEY, Karen 16 Mendocino Way, Cohasset (new sf ) xt nc -7' 9 • �� ,.`: 'v Address GAS Meter By�� - Dat . '- ELECTRIC Meter By Date OFFICE COPY e i �✓C �G Address bL— �1 GAS �; Dated,' + Meter BY 3 L ELECTRIC 2 fQj _Date Meter By JOB FINALED (Date) Signature J=OK O = Not 0K -„Not Applicable ' = Not Ready MOBILE HOMES .. Date MOBILE HOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance _ Date Card B-1 Date' Card B-1 _ Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector _ 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch _ 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 6. Frmg; Sils-Anchors-Studs-Rftrs-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 ft'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 6 Elec.; Grounding; Equip. w/5' 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 - t0,OK O -fit Applicable RESIDENTIAL (Single & Duplex . ,4ot Ready p UNDERFL R (Plans) OK exce 's fc_ V r 1. Zo n -Setb ks-Ease is-Floo - lope 2.., M So a-Elec. Grnd.-/ /" Ftg. Depth 3. F ,Gar e; ils-Steel- lec. rnd.-/ /" Fig. Depth tg., Po '& D s; S Steel-/ /Fig. Depth 5. Stemw , M feel-Blockouts-Wrapped 6. Stem IIs, G ge; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; feel -Wrapped 51- 15-Q J 8. P' --iceplaee-FtT.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test JDoVaprPipe; Size -Anchors Ater Pipe; Test -Anchor -Regulator -Service Test fI&AEle ; Underground i ums & Ducts; Clearance -Material -Support -Ins. "I -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Datep- I- Card B-1 Date - /0 Card B-1 Date C d B-1 U Ci D1ZdZ4Ja 4 Card B-ifwo Date PLU ING (Permit) OK except #'s (OvIAiTr Htr.; Vent -Access -Combustion Air - Baffle -to Pipe; Test '& Anchor -Nail ectio .W.V.; T - it s & o ail rotectio � G 19. Sh r Pan; Test, First Floor -Tub Access jpefest Tub & Shower, Second Floor -Tub Access 1 as Pipe; Size & Anchors Date -al Z- Card 871 , Date 4—�r-17 Card B-1 /eja Date row lb -`/2 -Card 1 Date Card B-1 Date ELEC CAL (Permit) OK except #'s ®' . Fi ure & Transformer Clearance -Ins. Protection (!Meg. Receptacles Spacing -Lights & Switches at Doors ze Boxgs & No. of Conductors -Stapled . Ro Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 ppliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Sizegqoor AI-A.C. Wire Size / / ga. Cu or Al -e9.—Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insul!.Led Neutral ❑ Yes O No . S ice -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. lot Closet Light -Shower Light -Spa Light d (� moke Detector Date oZ L Card B-1 Date e. -(G -94_Card B-1 r2,(4!r� Date Z Card B -t Date ZCard B-1 di " Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 5. Vent Fan; Exhaust above insulation 6. ondensate Drain & Overflow; Size & Grade Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1. Date Card B-1 Date Card B-1 Date FRAM (Plans) OK except #'s _ ils, Proper Material & Anchors 40> W_40TStuds-Nailing, Spacing & Bracing -Plates -Sound rin Walls over Girders & Floor Nailing 1t Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub /'44—'eaders & Beam -Size & Bearing JiC4 C4 a ers-Post Caps -Anchors -Connectors 1 . Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. Fir ace Ties or Type A Flue -Fireplace Throat clearance te'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles &-15drm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing bo It D C- gperty Line Firewall & Openings oors-One 3' -Check Garage -3rd Story, 2 Exits j �ywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer 56. Stuc X.o Mesh -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic. ear Walls; Naili49-Bolts Insu tion- -Cei gs nfiltration-W alls-Windows Date (.4- 9 2— Card B-1 2,4S Date L—/17-9Z—Card B-1 Date&j /b-y'L Card B-1 /'-11!� Date Card B-1 Date FINAL (Plans) -OK except #'s 61. Ext�S eps-Door &Sidelight Protection-Lapdmgs 6trSmoe Detector _ Furnace; Vents -Clearance -Comb. Air-fonnector- InPGaraae: Above floor-Ducts-Mech. Protection Bath Fixtures & Tub Access -Spa' Elec. Trim & Subpariel Breaker Sizes &,L3�els fairs & Ra s (B�Fireplace or St e; Clearances -Hearth lfJ SLS$ �1. p 69. Elec. Outlets at Woo"anel; Int. & Ext. 7l);1Sit.Fixt. & Appliance; Grnd.-Air:Gap=Cooking;Cle rara ante 71.-Elec. Outlets & Receptacles at Kit. Counter G ge Fire Door; Swing -Land in -Closer C. Duct in Garage -Damper 4. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Ir f In Garage; Above Floor-Mech. Protection 75`-Pj�b.c Elec. & Mech. Equip. Listed for Location U 7 ec. Receptacles in Garage; (G. .I.)-Romex Protection 7Z-4nsi%ation-Foam-Looked in Attic G` es 7 uard Rails & Deck Construction -Post aps 79 -Fd -n --Vents & Crawl Hole Door -Drainage &Wood -Earth � Clearance Looked under Floor Des 80. Following instld.; Driivve/�es O No; Walks O Yes No; Planters ❑ Yes No Ba -S eco Brown- miF 82� A.C. Unit: Disconnect, Electrical, Plumbing 83.' encs Above Roof: PI 6 .-Appliance-Fire ace: Clearance to 84. Water Well: Disconnect, Electrical, Plumbing 85 xterior Elec. Trim; G. FT"!Receptacle-Underground 8B -Ventilation Throuqhout House 68!Correctio from Previous lnsgjdctions 69. Gas eters Tagged; -Electric A4A, 0-4 90. ater & Sewer Connectedlr/O o Grade -HD Approval lQZ y Energy Compliance Certificate -Other Certificates Datel I-�j� 72 Card B-1 (J Date Card B -1 - Date Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) ...—.,.,rm .'�..v,r• .Y{ -•c....: », ...a.-.�_.r.+,,,,,,x..�...�...t,v.-......fi•,s.-as:ax.-...�.,y,.y,s.�wi,.„y�.,.• _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 A I U-0 OWNER r} PERMrr 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 ontact this office immediately. I _A _ A -A n Date Inspector REV 11 /9 1 Y� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 C6P2LI;IV PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances eustat the above address and should be corrected. Please notify this office when correction of work is co pleted. If you have any questions pertaining to this matter, or need additional exphuwdorL plea a contact this office immediately. JuT Date 1(1 12 gZ— Inspector REV 11/81 COUNTY OF BUTTE k DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 . 7 County Center Drive, Oroville, CA - (916) 538-7541 l: 747 Elliott Road, Paradise, CA - (916) 872-6307 6 �. ii CORRECTION NOTICE f lJf N S4 G. k'e-u OWNER PERMIT NO. be 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 uestions pertaining to this matter, or need additional explanation, please cont ct t 's off' immediately. r SrfOra P /'Ootit j 1A U 74eeQr Lr G 114 -5 a A. 4a a /C e�'- rove ;!5 k or 5 A4 n/ 5Lv u f lJf N ) 1 -r be .54r'aa !� h r Qi- p -)ZG Lj o SrfOra P /'Ootit j 114 -5 ,�i' Lja4-e--- -e / 6:�?I- ,- X 46L4, "ld11G / Ty �1 Date ,_ Inspector kid REV 11/81 ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 r CORRECTION NOTICE /by-- % 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. /b •% ivy �rl / �� �% � Lt '� lJ � G r �. �' ui .r.� v rH ' ij n fiI t. ; J0 1 /o e -k A, 1 14 a/e,z-X L a f z Date ciL` �'' /Z Inspector X4 P {�j _ REV 11/91 r,� . v...., � �f����`:,.,,j�^"-;:«::,- :ri' tl'�•�`-"� -y -'»� � S.ri , r' ....=r... +^-... -;-mss: t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 89172751 ei ' 7 County Center Drive, Oroville, CA - (916) 5`38-7541 Y, 747 Elliott Road, Paradise, CA - (916) 872-6307 Lf G c Cc CORRECTION NOTICE 54-e- - OWNER PERMIT NO. c ! / ✓v 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 v any questions pertaining to this matter, or need additional explanation, -', " aE please contact tWs office immediately. Date Inspector vl5� �' f.• u REV 11/91 a Lf G c Cc ' c ! / ✓v C -P e l - 4l' ig �kz'LC ti `'L GG L�. l r 1, .� L4L i / L P r u..iS,4 S. •Y Date Inspector vl5� �' f.• u REV 11/91 a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �f 1469 Humboldt Road, Chico, CA - (916) 891-2751 s 7 County Center Drive, Oroville, CA - (916) 538-7541 �I 747 Elliott Road, Paradise, CA - (916) 872-6307 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 �s office immediately. .1-1 .441 �, e /6 A 142112-4141- E4,vq Date,/, -0— 92-- Inspector REV 11/91 /Z CD �Nlll -fG1 c /vow 005C �S e 6,hh.0 LJ A) e-9 T-0 ham' Usk r� I k �� l�Wffi S &VADUCO Pr oc TL 7' /(fie eA 14& Perm hagr wA::5- v F7NQ-I,. o F New h.ovse Ti�gl�a4'U s ,, . rt, cj 4�4�L BB v2�� If f CLj --------- - --- CAPREALIAN ENGINEERING P. 0. Box 341 CHICO, CALIFORNIA 95927 (916) 891.6886 24— joe -5. a x SHEET NO z OF CALCULATED BY -4 DASFP 17 1991 CHECKED BY DATE Qe'ALP ............. I ............. .............. .............. ............. .............. ............. .............. . ............. . . . . . . . . . . . . . ............. .............. . . . . ...... . . . . . . . . . . . . I . . . ... ................ b .......... . 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Lq ........... . ............. .............. ............. .............. .............. .............. .......... .... ............. .................... .............. ............ ............. .............. . .......... ............. ........... .............. ............. .............. .......... ............ :-*- ; ........ ............. ... .......... ............... .............. .............. ............. ....... ... .............. ... . ....... I .. .......... .............. ......... . ............. .... ..... ............. .... ...... . ......... .............. .............. ............. .............. ............. . . .......... ............. . ............. . ............. ........... ............. i. ............. i .............. .............. ............. ............. ............. ............. . ............. ....... ..... ............. ............ ............. I ............ .......... .............. :........_..................._ .... .. ........... I. ............ I ............. ..... ......... ........... . . ... ........ ...... ............. I ..... . ...... . . ........ .............. . ............ ........... . ...... ..... . . ......... ............. ...... ............. . . .......... .............. ....... 4 1 ......... .............. .............. .......... . ....... ............ ............. .............. .............. ............ ............. 5................f . ............. .............. .... ..... ......... ..... . ............. .............. .......... .. .......... . ... ...... .............. .............. ............. .............. ............. .............. ........ ............. .. ....... ... .............. ............. .......... ............. ............. ............ ............. 8568 Cohasset Hwy. Chico CA .95926 (916) 894-6288 Energy Installation. Certificate Starkey Home 16 Mendocino Way APN. 056-12-0-088 Cohasset 'CA, 95926 Permit No. 1164-91 B,P,E,M I hereby certify the required features, devices, and equipment as shown on the Building department plan and attachments, as well as the above specifications have been installed and conform to the appliance standards and apter 2-530 e State of California Energy requirements Owner AlDate — Installer ( r cr,Gl Date Alec /444 19L d type Thickness Manufacturer R -value Roof Rigid polystyrene 5° Celotex 41, (p 4f Ceiling Fiberglass Bat 9 1/2" Owens Corning v:30 Wall Fiberglass Bat 5 1/2° Owens Corning 19 Subfloor Fiberglass Bat 51/2° Owens Coming 19 Upstairs room Rigid polystyrene 3- Celotex (to storage) *installed with the 1/2° air gap required for maximum efficiency I hereby certify the required features, devices, and equipment as shown on the Building department plan and attachments, as well as the above specifications have been installed and conform to the appliance standards and apter 2-530 e State of California Energy requirements Owner AlDate — Installer ( r cr,Gl Date Alec /444 19L d t COUNTY OF BUTTE - DEPARTMF T OF PUBLIC WORKS �..� 7 County Center Drive - Orovllle, Call}ofinl 45985 •Telephone: 918,'538.7541 -•APPLICkTrION AN tRMIT PERMIT NO. AssessoR6— NU 120-088 ZONING TM -5 BUILDING PERMIT OWNER Karen Starkey (Matt Gallaway) TELEPHONE 343-5316 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 16 Mendocino Way. Chico5926 53x-10-, 1 ST RENEWAL CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee @ i Fee $215.00 ARCHITECT OR ENGINEER Mi rhqpl Ca a22907 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER S MAILING ADDRESS P.O. Box 341, Chico 95927 Penalty $ BUILDING ADDRESS Permit fee $230.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 4 SUBDIVISION NAME PARCEL MAP 1 70-64 Water piping 7.00 Each clas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome❑ Other New Si no F Rmi 1 y PECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W7 --d @ 15.00 TYPE OF WORK New U Addition U Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 1st Renewal of B.P. #1164-91 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under pen Ity 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 'Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code fort i reason NEW CONST. / DWELLING OCCUP.&\ OR ADDNS, ( ACC. BLDGS. // 3.6asq.ft. NEW CONSTR.UQ NON.RESID BRANCH CIRC ITS POWER APPARATUS (SINGLE OUTLET CIR.ek Ex. Occup(OUTLETSORFIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (REs1D.l EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ Contractor — ORKMEN'S COMPENSATION INSURANCE I declare nd4 penalty of perjury (check one): ❑ The permit is for $10 (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 Filing Fee 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 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 liabili ies, judg nts, costs, and expenses which may in any way accrue again t id County cons uence of the granting of this permit. — �« Date Signature of Applicant — Ownl6X Contractor ❑ Agent ❑ An OSHA permit is required for excavations Over deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $230.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD IS E This permit is hereby issued under the sions of tr Butte Cou y Code and/or work ' di ted for which DI OF PU By PE EXPI • S Date _ 75/93 applicable pr vi- r solutions to do es ave been paid. ORKS Date c/n Receipt No. /I 7 0 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Deodr" me*°t`%f Public Works 7 County Cancer Dr'ive, Oroville, CA 95965 OWNER-BUILDER'VERIFICATION Attention Property -Owner: Phone: 916-538-7541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mat rials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with 'the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person .to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name. Address Phone Type of Work Signed: Property Owner Social Security Number Date IRI_ 10-91 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. COUNTY OF BUTtiTjE - DEPARTMENT OF PUBLIC WORKS Countyf enter Qrive jpcoville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �P MIT NO. ASSESSOR PARCEL NU BER 56-12-i�88 ZONING TM -5 BUILDING PERMIT OWNER -// �GI74 Karen Starke 4; Gall way)343-5316 TELEPHONE SO. FT. OCC. BUILDING VALUATION ?- �l,0 M -ZS e- OWNER'S MAILING ADDRESS AGO 16 Mendocino Wa ^-mac 95926 CONTRACTOR'S NAME Owner TELEPHONE ar O t Z p7- 6 _ CONTRACTOR'S MAILING ADDRESS Fireplace A 2,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 91goz0Q— Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Michael Ca realian LICENSE NO. 122907 Plan Checking Fee $ Ener Plan Checking Fee Energy g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS P.O. Box 341 Chico 95927 Penalty $ BUILDING ADDRESS Permit fee $ &71 PLUMBING PERMIT Filing Fee 10.00 16 Mendocino Way, Cohasset Each Trap 91 2.00 18.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP % -� Water piping 1 5.00 ,5,00 Each qas water heater or vent 1 1 5.00 1 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 5.00 5.00 Mobile Home Is 10.00 en TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 Bedroom Permit Fee $48.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING o OR ADDNS, l ACC. BLDGS. , X �z¢sgft -- -qtr— NEW CONSTR.-ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea 1 POWER APPARATUS &) SINGLE OUTLET CIR. Ex.Occu o Occup(OUTLETS OR FIXTURES 20a50s eAL030 FIXED APPLNS. OR .Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 10,00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee 27JE- WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. ik`� 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 the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1 16.00 6.00 Cooling g Hood 1 3-� 3.00 Ventilation 2 3.00 6._00__ Permit Fee $25.00 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 Coun in nsequence of the granting of this permit. X p 2�iL% Date f Signature of Applicant — Owner ❑ Contractor ❑ Agent t454 OSHA permit is required for c ations over S'0" deep and demolition o ion of structures over 3 stories i I ht. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 CO T E TOTAL F 3� HAL cuA PARK -- - CDF I PAR PO i H IssuE, is hereby issued under the hi%ieedab ionsButte County. Code and/or rk a for which fees OR F PUBLIC y PE MIT EXP1114EVDate applicable provi- resolutions to do have beeAn WORKS Date I /S Receipt No. 88385—ZZ" nj orn-7 9 ie WNITC-D.P.W.. YELLOW -ASB F, OO R, PINR-INSP TOR, GOLDENROD -APPLICANT #: '24 . COUNTY OF-B;TT .,DE#AWTMENT OF PUBLIC WORKS -`BUILDING DIVISION 7 COJJN_ -Y CE DRW- ORO)ILLE, CALIFORNIA 95965 - TELEPHONE' 916/538-7541 PERM I DATA SHEET APAiGATION ;^ + iiT r r r A. Permit No. '� f OWNER A.'F?. No. -5 Proposed Building Used / Build i ng Jn'spector. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED \1. All items have been submitted . .................................... APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. v 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) 4. Mobilehome installation data including manufacturer's installation instructions..... .,,, . .'I. ZQ....� 0. Fees of $ 3.. .,,,, / 11. Chico Urban Area fees paid ...........................'.......... . 12. Park fees paid .................. 13. <, USL-7 School District fees paid .............. 14. Sanitation approval from eerlil z"o-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: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... �22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner..... ------- Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorization ................................... SII 19/ 7. /Z. // When youu sue the permit, process s follows: Mail to owner. Mail to contractor. t.�'"Telephone and hold f9r pickup at office. Deliver w/inspector. ASA - _ - Applicant Copy.of Haz-Mat form sent Health Dept. Fire Dept. air Copy of plans sent Health Dept. — Fire Dept. ' Other The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: _)964-,(1CMaW_ Contractor, design owne was advised of above required data b7.jle phon ContrXctor, defesigner, owner, was advised of above req quired data by_phonell Plane by Date.. 7 Jo/ Plans approved Sets of plans on hold in File cabinet As bi' rb1_ Copy—DPW Date ution Date Date By_` Circle a it m t checked above) a counter WL-4ate-� _co nter by date by ' Date7 TO Building Department FROM: Environmental Health cTTIMPETsanitation Clearance Plan -Approved for: Sewage Disposal Hold. final for: Final clearance O.R. for: Clearance for edroom mobile home. Other NOT8 * * * Water Supply Water Supply Water Supply ' Dade Sanitar n �_ r s EET 4�4G1� IC5/ ��-� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Five - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARC NUMBER 2— — Q � g ZONIN M BUILDING PERMIT OWNER .. S 4c -q TELEPHONE 3y3 -s31 S0. FT. OCC. BUILDING VALUATION d OWNER'S MAILING ADDRESS IG mc—A/hi9QN0 iQ CONTRAC OR'S NAME TEL P O E / Fi—re plac Edi I CONTR CTO •S MAILING ADDRESS , /✓ CONSTRUC ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER 5 MAILI G ADDRESS n/ Permit Fee $ O ARCHITECT OR ENGINEER t C iA A -L_ a Ac t 4JU LICENSE ND. 2290 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ?.0. CH %(0 C A 6 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ZJ, Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 Q USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 D Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition ❑ Remodel ❑ UUti�lities ❑ Installation[]Other ❑ Descr1ibe work: /60XS / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR L=SS 10.00 Main service EA. ADD•L 100 AMP 2.50 S CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): 1 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 s I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [j 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 OC CUP.& OR ADONS. ( ACC. BLDGS. ) 2:zTsgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS o- ( SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIxTURES 20@30C' eALvaoc FIXED APPLNS. OR Ex. Occup. 0UTLETs (RESIDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 15.00 1 Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (va!uation) or less. r—; I have placed on file with the County of Butte Building Department U a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating .00 41 Q IJ Cooling Hood 3.00 d Ventilation 3. 00 Permit Fee $ r Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil� ies, judgme ts, costs, and expenses which may in any way accrue against aid County i VYnseq nce of the granting of this per it. Date Signature of Applicant — Owner1V Contractor F� Agent ❑ An OSHA permit for exc ations over 5'0" deep and demolition or construct- ion of struc'ure s ove r3 stories in height. Mobile Home Installation Fee $'• Energy Inspection Fee $ OCC I CONSTTYPE TOTAL AL FEE $ S HAZ CUA PARK ELo I PAR f Po Ho ISSUE Th:s permit is hereby issued under sions of the Butte County Cade and/or work indicated above for which DIRECTOR OF PUBLIC BY j PERMIT EXPIRES Date the appiicable resolutions fees have been WORKS Date provi- to do paid. - Receipt No. i NNITC-O.P.W., Y.LL0W-ASSC5SCR. P141( -INSPECTOR. GOLDE4ROD-APPLICANT RESIDENTIAL PLAN CHECKING GUIDE •12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A. P. #' T (a - Plan Checkers / Q)e_ GENERAL Z�7 oning requirements: (sideyards and number of permitted living units). aluation. Plans signed by designer. X7'Recorded roper description of work on application. xisting violations on property. tems on data sheet. (W.C., fees, Health, notice of violation. 4 PLOT PLAN 4� mplete parcel size and dimensions. Setbacks, sideyards, easements, etc. -3� Other buildings or structures. xading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FT.nnR T.AN P om ete to scale plan with dimensions. I quired windows for light and ventilation (Sec. 1205). red windows for second exit (Sec. 1204).IAA/ ylights (Chapter 34 & Sec. 5207). n impact glass (Sec. 5406). ` R.equired room sizes, ceiling heights (Sec. 207). FCIs in baths, garage,'kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. ' Wor.>f;ae cations of water heater, heating and cooling equipment, other electrical gas equipment. ragfirewall, door size, and closer (Sec. 503(d)(3)). V.6ke 0" exterior exit door (sec. 3304 (f). ace and wood stove location, alcoves, and clearance. detectors (Sec. 1210). i.ng fixtures, water closet clearances and shower size. STRUCTURAL DETAILS I. Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Flo-,undation plan complete enough to construct building. 4. F1 r construction details_ complete enough to construct building. levations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. VE* replace construction details and calcs if necessary. Ra -er ties or bearing ridge beam. 9 rage door or porch header sizes. _1.6ud heights. 1q—"Adobe soils - special foundation design. 1.2. requiring design. -I--'T—Special Inspection required. t 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS,TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Gc. 3306). ardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). x error plaster - weep screeds (Sec. 4706). �•��Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). 'n ulation - protection. 36" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. s on three-story dwellings (sec. 3303 & see Mezannines - 1716). t c access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). . Combu tion air for fuel burning appliances - L.P.G. requirements. 'se requirements on d plexes. ergy design.;; . lashing at all exterior openings. ACDF responsible area requirements. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE _ tld , Karen Starkey 16 Mendocino Way ME' prpposed residence Chico, CA 95926 pRr� t�ppplication #1164-91 56-12-88 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. yy Fees of $ 518.40 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 it 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., Paradise 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. / XX/ OTHER See attached list. Should you have any questions concerning the above, please contact John R. Henry of this office. AFTER 3 P.M. Yours very truly, JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector Starkey 56-12-088 Provide the following information: All window and skylight sizes are to be shown on plans. 2. Bracing note on truss detail is unacceptable. Truss designer is to specify bracing recommendations. ( ,�) Provide plans for deck framing and foo ' ,,es�. 1.0169 ', Clarify guardrail or wall at second floor loft area. Provide guardrail as required. NG 5x21 (� Provide stairway opening on second floor framing plan. Coordinate all section keys with sections on plan. I.f masonry (rock) fire place is proposed, provide engineering and -reinforcing details. Clarify fire place insert- what is it installed into? to DPW .AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 ! - 1 9 0 8 8 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte, County Code. requires this acknowledgement be recorded --- �- IRee _ prior to issuance of a building permit. 91-0190+813~' 1 - Fee 7 00,, 1 Cash 7.00 The property described herein is adjacent to land or. included within an area zoned Recorded- 1 for agr.i.cLILt..ur,11 purposes, and residents Official Records '1 of this property may he sLlb..ject to incon- County Of 1 ven.i.ences or d i.scomf urt arising from the Butte use of agr.:i c:ult..ural chemicals, including, j Candace J. Grubbs but not ].i.miLed to herbicides, pesticides, Recorder 1 XX 2 and fert:i l.i•rers; and from the pursuit 10:23am 15 -Ka -Y-91' I o agr.i.c:u.]tura1. operations including, but not: l i.m:i.i:ed to cultivation, plowing, -- spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agri.c.u.l- Lural zones which have as a priority use for productive agricultural. purposes, aiid r.es.i.dow s within said zones and on adjacent property should be prepared to accept such i nconven i.ence or discomfort from normal, necessary farm operations. All that reaa property situate, in the County of Butte, State .of California, de:.cri.be•.d as follows: Date: , PROP RTY OWNS ': ,State of ) On this the 15 day of MV�ti 1991 before me, SS. the undersigned Notary Public, personally appeared County of W�L_) •N( �'f4 �c t'e ti Personal]y known to mc. in Proved to me on the b�isis of sati •factory ev:ideii(.:c. to be the person(s) whose name(s) 9 e _ subscribed to the within instrument and acknowledged that. executed the same :for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my OFFICIAL SEAL ORWIN L KEMP NOTARY PUBLIC • CALIFORNIA A.P.BUTTEJ tS 10—:MY Own. Expires March 9,1993 Present FNo. Ioi-8S DESCRIPTION 91-I9Q88 A 0-3326. ORDER NO. BU -114506 Dhi ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1979, IN BOOK 70.OF MAPS, AT PAGE(S) 64. PARCEL II• A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES SHOWN AS MENDOCINO WAY, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY .OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1979, IN BOOK 70 OF MAPS, AT PAGE(S) 64. 1 EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• AN EASEMENT FOR ROAD, PUBLIC UTILITIES AND DRAINAGE PURPOSES OVER A PORTION OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN. THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 16, 1979, IN BOOK 70 OF MAPS, AT PAGE(S) 64, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 40.00 FEET IN WIDTH, LYING 20.00 FEET ON EACH SIDE OF THE FOLLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT IN THE WEST LINE OF SAID PARCEL 3, SAID POINT OF BEGINNING BEARS SOUTH 7 DEG. 16' 00" WEST, 118.00 FEET FROM THE NORTHWEST CORNER OF SAID PARCEL 3; THENCE FROM. SAID POINT OF BEGINNING SOUTH 78 DEG. 26' 01" EAST, 30.61 FEET; THENCE NORTH 63 DEG. 13' 47" EAST, 50.00 FEET; THENCE NORTH 45 DEG. 19' 50" EAST, 117.47 FEET; THENCE NORTH 89 DEG. 14' 02" EAST, 204.17 FEET; THENCE SOUTH 18 DEG. 56' 21" EAST, 248.06 FEET TO THE CENTERLINE OF AN EXISTING 60.00 FOOT ROAD EASEMENT. END OF DOCUMENT FN® ®F nrlr_l.tuF:NT h COUNTY OF.BUTTE - Department of Public Works 7_County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name AlZ,4 Address City Phone Contractors License No. 4. I plan to provide portions of .this work, but I have hired the following person to coordinate, su ervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name / Address Phone Type of Work Signed: Property Owner he:�4_e Social Seclurity Number - ( Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. D&-3�3-.:f3i6 Q, IV Y�.7 ;�,�„ ,.Y �.! �'a *'J.t .e�: f � ..::,, sY •%:4: r. �Za.n•"`^'�k•,ff:._Yy.l:^'t$"%'"-rdy«t;ary�..i��„wr`t`.`""irrr`+vf';5'ya�T'f �1.�r ,.-:..rarr,... �.""��:et_ BUTTE COUNTY SCHOOLS DEVELOPMENT -FEE CERTIFICATION FORM 1 '(One Form -per Building) A.P. Number -/2 —(% Building Department No. School District ofl__'fs D City County Jurisdiction Property Owner + Project Location/Address Subdivision - Lot Number Residential Development: h a Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq.'Footage New Addition -"(Including Exterior Roofed Areas) /d�'i Building"Department Representative Date (Floor Plans reviewed by School District Personnel) Applicant'Name &q3 -5,V& _ I Phone Number). tstreet Aaaress) (City) (State), (Zip Code) has complied with the requirements of Resolution No. .4119-90 by the pa-ment-of $ //a/`00 representing square feet. � Z 7- 9y4l School District Representative, Date PAID BY CHECK NO. i "BANK NO ti PAID BY CASH REMARKS: .► white -applicant, yellow -building department, pink-school.district SCHOOL.FEE (8/88) I;d<<e.A.C-E-9 vars on 078244 --- Thu A r 25 1 991 Mestomi ES1 - STARKEY Tamil # I ro act ffipAy Truss ID I 17COM Top P te I 1 0 f h J%2 t. !'#s' P, - 0 Quantity v V-CHOPD SOITW CHORD 7YAMION8 Btu APPROM nopla INC. 2--4107 7-6- 4060 2-10-431 3@1 2 6-9-0 3377 3-10- 667 70-1335 3.50, PNJ 9-10- 3377 5-9-969 10-1. 4069 4-9 903 K0. - -6-2t3612 •Ct =4 97a. 407 7 1 6-::-43t 17-7-9 .4 21-9-3 4-1-9 4-L-9 4-1-9 4-L-9 _. __ 4X4 4 $X4 2)12 .moi N 91 9 5 SM xe 13-6 lOr R. HL M PX"' BE RIGHT �PSrMBESR 2* 1 ON .� R X sT !1� S T6IF*4 F.F-t- TopT - 2924 BOT CHORD STNDD -L 11 DEM.< L 3 WEBS SPACING : 24.8 in, 0- c- !LUmB 1.15 PLATE 1.15 NO. OF MEla VE118TRE5SES USED STJWL(M=PT AS S90W Fpm AM A 448 CFO A GIMMURD AX40 V=IlIG-240 =f.910N-30 IMMIt-242 :v ,-P# -AT,LY(M= AS MN' .S=Mjr MOM 401LITAID ILD9 D161 pzRmMMN-- AND =Q'OPJMY R&WING(wd:42 To MwAys YIQD). Ob Lal w. JJ' ..t - Ft: '. „ i •i: S. w ` TABLE NO.32-B-1-SHINGLE APPLICATION ' ASPHALT SHINGLES ;,..' NOT PERMITTED BELOW 2:12 ROOFSLOPE 4:12 and over 2:12 to tees then 4:12 Asphalt shingles shall be fastened to solidly sheathed roofs. DECK REQUIREMENT Sheathing shall conform to Sections 2516 (i) and 2517 (h) 7. f UNDERLAYMENT Asphalt strip shingles may be installed on slopes as low One layer non n lte s Type I5 felt lapped inches 4 inches vertically to shed watt er. horizontally andd 4 Temperate climate as 2 inches in 12 inches, provided the shingles are approved self-sealing or are hand -sealed and are in- stalled with an underlayment consisting of two layers of nonperforated Type 15 felt applied shingle fashion. Starting with an -inch -wide sheet and a 36 -inch -wide sheet over it at the eaves, each subsequent sheet shall be lapped 19 inches horizontally. Severe climate: Same as for temperate climnte, end additionally the two Same as for temperate climate, except that one layer No. 40 roofing or coated glass base sheet shall be In areas subject to to ' layers shall be solid cemented together with approved coated between the plies extending from applied from the eaves to a line 12 inches inside the wind -driven snow cementing material the eave up the roof to a line 24 inches inside the exterior exterior wall line with all laps cemented together. roof ice buildup. wall line of the building. J • ' X14 -f' 1 ^4 ,�� .J' `a iF .. J e ' • �\ a` . 1 Y y v � f 1 1 . • t �. { h •A ^ I � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed; treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. �/� /Z Q ZONING T; OWNER ,e �'Y S7 PHONE NO. ��/ �CJ 1 J OWNER'SDDRESS M QVb© �� - �o SSE -1, LOCATION OF BUILDING G USE OF BUILDING n/V /Q/ Get c. -- S'' V G 7 ` SIZE OF STRUCTURE 9 SO. FT. X _ TYPE OF CONSTRU TION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING to®©z ROOFCOVERING FLOOR TYPE too® ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: I - �0 FRONTiLi�P SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals'to comply with the requirements in effect at that time and before occupancy. Date 17— I — q/ Signature of Owner zl( z Z&k� Permit Fee - $25.00 Receipt No. q1515 The above described AG Building is exempt from a building permit White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD LPARCEL P.D. IJJ OOFING ISSUE Director of Publ' or By Date File No BUTTE COUNTY ` '(FJ Action 1, 2, 37 Public Works Dept. (For Information / ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. [%,," je'-J-� Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr Karen Starkey 16 Mendocino Way Chico, CA 9.5926 Dear Ms. Starkey: June 19, 1991 RE: Special Inspection #22-91 (A.P. #56-12-88) 4z.-�'Y. With reference to the above subject and your request for 'an inspection of the structure constructed by a previous owner and the addition constructed by you located at #16 Mendocino Way, the inspection was made on -June 3,1991. The structure and addition were constructed without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection without going .on the roof, under the building or in the attic and found the structure and addition appear to conform to the intent of the code requirement, except for the following items which must be done.or resolved: (1) Verify building structural system conforms to approved plans after plan check, including foundation, log 'timber beams and lateral support. (2) Verify water supply, and -sewage disposal systems meet Environmental Health Department requirements. (3) Provide use permit for second unit per Planning Department.requirement. (4) Provide heat source capable of heating the living area to 700 three feet off the floor. (5) The structure is incomplete at this time. Plumbing, electrical and mechanical portions are in rough stage of construction, all portions must comply with applicable 'requirements in the Uniform Plumbing, Mechanical and National Electric Code. (6) Remove the existing unlisted *woodburning stove and install approved listed woodburning stove. (7.) Install approved smoke detector. (8) Provide approved landings and stairs at the front and back entry per Uniform Building Code, Chapter 33. (9) Provide approved stairs to loft area per Uniform Building Code, Chapter -33. Letter to Karen Starkey RE: Special Inspection #22-9I (A.P.56-12-88) Page 2 June 19, 1991 (10) Comply with energy requirements in effect at the time of the addition. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of this structure or addition. It is now in order for you to submit two (2) complete sets of plans including plot plan, floor plan, and structural details, apply for the required permits and pay the appropriate fees, including penalties. The permits must be obtained and the above listed items completed and approved, within thirty (30) days of the date.of this letter. Should you have any questions concerning this matter, please contact Rod Taylor of this office at (916)538-7.541. Yours very truly, William Cheff Director of Public Works JFG:dms J.F. Glander Manager, Building Inspection cc: Assessor Planning Department Building Inspector G Complaint -Date r, other -Date vµb BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: Address: .T,�t2(�� eGfi�Y/„�cr Tenant• A Building Location': l( 1100'VAO CPV 0 C.(2 Cod-•-Ss�7 Type of Inspection requested: 1. Housing / / 2. Financing 4. Work W/O Permit A.P. # 0SL7"'`Zd"' Date of Inspection 3-2/ Inspector " 3. Change of Occupancy to Other (specify-) Present use of building: A. Sanitation (Housing) 1. Water closet • 14D � �`� �P 2. Lavatory: 3. Bathtub or shower: i 4. Kitchen sink:;C ✓ __ 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: L)r( 8. Room and space requirements: 9. Bedroom window or door for second exit: i'~0 10. Infestation of insects, vermin, or rodents:�r� 11. Connection to sewage disposal: - 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, 1HR, Tolerances,Handrails) 15. Comments: QaQ /VA ` 2 &o ML- 7-x,'>c> " Lr 1�. B. C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof con 5. Fireplaces: 6.. Comments: r�t`Lc�ti, Electrical 1. Service and gr 2. Receptacles: 3. Fusing: 4. Comments: DVL0 :�j tax- GU &--L het -- r -&v 5T Juot, 3 -_ AoAf q'o o _ L D. Plumbing 1. Fixtures connected and vented: 5400;; a- 2. -Gas—water heater: 5 � 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings_ 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only.- file. B. Hold for ten days, then write letter. C. Write letter. "..D. D. Other: COUNTY OF BUTTE,.-! DEPARTMENT OF PUBLIC°fWORKS D. , 7 County, Center Drive,;Oroville,'Californ a 95965 --f Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner Ld Ce r� �� et r I -s A. P. No. 05 -/! -o' Mailing Address 16 A n C O C'► r? 6) . k)V , �v( t C "�.S4 telephone No. y Cwo IN � .# Applicant SO M Telephone No. v ing Address Building Location �� /alp ✓? jp C i h t- LVy . �Dl�(`0 I hereby request a special inspection of the following building: E 1. Dwelling (if'only a portion, specify) 0 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupancy) Q 4. Other ( specify) I am requesting a special inspection for the purpose of: Q 1. Moving the building. 2. Financing (specify agency) Case No. Q3. Change of occupancy to LA -J4. Other (specify) l (i k�ii1 �t� i' IV/!7 ,Oer� i�S by �v;oms aw _ sem— -- I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required"by the County of Butte, as a result of this inspec- tion, to comply with building and housing code .requirements. I also certify that prior to the use or occupancy of this building, I. will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the- County of Butte to enter upon the above- mentioned property for inspection purposes. Date s- /':9, Signature of wner Fee. Paid $ J`� Receipt No. 1st-DPW/2nd-Inspector/3rd-Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDfING'D11V.IS10'� ! 7 COUNTY CENTER DRIVE.- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 /./y PERMIT APPLICATION DATA SHEET Permit No. Jr OWNER ren f Cc. r ke A. P. No. � ^'f �" O Proposed Building Use S . y Building Inspector ` 6 Dates d At time of rmit 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. . * lans.... 3. Complete plans in duplicate/triplicate, signed by oreparer. of plans . . 4. Complete engineered plans and calcs,� ith;,w,ets•igr ature�om#pians .; 'u) It 5. Hazardous lMaterial. Form, '.................. . r t' ' Energy Design Compliance and supportingt„q` umentation ✓ t. 7. Statement of Intern forkNofn=He teV and AC Buildings ;1.0,... f .• AJ 8. Engineered truss'deta'ils•and layout in duplicate (requiredfprioVP 016rrcheck) 9. Mobilehome installation data including manufae,u(er's �nstal�tion ` W instructions.E.I f... ;{.+7.t�k!`�''� ..... �. ...... 10. Fees of $� �... "� ;?.i `,V .... 11. Chico�U�rrban Area fees paidA.,iil�-.'. E° .:�.`' , • ; j_ 12. Partlfees paid .......... ....... ...`.".}}` ............. ! At Schooli,Dibtrict fees -paid. ham' 14. Sanitation approval`irom 71t` Health Department 15. City of Chaco plumbing permit........ !?.......................... 16. Plot plan a`nd business' license approval from City of .,,Kee City for of ,er.fiirequirements) i 11. Planning approval for (A) Use: (B) Parking: .... 18. Imprdvements may be required. Contact Land Developrent^Section TDFW 19. Dry, d, ay permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspecto (Date) 21. Contractor's license information (No., Name Style, Classification �� v 22. Certificate of, Workmans Compensation lPsuSa�n1cee6M-x ..... .......... �- r r 23. Owner -Builder VerificatiortA +e tg downer+❑� Mail to owner ❑)<�f r.',1r}ty rr Y11 24. Recorded copy of ,Agricultural knowledgment Statement ......... f 25. Letter of signature authorization ......................... ...... . 26. 27. When you issue the permit, processa folio alio owner.Mai•61to contractor. Telephone wn r/r �i[ce. IvC ` Deli Vr -w7i n�sp etor. Other ZY tq Appl da� DateV. a Copy of Haz-Mat forms rft 0'��T t - `iirt. �� ire bept. ��ir`POTlution Date Copy of plans sent Health Dept.Flre Dept. Other Date By The following data must be subm6 pd �iorjt_o 66w4+^issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: �C/!✓ rc r ti- y �r t „r Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date � Sets of plans on hold in File cabinet AP folder Copy =DPW 4p S• titi,••r� oA^`b Q c� m jF - f F f ii ✓f ` O I 2 `� q i t—Bate C( Other Date BUTTE COUNTY 19EEMW FORM (� OWNER _.. A. P. # Address Zoning Complaint Location Taken By: VIOLATION TYPE E:] BUILDING Q HEALTH PLANNING D OTHER COMPLAINT: Gt ��. - `� - LJ e,- , �� %??, �/ m f h op P e PERMIT HISTORY ON FILE NONE AS FOLLOWS: FIELD INFORMATION TENANT: Name Address Description of men bin !V 'i S/ � a �S v ci O C.� C?! '�1 l� � O .D •!ria..( -` C� b CP � l/ -C a� OTHER COMMENTS: Approx. Bldg./MH Size .Approx. Bldg./MH Age Under Construction Built By./For-F] Present Owner 0 Previous Owner n Occupied 0 Has Power. Q Has Gas Q Has,Sanitation Facilities Q Written Notice Given '& Attached Q Person Contacted Describe Action Taken: ----------ACTION RECOMMENDED:.—_.,_.__._ ... _. - -.... Information only, file 10 Day Letter. Letter Hold for Days Other Jfo l d "Pe 1i w/1" BY: DATE �6 �� jo�) io to klo COUNTY OF BUTTE — .-CMPA'�TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��- 7 ?17� i Date / � r+ Signature off Permteeor A' J Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 1DIRECTOR OF PUBLIC WORKS By_ Date-_�//r7iJ/)i Brig permit expires Date' %,/ 75 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor •-, � L� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING N0.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. L..�- -� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W:C: Sanitation FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 �= EQA Parking Plans Parcel Declaration Parcel M1lp 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI dg-P-1'on-s'Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 41.S O •$ � ELECTRICAL No. @ FEE z PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (ACCLBLDGSLING Occup, 4'� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: T NEW CONSTR BRANCH CIRCUITS NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTI-RES1 B L ,� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home FacilitiesL6.25 ,License 1 No. Classification Misc. Wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. CRI 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��- 7 ?17� i Date / � r+ Signature off Permteeor A' J Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 1DIRECTOR OF PUBLIC WORKS By_ Date-_�//r7iJ/)i Brig permit expires Date' %,/ 75 1 71 COUNTY OF BUTTE — yDEPA"RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephhone:. 5a.4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat . f Signature of/Pe rniit`ee o gent_ Receipt No. ` � T c �`C:0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above forwhic fees have been paid. (RECTOR 06'PUBLIC WORKS By Date Bail permit expires Date BUILDING - Owner AVe If SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 3 p PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Oa Each Trap 1.50 z Repair drainage or vent piping 1.50 A. P. No. -- --• Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Sarlisa+inn Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 Parcel Aroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 1 6 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST, OR ADDNS. ACCLBLDGS.LING Occup, Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR NON.RESID, (MULTI -OUTLET BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS &, NON-RESID. SINGLE OUTLET CIR. EX. Occup{OUTLETS OR FIXTIIRES BAL@@11 FIXED APLNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 14 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat . f Signature of/Pe rniit`ee o gent_ Receipt No. ` � T c �`C:0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above forwhic fees have been paid. (RECTOR 06'PUBLIC WORKS By Date Bail permit expires Date C( Other Date BUTTE COUNTY i1GOPERW FORM OWNER Address A.P.# Zoning Complaint Location Taken By: VIOLATION TYPE BUILDING Q HEALTH PLANNING OTHER COMPLAINT: ►3 -2 — [f e,-/4 PERMIT HISTORY ON FILE Q NONE AS FOLLOWS: FIELD INFORMATION TENANT: Name Address S-rr'Q-f v� Description of V -i -Piet -i -en rt ���a]Qrl �/ C/Sd �CG1 d ? /��Q�Cr��.t 0i7CP�lf-CC� OTHER COMMENTS: Approx. Bldg./MH Size Approx. Bldg./MH Age Under Construction Built By/For-4= Present Owner Previous Owner Occupied 0 Has Power a Has Gas Q Has Sanitation Facilities Q Written Notice Given & Attached Q Person Contacted Describe Action Taken: ACTION RECOPM4ENDED : - - Information only, file 10 Day Letter Letter Hold for Days Other BY: �(;��e n DATE_( �Lr4�jDox z F9:P *sn- /A--$? A P7r�2. -PCzo wl Ya v iiv T,?:) 7? -/is 2,77�E2. E- -ceJ S(?— E-- Tce-)t QE70 aJD 7^1 M o O r LE 1-{6 wr E , (8 "X u, PL YcvvaD P2E- F� %Y�S� sYn 2,-9-6,� C(jCrZ:E IA-) 0 774-r- /2EAJTE7 2 -/0 - S70 d2r— e - -'ones /YIF--779-L 13u, LD,,Aj&- &,)/9s D Du io pe ) HI rU Q-- /T OFC k' T6(3 -'/z 7 *�A- 65-v &W 7 _tea -5M mss, z TY �A T#E7 -S/9) ii =s#�ps �AvD `t-#Fc.rz- ©uJAj -SHE--v--e, uJd-c�,5vula icy inOv4FiD -t-4 774 E�-, 7#/S is a WAS PCI �I 1UD vS E PN T C-0lUo-f cF—T-i ' -D m)4 !/E--7i5�:-sE- JV -A VF- -t-eLrD 'P'W.-%y7 7#19 D` f� rJ S A Y 17S /A) 60 t f-- Cnv,07y Tb c vF-- sucP i9 SM2/9� S -�D GU Y— f c (i t—,,g per -2 n -z, 7; v'� .s�ocu.0 v7viE7M A9 rq r �-�v y (3,- L 2 m �TZdig v /3 Nri-- L7i c�,u o F VV6`7 ,Z4-E: y roti D 70 %� � �-�' ��2�-cam. ��JdJT�d�v�v C�•�D 7k:zokC Av 3�' File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept -'(For Information r ) Director Dep. Dir. Sec. Rd. & Br, Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. James Young 5220 Kauai Way Fair Oaks, CA 95628 RE: Permits and Inspections 16 Mendocino Way Chico, CA 95926 Dear Mr. Young: September 29, 1989 A.P. #56-12-88 t�Y";W Gi With reference to the above subject, my letter dated September 11, 1989, and your reply dated September 14, 1989, it appears that the buildings we�arke'con .:'�. cerned about were constructed by a previous owner. I —._,,We received a complaint about people occupying two storage buildings and the two storage buildings located on your property behind the mobile home, at 16 Mendocino Way, in Cohasset. Building permits were not obtained by the"previous owner to construct these three buildings and the zoning, which is TM -5, does not allow additional living units without a use permit. You are now the property owner and are responsible for Zoning and Building Code compliance, so I suggest that you have the building vacated as early as possible. Depending on your proposed uses for the buildings, we will make a special inspection of the buildings and advise you what will be required for compliance. Please submit floor plans of each building and a $50.00 fee and apply for the special inspection within 30 days of the date of this letter and we will contact you or a designated representative to'schedule the inspection. Should you have any questions concerning this matter, please contact this office. JFG:daj cc: Planning Department Assessor Yours very truly, William Cheff Director of Public Works J. •F. Glander Chief Building Inspector File No. BUTTE COUNTX.P--- �?r Action 1, 2, 3) Public Works Dept. (For Information / ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. September 11, 1989 James Young 5220 Kauai Way Fair Oaks, CA 95628 RE: Permits and Inspections A.P. #56-12-88 16 Mendocino Way Chico, CA 95926 Dear Mr. Young: This is a warning letter to notify you that you are in violation of the Butte County•.Code at the above referenced location as follows: Construction of additional buildings without the required permits and inspections. TM -5 zoning only permits one dwelling unit. Please con- tact the Butte County Planning Department for the use permit for add- itional dwelling units, and the Building Department for building per- mits. Since permits and inspections are required for the above work, please contact this office within 10 days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If vol- untary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:daj cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works J. F. Glander Chief Building Inspector COMPLAINANT ADDRESS: PHONE NUMBER:. OTHER COMMENTS: J _ . !cam• � � ' " 'i �— � o•c-;' Occw��vC C.w„-L-4.�� iN wcnrKo.r�s M7r67 7--o F`LE E (/ll�D�iE STrtTVS 0� Oyl�DW�12- �- : fDlWs 7)1/E� cff-��N w1r�l f3N EGCC /l%�T�/Z ZOXZot 1,U7K s Z-F�Br���v� Jkly R DE 056-12 088 - 92-2749B STARKEY, Karen 16 Mendocino Way, Cohasset conv attic to storabe/sf JOB FINALE Signature J=OK O = Not OK = t Readya ' Not r MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ,. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-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 #'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 -Panel boards -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 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except k'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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V Test -Fittings & Anchor -Nail Protection ------------------------- ----------------- _ 19. Shower Pan: Test. First Floor -Tub Access -------- 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 ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------------------ ---------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------- --------------------------------------------------- 26. Equip. Ground made up w/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 Al ---------------------------------- - -- - -- - ---------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- - - ------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- --------------------------------------------- ---------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------------------------------ -- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -------------- ----------- --- -------------------------------------------------- Date Card B-1Date Card B-1 ---------------------- ----------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support --- -------- ---------------------------------------------.......... 35. Vent Fan: Exhaust above insulation ------------ - - - - ------------------------------------ - ----- ---------- 36. Condensate Drain & Overflow: Size & Grade -------------------------------------------- --- --- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic ------------------------- - --- -• --- ----------... - --- --- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - - -------------- --- ------------------------------------------------ - - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - ---- - -- -- ----- ------------------- -- 41. Bearing Walls over Girders & Floor Nailing - - - - -- -------- - - -------------------------------------- --- ------ 42. Draft Stop in Walls (rat proof) ------------------------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --- - - -- -- -------------------------- ---------- ---------------------- 44. Headers & Beam -Size & Bearing & Duplex) Dare FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -----------_ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer --------------------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------------ 60. Infiltration -Walls -Windows ------ - ----- ----------------- Date _ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ----------------- ------------ 64. Bedroom Exiting 65.--G.-F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. &_Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ------ .-.. --------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage -Fire -Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ---------------------------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------------------------- ----- 7-,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ----------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; - - -- - - --- -------Planters--O-Yes ------❑ No--------- - 81. Stucco: Brown -Finish ------------------------ 82. A.C. Unit; Disconnect. Electrical, Plumbing --------------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - --------- ------------------- ---------- ------- 86. Ventilation Throughout House .. --- --- -------------------------------------------- 87. Glass Protection . .. - . ------------------------------------------ 88. Corrections from Previous Inspections ------ ------- ------- ------------------ ------------------------ 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ------------------------------------ --- - ---- -- Date Card -B- t Date Card B-1 Date Card B-1 Date Card B-1 ------ -------------------------------- Date Card B -t Date Card B-1 Comments at Final: COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS b 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT !I ERBMIT NO. Va ASSESSOR PARCEL NUMBER 056-120-088 ZONING ITM 5 BUILDING PERMIT OWNER ( KAREN STARKEY TELEPHONE 343-5316 S0. FT. OCC. BUILDING VALUATION 655 M 11 790 OWNER'S MAILING ADDRESS 16 MENDOCINO WAY CHICO 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 11,790 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 112.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 56.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 16 MENDOCINO WAY Permit fee $ 183.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each clas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= @ 15.00 TYPE OF WORK NewL jj Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: CONVERT ATTICTO STORAGE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 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 Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ACDNS. 1 ACC, BLDGS. / 3.54 sq.ft. NEW NON.RES.D, BRANCH CIRCTITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occ Up(OUTLETS OR FIXTURES 20 75 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIirig Fee 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 of Butte to en er upon the above-mentioned property for inspection purposes. I also agr to sav , ndemnify and keep harmless the County of Butte against all liabil' ies, jud a osts, and expenses which may in any way accrue again aid Cou corAequence of the granting of this yprmi X Date Contractor ElContractor El of Applicant — OwJ.Sions An OSHA permit is required for over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 183.75 HAz 0FEES IMP FLOOD SSUE This permit is hereby issued under the sionsSignature lo of the Butte Count Code and/or Work indica d a ov which fees I C OF PUBLIC ByDate PER IT EXPIR S LDate —I applicable provi- resolutions to do j have been paid. WORKS .-93 Receipt No. 117684 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I 'rW ""I QOdNTY OF BUTTE - DEPARTMENT F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL'E,.CALIFO�RNIA 95965 - TELEPHONE (916) 538-7541 YF / PERMIT APPLICATION DATA SHEET Proposed Building U 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. .20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. tnf Building Inspector application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans .............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... - Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection requesi Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ 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 checklist ...................................................... 33. 34. When you issue the permit, process as follows Mail to owner. Mail to contractor. Telephone and hold for pickup at o i e. Deliver with inspector. Other Parcel Creation Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by" Date Contractor, designer, owner, was advised of above required data by _ phone _ mail y _ Date Plans checked by Date Plans approved by me Date PC Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone 916.536-7541 APPLICATION AND PERMIT ASSESSOR PARCELUM8 R ZONING ' M BUILDING PERMIT OWNER r�� � Q,r Tf EPHONE _ SO. FT. OC BUILDING VALUATION OWNER'S MA LING ADDRESS CONTRACTOR'S NAME p TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 2— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �q �) Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or ven 7.00 USE OF STRUCTURE S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 lets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ! Addition L✓ Remodel ❑ Utilities ❑ Installation❑ Other, Describe work: 1 Z72 Z) AL_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.5 200A OR LESS 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 .Jo. Classification (_j 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_ Main service 200A TO t000AI 5Q NEW CONST. ( DWELLING OCCuP.& . sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR ULT I-OUTLE? 5.00 NO N.R ESI D.BR4NCH CIRCS @ H CR POWER US (SINGLE OUT T CIR. Ex. Occup(OUTLETS R FIXTURES 20 76d R AL 0 46.9 \ EX. OCCUp. OUT D TS IR PRESID Re..) E A.J ( 3.00 Temporary vice 15.00 Mobile Home Facilities F 15.00 Misc. IVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. I 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ LContractor 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 or Butte to enter upon the above-mentioned property for inspection purposes. I also agr a ieto save, indemnify and keep harmless the County of Butte against all Iiabi' s, ju ents, costs, and expenses which may in any vay accrue again t aid Co un con equence of the granting of this per it. Date of pplicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for covorions over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee 5 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES S HA2 DFEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do sionssignature work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By _ Date PERMIT EXPIRES Date Receipt No. 7 WHITE-D.P.W., TEL LOW -ASSESSOR, PiNR- INSPECTOR, GOLDENROD -APPLICANT ' COUNTY OF BUTTZ - Deoartmeat of PubLic wor'cs 7 Councy Cancer Drive, Ozoville,.Ca; 95965 Phone: 916-528_731 OWNER -BUILDER VERIFICATION lctention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return chis information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials at rials for construction of the proposed property imp ovement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: .Name Address Phone Type of Work Signed: Prooerty Owner _ ,S�cial Security ti Date JOTS: 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- micted to issue the permit. Ce�� I��� C�ord�flor,a �c 8568 Cohasset Hwy. Chico CA 95926 (916) 894-6288 Dear Mr. Taylor; This a supplement to the revisions for the Starkey House. Karen said there were several questions you had, and I felt they were more easily expressed in written form. 1. The Deck : There have been no changes in the size of the deck, only in the manner in which it was to be framed. As you might recall, about a year ago we hit a garbage pit which caused us a few problems. At that time, to minimize the area of the structure which was over the pit, we moved the site of the house away form the bank several feet. This layout placed the ,deck on flatter ground and allowed for a more traditional pier. Also, due to clearance constraints, I found it easier (in some places) to hang the joists as opposed to placing them on a girder. 2. Storage Area: Upon the request of the inspector, I am applying for."added Storage Space." The dimensions are on the plan. I have only included those of the storage area, beause all others are consistant with the original set, still in your possession. Note that these dimensions do not include the space of approx. 2' under the gambrel rafters. 3. Window Changes You asked if there had been changes in the framing, and there have not, with the exception of the beam approval in the fall of last year. There have been some changes in window sizes to allow for the kitchen counter and bathroom tub. The kitchen window has been changed from a 4-0 4-0 to a 4-0 3-0, and the master bath windows have been changed from 5-0 to 4-0 in height. Also the skylights have been moved from the West side of the roof to the East. If you have any further questions please call me at the above number. Tba , Matt Gallaway oz- e. i W -: utte ouniU L A N D O F NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM Bill CHEFF, Director �" -.". • •':":', ' i 7 COUNTY CENTER DRIVE # OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 September 11, 1989 RONALD D. McELROY Deputy Director James Young 5220 Kauai Way Fair Oaks, CA 95628 RE: Permits and Inspections A.P. #56-12-88 16 -Mendocino Way Chico, CA 95926 Dear Mr. Young: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as.follows: Construction of additional buildings without the required permits and inspections. TM -5 zoning only permits one dwelling unit. Please con- tact the Butte County Planning Department for the use permit for add- itional dwelling units, and the Building Department for building per- mits. Since permits and inspections are -required -for the above work, please contact this office within 10,days of the date of this letter, submit two complete sets of.plans,.apply for.the required permits, and pay the appropriate fees. All work must stop until these .permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing -.work is, inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks,voluntary.coinpliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If vol- , 6 untary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director kbDlic orks J. F. Glan er JFG:daj Chief Building Inspector cc: Assessor Building Inspector AAvbF,ra, f . Z woo (, D �., i we: T3 /&IFoe kn yo v T#N r s N10 /A/ Ale ')V!D Lig � CM 6F '9VIV &141)IIJC--- Co,V E, T/ 87fZ E i s quo /VEo pw? c L I Au6-s/coNs7nu���o�u x� poeoe F�t- 7- �hprcr 'T A)CRfZcs r ThW - 7a Iz �o�vsTrt�efiaAl wout, b l�►� vE iC3�� So rz� o R Die. kl To ul t� i C �! t C'.ou LV ►2%( A J EX r- 7-d / A 7-1/,F, Ec ✓Eol!% T -#,o �� wt OP 0-141Q.0 Fe 2 6 Vis I /V S-' v, s r is 76 Lel-f�eo Oi2g: 1�:"tl2 9PJP FEW , So SINCE IWis V%fes/+gypl' F� q �Il�arze W 1/�S 6E,£N RIFAAAR FE9 4Q -L L X wouLD 1,,oeE m MAJoU) w#QF- r��s 2ZDI c.0 Lous /�u Fo nrN�D �V f/ov l�q dE �rrr,�s-rzd�''i pkeos E.- . 5220 ►+(tgtJ14i W4Y Fiwa dq Ks C.A. Q S (ort, 17 ' ,1745-78P,E c .;;,'-,RERIVNT NO. PERMIT EXPIRES W40? -OZ :OWNER Milton F. Engel CONTR. owner LOCATION (A.P. 56-12-29 W/S Cohasset Rd.,app.l 3/10 mi.N.of Vilas Branch Rd., Cohasset 3. • 4 f �1 Y F 1. 4 - ti «a ♦ .f a t: I r.q w N, `2 ,1 Temp. Power Pole S Called PG&E ' Temp. Elea Serv.��� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) ' (Signature 'p MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwith quired separation from lot lines and buildings and generally conform to plot plan? Yes Nc 1 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes N o_ 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes/ No 4. Is the mobilehome level? (Sec. 5088) Yes Y No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No A/ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No V4- 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes" No B. Does it have minimum k" per foot slope and is it properly supported? Yes_41_�No_ C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No M,r 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated -in tenth' poundVincremeiits. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ 9. Electrical A. Is service large enough to provide adequate amperage-to mobil'hbme (must equal rating of mobilehome with a minimum of 109 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o �9" 74,_ ePe, A ak t( B. Is there proper clearances around panels? Yes I,'-N-o C. Is power supply cord,or feeder assembly properly fused? Yes 1--'ffo D. Is continuity test satisfactory as per the following procedure? Yes'1/No 1. De-energize electrical wiring system•of the mobilehome at the pedestal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the ti mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle LengthWidth f Z.— Vehicle .-Vehicle Serial No. 2.1 State Identification No. C�_�Gi'�/ Additional Informa 'on or Comments: D� Building Department A iFROM Environmental Health s, RE Sewage and/or.Water Clearance CIRIER LOCATION Has been approved for: S.7D1AGE DISPOSAL: % WATER .SUPPLY: (. / J -7� L—Z nitarian A? 14 T,1BER VOUNTY Of BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING';,% BUILDING (Cont'd). etback°c Vim. �`'' Newall, SA Piping rms - n, Pa ets `• 1s Floor )Jain Bldg. Rest om Finish 2nd loor PLUMBING ootin s Windo 3rd Fkpor S mwaII Siding To out SI Roof Shea In Water PI i Pier Roofing Sewer Garage Fdn. Vents Fixtures Footin StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handica ed Conformance of ex. structure Appliances Gas PIDIna &Test Temp. Gas Slab Final A Sanitation Patio FI PC P CE Final Footings Footing LECTRIC L Masonry Walls Throat I Rough Relnf. Steel Final Flwhirac T Stucco Motors mean i I MECHANICAL Grd. FAult Prot. Scra h Heating/ Sery e B n Cooli g emp. Pole nish Du s /Underground I erlor Lath V ntilation IPermanent oor Closer anal Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E ME STA ATION - - - - - - - - - - - - - - Support , Elec. Continuity Water Piping =- Drainages., Gas Piping—�� DATE REMARKS bR CORRECTIONS ' #7,r, 'Ole 0' �/o .N,�. p�sa.T •�i.s iii.► (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE ,— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephon(e: 534-4,5'41 APPLICATION AND PERMIT 1;7-1 5-7P autnorize representatives of the vounty o1 tsutte to enter upon the above-mentioned property for inspection purposes. C X Date Signature of Permitee gent Receipt No. White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR—M PUBLIC WORKS By Date_T— ' z ilding permit expires Date �—� 7� h BUILDING Owner �oy� t SO. FT. OCC. BUILDING VALUATION Mai I i ng Address I Telepho No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Ss�j Plan Checking Fee&/or Penalty Permit Fee V i t 13 r til c PLUMBING No.1 @ I FEE 0 PERMIT FILING FEE $3.00Poo Each Trap 1.50 }� LoninCI& e Repair drainage or vent piping 1.50 A. P. No. '�' 2 �_ TLoni gf & PI nnin Water piping 1.50 Each gas water heater or vent 1.50 Fe W SaI in Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 , �� Bldg. P14 Recd Parce Ap roval P ns A royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ QQ $3-1 106 _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 11)0 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 z2 LM Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW DWELING OC cup- 4\ 0Sq ft OR ADDNST X ACCLBLDGS.•Z CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name f: st le ox. y TLET NEW CONSTR BRANCH CIRCUITS) NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS B NON- RRESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L� ccu FIXED APPLNS. OR EO2.00 p•(OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ a $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ 7 autnorize representatives of the vounty o1 tsutte to enter upon the above-mentioned property for inspection purposes. C X Date Signature of Permitee gent Receipt No. White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR—M PUBLIC WORKS By Date_T— ' z ilding permit expires Date �—� 7� h tltltl / COUNTY OF BUTTE — DEPAR.TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 + TelephonE: X34-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X XIMO @CZ Date �� 7 Signature o''fP%%ermitee or Ajo4t Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above four uh. ich fees have been paid. / /DIR,ECTOJ3 OF PUBLIC WORKS .MW iAID illl • Building permit expir*es Date- BUILDING Owner y SQ. FT. OCC. BUILDING VALUATION Mailing Address) S Te e o No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressS �•G _ Plan Checking Fee&/or Penalty Permit Fee ?X1,> N vCA-N PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 SS �; Repair drainage or vent piping. 1.50 A. P. No. �--� �--�Water Zoning 8 Planning piping 1.50 Each gas water heater or vent 1.50 F s iept Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld Recd Parce proval Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER permit Fee $ $ r-- }— _ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR LESS 5•00 Main service 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPe00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLOGS.LING CCUP. s) 2�sgft CONTRACTORS LICENSE LAW I am licensed under -the provisions. of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: NEW CONSTR BRANCH CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES 50@25a BAL@1 FIXED APLNS.style Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. , j� I certify that in the performance of the work for which this 604+ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 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 pment re $ t� TOTAL PERMIT FEE $� 20A authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X XIMO @CZ Date �� 7 Signature o''fP%%ermitee or Ajo4t Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above four uh. ich fees have been paid. / /DIR,ECTOJ3 OF PUBLIC WORKS .MW iAID illl • Building permit expir*es Date- BUTTE COUNTYDEPARTMENT OF PUBLIC• WORKS 7 County Center Drive, Orovil'le,.CA. PHONE: 534-4541 MOBII,EHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's. name: &i �4721/ 27- 3. Is the site currently under permit? Yes / / +J No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No /�✓ (If -yes',, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields -and clear of all setbacks and easements? Yes / 7... ..No site service? --------------------------------------------------- Yes No (If yes, identify the load and size 9 .(Load)` ® (Amps) 9. What is the mobilehome site -gas. pipe size? ---------------------- (_iin. 10. What is the type of as service. Natural / / LPG YP g ----------------------------- 11. What is the gas pipe length from meter or tank to .the mobil"home? 7' (ft.) 12. What is the mobilehome gas,demand?----------------------- g s( BTU) IN (This information not -required if pipe length' less thl 6 or,less than-50—ft. on LPG.) ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- %C> Amps 6. What is the mobilehome site service rating? ----=---------------- GAJ Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (If yes, identify the load and size 9 .(Load)` ® (Amps) 9. What is the mobilehome site -gas. pipe size? ---------------------- (_iin. 10. What is the type of as service. Natural / / LPG YP g ----------------------------- 11. What is the gas pipe length from meter or tank to .the mobil"home? 7' (ft.) 12. What is the mobilehome gas,demand?----------------------- g s( BTU) IN (This information not -required if pipe length' less thl 6 or,less than-50—ft. on LPG.) MOBILEHOME SUPPORT DATA If other -than single wide, Mobilehome Mfr. �l�a�-c,���h,y furnish Setup Model No. Year d -Z% Width/j—' (it.) Box Length&�2 (ft.) Tagalong'or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(4. ) I (in.) (�n.) (f .) I (in.) (in.)I (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. l,7— x_?, -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEpARTMEN-1 APPROVE. Footings (check one) Single / Wood either A)mm A pressure treated of foundation grade. (ft.) in:) x (in.) (in 2. Other (specify) Center sup ort Center s pport locations footing sizes Supports (check one) (in. �. Concrete block. A 2. Other (specify) (ft.)(in.) (in (in.') (--Tagalong or Expando, show support details. in.) (in.) (ft.)(4. ) I (in.) (�n.) (f .) I (in.) (in.)I (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. l,7— x_?, -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEpARTMEN-1 APPROVE. $ERMIT N0. 2839-78B, PERMIT EXPIRES OWNER Milton Engel CONTR. owner LOCATION (A.P. 46—"17-79 ) W/S Cohasset Rd., app. 1 3/10 mi..N.of Vila.- Rd., ila:Rd., Cohasset Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB f FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI094ECHD BUILDING BUIL NG (Cont'd) PLIUMBING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Bond Be Framin Stucco Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. forph sically handica ed Conformance of ex. structure Final FIREPLACE F FIRE SPRIN Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping Sewer I E ME INSTALLATI N - - - - - - - - - - - - - - Support Water Piping Drainage Sall Piping -1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault Pn Service Temp. Pole Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping ELECTRICA DATE REMARKS OR CORRECTIONS L ly— y n (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF,BUTTE — DEPARTMENT OF PUBLIC WORKS a _ 7 County Center Drive - Oroville, California 95965_ Tel ephohb:. 534-4541 APPLICATION AND PERMIT auinorize representatives or the county or tsulte to enter upon ine above-mentioned property for inspection purposes. /r X Date ignatureof Perrmiitee or int / Receipt No. / Z/,.� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been id. _ DIRECTO 0 P BLIC WORKS By Date r'-30- 7,P B ding permit expires Date S 3v -7y BUILDING Owner 0 SQ. FT. OCC. BUILDING VALUATION Z OO Mailing Address CTeIephon Contractor Mailing Address Fireplace Total Valuation O O Telephone No. Permit Fee Building Address �Sr'r�p�lGiSS£ Plan Checking Fee&/or Penalty Permit Fee Q PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. o. �llj - y Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es I We.1 Sa t n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 B Plans Recd Parcel royal Plans Ap val Lawn sprinkler system 2.00 NEW PQ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8011 OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 ///••• C C' C Main service OVER 25,00 100 AMPP OR -LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OC cup- 4) 22sgft OR ADDNS. % ACC. BLDG -S. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI .OUTL T NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON•RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES B L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. KI 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Q2 auinorize representatives or the county or tsulte to enter upon ine above-mentioned property for inspection purposes. /r X Date ignatureof Perrmiitee or int / Receipt No. / Z/,.� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been id. _ DIRECTO 0 P BLIC WORKS By Date r'-30- 7,P B ding permit expires Date S 3v -7y 1. Ceiling Insulation -8 -5 d Insulation in Floor Number of stories Single - - - R -value OneTwo _ . Family Three _ R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 .1 R-38 0 0 0 U -value U -value -46 0.50 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 . 2 1 0.00 11 5 ` 3 2. Wall Insulation -8 -5 d Insulation in Floor Single- Single - Number of stories Two Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 R-13 0 2 ' 0 2 0 1 R-19 8 6 4 U -value -46 0.50 -120 -58 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 - 18 12 -0.50 9 6 3 3. Raised Floor Insulation -8 -5 d Insulation in Floor .1 R -value Number of stories Two R -value One Two Three R-0 -17 -8 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value .2 4. Slab Edge Insulation -- . 0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 , -6 .3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -8 -5 d Number of stories .1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 ' -2 -2 R-19 -1 .2 .2 4. Slab Edge Insulation 4 - " Number of Stories -26 R -value One Two Three R-0 0- 0 0 R-5 8 5 2 R-7 - 8 6 3 F2 factor 29 - -20 0.90 -4 3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 ' -0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -8 -5 d Effective Pescme class .1 U -value . Percent - South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39-- -24 -10 4 40 -90 -37 -26 -14 3 8 ' 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10- .2 5 13 27 -52 -17 -9 -2 6 - 13 26 -49 -15 . -8 -1 7 14 25 -46 _ -14 -7_ 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 -3 8 12 17- 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 fi 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Efrectire Percent Class (Percent SWs x SC) Effective -8 -5 d Effective Pescme class .1 -1 %Glass North East South .West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 -14 -38 5 -2 -9 -11.. 3 0 1 `2 -1- 3 -7 -23 3 0 -4 -5 j- -16 2 1 1 14 0 1 -2 -t -2 0 na = not allowed . =4 0 ,.1 2 3 IB. Shading (Shade Closed) -8 -5 d Effective Pescme class .1 -1 (Percent Alan x SC) -8 -5 3 -1 0 0 0.3 -7 -4 %Gctive lass North • Ead Stith) . West Moot 18 -14 -48 -69 -64' -- na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .29 -40 -37 na 11 .7 -26 36 33 na 10 -6 -23 31 .29-74 . 9 -5 .20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -if -15 -14 -38 5 -2 -9 -11.. -10 -30 4 -1 -6 -8 " -7 -23 3 0 -4 -5 j- -16 2 1 1 14 -1 _;a- 1 11 13 1 1 =4 0 ,.1 2 3 4 3 0 rKt � rrfl alk!wuA 0.56 5.13 0 0 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Stones -----. Stones -- )CFA One Two Three -One Two Three 0.0 -8 -5 d -2 .1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 0.7 -6 / r -3� '-5 �2`} ,-1)- -1, 1- rpt) • 1' 2.. r 2 . 21 0.9 -5 -1 0 -2 -3 •3 1.1 -4 .1 1 3 4 4 1.3.,-{3vd,&%0 -t2,* 1.5't =3f VT � 21 3 4 4 , 5 5 5 2.0 -1 2 4 5 6 7_ 3.0 11 41 t 6 ���8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 '8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1.6 Wall Family Family MUM Mass Detached Attached Fame 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. . . 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In aide) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other. 6 5 4 3 2 2 12. Cooling Syst•!ni SC or Sum of 1.6 R -v ue ( �' U -value [0.030] t SEER -- -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 1 10.5 Effective SE or HSPF 6 5 4 3 (SE or HSPF x duct efficiency) 1,1.0 Effective -25 or -24 to -14 to .4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0� 0 0.60 5.50 5 5 4 3 - 3� 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other. 6 5 4 3 2 2 12. Cooling Syst•!ni SC or it .7 XL9 X R -v ue ( �' U -value [0.030] t SEER -- -5 - -4 -3 (assumel ducts in attic) Two+ 3 3� Sim of 1.10 2 2 1 Single -Family -25 or -24 to p14 to -4 to +6 to 16 or SEER less - -15 1 .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 •3 8.9 -5 -4 -4 3 -2 .2 9.0 4 -3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 1,1.0 10 9 7 6 4 3 --• 12.0 15 13 i1 9 7 5 13.0 20 17 14 12 9 6 Solar -1 -1 -1 0 0 1.3 HWR EReetivee SEER. -12 -9 -7 (SEER xdud efficiency) 2.7 WSB -25 Swl of 7-10 -12 -10 -8 Effective -25 or -24 to -14 to -4 to +610 16 or SEER less -15 '-5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 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 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories SC or it .7 XL9 X R -v ue ( �' U -value [0.030] or One -5 •4 -4 -3 .2 -2 Two+ 3 3� Eff. % Glass 2 2 1 Single -Family Iletached and Attached lr 3 Zr X = Unit Size (sQ X Water Z 7 ; 09 12M.' 1700 2200 2700 Heater Credit or • � 10 to to -or Type Type less ,1699 2199 2699 more SG None O :1 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 0% WSB 5 3 3 2 2 35% POU 8 5 _ 4 3 3 SE None 37 -24 -18 -15 -12 01'. Solar -1 -1 -1 0 0 1.3 HWR -18 -12 -9 -7 -6 2.7 WSB -25 -16 -12 -10 -8 4.2 POU -18 _-12 -9 -7 .6 IG None -5 -3 -2 -2 -2 1.6 Solar 7 5 4 3 2 3.1 POU 3 _ _2 1 1 1 IE None -28 -199 -14 -11 -9 0.6 Solar 8 5 4 3 3 2 POU -10 -6 -5 -4 -3 3.5 Multi-Famlty (Individual units) 3.9 4.1 4.3 4.5 Unit Size (s f► S.2 Water 56 699 700 1200 1700 2200 Heater Oredit or to to to or Type Type less 1198 1699 2199 more SG None 0. 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.2 WSB 9 4 3 2 2 4.1 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 2.1 Solar 2 1 1 0 0 3.6 HWR -23 -12 -8 -6 -5 5.1 WSB -25 -13 -8 -6 -5 0.9 e0U _23 -12 -8- ...... 6 -5 IG None -8 -4 -3 .2 ; .2 ' 3.9 Solar 6 3 2 1 1 5.3 POU 1_ ._0 0 0 112 IE None 30 -15 -10 - -8 -6 2.7 Solar 18 9 6 4 4 4.2 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures SC or it .7 XL9 X R -v ue ( �' U -value [0.030] or = R -value [ 111 U -value [0.098] Z"l 3ry Or Interior MasslCFA R -value [ 9] U -value [0.037] or Eff. % Glass R -value [01 F2 factor [0.77] 0160 X S TT.6 Z ruse lr 3 Zr X = 1,-7 X = Z 7 zr v X InteriorN TYPE 1 MASS AREA $ COND. FLOOR AREA TYPE 2MASS AREA Exterior Wall Mass ND. L OR AREA 17 1,- X - = a, To SE or HSPF Duct Ef ciency [0.78] U. t7-V.a ..d •r.11 I'I. Lel ._.. _. SEER [9.5] Ma Efficiency [0.741 Effective SEER [7.03] - •_ -•t TYPE 1 KUS (UTHC • 4.2, ie: osed Slab) e� 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45Y. 50% 55%.60% 6516 70% 75% 80% &We 90% 95% loot. lOS% 110% 115Y. 120% 125• 01'. Q_ 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 IS 2.7 Z9 3.2 3.1 3.6 3.8 4 4.2 4.4 4:6 4.8 S S 3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 It Z3 2.5 27 2.9 3.1 3.3 33 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 V. 111 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 S S.2 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 21 • 26 2.8 3 3.2 9.S 17 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5 8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 4.1 4.9 5.1 5.3 S.5 S.7 5.9 50% 0.9 1.1 1.3 13 1.7 1.9 2.1 23 2S 2.1 3 32 3.4 3.6 9.8 4 42 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 S5% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 32 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 S.1 5.3 S.6 5.8 6 6.2 60% 112 1.4 1.7 1.9 2.1 2.3 ZS 2.7 29 3.1 3.3 3.5 3-111' 4 4.2 4.4 4.8 4.8 ' 5 5.2 S.4 5.6 S.9 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 Z4 2.6 2.8 3 3.2 34 3.6 3.8 4 4.3 4.5 4.1 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 Z2 IS 21 2.9 3.1 3.3 3.5 3.7 9.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 S 8 6 6.2 64 75% 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 S.3 S.S 5.7 5.9 6.1 6.3 6.5 eOY. 1.4 1.6 1.8 2 "2.2 2.4 26 2.8 3 3.3 3.5 37 3.0 4.1. 4.3 4.5 4.7 4.0 S.1 5.4 S.6 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 Z5 2.7 Z9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 S4 5.6 5.9 6.1 63 65 67 90%" 1.5 1.7 2 2.2 Z4 Z6 2.8 3 3.2 3.4 3.8 3.8 '4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 66 95% 1.6 1.8 2 2.2 Z5 Z7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 1.9 It 2.3 2S 28 3 3.2 3A 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 6.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 Z8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 8 6.2 6.4 6.6 6 8 7 110% 1.9 Z1 2.3 2.5 2.7 Z9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 S.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 12 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 13 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 23 ZS 2.8 3 3.2 , 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures SC or it .7 XL9 X R -v ue ( �' U -value [0.030] or = R -value [ 111 U -value [0.098] Z"l 3ry Or R -value [ 9] U -value [0.037] or Eff. % Glass R -value [01 F2 factor [0.77] 0160 X 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. Water Heating. 1/' -1- i Type [double] U -value [0.65j % Total Glass (161 % Glass SC Eff. % Glass it .7 XL9 X _ �s is, X = Zra 41,1 X = 3ry X % Glass SC Eff. % Glass X (p = 0160 X = lr 3 Zr X = 1,-7 X = Z 7 zr v X InteriorN TYPE 1 MASS AREA $ COND. FLOOR AREA TYPE 2MASS AREA Exterior Wall Mass ND. L OR AREA 17 1,- X - = a, To SE or HSPF Duct Ef ciency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] - SEER [9.5] Ma Efficiency [0.741 Effective SEER [7.03] Type (SG] Credit [none] Point Scores 0 l0 Sum 13 4 Sum 7-10 v v Point Total: T 10 Certificate of Compliance: Residential Climate Zone 11 STA R Y-" Project Tide !V1g� EN�OCi/%1/Q W14� Buildm��it# -(t? �q7�Project Address l Checked By / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Glass Area Glass North ZD '0,517 Conditioned Floor Area 22 Number of Storiesy East//71 Slab/Raised Floor lSED Number of Units South Zq ' Single Family Detached (SFD) [ ] Addition Alone West 0 Single Family Attached (SFA) [ ] Existing Building Skylight 0/a [ ] Multi -Family (NM [ ] Existing -Plus -Addition Tom BUH,DING SHELL INSULATION Component Insulation Locaflon/Camments Type R -Value (attic, to garage, r2iaal. etc.) Wall .............. Wall ............. Roof ............. --30 Roos' ............. Floor ............. —7 7477 _ Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO single. double) (roller blind. etc.) (shadescreen, etc.) (yes/no) (metallwood) North ( ) 0-0 Og L L North ( ) East East ( ) South Sou th ( ) West ( ) 9D West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness_ (slab/exposed, tile. etc.) Of) (inches) Locadon/DCScription (kitchen, bath, etc.) 14 P4 HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) /-c(gw t 7Z— W,1- .2, KJK3)JNG DF-PARTMENJ Maximum Furnace Heating Output: 7750 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model #A� Ea R VED System Type (storage gas, etc.) Capacity (or approved equal)Special Ftures SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1'_2 NOTE: Lowdse residential buildings subject to the Standards must contain these measurea regardless of the compliance approach used Items marked with an asterisk(*) maybe superseded by more stringent complunceregwrements listed: on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall' be considered by all parties as binding minimum component perfornunce specifications for the mandatory measure whetter they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permfinch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(p: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wcaNerstripped; all 'pints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2.5315: Setback thermostat on all. applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated pas Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -f=4 space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fuer 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon p: Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water eau. Lighting and Appliance Measures 62-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(e): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerauxs. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists ft building features acid performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Mptcr 2. Subchaptec4. Article 1 of the California Administrative code. This certificate has beat signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Name_ Tuk/Ftmt: Address: Telephone tic. M: (signature) Documentation Author r Name: Titk/Firm: Address: (date) Building Owner Name: T,dC/Fum: Address: Telephone: (:�Z*- (�& (34nattrre (dart) Enforcement Agency None: Atency: