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HomeMy WebLinkAbout056-170-050MIKE CHATFIELD �g ' off SE/S Cohasset Rd, 1400' S ohasset Store, Cohasset �a; ... Contr: William Hanson Permit#678-85.B,P,E,M(new single family) 56-17 680-90P,M•. MCLAUGHLIN, Luther 385"McLaughlin Way; Cohasse Contr Arti.c Aire q dual -Pack', & 1pg'service'/ sf) z l 'i � �I ��� 12/03/96 08:59 FAX 916 3.47 6887 ROPER ASSOCIATES 002 w h • #4' 'SOIL DEPTH HOLI r XIST1q.G NW COR. SW, 1/4, ' SW 1/4, SEC 34 WELL ®PO �L90.00' 590.74' - McLAUGHLIN ' 400.00' o - —--- - —- — `.20' B.S.L.~ oo -- 1 TANKN' PAR 1-- GO� 'L H FREEI HOUSE} 4.64 p WELL , i LEACH FREE ' SEASONAL , STREAM W TO `— ° BE ANDONDED 8s, \�po ^W�^� 'o I DW ING o. BLM 1 N N E / ` O ' 5.04 ACS± 5 �oo•111.68' ` LEACH FREE >" PAR 8.035%.94 78.0387.94'.11 B SETBACK UNE -- 4; 5.14 ACSJ- 647.50.' /TANK y 4.24' ACSf a ELLIEXISTIN `. PAR \ C' '0NYLEACH �' p ' � ' � AREA ��� BLM , 5.02 0 "AC' DWELLING - 647.50' PERMIT NO. 678-85B,P,E,M ' 0 /9' PERMIT EXPIRES (. OWNER MIKE CHATFIELD CONTR.. William XHanson ASSESSOR PARCEL 56-17- 41 t. LOCATION app 1800' off SE/S Cohasset Rd, 1400' S Cohasset Store, Cohasset -OFFICE COPY aft _ Addre's's 1i t GAS Meter By Date ELECT Meter Date J = OK 0 - Not OK Not Applicable MOBILEHOMES Y = Not Ready • 1r } MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Date DECKS, COVERS, "CAR PORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.;•Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows-Doorsy 7. Utility Clearance 7. Elec. ' f I Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1.. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3.' Gas; MH Test -Demand -Valve -Connector t 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector -' 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries=Terminals-Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged `' 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgntg. t- � • ^•Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch -- 10. Cert. of Occupancy ` t 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 4 , A f I 1 4 , A V = OK 0 = Not OK - J>,jgotApplicable RESIDENTIAL (Single and Duplex) Not Ready Date UN RFLOOR Plans OK exce t#'s Date FRAOING (Continued) oning requirements-Setbacks-Eapd'm&ntg Wroperty Line Firewall & Openings tg., Main; Soils-Steel-Elec. G d.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits V F ., Garage; Soils -Steel- /1 /" Ftg. Depthood Protection 4.r tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth oth-Headroom-Rise-Run-Landing-Fire Plywn Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer �Valemwalls, Garage; Steel -Blockouts-Wrapped-Slab -Drip Screed-Fdn. Vents-Underflr. Access VlOierFirepl a Ft .-Steel 54,KGlazing Area -Glass Protection -Skylights -Plastic 7 V.: -Fi ' gs-T way C/ &K Sh r Walls; Nailing -Bolts 9.kbas Pipe; Sizg-pKchors '- ater Pipe; Anchors -Regulator ervic r'T lectric; Und rground 412;6'7n L 12. Plenums Ducts; Clearance -M terial-Support-Ins. 13.ty j irder -ills-Ant or Bolts -Joists -Vents -Cripples Card -BI Date Ct (y Card -BI Date Card -BI f, Date ZZMS&t Card -BI Date Card -BI a Date —Card -BI Date Card -BI 7 -:, Date Card -BI Date _ y— Date FINAL (Plans) OK except q's Card-BI Date Card -BI Date Date PL MBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Water Ht.; Vent -Access -Combustion Air// mace; Vents -Clearance -Comb. Air -Connector- /ln Garage; Above Floor -Ducts -Meth. Protection . 1 Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting Shower, Pan; Test, First Floor -Tub Acces I. & Bath Fixtures & Tub Access 1 st Tub & Shower, 2nd Floor Tu 6 EI .Trim & Subpanel; Breaker Sizes6a4 VF Anchors s `Fireplace or Stove; Clearances -Hearth ' Elec. Outlets at Wood Panel; Int. & Ext. Card -BI DateCard-BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Dat Card -BI Date Alec. Outlets & Receptacles at Kit. Counter Date EL TRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer in Garage -Damper F' ture &Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Zr n Garage; Above Floor -Meth. Protection taSpacinghts &Switches at Doors Qf let. Rete t es - fig Ib., Elec. &Mech. Equip. Listed for Location ze Boxes & No. of Conductors -Stapled omex Installed Close to Edge f Studs & C.J. Ar Elec. Receptacles in Garage; (G.F.I.)-R ex Protec. quip. Ground made up w/ . Fasteners-Boal-Qee r Insulation -Foam -Looked in Attic es Appliance Circuits in Kitchen & Conductor Size Rails &Deck Construction -Post Caps � 2 ,vao,e--W / ga. Cu or AI- a u of Al ol • Fdn. Vents & Crawl HDoor-Drainage & Wood -Earth Clearance ooked under Floor Yes Range Circ. / / ga or AI -Ove Circ. /f$/ ga. u r Al, nsulated Neutral es ❑No Following instld.: DrV,�,� ❑ Yes o; Walks [-]Yes No; Pla ters ❑Yes f�N0 ervice-Riser Conductors 8CGVunjXMain Disconnect Finish quip. Clearances; Panels-Motors-Mech. Equip. nnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light IM. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I S ADate 1114ASS Card -BI Date 94,Ventilation throughout House Card B-1 SA Date / Card -BI Date /Glass Protection Date MECHANICAL (Permit) OK except p's orrections from Previous Inspections as Test -Meters Tagged; Gas -Electric sulation & Support Water & Sewer Connected -C/O to Grade -HD Approval an; Exhaust above Insulation f199tFt7rergrCompliance Certificate -Other Certificates rain & Overflow; Size & Grade 94. FvrnasT--Gent; Access -Comb. Air -Return Air Vent -115V outlet 35r -A4 e-A'U-c-ess & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date and -BI Date Card -BI Date f7 Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR ak,NG Plans OK except 's Sills; Proper Material V,. -Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3K./Bearing Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub V./Header & Beam -Size & Bearing a rs-Post Caps -Anchors -Connectors 7 Ing. Joist-Rftr. Ties -Pur -Roof Bra s thng -Ring. ireplace Ties or Typ Flue ireplace *Attic Access; Size & mex otec i ft St p -In affl�drm. Windows or Exiting Do rs- gt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Permit No. ENERGY C'E R T'I F ICAT ION Cohasset Stage LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF. Material Thickness(inches) EXTER16R WALL Material Fiberqlass Batts Thickness(inches) 64" Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R19 CEILING Batt or Blanket Type Fiberglass Batts Brand Name Owens-Corning_ Thickness(inches) 9i" Thermal Resistance(R Value) R30 Loose Fill Type Fiberglass Brand Name Owens-Corning Minimum Thickness(Inches) 14" Number of Bags 46 Wt. per bag 35 lb. Area covered(ft.2) 2,321 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Fiberglass Batts Thickness(inches) 64" FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name Thermal.Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE -INSULATION CO. F 1RM7 /OWNER SIG OF I TION APPLICATOR #432518 STATE CONTRACTOR'S LICENSE NO. Sept. 26, 1985 DATE I hereby certify the above insulation and all required items as shown on'the Building Department approved plans and attacbments''have been installed as required by the State of California Energy.Requirements. All equipment; devices and materials are of the quality prescribed or are specifically approved by the State of California. �. Z 60 53 FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. Via` 2 6 i�,6 I NATURE OF GEVERAL CONTRACTOR OWNER -r-' DATE. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January.1984 jW LDR ��-33G.1t� 0114 1 (• i , ! I . 4 . Oso •P q �1 3o�ot� t11` � K 'T AC - to 60.00 c s s S-nvkd D S GD Nt M s ry1 ro 60.00 SDUNDAKY LINE MODIFICATION P,ORTION OF THE NoizrN FEET OF THE SOijr,4 14ALC OF THE 30sjrF(WES7' QuAP-TE9— c�F SE�TIDN 34 Ta1,.�KSHIP .24 NORTH RAMMf EAST M.C. S. I M-? COUNTY of Bu rrd; STATE OF GAL(co9LM(A. THIS 15, NOT 'A SU2Vf k0 \ .s1\aM "`•11� aC syal •►� :yYtha �' Ni LOP, 5E %4. 5WV4- S V4- Lb P- ..bra �y.r.a y•"•',� COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 7�j -S A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional ^explanation, please contact this office immediately. o 1 Inspector /-' "" Date 7' .COUNTY OF BUTTE � � DEPARTMENT OF PUBLIC WORKS `.Z 196 Memorial Way, Chico — Phone:.891-2751 7 County Center Drive, Orovi•Ile — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Zxo OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7- WWAY Inspector Date 1 1� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER U PERMIT NO. \� A rZren indicates that the following violations of County Ordinance exiaddress and should be corrected. Please notify this office wheork is completed. If you have any question pertaining tothis matitional explanation, please contact this office immediately. 7 l�.(n_d.. U,.,_A g',.i• F • i/ M Inspe' for Date i. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2151 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. i A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. So i Inspector //� Date_ COUNTY OF BUTTE z f DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road; Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER /j PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office N hen correction of work is completed. If you have any question pertaining to this at r, %or need additional explanation, please contact this office/immediately. ""a G1Mw � � d SAA-_ 4 1 Inspector 41 Date I ' z "1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE elf'-�s PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office A hen correction -of work is completed. If you have any question pertaining to this matter, o need additional explanation, please contact this office immediately. vp� xe-L Inspector /� Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT O/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �SJ '.77S- APPLICATION AND PERMIT ASSESSO. RCEL NUMB R ZQ.NJNG /' .,_ BUILDING PERMIT OWNER^ - /' � TE EPHONE SO. FT. OCC. BUILDING VALUATION U OWNER'SMA 4. �plG AD ESS v CONT CTOR'S N E s TELEPHONE /, T� d CONTRACTOR'S MAILING ADDRESS 15_7�_Z 2/ o Fireplace ' 11 CONSTR CTION LENDER UN NOWN Total Valuation$ 6 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1,56 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ G P"cl•I'ty / $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSJfe ary �� ���� PLUMBING PERMIT Filing Fee 10.00 A/� �ci/ � Each Trap 2.00 p Solar Water Heater 20.00 ZQ Q p Water piping 5.00 Q O LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition El R m del[:]Utilities❑ Installation❑ Other EJ Describe work: — Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 10000 AMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2:50 v NEW CONST.(DWELLING OR ADDNS. ACC. BLD 2/20sgft .7 O 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 Sand my license is in full force and effect. License No.22'C6 5� 7/� �� 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.Reslo R BRANCH ciac ITs 2.50 ea NEw CONSTR (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. 20@50C Ex. Occup(o OR FIXTURES SALQ300 FIX p FIXED APPLES. OR EX. CCU. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ k6 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating WO&CI Sle'tle Cooling Hood / 3.00 VentilationAX74 permit Fee $ U Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this per it. �' / Signature of Applicant — Owner ❑ Contractor F?'— Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oviP�err/3 stories in height. Mobile Home Installation Fee $ TOT L 'PER IT FEE $JqP OCC . GROUP TYPE OF CONST. STT' A �_IL ��A PARCEL PD HD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY PER IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date �^:r� �—,PT— Receipt No._ 31L WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � 1 '1 C;`-CO'J=et`LCE.LIF��t??�'� r �f Ord3.;.No. I Ai tHcSt=4JESt OF Escrow No. t' { Pte, WO VM Loan No. ` I'��`� Jl1R>� 26 . AR1l 38 WHEN RECORDED MAIL T0: iy � Michael N. Chatfieldt( { I FEEj----- • CLER=RECCRDEf?,• 4 Mayfair Dr. � I } , . �•' I Chico, Calif 95926 85®11900 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: i ' DOCUMENTARY TRANSFER TAX $..........! ............................... Michael N. Chatfield Computed on the consideration or value of property conveyed; OR Box 39 F Cohasset Stage ! I f •.•• Computed on the consideration or value less liens or encumbrances , Chico, Calif 95926 I' ' remaining: at time of sale. IF l Signature of Declarant or Agent determining tax — Firm Name EASEMENT GRANT D'E E FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,' 1 Bruce W. McLaughlin and Della B. McLaughlin hereby GRANT(S) to Michael N. Chatfield and Ruth M. Chatfield Husband and Wife, as.Joint�Tenants the real property in the City of County of Butte I State of California, described as DESCRIPTION A portion of the North 860.00 feet of theSouth Half of the Southwest Quartei:,'of Section 34, Township 24 North, Range 2 East, M.D.B.&M., situate in the County of Butte, State of California, and being more particularly described as follows: f A 12.00 foot wide non-exclusive easement for the purpose of waterline and maintenance and for the purpose of ingress and egress and public utilities, being more particularly described as follows: A 12.00 foot wide easement lying 6.00 feet on each side o'f the following described centerline: Commencing -at an iron pipe and mound of rock at the -Northwest corner of the Southwest Quarter of tbe,Southwest Quarter of Section 34 aformentioned and running North 89'37',00" ,East a distance of 1283.00 feet along the North line of the South Half of the Southwest Quarter of said Section 34 to a point, thence'leaving the'North line of the South Half of the Southwest Quarter of said Section 34 and running South 00'23'00" East and perpendicular to the North line of the South Half of the Southwest Quarter of said Section 34 a distance of 33.00 feet to a point, which point is'the true point of beginning of the herein described centerline,, thence leaving the true point of beginning and.running North 89*37'00" East a distance of 321.98 feet parallel -to the North line of the South Half of the Southwest Quarter of said Section 34 to a point, thence South 00 23.'.00" East and perpendicular to the North line of the South Half of the Southwest arter of said Section 34 a distance of 497:00 feet to a point, and the terminus Dated of,-thp herein de _b . STATE OF CALIFORNIA Iss. — COUNTYOF ► �t On— before before me, the undersigned, a Notary Public in and for said State, per- sonally appeared is see I11101115QeQ/111111 QUQaQaatwQQtaQQaaaatrQoataoui �s OFFICIAL SEAL g personally known to me (or proved to me on the basis of s isfactory LOIS K. COX evidence) to be the person(s) whose nameW </are subscribed to the , " NOTARY PUBLIC — CALIFORNIA e e • 'OUNTY OF BUTTE within instrument and acknowledged to me that he/she/they executed the same. 4 Comm. Exp. July 5, 1987 �19t,'ytplltBlQd19QQQ�19t9titT1lt//Fttlttlft9iNQ11111QQ#tai WITNESS my hand and offi ' seal. Signature_ ^ (This area for official notarial seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE W UAL �F3sc. It i �� .:...•.g. v d • L fj K ani [3 c p ° } 0 6 �. t.&o. oo' S nvd D L �M n to 60. Do' 2-,0UNbAKY LINE N10DIFICAT(ON PoRTIGN OF THE NoZrN SGO•00 RBET OF THE 5-OLIM MALE of THE SoLirm Fsi QUAAZTElL- EA 9ECTro N 34 Te COUNT V of 6u'rrd, 57iATE F,asT M.D• 8• �'�''�•� OF dA tjrnA•N!A TA tS 15, NOT• A Stl�VE \0 of ,syolstis Ni COR �; x S /4 L8 K 1_ TO:" Building Department FROM: Environmental Health, Chico ' SUBJECT: Sanitation Clearance Owner Location ,q,Q AP Plann approved for; ` sewage disposal water supply Hold final for: water supply . Final clearance O.A . for: ; ,water -supply Clearance for bedroommo 1 home. Other ' Note*** 14,44 fS ' ell't 'Oe'-&C'.elti` 'Sanitarian Date REC(5ROING REQUESTED BY :ael' N. and Ruth M. Chatfield j Box 39C Cohasset Stage tri i co, CA 95926 F Name street Address City 8 L srote AND WHEN RECORDED MAIL TO 5ao-a GS (5bovf 11 AU O iW : -31200-5__ TIo 5-4-17—OW Is A t tra,*_ A9x« �• wiz 8P� G 718— Ss ,/.r�v�TJ• ✓FF!0,AL RE�f1FL_ lg rut'Y� - LG t.A -5C. '1 JUL {B to u5 A1! ;ILE LEAft - 1: C'OR')Eit FEE t SPACE ABOVE THIS LINE FOR RECORDER'S USE ��p�► of (diff � 1011 .31nbPMuxPmade the 18 h ..............t.........:....................................... day of .......June•.._..••.•..••.•••. ,,,,,,,one thousand nine hundred and: . 9J-Wx1 y -7 -four ............................ Np#Wppn ' Bruce W. McLaughl in and Della B. -McLaughlin .............................................................. ................................................................. ....................................................... !............... ............................. s............................................................. ............................................. :.................. the part..!ebfthe first part, . .... .... and .....Michael N. and Ruth M. Chatfield ..................................................................................... ..............................................................................................:................................................... .......................................................:..............:....................................... the parti.P5 of the second part, IVRIWS1104: That the part..! e5of the first part, for and in consideration of the love and affection which ....they ... ha.ve for the parties of the second part, do .....by these presents give and grant unto the part.! e5of the second part, and to .thei. theirs and assigns forever,40 ...:.............. .................................................................................................................................................... th.e+....... u si4xlat..... pi©m........ , .wx parcel ............... of land situate in the unincorporated areaCount Butte ................................................................ y o f.............................................:......................... State of ......Ca ..... 1 i forn i. ...... a , and bounded and described as follows, to wit: .......... SEE DESCRIPTION ATTACHED Change of Ow'� _-_`' ship File d. . c�(sec. ,. ment NOT 480 R & t. Code) sant add rey o to Moiling n docuinent. Lu#PfjPr with the tenements, hereditaments, and' appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. 0II IjI P FtO to ii0lb the said premises, together with the appurtenances, unto the part.i esof the second,.part, and to . the i rheirs and assigns forever................................................... ................................................................................................................................................. 31t MUM 3X4pxPVf the part.i esof the first part ha. .VP. .................. hereunto set ....... x O. r........ hand..... the day and year first above written. ned and Delivered in a Presenc of .:c ............................................. :............................................... :....�.. �'��.....-u. r! �. ......................................................................................... This docunrnt is only a general form which may be proper for use in simple transactions and in no way acct. or is intended to act, as a substitute for Ma advice o1 an attorney. The publisher does not make any warranty, either exp,m or implied, as to the legal validity of any Provision or the suitability of1}tese'forms in -any Wec:fic'trtmsactron— __ _ IL , n. STATE OF CALIFORNIA ss. Count of ......... zw;�-4 ........................... On this ....la.......... day o in the year one tho nd nine hundre and..,LtGy�.—��1.�./........................... , before me, (�;................................ a Notary Public, .. ................... ..... �I State of Califo ia, duly commissioned and sworn, personally appeared ..... c f..t.Al. c,.rGtAtt.. ............... � known to me to be the persorl6 described in and whose name is subscribed to the within instrument, and acknowledged to me that she executed the same. At stuns 194erporf I have hereunto set my hand and affixed my official seal inthe ........ AP'44rl tZ ..................... County of ..........441911t;.7 ...................... ! the day and year in this certificate first above written. .................. ....�..... ...................... I' LE gill 011101: rr313 EIJI t!BIE11:at IME IV I"I!r W,jut :+i4 C^� Notary Public, State of Californw OFF I CF� !_ S C A l �>> L. '�T''k' 'a•1 KCOX My commission expires ......77:- 7- f7..................... j Y.OTAF.Y PUBLIC — CALIFORNIA X , \:, •'GU::TY Of BUTTE Com-. Exp. July 5, 1987 L �ISEIt1161:eaa1Jl:ra:rraF:9iFilltFr!FrFt4►NIetlltLfl�M� - . I I � I s I f 0 �f Ca j CD • c rr. lr' DESCRIpwm A portion of the North $60. Of SeCtion 34 T 00 feet of the South County of Butte Statep 24 nTortr1 1�1f oP the Southwest Quarter as follows: ' of California, gaud being MM.D.33re &M., situate .in he Particularly described Commencing at an iron Northwest Corner of the pe In a Southwest outtnaes�und of � . Section 4 Q rock said iron pipe being the S cti 3 , thence leaving said ironer of the Southwest Quarter ance of 336.19 feet along the North and running North 89037100, ° said Southwest Quarter of Section line of East the South Half Of the S 34 topoint, thence the South Half of the . 42°44 t a dist °uthwest Qua.rtf leaving the North line %7`f Wes ance of of Section 34 and running of East a distance Of 740.85 90..00 feet to a point, thence South South as to the .South line of - a Point, thence North 8 ° 51 34 25 Quarter- f the North $60.00 feet 9 37 00 East and o_ Section 34 a distance 0. 4 °f the South H Parallel the true point of be 7 7.03 feet aLf °f the Southwest Point of`be ginning for tris des03 yO.a P°int, said line of ginning and runnin ° Prion, thence Point being the ^,•orth 860.00 feetg North 89 37'00" East leaving the true Section 34 a distance of 660.00 feet S°uth H and Parallel to the South to a a1� 'of the Southwest Q and pe:-berdicular to the South line of thepoint, $ uarter of of the Southwest � thence South -0 0°23 �OOT� East Quarter of Section 34 a distance Of feet of the said point being on tine S South Half °i the South'aest ,y South line of the North 860.003�eet0 of he South South lire lr Quarter of Section 4 o Point, she North 860.00 feet Sof, thence South 89°37'00" Nest Ham :,f Section 34 a distance of 660.00 feettto South along the line of the * 860000 feet HalfOf Southwest Se .1 34 and of the S a Point leaving Quarter ='tanning North 00° , ,l°uth Hail of the Southwest � the South line of the North 860.00 feet 23 00 West and a °uthwest Qua�,,ter of Section 34 a distance of °f the South Half ofrthe Soutar to the South containing 5.00 acres �re3o�00 feet to the true point of southwest Quarter of less. ginning and TOGETHER WITH AND RESERVING `H%REFROM THE F0 MOVING EASEMENTS: EASEMENT A portion of the Southwest Township 24 North Quarter, of the Southwest State of CaliforniaR�g� 2 East, M.D.B Quarter of Section 34 and bein °°j, situate in the C J fi more particularly described ounty °f Dutte, A 60 foot non-exclusio►e easement fa� follows; Public utilities, beingor the purpose of i more Particularly ngress 'and The 110- y described as follows:, egress and '`theasterly 60 feet of the following described Farcel : Cyk, W the part.i.esof the first part ha..ve.................. hereunto set •••..•thP!.L........ hand..... the day -and year first above written. ned and Delivered in a Presenc of .:c........ ................................................. r........:.. ...... .................:..... ................................................. This document is only a general loan which may be proper for use in simple transactions and in no way acts. or it intended to act. 111 a substitute for the advice of an attorney. The publisher does not make any warranty, either express a implied, as to the legal validity of any provision or the suitability btlfrase-tornts'in-arry speci}ic-trertsactron. ... `+ Commencing at an iron pipe and mound of rock at the Northwest corner of t1:e SOuthvest Quarter of the Southwest Quarter of Section 34 aforementioned and running North 89°37106" East a distance of 336.10 feet to an iron pipe, thence South 42044'57" West a dist'ance''of 90.00 feet toan iron pipe, w hich point is the true point of beginning for this•description; thence leaving the true point of beginning arjd running South 51°34'25" East a distance of 852.54 feet toa point, thence South 00°23'00" East a distance of 260.00 feet to -.e. point, thence South- $9°37.'.80" °We9t a distance of 251.48 feet to a point, thence -North 33027'06",West a distance of 869.46 feet to an iron pipe, thence North 42044'57" East a distance of 90.00 feet to the point of beginning, containing 5.14 Acres more or less. EASEMENT A portion of the North 860.00 feet of the South Half of the SoutYrrest Quarter of Section.341 Township 24 North, Range 2 -East., M.D.B.&M.,•situate in the County of Butte, State of California, and -being more particularly described as follows: A 60 foot wide non-exclusive easement for the purpose of ingress and egress and public utilities, being more particularly described as follows: A 60 foot vide easement lying 30 feet on each side.of the f centerline: ollowing described Commencing at an iron pipe and mound of rock, said iron pipe being the Northwest Corner of the Southwest Quarter of the Southwest Quarter of said Section 34, thence leaving said iron pipe,and running North 89037100" East a distance o� 336.19 feet along the North line of the South Half of the So' utlln.rest Quarter of Section 34 -to a point, thence leaving the North line of the South Half.of the Southwest Quarter of Section 34 and running'South 42044'57" West a distance of 90.00 feet to a point, thence South 51034125 East a distance of 692.98 feet to,a'point, thence South 00023'00" East and perpendicular to the South line of the North'860.60 feet of the South Hal; of the Southnrest Quarter of Section 34 a distance of 30.00 feet to a point, said point being the true point of beginning for. this. description, thence . leaving the true point of beginning and.running North -89°37'00" East and parallel to the South line of the North 860.00 feet of.the Soi:th Half of the Southwest Quarter of Section 34 a distance of 844. terminus of the description and said centerline. 33 feet to a point and the C E EXCEPTING THEREFROM all that portion lying within Easement #1 shown above. t r Order -No. Escrow No. Loan No. WHEN RECORDED MAIL TO: Michael N. Chatfield 4 Mayfair Dr Chico,'Calif 95926• 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $ ................................................ Michael N. Chatfield ...... Computed on the consideration or value of property conveyed; OR Box 39 F Cohasset Stage ...... Computed on the consideration or value less liens or encumbrances !Chico, -Calif 95926 remaining at time of sale. Signature of Declarant or Agent determining tax — Flrm Name FmmmT GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Bruce W. McLaughlin and Della B. McLaughlin hereby GRANT(S) Michael N. Chatfield and Ruth M. Chatfield usband and Wife, as doint'Tenants the real property in the City County of Butte DESCRIPTION , State of California, described as A portion of the North86 .00 feet o he South Half -of the Southwest Quarter of Section 34, Township 24 orth, Ran e 2 East M.D.B.&M., situate in the County of Butte, State of Ca fornia, and beig more particularly described as follows: A 12.00 foot wide non-exclusive \sement fo the purpose of ingress and egress being moreula ly described as follows: A 12.00 foot wide easement lyingee on each side of the following described centerline: Commencing at an iron pipe and mound o \Section at the Northwest corner of'the Southwest Quarter of the Southwest Qu tf Section 34 aformentioned and running North 89037'00" East a distan a 283.00 feet along the North line of the South Half of the Southwest Q artsaid Section 34 to a point, thence leaving the North line of th Souf of the Southwest Quarter of said Section 34 and 'running South 0 X23'a t and perpendicular to the North line of the South Half .of tfi Soutt Q arter of said Section 34 a distance of 33.00 feet to a point, whicht i the true point of beginning of the herein described centerlin , thenavin the true point of beginning and running North 89037100" East a distaf 321. 8,feet parallel to the North line of the South Half of he SoutQuarte, of said Section 34 to a point, thence South 00123100" E st and pdicular o the North line of the South Half of the Southwest Qua ter of.-saidection 34 a distance of 497.00 feet to, a po' t,_and, the .termi us of thein describ d line. STATE OF CALIFORNIA COUNTY OF _— Iss. me, thA undersigned, a Notary Public in and for sAid State, per - personally known to me (or proved to me on the basi of salffactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same. a � NlBti111B11I1QIsmilmsNt11NN>,q� OttH111 J = OFFICIAL 8E L a LOIS K. COX NOTARY PUBW — CALIFORNIA id 'AUNTY OF BUTTi COMM- Exp. July S, 1987 • a'.fSfllFi[TtrllHtllfiirptlrnrrlttrNrrtetOaU►ttNtNtUi jj WITNESS my hand and o ial seal. (This area for official notarial seal) Signature _ L�Y�� /J_�_ ---�i�(�— 1002 (6/82) - MAII_ TAY fATFMIIINTS AS F)IRFCTFD CBOVF RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO `.•�'r!�1S F`;u111,_ -TE' 7-1 NAME FB ruce W. -McLaughlin ,- . P SHOb �3 Box JUL (f 45 Al' NOL: 3nbibibual Grant wleeb BUTTE COUNTY TITLE COMPANY 1909 Bird Street P. 0. Box 851 Oroville, CA 95965 533-5511 194 E. Sixth Street P. 0. Box 863 Chico, CA 95926 343-3716 6402 Skyway P. 0. Box "E" Paradise, CA 95969 877-6268 WESTERN TITLE INSURANCE -COMPANY ALAMEDA COUNTY 1510 Webster Street - Oakland, CA 94612 AMADOR COUNTY 45 Summit Street - Jackson, CA 95642 BUTTE COUNTY TITLE COMPANY 1909 Bird Street - Oroville, CA 95965 COLUSA COUNTY 250 Fifth Street - Colusa, CA 95932 CONTRA COSTA COUNTY 1401 N. Broadway - Walnut Creek, CA 94596 DEL NORTE COUNTY TITLE CO. 501 'H' Street - Crescent City, CA 95531 EL DORADO COUNTY 573 Main Street - Placerville, CA 95667 FRESNO COUNTY 191 W. Shaw Avenue, Suite 205 - Fresno, CA 93704 GLENN COUNTY 250 W. Sycamore Street - Willows, CA 95988 HUMBOLDT COUNTY 404'H' Street - Eureka, CA 95501 KINGS COUNTY TITLE COMPANY 109 W. Eighth Street - Hanford, CA 93230 LAKE COUNTY TITLE COMPANY 180 Third Street - Lakeport, CA 95453 LASSEN COUNTY 145 S. Lassen Street - Susanville, CA 96130 MADERA COUNTY 126 N. 'B' Street - Madera, CA 93637 MARIN COUNTY 1401 Fifth Avenue - San Rafael, CA 94901 MENDOCINO COUNTY 101 N. State Street - Ukiah, CA 95482 MERCED COUNTY 602 W. 20th Street - Merced, CA 95340 MODOC COUNTY TITLE CO. 108 E. Modoc Street - Alturas, CA 96101 MONTEREY COUNTY 118 W. Gabilan Street - Salinas. CA 93901 NAPA COUNTY 707 Randolph Street - Napa, CA 94558 NEVADA COUNTY Church and Neal Streets - Grass Valley, CA 95945 - - ,_����._.'�..:.s:'-1...�"::+ 7 f.•'t.:. <:{: .�..'=i�i�::-7�rc�:i:i. moi'.:-�=:�:t'—�'�%�::'�... iiC: _t'`=• w.ii .:r, .:..e:.� �5 � _ ..tf �-!,��-ii:lrr-3's� `�3''� :,• __.- __-__�__.. ._. I �� _ x.�� _.—_ �'•t_" ��_-_�-.(I �_____—_ :i:\ `'�•.M.. SS, itis^E.'�I �32Ltii�:},-•,�ti-J�-•:il�-4�1•l�Y(•i:��+':'iti.'�i:r .2-�Y: i'-'�; ''�3:J: WESTERN TITLE INSURANCE COMPANY ,. PLACER COUNTY 120 Center Street - Auburn, CA 95603 PLUMAS COUNTY Court and Jackson Streets - Quincy, CA 95971 i SACRAMENTO COUNTY I`;! 919 Eighth Street - Sacramento, CA 95814 SAN BENITO COUNTY 378 Fifth Street - Hollister, CA 95023 ;;;•; SAN FRANCISCO COUNTY 100 Mission Street - San Francisco, CA 94105 SAN JOAQUIN COUNTY 27 Hunter Square Plaza - Stockton, CA 95202 SAN MATEO COUNTY 840 Middlefield Road . Redwood City, CA 94063 SANTA CLARA COUNTY 70 N. Second Street - San Jose, CA 95113 SANTA CRUZ COUNTY 115 Cooper Street - Santa Cruz, CA 95060 q SHASTA COUNTY 1505 Court Street - Redding, CA 96001 SOLANO COUNTY 825 Webster Street - Fairfield, CA 94533 SONOMA COUNTY �11. 610 Seventh Street - Santa Rosa, CA 95401 STANISLAUS COUNTY 826 Twelfth Street - Modesto, CA 95354 SUTTER COUNTY 512 Second Street - Yuba City, CA 95991 TEHAMA COUNTY 705 Jefferson Street - Red Bluff, CA 96080 !+:• TRINITY COUNTY 223 Main Street - Weaverville, CA 96093 TULARE COUNTY 1616 W. Mineral King Avenue - Visalia, CA 93291 TUOLUMNE COUNTY 189 S. Washington Street - Sonora, CA 95370 w, YOLO COUNTY Second and Court Streets - Woodland, CA 95695 ?^?i YUBA COUNTY 120 Fifth Street - Marysville, CA 95901 DESC RiPTION,, EASEKENT f-1 . A portion of the Southwest Quarter, of the Southwest Quarter -of -Section 34, Township 24 ?forth, .Range 2 East, M.D.B.&M., situate' in the County of. Butte, State of California, and being more particularly described as follows: A 60 foot nonlexclusive es"sement ;or the purpose of ingress and egress and public utilities,.being more particularly described as follows: The Northeasterly 60 feet of the following described parcel: Commencing at' an iron pipe and mound of, rock at the Northwest corner of the Southwest Quarter of the Southwest Quarter of Section 34 aforementioned and running North 89037'00" East 6.distance ,of 336.19 feet to an iron pipe, thence South 42°44'57" West a distance of 90.00 feet to an iron•pipe, which point is the'true point of beginning for this description, thence.leavin the true point of beginning and running South 51°34'25" East a distance of S -52•'54•feet to a point, thence South 00023'00" East a distance -of 260.00 feet to a. point; thence South- 89°37"6W.''West a distance of 251.48 -feet to. a point, thence North 33027'06" West a distance of 869.46 feet to an iron pipe, thence North 4204"4'57" East a distance .of 90.00 feet to the point of beginning, containing 5.14 Acres more or less.' EAM+ENT #2 A portion of the North 860.00 feet of the South.Half. of Section. 34, Township 24.North, Range 2 Eastofthe. Southwest Quarter , M D.B t situate in the County of Butte, State of California, and being as-followsmore particularly described . : A 6C foot wide non-exclusive easeirert. for the -pu-pose of ingress and egress and public utilities, being more particularly described as follows: A 60 _oot *.aide easement lying 30 feet on each side of the following described centerline* • r Com.Tercing at an iron pipe acid mound of :rock, said iron pipe being the Northwest Corner of the Southwest Quarter. of the Southwest Quarter of said Section 34, thence leaving said iron pipe.ar�d'running North 8 ° ' " a distance of 9 37 00 East 336 19 feet along the North line of the South Half of the South*•lest Quarter of Section -34 to a point;' thence leaving the North line of the South ?calf of the Southwest Quarter of Section'34 and running"South 42`'+4"'i7" West a distance of 90.00 feet to a point, thence South 51034125'1 East a distance of 692.98 feet to a point, thence South 00°23'00 East and perpendicular to the South lice of the North 860.00 feet ,of the South Half Of the Sou", Quarter of Section 34 a distance of 30.00 feet to a point, said point being the .true point of beginning for this description, thence leaving the -true point of beginning and running -North 89°37'00" East and parallel to the South line of the North 860.00 feet of the South I;alf of the Southwest Quarter of Section 34 a distance of 844.33. feet to a point &ad the terminus of the description and said centerline. EXCEPTING THEPXFROM all that portion lying'within Easement 1 'shoim above. 0 State of California l SS. County of Butte �uaenonwulffffffuflfnlauuunnlfuunuo� OFFIC`AL SEAL �.� LOIS K. COX NOTARY PUBLIC CALIFORNIA C "OUNTY OF BUTTE id Comm. Exp. July 5, 1987 �Ili1f1111Ei/11111111/1161Ulllttltl•Ittlntlf1lf11tf11flr State of Cal 1fo rn i a SS. County of Butte Nunes ... r----------- -- OFFICIAL SEA LOIS K. COX ns" NOTARY PUBLIC — CALIFORNIA ^.OUNTY OF BUTTE Comm. Exp. July 5, 1987 • o•�-..............■■■nnflftpint1111p111! '�.ENERALACKNOWLEDGMENT FORM 7110052 i tllu/ultnlelEEtlntltltenllenuutf nlerltellnllnl� , OFF!C'AL SEAL Butte COX CALIFORNIA O F F j Eulunnlnnfu C.qL F'JBLIC v',Ty •OUNTY OF BUTTE 7•� Comm. Exp. July 5, 1987 t?f1ltatilt? Itlrnftf"!"'T'''11"�t•''�'°t' •'t:�cria• �(rENERALACKNOWLEDGMENTFORM 7110052 t v , County of Butte a�f1[ffftltll IfIf1111f/IIf//f/f/111// O F F j Eulunnlnnfu C.qL ~1"�c ti f'%:,•.�: SEA ko!s K. CO•• u NC'r:•.Rr ^ PUBLIC CALIFORNIA 'OUNiY �m 'n..[.Ir...rr.�m OF �BUr1E F nn .... ,,,...p, y S, 19,97 .NERAL ACKNOWLEDGMENTFpRM 7110 052 On this the • 17th da July y of y 19 85 ,before me, Lois K. Cox the undersigned Notary Public, personally appeared Kenneth B. McLaughlin ® personally known tome ❑ proved to me on the basis of satisfactory evidence to be the personps) whose name(x) i s subscribed to the within instrument, and acknowledged that he executed it. WITNESS my hand official seal. On this.the 17th day of July 19, before me, Lois K. Cox the undersigned Notary Public, personally appeared BRENDA L. McLAUGHLIN , 29 personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(b) whose nameR i s - subscribed to the within instrument, and acknowledged that she executed it. WITNESS my hand and official seaXooi4 ignature JdA710NAL NOTARY ASSOCIATION • 23012 Ventura Blvd. • Woodland Hills, CA 91364 DONALD 'BEU5--ry1.�-- -( personally known to me ❑ proved to me on the basis of satisfactory evidence subscribed to the they to be the persons) whose name(s) aethe executed ie within instrument, and acknowledged that _ t. WITNESS my hand a d official seal. O / Notary's Sigrrature NATIONAL NOTARY ASSOCIATION • 23012 Ventura Blvd. • Woodland Hills, CA 91364 -day of SS. On this the, before Lois K. Cox me, the undersigned Notary Public, personally appeared Bruce W. McLau w gh 1 in and De 1 la g, � o McLau o Personally know►i 9h l i n me IND Proved to me on the basis of satisfactory to be the person(s) whose name(s) are Within instrument, and acknowled ry evidence WITNESS.my hand an Sed that they subscribed to then at seal. executed its..' Notary's Signa ro Ir, l EFJD vt T6T YSOCIATION-27Ventura Blvd, . tel• t Woodland Hills, CA 91364 i I + RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY ORM I Owner //� Climate Zone �_ Permit No.. Floor Area Compliance path c Package ❑ A ❑ B ❑ C diPoint Systemlry [:]Budget ® Other�G4.G/�& MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling ® Wall ❑ Slab Floor Perimeter ® Raised Floor (2) N INFILTRATION• (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: ' (A) Location _ R= MC= Area Glazing %Floor Area Single Double Triple Q Total Bldg � ❑e Type North - Area Ft. 'HC= East , MC= Location South 7A, West 40 - Area Skylights HC= ` (B) Shading Location -Shading ❑ Type. Coefficient Description ❑ Ft.2 East ` ❑ MC= South 40 West Q i�bf��► ❑ Skylights .S �y ❑ (C) South Overhang MC= Location Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass 4.ell Z 407r ❑ Type- Area Ft .2 HC= R= MC= Location ❑e Type - Area Ft. 'HC= R= MC= Location ❑ Type - Area _Ft.2 HC= R= MC= Location ❑ Type. - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.z HC= R= MC= Location 7/83 FDRM �. •- (4)•MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight IP , fitting closeable'metal or glass doors'covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building;•and a tight fitting flue damper with a . readily accessible control.. *1(5) HEATING, VENTILATING;,AIR CONDITIONING SYSTEM (A)._Heating ' ❑ Central Gas Furnace 9.. (brand and model number) SE Btu/hr (heating capacity) r ❑ Heat Pump. (brand and model number) ACOP Btu/hr . (heating .capacity at 47°F). ; ❑ Active Solar .type (liquid or°air)+ Collector brand and ft2 model•number solar fraction -collector area collector ' orientation collector tilt. rated y'intercept rated slo_pe, �. Other (describe). *1 (B) Cooling , ❑ Electric Air Conditioner. (brand and model number) (seasonal EER) ' Btu/hr (cooling capacity at 95°F) ' ❑ Electric Heat Pump EER • Btu/hr x (cooling capacity at 95°F) ❑ Other (describe) ' ❑ (C)A TWO -STAGE -THERMOSTAT, which controls the supplementary heat on , ' its second stage, shill.be required for'heat pumps. ® (D) "AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided .for,all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances., (F) BACKDRAFT DAMPERS'.shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct; plenum, and fitting joints shall be sealed with pressure sensitive tape or _ mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 t` :. : f 2 - - FORK 1: (6) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons + . (brand and model number) (tank size). 13 Heat Pump w/Electri,cBackup (brand and model number) Gallons ` .(tank size) {� *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater,type,,brand and model number) (collector area) (collector.orientation) .(collector tilt). ® Location of Solar Panels ❑ Other (Describe) ® :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for,solar systems shall be externally wrapped with R-12 insulation or greater. r ® (C) PIPE INSULATION. The five feet of pipe closest to the water . heater and outside conditioned space shall be -insulated with a minimum 'of R-3. Steam ,and steam conditioned space shall4 be insulated with a minimum of R-3. Steam and steam condensation . return piping and recirculating hot water piping outside the building envelope shall.be insulated in accordance with T20 -1408(d). ' ® (D) FLOW RESTRICTORS shall be provided for "showerheads and faucets as outlined in the.new appliance efficiency standards and shall be certified to the Energy Commission. v (7) LIGHTING' ` .(A) Lamps used in luminaries forgeneral lighting in kitchens and bathrooms shall have an'efficacy of not less than 25 lune ps per watt (usually florescent). *1 Submit documentation of 'sizing heating and cooling equipment by Manual J, .sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature°'; elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas.furnace BTUCooling: Summer Summer design temperature °,.cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. r ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of -the California Administration Code. 7/83 x SIGNATURE�,OF BUILDING DESIGNER OR APPLICANT ZONE 11 OWNER. e7>'/&-jZn&,V POINTS PERMIT N0. -� 7w_ 9S ASSIGNED ACTUAL A 1. SLAB - INSULATION VI 2. RAISED FLOOR - R-19� d t�3. CEILING - R-30 �t Z 4. WALL - R-19 5. NORTH GLAZING - 2.4-3.67 6. EAST GLAZING - 2.5-3.67 7. SOUTH GLAZING - 1.6-3.6%_ '� Z 3. WEST GLAZING - 2.9-3.67 9. SKYLIGHT - 0-1.37. 0,S' 10. SHADING (Exclude Overhang) EAST - 3 .66 SOUTH - 6' 7 .19-.42 Q WEST - 3 .13� -� .SKYLIGHT 11. HORIZONTAL SOUTH OVERHANG 2' 3 d 12. MOVABLE INSULATION - NONE d b 13. INFILTRATION (Standard=0)(Tight=+12) IS 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-767 16. HEAT PUIrP (EER) 7.5-7.9% 17.- DUAL PACK (SE, SEER) 8.0-8.3/71-767 WOOD STOVE S64✓ft WATER HEATER (� ATTIC ddd • % f ,3 OTHER . TOTAL POINTS = ±0 i fable 3-1.Slab Floor Points y 7 Table 3-2. Ra I I I In:vla- 1 R -Value of Insulation ( I R -Value of I tiun I Insulation 1 Oepth, 1 I of I inches 1 0-2 1 3-4 i 5-6 I 7+ 1 �- I I I1 I I I below 3 I Floor 1 0- It l -5 I -5 I -5 1 -5 I j s_ 7 I 12 - 15 I -5 1 -3 I -2 1 -1 I I 8- 12 16 - 19 1 -5 i -2 I -1 I 0 I I 13 - 18 20 + i -5 i -1 i 0; +1 I -1 I I I 7/7/83 Potats -12 -8 -6 -4' t2 0 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I I 1 19 I -4 1 22 1 -2 Table 3-7. South-Facin Glazin Pts Table 3-10. Shading Coefficient Points 1- T--- 1 . I Glazing Type I I SC by I - , I Total I I I Orten- I I Floor Area 1 I of I Sngl, I Dbl, T_T_rp__jT 1 -.t3. I I U?to 1.5 I Floor I (U - I (U - I (U - I I _9 1 Area 11.10) 1 0.65) 1 0.41)1 I -1 I I I Ipoints Iootnts Icointsl I 1- l I 1 30 1 0 1 1 o I +3 1 +3 1 +3 1 I 38 I -.t3. I I U?to 1.5 I +2 I t0 +0 I _9 I +4 1 1 .6= 3.6 I -1 I I I I I 1- l I I I 3.7•- 5.2 I -4 1 -2 I -2 I .1 11.6 13.2 16.4 19.0 I to I to I to I to I up 1 1.5 13.1 16.3 17.9 I I I I I I I 5.3- 6.5 1 -6 1 -4 1 -3 I I 0l -1 I -3 1 -6 1 -7 .58-.02 I -1 I -3 I -6 1 -12 1 -15 I 6.6- 7.7 1 -9 1 -6 1 -5 I 1 to I to I to I to- I to I 7 1 1.5 I 3.1 1 3.9 I 5.2 F___ _T o -.1z I 7.8- 8.9 I -11 I -8 1 -7 I 0 1 -1 I'-3 I -6 1 - 58- I -1 I -3 1 -6 I -12 I -. .8] u 1 I I 9.0-10.0 I -13 1 -10 -9 I Table 3-4a. Wall Insulation Points 1 10.1-11.5 1 -17 .1 1 -13 1 -I1 I 111.6-13.0 1 -21 1 =16 1 -14 1 I R -Value of Insulation 1 Points 1 1 13.1-14.5 I -25 I -19 I -16 1 1 I I 114.6-16.0 I I -28 1 -22' 1 -'.9 1 I 11 I =7 I I I I I I 19 I 0 1 Table 3-8. West-FacingGlazingPts. I 24 1 +2 I 30 +3 Glazing Type i i 1 Total 1 % of I Sngl, Dbl, Trp1, Table 3-5. T•---�_� North-FacingGlazing Pte I Floor I Area I (U - 11.10) I (U - I 10.65) 10.41)1 (U - I 1 I Glazing Type I 1 I ofnts I oints I ointsl 1 Total I 1 0 +6 +(o +6 I I of Sngl, Dbl, Trpl, 1 up to 1.3 I 1.4- 2.2 1 +5 I +3 1 +6 I I +4 I +6 1 +5 I I Floor 1 U- I U- I U- 1 1 2.3- 2.8 I 0 1 +2 I +3 I Area 10.66 1 0.42- 1 0.41 1 2 +0 I 11.10 10.65 ­a_4_71_+4 1 down 1 -g � -2 0 I 0.1- 1.2 + q 1 +4 1 +4 J +4 I I 4.3- 5.0 1 -8 1 -4 I -2 1 I 1.3- 2.3 I +1 1 I +2 1 I 5.1- 5.6 I -10 I -6 1 -4 ; I 2.4-- 3..6 1 -2 .+2 1 0 1 +1 I I 5.7- 6.2 I -13 I -8 1 -6 I 1 3.7- 4.8 I -4 1 -2 I -1 I 1 6.3- 6.9 1 -15 I -10 I -7 1 1 4.9- 6.1 I -7 1 -4 1 -3 I I 7.0- 7.6 I -18 I -12 I -9 1 I 6.2- 7.3 I -9 1 -6 1 -5 I I 7.7- 8.2 I -20 I -14 1 -11 1 I 7.4- 8.2 I -12 1 -8 I -7 I 1 8.3- 8.8 I -22 I -16 I -13 1 1 8.3- 9.7 I -14 I -10 1 -8 I I 8.9- 9.5 1 -25 I -18 I -15 1 I 9.8-10.8 1 -17 I -12 1 -10 1 1 9.6-i0.1 1 -27 -20 I -16 I 110.9-12.0 I -19 1 -14 I -12 1 110.2-11.0 1 -29 1 -23 I -17 I 12.1-13.2 1 -22 I -16 I -13 1 1 11.1-11.8 I -35 ( -26 I -21 I 1 13.3-14.5 I -24 1 -18 I -15 1 111.9-12.7 I -38 I -29 I -24' 1 14.6-15.3 -27 1 -20 -17 1 1 12.8-13.5 I -42 I -32 I -27 1 i i 1 13.6-14.3 1 -46 1 -35 1 -29 1 -- 1 14.4-15.2 1 -50 1 -38 I -32 I cation I I • I I East I I 3.2�_ I 1 0-3.1 I to 16.4 up I I I 6.3 I I 1 0 -.19 I 0I +1 I +2 I 20- I 0 I 0 I it 1 6 6_72 01 0 I 0 I. . 0 I 0 I -1 I .83 up I I 1 0 1 -1 I -2 I I I South 1 0 1 3.2 1 6.4 1 8.0 19.6 I I to I to I' to I to I up I 13.1 16.3 17.9 1 9.5 I --T--T----T- 7 ---T---T---T-- 0 0 -.18 1 0 1 +1 I +2 1 +2 I +3 I 1- l 0 l 0 l 0 l 0 1 0 o l :4]-.66 I 1 -2 I -4 I -4 I -6 West 1 .1 11.6 13.2 16.4 19.0 I to I to I to I to I up 1 1.5 13.1 16.3 17.9 I I I I I I 12 I 0 1 +1 I +3 I +6 I +7 13-.36 0 1 0 1 01 0 1 0 I 0l -1 I -3 1 -6 1 -7 .58-.02 I -1 I -3 I -6 1 -12 1 -15 .83 up I I -2 I -4 I -8' 1- -lb1 =20 I I I I Skylight 1 .1 1 .8 11.6 13.2 1 4.0 1 to I to I to I to- I to I 7 1 1.5 I 3.1 1 3.9 I 5.2 F___ _T o -.1z +i 17 + I .13--36 1 0 1 0 I 0 I 0 1 0 .37-.57 1 0 1 -1 I'-3 I -6 1 - 58- I -1 I -3 1 -6 I -12 I -. .8] u 1 I -2 1 -4 I -8 I -16 l -20 I I I I I I I Table 3-11. Horizontal South Overhane Points Table 3-9. Skylio.ht Points j--__7SoutC Glazing Table 3-6. East -Facto Glazing Pts. 1 Length Out I Area, Z of FloorT_ T I I I Glazing Type 1 I from Wall I I I Glazing Type I I Total 1 1 1 ft T -- --'--I Total I I 1 Z of Sngl, I Dbl, I Trpl, 1 x of I Sngl, Dbl, Trpl, I Floor I U- I U- I U- I Floor 1 (U - I (U - I (U - I I Area 10.66- 10.42- 10.41 I I Area 11.10) 1 0.65).1 0.41)1 1 11.10 10.65 I down I I�I1oints Ipoints I ointsl T- 1_0 1 4 7 1 +4 t4-( 1 vp �to �1.3 1 -1 I 0 I 0 I I up to 1.3 ► +3 I +4 1 +4 1I 1= 2I -3 1 T I -1 I I 1.4- 2.4 I +1. I +2 1 +2 1 I 2.3- 2.8 1 -6 I -4 I -3 1 -2 I .A 1 0 1 1 2.9- 3.6 1 -9 1 -6 ( -5 1 4.6 I -5 I -2 1 -1 I I 3.7- 4.2 I -11 1 -8 1 -6 I I 4.7- 5.6 1 -8 I -4 1 -3 I I 4.3- 5.0 I -14 1 -10 I -8 5.7- 6.7 1 -10 I -6 ( -5 I I 5.1- 5.6 I -16 1 -12 I -10 I ( 6.8- 7.7 I -13 1 -8 1 -7 I I 5.7- 6.2 ( -19 1 -14 1 -12 1 I 7.8- 8.7 1 -15 1 -10 ( -8 1 1 6.3- 6.9 1 -21 1 -16 I -13 I I 8.8- 9.7 I -1.7 1 -12 1 -10 1 1 7.0- 7.6 1 -24 1 -13 I -15 I 9.8-11.2 1 -21 1 .-15 1 -13 1 1 7.7- 8.2 1 -26 I -20 1 -17 I 111.3-12.7 1 -25 1 -18 .1 -15 1 1 8.3- 8.8 1 -28 1 -22 I -19 I 112.8-14.0 I -28 1 -21 1 -18 1 1 8.9- 9.5 1 -31 1 -24 I -21 I 14.1-15.3 1 -32 1 -24 1 -20 ) I 9.6-10.1 1 -33 1 -26 I -22 I I I I 0 I ' 1 0-6.3 I I 6.4 up I I I 0 - 0.5 1 -2 -4 ' 1 0.6 - 17.0 1 -2 I -3 1 1 1.1 - 1.9 1 -1 1 -2 I 1 2.0 up I 0 I 0 I Table 3-12. Movable Insulation Moveable Insulation I I Area, S of Floor I Points I 0 - 5.5 I 0 I ' 5.6 - 11.5 1 +2 I 11.6 - 17.5 1 +4• 1 17.6 - 23.5 1 +6 I >23.6+ Table 3-.3. lnf!ltration Control Fer.ts+res Points 1 I Coctrol Features I Points I T- I I ( Standard I 0 I ! i I ! 0.9 air changes per hr I I I I i 7- I Tight 1 +12 I I I I 10.6 air changes per hr I I I I I Table 3-15. Gas Furnace Without Refrigeration Ccol!r. Points r- t I Seasonal Efficiency ! Points I ! (SE), Z I I I I I I 71-76 1 0 1 1 77 - 82 ! +2 I ! 83 - 88 I +d I I 89 - 94 ! +6 i I 95 up I +8 ! I +6 I I 9.4 Table 3-16. Peat Punt, Points T' 1 Energy Effie!eney I Points I 1 Ratio (EER) ! I I 7.5 - 7.9 I +3 I I S.0 - 8.3 I +6 I I 9.4 - 8.7 I +9 i I 8.8 - 9.1 I +12 I 9.2 - 9.6 I +15 I I 9.7 - t0.2 I +18 I I 10.3 - 10.9 I +21 I I 10.9 - 11.5 I +24 I I 11.6 - 12.3 ! +27 I I 12.4 - I 13.2 I I +30 ) I Table 3-17. Gas Furnace With Refriveration Cooling Points !RefvISeraclon1 Gas Furnace. I I Cooling I SE ' i ! 1- 7-i83- 99- 95 r I 1 761 821 891 941 up I I 1 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 *41 +61 +81+10 1 1 9.9 - 9.2 1 +41 +61 +61+101+12 1 I ,9•1 - 9.7 1 +61 +81+101-121+14 1 I 9.8 - 10.3 1 +31+101+121+141+16 1 I !0.4 - 10.9 I+1 GI+121+1:1+161+19 1 1 11.0 - 11.6 1+121+141+1614181+20 1 I I ! I I I _ 7/7/83 ZONE it TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DWELLING AREA SgUARE FOOT I AREA 1,000 1,500 I 2,000 2,500 I 3,000 I 3,500 { 4,000 I 4,500_ 5_,000 1 SQ. FT. 1 A B C D A 8 C 0 A B C IIIA 8 C D A B C D I A -5C D A J B C D! A 6 C G :+ 8 C -77-1 SO 2 2 2 2 2 2 2 01 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0' 0 0 0 0 0 0 0 01 0. 0 0 0! '.0:. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 1 2 0 0 2 2 0 0 2 2 0 0! 0 0 0 0 ISO 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 ? 2 01 2 2 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 2I 2 2 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2' 2 2 2 2 2 2 ° 2.1 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 1 2 2 2 2 2, 2 2 2 353 14 14 12 8 10 IC 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 2I 2 1 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2( 4 4 2 2 507 18 IS 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 Z 4 4t 2 4 4 4 1 1 603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 6 6 4 6 6 6 4 I 6 6 4 2I 6 6 4 2! 703 + 24 24 20 14 18 16 11 10 14 14 12 8 10 10 10 6 10 10 8 6 8 8 6 0 8 6. 6 4 ! 6 A 6 4I 6 6 6 2 , 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 P 8 4 e 6 6 4 I 8 6 6 4I 6 6 u 503 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 13 8 '8 a B 8 6 4� B 0 6 c 1 1,000 30 JO 26 18 ?Z 20 20 14 18 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 8 8 C 41 ^, 8 C 4 i I,:OU 32 37. 28 ZO I 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 13 10 8 f I 't� e e ! 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 10 10 I14 14 12 8 14 12 12 8 1.12 12 10 6 I10 10 8 61 In In 8 6 11300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 lE 10 15 14 14 8 14 12 12 6 112 12 10 6 112 10 10 CI 10 is r. 6 1,400 ! 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 1< 14 12 8 I12 I' :: tl In 19 17 ' I,ico i 36 34 34 24 30 30 26 18 20 24 22 14 I22 20 18 12 IS 18 16 10 16 16 14 8 14 14 12 e l 12 12 10 61 :7 12 1'. e i 2,300 34 34 32 22 30 30 26 t8 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 IIC 16 i4 L1 14 14 12 5 ! 2,50'0 I 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 22 22 13 !2 20 20 18 !:•I Is 13 16 :3 J,:00 34 32 30 22 30 30 26 18 28 26 24 16 I24 24 22 14 22 22 20 14� 3,500 32 32 30 20 30 30 26 ld �'28 28 14 16 26 2a 22 1;? ?a :4 20 14 4,030 32 32 30 20 I30 30 26 18 ' 70 28 24 1f 75 2i 2: if i 1,507 I 132 32 28 ZU 30 3,3 26 It j i8 +. ?= 'e _5,003 -L•I ; t 72 17_ 2i - 23 I_ IJ- --J- -6 -l.'. i A) 1. 3's' Concrete Slab: IIC•8.93; R•.29; Factor-7.3 2. 3 3/4" Thick Common Brick: IIC�7.125; R•.13; Factor -7.3 a) 1, sk' Concrete Slab: HC•)O.lo6; r1•.4i8; F4ctor-7.t wood stove 4/33 biota' no back u C) 1. 8" Solid Filled Block: HC•2:.63; A-1.90; Factor•6.1 P ( p) 2. 8` Solid Filled Block With Both Sides Exposed Ta :ondtttoned Air, casablanca fan + 1 point NOTE: Use all square footage directly exposed to conditioned air for Thermal Hass Area: HC -10.164; R-.96:; Factor -6.1 0) 1" Thick Concrete/Titer HC -2.55; R-.083; Factorr3.7 Table 3-19. Zonally Controlled Electric Reststance space Ileatln't Points ' I Points for this measure will I Table 3-20. Solar Water Heating With Cas Backup Points be completed after the CEC I has approved an Alternative I ( Component Package for Resistance ! i Beat. I Table 3-18. Active Solar Space HeatIn3 with Gas Points I Net Solar Fraction I Points I I (NSF), % I I I I I I 0-6 I 0 i I 7 - 14 I +2 1 1 15 - 23 ! +4 I I 24 - 30 I +6 I I 31 - 39 i +8 I I 40-47 i : +10 I 1 48 - 55 ( +12 I ( 56 - 63 I +14 I I 64 - 71 I +18 i I 72 up I +20 I M.ultifamil (per unitpoints) Points I ) Floor Area Net Solar Fraction (NSF), S I Gas Only 1 i I per un!.t, ( Heat P -imp 1 I I 0 I ft2. I Resistance Backup 1 ! I Harting the Require- 1 1 I ments in Part 2 i I I 0 I Electric Reststarce I I 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +•2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1+3 +4 +6 +7 +8 +10 2.000. and u 0 +l +2 +4 +5 +6 +7 +9 All others ( er builalnp points) 8UO-899 0 +5 +10 +14 +19 +2' _ +?9 x -+34- 900-999 0 +4 +9 +13 +17 +21 +26 +3;, 1.00D-1,199 0 +4 .+7 +11 +15 +•19 +22 +26 1,20ir1,499 0 +"s +6 +9 +12 +15 +18 +21 1,500-1,g99 0 +2 +5 +7 +9 +12 +14 +16 2,1100--','7;9 0 +2 +3 +5 +7 +8 +10 +11 3,0r?0 a:.d uo D +I +3- +4 +5 47� +8 +10 1 1 Table 3-21. Other Water leatlnq Pts. T- I I I System Type I i I Points I ) I Gas Only 1 i I 0 I ( Heat P -imp 1 I I 0 I Solar with Electric 1 I Resistance Backup 1 ! I Harting the Require- 1 1 I ments in Part 2 i I I 0 I Electric Reststarce I I I Cpr. 1 -40 ! RESIDENTIAL PLAN CHECKING GUIDE .(S.F., DUPLEX, & MISC.ONLY) Bldg. OWNER A. P. A. GENERAL Zoning requirements 5�/ Valuation. • Signature by R.C.E. (sideyards and parking).. or Architect (if required). Permit # 7 # Sb -/7 3G IAto PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements;:etc. Other buildings or.structures. Grading, fills, drainage. C. FLOOR PLAN or Complete to scale plan with dimensions. �2 7 Required windows for light and ventilation (Sec. 1405). /3^ Required windows for second exit (Sec. 1404). ` Allowable glazing for energy requirements.(20% max..per.State law). f' Human impact glass (Sec. 5406). `.'/Required room sizes, ceiling heights (Sec. 1407) . " K. G.F.C.I.ls in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. .190— Locations of water heater, heating & cooling equipment, other electrical or gas equipment,:and plumbing fixtures. , 1,07 Garage firewall, door size, and closer (Sec. 503(d)(4)).' 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. jir Smoke detectors"(Sec. 1413). Di STRUCTURAL DETAILS �r Foundation:plan complete enough to construct building: 0.2— .Floor construction details complete enough'to construct building. Elevations and wall construction details complete enough to construct building. Al Roof construction details complete enough to.construct building. ��Sufficient. ireplace construction details and calcs if over one-story in height. data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS .ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. -..-.Stairway details (Sec. 3305). ' ,. Guardrail details (Sec. 1716). ,o4— Brick or stone veneer (Chapter 30). Exterior plaster -'weep screeds (Sec. 4706 & 4708). �! Proper roof pitch for roof covering (Chapter 32). �! Rafter ties or bearing ridge beam. Garage door or porch header sizes. �9- Adequate bracing. Living area over garage— complete 1 -hour separation walls and posts, etc. e Two (2)"exits on three-story dwellings (Sec. 3302). required including supporting . q . William Hanson 1574 Borman Way Chico, CA 95926 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: .916-534-4541 DATE March 14- .1�qg S With reference to the above subject: RE: Building Permit Application #678-85 A.P. # 56-17-36 (Portion) 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. L_XL We need the following information: Permit application signed and completed where indicated with all copies returned. Fees. of $ payable to Butte County Treasurer. C Certificate of Workmen's Compensation Insurance. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. X Plot plans in duplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: X_ 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. X_ Recorded copy of deed showing x_60 ft. right of:mav to e a public road x_ Recorded copy of agricultural acknowledgement statement. �1 OTHERour records do not reflect a parcel map splitting the above parcel. Please contact this office and advise how this split was accomplished Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ?'FfIC,at. FOR RESIDENTIAL DEVELOPMENT ' Section 26-8.1 of the Butte County Code requires this acknowledgement rfJ l,AR 20 12 be recorded prior to issuance of a building permit. !�+ The property described - herein is adjacent 'to land or included within an area zoned for agricultural purposes, and residents of this t F. property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones,,which have as a priority use for productive agricultural purposes, and residents within,said zones and on adjacent, property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the'County of Butte, State of California, described as follows: Date: S SEE DESCRIPTION HERETO ATTACHED t' M PROPERTY OWNERS: State of , On this the day of , 19_F ,f,�before County ofi 9 J SS. me, the undersigned Notary Publ c, personally appeared ) v o R F i c a s e L.� Personally known to me . Proved to me on the basis LOIS K. COX of satisfactory evidence. ;.� to be the personW whose names) Z&t.�,� sub ribed to NOTARY PUBLIC - CALIFORNIAthe within instrument and acknowledged that • i ", / O "OUNTY 0QYTTf Comm. NT Y F S, r967 s executed the same for the purposes therein contain . ua�a��aeetftlnnT••.»••�r�••.�..,�„„�,�N�,� IN WITNESS WHEREOF, I hereunto set my hand 'and official seal. Present A.P. No. a Notary ,:Public {� a DESCRIPTION A portion of the North 860.00 feet of the South Half of the Southwest Quarter of Section 34, Township 24 North, Range 2 East, M.D.B.&M., situate in the County of Butte, State of California,'and being more particularly described as follows: Co=-uencirg at an iron pipe in a mound of rock, said iron pipe being the Northwest Corner of the Southwest Quarter of the Southwest Quarter of said Section 34, thence leaving said iron pipe and running North 89037'00' East a distance of J36.19 feet along the North line of the South Half of the Southwest Quarter of Section 34 to.a pont, thence leaving the North line of the South Half of the Southwest Quarter of Section 34 and running South 42°44';7" West a distance of 90.00 feet to a point, thence South .51034125" East a distance of 740.85 to a point, thence North 89037'00' East and parallel to the South line of the North 860.00 feet of the South*Half of the Southwest Quarter of Section 34 a distance of 747.03 feet to a point, said point being the -rie point of beginning for tris description, thence leaving the true Doint of beginning and running North 89037'00",East and parallel to the South line of the North 860.00 feet of the South Half'of the Southwest Quarter of Section 34 a distance of 660.00 feet to a point, thence South 00°23100" East and pernerdicula.r to the South line of the North 860.00 feet. of the South Half of the Southwest Quarter of Section 34 a distance of 330.00 feet to a point, said point being on the South line of the North 860.00 feet of the,South Half of the Southwest Quarter of Section 34, thence South 89°37'00" West along the South line of the North 860.00 feet of the South Half of the Southwest Quarter of Section, 34 a distance of 660.00 feet to a point, thence leaving the South line of the North 860.00 feet of the South Half of the Southwest Quarter of Section 34 and ranning North 00°23'00" West and perpendicular to the South line of the North 860.00 feet of the South Iialf of the Southwest Quarter,of Section 34 a distance of 330.00 feet to the true point of beginning and containing 5.00 acres more or less. TOGET:IER WITH AND RESERVING THEREFROM THE FOLL001VG EASEMENTS: EASEMENT f-1 A porton of the Southwest Quarter, of -the Southwest Quarter of Section 34, Township 24 North, Range 2 East, M.D.Be&M., situate 3.n the County of. Eutte, State of California, and being more particularly described as follows: A 60 foot non-exclusive easement for the purpose of ingress ard.egress and. public utilities, being More particularly described as follows: The Northeasterly 60 feet of the following described parcel: `i r ' COMMencing at an iron pipe and mound ,of rock at the Northwest corner of t::e South -vest Quarter of. the Southwest Quarter. of Sect -ion 34 aforementioned and running North 89037'00" East a distance of 336.,10 feet to an iron pipe, thence South 42044'57" West a distance of 90.00 feet to an iron pipe, which point.is the true point of beginning for this description, thence leaving' the true point of beginning and running South 51°34'25" East a distance of 852.54 feet to a point, thence South 00023'00" East a distance of 260.00 feet to a point, thence South-'89'37.'.8Q"'We§t a distance of 251.48 feet to a point, thence North 33027!06" West a distance of 869.46 feet to an iron pipe, thence North 42°44'57" East a distance of 90.00 feet to the point of beginning, containing 5.14 Acres more or less° EASEMIT #2 A pDrtion of the North 860.00 feet of the South Half of the Southwest -Quarter of Section 34, Township 24 North, Range 2 East ,-M.D.B.&M., situate in the County of Butte, State of California,, and being more particularly described -as follows: A 60 foot wide non-exclusive easement for the purpose of ingress and egress and public utilities, being more particularly described as follows: A 60 foot wide easement lying 30 -feet on each side of the following described centerline: L Com7encing at an iron pipe and mould of rock, said iron pipe being the Northwest Corner of•the Southwest Quarter of the Southwest Quarter of said Section 34, thence leaving said iron pipe and running North 89037'00" East a distance of 336.19 feet along the North line of the South Half of the Soul -hi -rest Quarter of Section 34,to a point, thence leaving the North line of the South ?half oma, the Southwest Quarter of Section 34 and running 'South 42044'57" West a distance of90.00 feet to a point, thence South 51°34'25" East a distance of 692.98 feet to a point, thence South 00023'00" East and Perpendicular to the South line of the North 860.00 feet of the South Half of the SoutIniest Quarter of Section 34 a distance of 30.00 feet to a point, said point being the true -point of beginning for this description' thence leaving the true point of beginning and running North"89°37'00" East" and parallel to the South line of the North "860.00 feet of the South Half of the Southwest Quarter of Section 34 a distance of 844.33 feet to a point &id the terminus cf the description and said centerline.' EXCEPTING THEPXFROM all that portion lying within Easement §1 shover. above. .:�.i ,; a'1. '^z.,.r.:z �+ 1` ` '!"#r '4T" "' tr ,:itGEs�'r ,�,. jjX; �4 iD'"-�.,;v>< "�:. hl.:.,,,,� :..-as�.rS,yy . T.;yb5 }Pr--'�.; ,, .o,?a!r:- ` sa-ipy �•, a!�e "g.� ok c'S.'/ t 56-'17-41 680-90P,M , MCLAUGHLIN, Luther /' �J;Z �✓-o=;;e ,_ Wa5.1 385 McLaug' Kins'Way, Cohasset Contr , •Artic,.Aire, (dual pack & 1pg`'service/sf) >` -; -1Jjvi , sal- f ,.. .. . r--'�--._..-�x�V��d--�6q,�`"T."'se yy';�.i ".'.�. ,• `�' .�„�y1S't•",f�1�C, �+N'�r , � -,�1� , " ..,.= '.il r��,-ri."r1�'��7' � kr-�,/•t�r���';.^�K'^"�„T”^„'+`1e "� V// g COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 4 it 7 County Center Drive - Orovil le; California 95965 - Telephone: 916/538-7541 a 790 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER+, ZONING BUILDING PERMIT 56-17- OWNER - n% TELEPHONE SQ. FT. OCC. BUILDING VALUATION Luther McLft hlin 895-13,32 OWNER'S MAI.LI,N,G ADDRESS 385 McL u hlin Way, Chasse CONTRACTOR'S NA E. •` TELEPHONE Arctic Airet CONTRACTOR'S MAILING ADDRESS Fireplace 2838Hwv CONSTRUCTION ENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 385 Mclzughlln Way, Cahagnpt Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 'i PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 5.00 SF ® Duplex❑ Mobilehome❑ Other I ' Mobile Home I S I G I W 10.00e SPECIFY TYPE OF WORK Pre -Inspection 1 1115.00 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations] ' Other ❑ Permit Fee $ 30.00 Describe work: _ Contractor Dual Pack with LPG Service ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 I Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEOR ADDNST ( DDWELLIN GOCCUP.&\ BS./ ZY:¢sgft I declare under penalty of perjury (check one): NEW CONSTR.ULT'-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea 54 I am licensed under provision's of Chapt. 9, Div. 3 of the Business POWER APPARATUS &) (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20@60C eALO 30 IFIXED F-11, as. the owner, Or my employees with wages as their sole Compen- APPLZ S. OR \ EX. OCCUp. OUTLETS (RS1 D.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered for 7044}, I Temporary service 10.00 sale,. (Sec. , Mobile Home Facilities 15.00 1 n ---i, as the owner, am exclusively contracting with licensed contract - Misc. Wiring 15.00 of s.(Sec. 7044) l , ❑ I am exempt under Sec. , Business and Professions Code `�-.. for this reason Permit Fee $ ~. WORKMEN S -COMPENSATION INSURANCE Contractor I declare under penalty of perjury Ichecklone): MECHANICAL PERMIT FiIingFee , 10.00 ❑ The permit `rlkfor $100.00 (valuation) or less., Heating 100K, �'I i {..JO 6.QO I have placed "on a with the County f Butte Building Departments Pre”. /may a Certificate of Work -Men's Compensation` surance or a,CertificateCooling f'� T of Consent to Self-lnsurQ- 1 6.00 6.00 ❑ 1 shall not employ any pe7SQU in any manner so -as -to become subject l Hood f.�- ^� 300 to the W. C. laws of California. becdme VPntiiation Notice to Applicant: If after making this, statement, should you subject permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor $22.00 provisions or this permit shall be deemed revoked. I certify that I have read this application and statie'that tie above informatirl Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relati(g Energy Inspection Fee $ to building construction, and hereby authorize representativ?s of the Cuunt�ot c ocCONST TYPE Butte to enter upon the above-mentioned property for inspect'on purposes. TOTAL FEE $52 00 I also agree to save, indemnify and keep'harmless the County of Butte aganst HAZ all liabilities, judgments, costs, and `expenses which may in any way a,crue CUA PARK SCHL FLD PAR PD HD I su igaidunt again conse uence of the granting of this pe '41 +` This permit' is Hereby issued under the applicable provi- X 012 Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ onirocror -Ayer'❑Litionconstruct- rk ind`cated ab ve fir which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and dhr IR TOA ' F PUBLIC WORKS ion of structures over 3 stories in height. By i % Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPO"NT PERMIT EXPIRES Date z " I �C; j V 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ! 7 County Center Drive - Orovillq;ti;alifiirnia 95965 Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ®-" f ASSESSOR PARCEL NUMBER - • 56-17-41 ZONING _ 9 BUILDING PERMIT OWNER - Luther McLau h TELEPHONE - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADOR SS - 385 McLau Klin W- �x CONTRACTOR'S NA E , ^ Arctic Aire' TELEPHONE r• .. CONTRACTOR'S MAILING ADDRESS " 28 8H Fireplace CONSTRUCTION ENDER' UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _ Permit,Fee $ ARCHITECT OR ENGINEER y - - - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS + Penalty $ _ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent -5.00 USE OF STRUCTURE "- SF'® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer - 5.00 Mobile Home S G W 10.00e TYPE,OF WORK' ; IPre—Inspection New ❑ , Addition❑ Remodel ❑ 'Utilities ❑ _Installations] Other ❑ Describe work: _ Dual Pack with LPG Service 1 15.0 15.00 Permit Fee , $ 30,00 ' Contractor ELECTRICAL PERMIT Filing Fee .10.00 Main service'600V OR LESS 100 AMP OR LESS ' 10,00 Main service EA. ADD'L 100 AMP . 2.50 CONTRACTORS LICENSE LAW ; 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 F1 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 CONS. S. ( DWEACCLLIN GOCCUP.&)OR 21/20sgft NE w CONSTR. MULTI -OUTLET NO N.RESID - BRANCH CIRCUITS 2.50 ea ^ (POWER APPARATUS &� SINGLE OUTLET CIR.. ' Ex. Occup(oUTLETS OR FIXTURES aAL030 % E Ex. Occup. ou TLETS ED PIRESIO.IREA.) 2.00 ' _ Temporary service 10.00; Mobile Home Facilities 15.00 Misc. Wiring 15.00. < Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE, I declare under penalty of perjury (check one): z ❑ -The permit is for $100.00 (valuation) or less. Q(' 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. ❑ 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 100K BTU 116.00 6.00. Pack Cooling 3 Ton 1 6.00 6.00 Hood 3.00 Ventilation. penult Fee $ 22,00 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 agains aid Cunt in :;se the granting of this permit. X �t�t/'/ Date �� �� Signal re of Applicant — Owner❑' ontracto Agent ❑ OSHA permit is required for excavationsover 5'0" deep.onddemolition or construct~ ion of structures,ovCer stories in height..., Mobile Home Installation Fee $. Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $52.00 HAz CUA PARK SCHL FLD PAR �. Po HD Issu , This :permit is hereby issued under the,appiicable provi- sions of the Butte County Code and/or resolutions to do work indicated -ab kvehich fees have been aid. pAn .i IR BLIC WORKS BY r ' Date J -PERMIT EXPIRES Date ' - i 33 +'Receipt No. •7 y,1 / 7; * 7 �''.. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT• ,I. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calif; a 95555 - Telephone: 916/538-7541 APPLICATI&'AND PERMIT 655 ESSOR PARCEL NUK48ER, 7— ZONING p-2 - BUILDING PERMIT OWNER1 T r °NI3.3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORF-33 3 FS e- �v o 4 3 s -� CONTRACTOR'S -NAME LJJ -e /A`DORIESS TELEPHONE s CONT ACTOR -S MAILI G Fireplace CONSTRUCTION L OER ///� UNKNOWN Total Valuation $ Filing Fee 10.00 LENDER'S MAILI G ADDRESS Permit Fee $ ARC1.{ITECT,/NGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ORGINEER'S MAILING ADDRESS /v.� Penalty $ BUILDING ADDRESS5_Wt_�� permit fee a F PLUMBING PERMIT Filing Fee 10.00 ,.,�� S �/ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SU BDI VISION NAME PARCEL MAP Water piping 5.00 Each Qas water heater or vent 5,00 USE OF STRUCTURE SF6T2�.- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S IS I W O.00eai TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: Q�/at— /��bC /2 141 lTti �P �✓i c.a�� C!e N eC_OP7 S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610ov OR LESS I00 AMP OR LESS 10.00 Main service EA. AOD'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 Professio Code and my license is in full force and effect. License No. �_3 Y 9/-3 Classification C' 20 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.51) OR AOONS. l ACC. BLDGS. l yx¢sgft NEW CONSTR.ULTI.OUTLET NO N.R ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS d (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES ;� a°s° e P FIXED APLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 15.00 I Permit Fee $ Contractor � WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100,00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 0o k ,f`, I Cooling 6 0 i Hood 3.00 Ventilation i permit Fee $ ZZ Contractor j 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 liabilities, judgments, costs, and expenses which may in any way accrue against d Count in conse en of the granting of this permit. X Date Signature o Applicant — Owner El Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE TOTAL FEE S HAZ I CUA PARK I SCHL I FLD PAR PO HO ISSUE Th;s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date I Receipt No. WNITt-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR; COLOENROO-AP-LICAN- COUNTY OF BUTTE - DEPARTMENT OF.,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL*ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION- DATA SHEET y�,, Permit No. c— OWNER L o P/M(L "� c Lidy S/7 A. P. No. l 6 — % V I Proposed Building Use S/c 1-14C SCA✓I-Building Inspector CS-✓ Date' /Z 9 `� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: . DATE RECEIVED APPROVED 1. All items have been submitted . .................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for.other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19!Driveway permit (construction approval required prior to occupancy) e --RM required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone----mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW � I , r r : _. _ i ....aR. .-a .... a..r n+ wrurnwc.-..,n.. •*-+•1=vw: aneT..��...�.�.-+.'tee+... e. :...r,. .:..a. u t : 0