HomeMy WebLinkAbout056-250-056/7 - ~-
56-25-56
BRUCE SCHOOLER
Hwy 32, Forest Ranch
rUPPORT STRUCTURE REQ_4�
COMPACTION TEST REQ AIV _17n
Bruce -
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(Ist renewal -90).
56-25-56
056-25-0-0
56
16246 CA.LLZTIERRAFOREST RANCH
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56-25-56
BRUCE SCHOOLER
Hwy 32, Forest Ranch
rUPPORT STRUCTURE REQ_4�
COMPACTION TEST REQ AIV _17n
Bruce -
OL
a 11
go
(Ist renewal -90).
56-25-56
056-25-0-0
56
16246 CA.LLZTIERRAFOREST RANCH
IqOODSTOVEISF
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October 15, 2003
North Valley Mortgage. LLC
600 Main St.
Chico, CA 95928
ATTN: John Altman
r`` Bane C
L A N D O F NATU RAL WEALTH A N D B E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
Re: 100% Rebuild -Burn -down letter for 16246 Calle Tierra., Forest Ranch, CA,
(APN 056-250-056).
Dear Mr. Altman;:.
The above referenced parcel is currently zoned TM -5 (Timber Mountain, 5 acre minimum). This
zone allows for a single-family dwelling.
This parcel is a 1.25 acre parcel which was created before the TM -5 zone, and is considered a legal
pre-existing non -conforming parcel.
Should the dwelling be catastrophically destroyed it may be reconstructed, provided it will not be
placed within the required building setback areas and meets sanitation codes in effect at the time of
reconstruction.
The setback'requirements for the TM -5 zoning are 50 feet from the center of the road and 10 feet
side and rear yard property lines.
This parcel is located within a (SRA) State Responsibility Area high fire hazard designated area. For
parcels of (1) one acre or larger the building setbacks for the side and rear yard property lines shall be
a minimum of 30 feet.
Should you have any further questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., Monday through Friday, at 530-538-7977.
Sincerely,
Larry Painter
Plarming Technician II
CC: Development Services, Building Division
Butte County Department of .Development Services Planning Division
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Calijorniij 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
056-250-056
ZONING
TM -5
BUILDING PERMIT
;:�
OWNER
-
TELEPHONE
898-9044
SQ. FT. OCC. BUILDING VALUATIO
OWNER'S AILING ADDRESS
79P Chico
P-0- x 95927
CONTRACTOR' SNAME
nWnpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace "All 1 500.00
b-1.500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS -
Filing Fee $ 15,00
Permit Fee $30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
1624 Caale Tierra. Forest Ranch
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 qas water heater or vent 7.00
USE OF STRUCTURE
SF Ei Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home Is G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ®
Describe work: Woodstove
(Rema - G B.P. #2536-91 expired w/ no inspections)
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR 200AORLESS 18.50
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)
ElI, 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 200ATO1oo0A, 37.50
NEW CONST. / DWELLING OCCUP.&) 3.64 sq.ft.
OR ADDNS. 1 ACC. BLDGS. /
NEW CONSTFL ULTI.OUTLET @ 5.00
NON .RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCCU OUTLETS OR FIXTURES 20 76
P
FIXED APPLNS. OR
Ex. Occup. OUTLETS (REST D.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ 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
�11'� 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 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County i consequ c of the granting of this permit.
�
XIF 'mate � /
Signature of Appli t — 0Wner Contractor ❑ Agent ❑
An OSHA permit is required for exca ations over 5'0" 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 $ 45.00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
M
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Count Code and/or resolutions to do
work Indic a f which fees have been paid.
1 f O OF PUBLIC WORKS
By G Date, -//-%3
PERMIT EXPIRES Date / / —�c�
Receipt No. 135250
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
. i. "�4:'�rti'+'►"L �.'�lrwyf+'Y�i..1�;-��',����"'�RS�1:`'."��,'�r✓'�i�'i"�/�'�3�*Y�l�''?�'t�fx"r�T�9}':'�''�'iy'tk=1�`ti,?-..•�- �..p..y,�-ti .y
COUNTYOF BUTTE - DEPARTMENTOF DE. E GPMENTSERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER /
Proposed Building Use
A. P. No. -")_S- S-6
Building Inspector ..�� Date 2-t o-ei'3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ...........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ..................
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning- approval for (A) Use: (B) Parking:
18. Contact Land Development.a bout (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. . .
20. Pre -inspection for to Bui ding Ins re for
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. .. ................................
26. Copy of recorded deed of parcel.creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance .: ......................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: tl-te-owner. J Mail to contractor.
Telephone and hold for i p t office. Deliver with inspector.
Other
Parcel Creation _�,
Acreage Applicant i �LU 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 Counter by _ Date
Plans checked by Date Plans approved by Date
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 - Oroville, California 95965 - Telephone: 916!538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
- S-
ZONING
T�v►-
BUILDING PERMIT
OWNER
MAQ I� /Y11Q n ^ rQ_ny_
TELEPHONE
Q��
SO. FT. OCC. BUILDING VALUATION
O WN,F, R060-�53/rt'S MAILING ADDRESS Gh ((-� ���
�(JTRACTOR'S
CONNAME
W V1 E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Z 4G CO -11 12r -tea- F
Permit fee $
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 qas water heater or vent 7.00
USE OF STRUCTURE
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New ❑ Addition Re del ❑ Utilities ❑ Installation[] Other
Describe work:
g'P 4 2 s 36-9 E-I'ola-D Pzr m/r do TA. 5ftZT1&0
Permit Fee $
Contractor
ELECTRICAL PERMIT FiIingFee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
P Y P 1 Y (check one):
El I am licensed under P
provisions of Cha t. 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 -Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A) 37.50
NEW CONST. DWELLING OCCUP.p 3.64 9q.rt.
OR ADDNS. ( ACC. BLDGS. )
NEW CONSTR UL LOUT LET @ 5 00
NON•RESID BRANCH CIRCUITS)
POWER APPARATUS III
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d
Ex. Occup. OUTLETS II RESID .)OR EA.) I 3.00
Temporary service 15.00
Home Facilities 15.00
Misc. Wiring '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 Filing Fee 15.00
Heating
Cooling
rHood 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHAa
permit is re wired For excavations over S'0" 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 $�-J
HAz
I DFEES I
IMP
FLOOD
COF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 13,-2 '5(�
WNITC-D.P.W.. YELLOW -AS 6[990 R, PINK -INSPECTOR, GOLDENROD -APPLICANT
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 m terials 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-follo.wing 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 Y j' �
Social -Security 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.
f RE ENTiAL
` + ��657-90B56-25-56,
P, E,
f; ySCH00LER, Bruce j
16246 Calle Tirra, Forest Ranch 1
'
new single family)
t x 1
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Q
�� (� �� ten. �r• t�p�-•e. C� , � , s � /� �l f t1, � .
4
�~ 1' •� `OFFICE COPY
{ �-
Address (0 ,�(�
GAS
w� Meter By Date
f ELECTRIC 1 1
jjj Meter By lJ� Date s-31 -7/
`�' '`` •� 4'T �[� L.�_ � - .,+oma..__ _ _ _ .�..�. � :�
-3 -t/
�y JOB FINAIED (Date) .
V Signature
J=OK
O = Not OK
Not
' = Not Readyable 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: / P'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 #'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: Coonectors
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 boa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
• �
O Not OK
- = Not Applicable /
Not Ready _,RESIDENTIAL (Single & Duplex)
=
Date
t/ 2. Ftg., Main; Soil lec. rnd / /" Ftg. Depth K-.5
3. Ftg., G 4 oils-Steel-Elec. Grnd.-/ /" Ftg. Depth
"" 4. Ft or es & Decks; Soils -Ste /Ftg. Depth
Ste s, Main; Steel -Blo ruts -Wrapped
6a. Hol owns and Special Anchors
q -13-q& lab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
W.V.;,F'aII-Fitting-Test-2 Way C/O -Sewer Test
d' 10. G ipe: Size -Anchors
1 ate .Pip;Test-Anchor-Regulator-Service Test
12. ct ' ; Underground
1 . P' n s & Ducts; Clearance -Material -Support -Ins.
1 ders-Sills-Anchor Bolts -Joists -Vents -Cripples
15/insulation
Date V Card B-1 Date 1E -5 Card B-1 U a(;d
Date M-2. -G,\ Card 13-1 Of- /JZ! Date Card B-1
Date PLUTARMG (Permit)-ZK except #'s
1Z_.JN'atpr+Pipe; Test &
X.W.V.;_Test-Fittings & Anoe-br-fSi1�GiQetitTn
19. Sh er Pan; Test, First Floor -Tub 6e,6ess
est Tub & Show econd r -Tub s
21 Gas Pipe; Sizel Anchors
Date C —Z -3 -Q Card B-1 U0. Date Card B-1
Date 1J -7,q -Q1 Card -1 V Date Card B-1
Date ELEC CAL Permit OK except #'s
2 . Fixture & Transfo er Clearance -Ins. Protection
23. Elec. RecewwKes Spa iLi & Switc oors
2 Size Boxes & No. of Co uctors-S pled
ex Installed Close to E of Studs & .J.
Egyi� Ground made up w/Mech. Fastners-Bo as &
Ap a Circuts in Kitchen & Conductor S�/GFI
2 ubfee ire Size / / ga. Cu or AI . ire Size / / ga.
Cu AI
ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Ins ed Neutral 0 Yes No
3 ervice-Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
2.' I es Clo tLi ht hower Light -Spa Light
4ZZ4gq fWmoke Detector
Date `Z3 Card B-1 %3 ` Date Card B-1
Date -7A-QJ Card B-1 V,6 t Date Card B-1
Date MECH ICAL Permit OK except #'s
ZQq3 C ucts Insulation & Suppo til.
ent Fan; Exhaust abov sulation
on sate Drain & Overflow e & Grade
3 urnance-Vent; Access -Comb. Air-Retur Vent -115 et
ofir ttit'ICccess & Platform if Furnance in Attic
Date _ -3-%
Card B-1 vaf3 Date Card B-1
Date Ll Zq -•a)
Card B-1 Date Card B-1
Date FRA
G (Plans) OK except #'s
3 .
roper Material & Anchors
.
tuds-Nailing, Spacing & racin - ales -Sound
4
i 4
e ' g Walls ove- rai-le- u FWA wiling
r top in Walls (rat proof)
3.
ire tops; Furred ceilings-stairseases-Tub
Energy Compliance Certificate -Other Certificates
eaders & Beam -Size &
Date
f1G (Co
Post Ca
nectors
Brac-Truss-Sht
il 14 Q 47. Fireplace Ties ogXpe,ue Fireplace Throg clearance
ss; Size & Romex Prot Stop -Ins. UR`
rm._Wuws or Exiting, Door Sit g ,men*dlns-;
5 . arage Fire Protection Framing
51. Property Line firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
4/ tairs; Width -Head room- Rise-Run-Landi- i ection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date Card B-1 UfS Date 5 ,31-cli Card B-1 Vb
Date Card B-1 VA$ Date Card B-1
Date FINAL Plans OK except #'s
61. Ex eps-Door & Sidelight Prote n -La gs
mace; Vents -Clearance -Comb. Air -Connector -
In Geraae: Above Floor-Ducts-Mech. Protection
Bath E40ure-%X Tub
Sizes
6 ,replace or Stove; Clearances -Hearth Z,S36 - y
6 ec Outlets at Wood Panel; Int. & Ext.
7U,16t.Fixt. & Appliance; Grnd.-Air Gap -Cooking CI nce
71. lec. Outlets Receptacle at Kit .Counter
7 ara Fire Door; Sw4rT-nd' -Glossa/
C. Duct in Garage -Damper
7 r r Vents -Clearance -Comb. Air -Connector -P. --'.
In Garage; Above Floor-Mech. Protection
7 , Elec. & Mech. Equip. Listed for Location
. Elec. eceptacles in Garage; ( omex Protection
7 sulation-Foam-Looked in Attic Q-Yirs'
7 uard Rails & Deck Construction -P ps
7 dn. Vents & Crawl Hole Door -Drainage & W -Earth
C rance Looked under Floor es
Followi instld.; Drive 055ies 0 No; Walks 0 Yes o;
PI rs ❑ Yes No
84. Stucc � Brown -Finish
8 .C. nit; Disconnect, Elect ' al, Plumbing
ents Above Roof; PI .-Appliance-Fire ey Clearance to
wlwate Well; Disconnect, Electri al, Plumbing
8 .
xte 'or Elec. Trim; G. eceptacle-Underground
B .
enti tion Throughout House
8 .
lass Protection
88.
orrections fro Previous Inspections
8
as Test ers Tagged; Gas -Electric
ater & Sewer Connected -C/ o Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date �'
Card B -1 y%- Date Card B-1 -
Date -��-�/�
Card B-1 f/ l� 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)
'COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico—tP,hone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541-•
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
5 -)-
OWNER PERMIT Nf
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 o work is completed. If you have any question pertaining to this
matter, o d additional explanation, please contact this office immediately.
A_
J—j t _ . _ I►_
l�
Date ���� ' �� Inspector �/— &216ctAl _
's-+c,r.:..-_•-y-a7�s.-N'...-:�j�.��'+Q�,G-G.�:i�"i-'+.L'::::��-+,�'""�zy ._._..a!i7,';,�C"�'3F'y"`=�''4`n'+^r�.r�'�-r.�7�
COUNTY OF BUTTE
DEPARTMENT OF. PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 '
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE r
� S- L76
OWNER PERMIT NO.
A routine �nsp�ectionndicates that the following violations of County Ordinanceexist attddress and should be corrected. Please notify this officewhen corren of work is completed. If you have any .question pertaining to this
matter, 0 need additional explanation, please contact this office immediately.
,'111 1 l I . / ^ ���_•'
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Date Ins�,�
\ri -
' COUNTY OF BUTTE .. ....
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico -`Phone: 891-2751
7 County Center Drive, Orovi Ile -= Phone: 538-7541
. .
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
r"
OWNER PERMIT NO.
; a
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 have an
you If completed.
p y y question pertaining to this
'
matter, or need additio xplanation, please contact this office immediately.
:L
rAyiTIS
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Date Ins�,�
n
HAwx1NS_J.NRUSI'�I♦5��_ 379407
Firm flame/Owner -- ---�------------..___ ---------..-----_-_--
State Contractor's License No.
Signature Date
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN -ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF'CALIFORNIA ENERGY
REQUIREMENTS.
Firm Name/Owner
Signature Gen. Contractor/Owner
Date
Date—.—_—_..---- ----
4KN ERGY CEI171" I F• 1 CATION
LOCATION
A.P. NO'.
ROOF
Material __—
Brand Name
_ Thickness
—
'Thermal Resistance (R value)
EXTERIOR WALL—
--.---
Material FIBERGLASS
Thickness (Inches)
Brand Name CERTAINTEED_ _
Thermal
`
Resistance R Value
-" ( ) Z
CEILING
Batt -or--Blanket Type FIBERGLASS__.
Brand Name CERTAINTEED_ �_
Thickness (Inches) 1'
Thermal Resistance (R Value)
Loose Fi 1 1 Type__FIBERGLASS
_
Brand Name CERTAINTEED
Minimum Thickness (Inches)
_
No. of Ba s Wei ht Ba -
gl25 bs
Area Covered4• Ft S .
( )
_Thermal Resistance (R Val.ue)"
FLOOR,ELEVATED
_____
Material.— FIBERGLASS
Brand Name CERTAINTEED
Thickness Inches)____._.___
'Thermal Resistance (R Value)_
FLOOR, SLAB
Material—
Brand Name
Thickness (Inches)
--Thermal Resistance (R Value)_.._
FOUNDATION WALL
Material
Brand Name___
Thickness (Inches)
_
Thermal Resistance (R Value)
I HEREBY CERTIFY THAT THE ABOVp
INSULATION WAS INSTALLPI) IN THE
ABOVE BUILDING IPI CONFORMANCE WIT11
TILE NATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAwx1NS_J.NRUSI'�I♦5��_ 379407
Firm flame/Owner -- ---�------------..___ ---------..-----_-_--
State Contractor's License No.
Signature Date
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN -ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF'CALIFORNIA ENERGY
REQUIREMENTS.
Firm Name/Owner
Signature Gen. Contractor/Owner
Date
Date—.—_—_..---- ----
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
' APPLICATION AND PERMIT
PERMIT NO.��
ASSESSOR PARCEL NUMBER
56-25-56
ZONING
U -(I
BUILDING PERMIT
OWNER
Bruce Schooler
TELEPHONE
343-1304
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
16220 Calle Terra, 2
CONTRACTOR'S NAME
Owner
TELEPHONE
IST RENEWAL
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOW N
C
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee @1 Fee
$ 170.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$180.00 0.00
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 K] Duplex ❑ Mobilehome❑ Other Netir Si no]�Fami l y
3�ECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: 1st Renewal of B.P. #657-90
Permit Fee
$
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
I declare under alt of er
p y p jur y (chec_k o� ne):
❑NON-RESID
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) 17 -
( I am exempt under Sec. Business and Professions Code
for s reason DwN e,✓` icy i ��. er
NEW CONST. ( DWELLING OCCUP.&
OR ADONIS. ACC. BLOGS. )
2/20sgft
NEW CONSTR ULT' -OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
SINGLE OUTLET C'R.
EO
Ex. ccu p OUTLETS OR FIXTURES
z0®soe
sAL930
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.I EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
ORKMEN'S COMPENSATION INSURANCE
I declare and penalty of perjury J.Q" l[ "eL.
❑ 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
FiIIng Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
Signature of Applicant — OwnerX Contractor ❑ Agent ❑ 1511f t✓"
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 180.00
HAZ
CUA
PARK
SCHL
FLo
PAR
Po
HD
IssuE
Th's permit is nereby issued under
siois of the Butte County Code and/or
above f r which fe
work LD OF PU I
BY
PERMIT EXPIRES Date 4/3/9
the applicable provi-
resolutions to do
have been paid.
ORKS
_d/p /91
Date
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE- Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
e►
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
a
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)P.�
2. Ihave/have not ,
( ) �y� signed an application for a building permit
for the proposed work.
:-1. -I have contracted with the following person (firm) to provide the proposed
construction:-.
.. NameiYleyj e✓r
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 p ovide the major woik:
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 (`✓ i"
Social Security Number
Date i%(-1 141
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.
1
•' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
5
BUILDING PERMIT
OWNER
BRUCE SCHOOLER
T LEPHONE
S0. FT. OCC. BUILDING VALU ION
R O
OWNER'S MAILING ADDRESS
16220 Calle Tirra, Forest Ranch, CA 95942
M
6,720
CONTRACTOR'S NAME
Owner
TELEPHONE
2 COV
32(
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Q 7
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee 416
$ -_-4 �Q
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee 0
$ 1'62.50 -
Energy Plan Checking Feer?
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
16246 Calle Tirra
Permit fee
$ -5=750
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 16.00
Forest Ranch
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5.00
Each pas water heater or vent
5.00 5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5.00
Mobile Home JSJGJW7
10.00e
TYPE OF WORK
New)M Add ition❑ Remodel❑ Utilitiees�❑ Instal lation❑ Other ❑
Describe work: � _'G sit, _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 10,00
Main service EA. ADD'L 100 AMP
2.50 2.5
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 SOIe COmpen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.
OR ADONS. ACC. BLDGS.
yzQsgft �7;'�r1
NEW CONSTR. MULTI -OUTLET
NON.R ESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS e1
\SINGLE OUTLET CIR. /
Ex. Occup( OR FIXT,-'URES
20®500
9ALO30
FIXED APPLES. OR
EX. OCCUp. OUTLETS (RESID.) EA.
2.00
Temporary service
10.00 ------
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 74 To -69-75
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.
I14( I shall not employ any person in any manner so as to become subject
f'l 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
FiIingFee 10.00
Heating 60,000
1 6.00
LPG Split System
Cooling
6.00
Hood
3.00 1 3.00
Ventilation
3.00
permit Fee
$ 28.00
Contractor
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 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 lLabilities, judgments, costs, and expenses which may in any way accrue
agginglIt said Co ty in consequence of the granting of this permit.
C,�
X Date �5_ `��
Signature of Applicant - Owner El Contractor ❑ Agent ❑ R '
An OSHA permit is required for excavations ov r 5'0" deep, and dem 0hiio?f o� ns ct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
$ 30.00
O
CONST TYPE
A
TOTAL FEE $ f
HAz
CUA
PARK
F. D PA
PD HD
I s
`phis permit is nereby issued under
tSions of the Butte County Code and/or
w rk indicated abovefft for which fees
RLIC
y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date �0
3
Receipt N-59696-
�n//1
WHITE-D.P.W.. TELL 4)/Gr0NLY�K-IN CTOR. GOLDENROD -APP CANT
COUNTY
$A
_. __ .,.-.,.\ .+....-. i:.,��v..-.x ..�Y�..N�s+s^.+'v---.--a..IS„•.'Hin.`y��r...•v'•a'�y.. r"�.
4
OF BUTTE - DEPARTMENT.0 PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE—ROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICAT RI DATA SHEET
Permit No
OWNER V, M V1 Qr�[C" A. P. No.
Proposed Building Use Building Inspectorae
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ...........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data includin acturer's installation
instructions. '
Fees of .......................
q711. Chico Urban Area fees paid % .......... !........................
12. Park fees paid 1......... /.........................
13. �+ ; ��_ School District fees paid .............. o
anitation approval from n : C to 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
1 Qriveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
4<24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signaty,re authorization
26.
27.
When you issue the permit, process as follows: Mail to owner. -
Telephone ' ' Aand hold for pickup at nf\Q_office,
Other
Applicant J^ _ `0
Copy of plans sent Health Dept., Fire Dept., Other
The following data must be submitted prior to permit iss
1. Index permit for above items No.
2. Additional items required:
Mail to contractor.
_Deliver w/inspector.
Date— U;�; / 0
Date
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---inail—counter by
Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by
Plans checked by
Date Plans
Sets of plans on hold in. File cabinet AP f
3 7 -go
Copy—DPW
_. date
_ date
Date ' o
TO Building Department
FROM:, Environmental Health
SUBJECT: Sanitation Clearance
_..._._.�.�,
om
_
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for- Water Supply
Final clearance O.R. for: Water Supply
Clearance for _ bedroom mobile home. Other
NOTE ***
Sanitarian
--z......�v.-.-«-s?�.-...v�r•.c..�,>'�5��.'%:�a"4fM1`+�-C��+ar`hY"^4`G.t/'°"'a.-tiI'AJS'"^+.:+'rt::.:�- .. * ^ p
ek,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per:Building)
A.P. Number "' �,� Building Department No.
School DistrictCity County Jurisdiction
}}
Property .Owner (�t t �' (� EJ 00
Project Location/Address A � Al
r'Vto kor
Subdivision Lot Number
Residential Development:
F B Sq. Footage I` 0
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Buildkng'-Department Representative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
a 14
District Id No. oo4 5 '
l AJ_l AJ �O School District certifies that.
Qo" hcx�iQc2 3�3 I3D� ..
(Applicant Name) (Phone Number)
(Street Address)
V,6{eG4 . Rct. �� 95�iya
( City) ( State) (�ZiGp, Code )
has complied with the requirements of Resolution No. -3`y,?,-
by the payment of $ %�f representing / y/y square feet.
School District Representative Date
�Lvt�t �� Cp�z�Z�Cv NC�Olvtdr/> C/L '
PAID BY CHECK NO . (�� � REMARKS:
BANK NO
PAID BY CASH
1
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
II
IF .400r
I!
II -
Curti �,e2 Fez) I M,xiL -Yh
o �rSt X56
zr-n- c—
/ce
�e hy�l1—
II r9'✓ - ^
U
II
i
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Ik
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i
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ff
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jj
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tf
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•
a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive a Oroville, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PAR L NUMBER
ZONING
BUILDING PERMIT
OW"R r�
1^ L I
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
onOw
R•S�AILINrA R 5 , �. a-
GtIO/l�U _
CO %,AQCTOR'S NAME
W
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO S RUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
10.00
LENDERR'S MAILING ADDRESS
Permit Fee
$ 13,15-00
ARC I ECT OR ENGINEER
Ke
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDR ss
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
r t C
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vet
5.00 _
USE OF STRUCTURE
SF & Duplex F1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 ou t
5.00 '-
Building sewer
5.00
Mobile Home Is G W
O.00e
TYPE OF WORK
iiesUiiies[]installation[]Other ❑
New X Addition ❑ Remodel ❑ UAIR
Describe work: r�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS
100 OROR LESS
10.00 D 01
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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. ClassificationFIX
❑ 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
OR ADDNS. ( AGC. BLDG M.
y2¢S qft
NEWCONSTR ULTI.OUT
NO N.R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR, )
Ex. OCCUp(OUTLETS OR FIXTURES
20®50t
eAL®30
EX. Occup. OUTLETS P(RES10 )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 5100.00 (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
FiIingFee 10.00
Heating
7%0 6.0
LtPGyyl
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner El Contractor ❑ Agent ❑ it
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
cuA
PARK
scHL
FLD
PAR
JPDJHDJ
ISSUE
This permit is hereby issued under
sions of 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
Receipt No.
WNITE-O.P.W•. YELLOW-\SEESSOP, PINS-INSPf:CTOP. GOLDENPOD-APPLICAYT
COUNTY OF -BUTTE - Department of Public Works
7 County Center Drive, Orovil,le, 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) L�
2. I (have/have not) 6UC_ 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 (,?e
Social Security Number
Date -g— 0-6 a0
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.
a U0U3'a
90-009539 R e c Fee `
Cas -h.
Recorded
Official Records
County of.
Butte
Candace J., -Grubbs
Recorder
8:36am 9 -Mar -90
Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County. Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
NI v
7.0.0
7.-00
i
BG 2 -
r
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon-
veniences 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 agricul-
tural 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: 3'g� / 0
State of CA )
) SS.
County of Butte )
OFFICIAL SEAL •
LUCCY A. PERSHALL
NOTARY PUBLIC - CALIFORNIA
CUTTE COUNTY
My Comm. EYP. Jan. 10, 1992
i■■u..... sees .... ■........... ■u.■u.■a■■•
SEE ATTACHED DESCRIPTION
PROPERTY OWNERS:
RUCE SCHOOLER
On this the 8th day of March , 19 90 , before me,
the undersigned Notary Public, personally appeared
"Bruce Schooler "
E] Personally known to me. ® Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A. P. No.
.DESCR,IYA_� TION ga-49539
All that certain real prop,erty'situetP.in the County of Butte, State of
California, described as follows:
PAPrF1 T.
The North 165.00 feet of the East 330 feet of the South half of the North
half of the Northeast quarter of Section 329 Township 24 North, Range 3
East, M.D.B. & M.
PARCEL II:
A non-exclusive easement for road purposes located in the North half of the
North half of the Northeast quarter of Section 32, Township 24 North, Range
3 East, M.D.B. & M., lying Easterly of the Easterly line of State Highway
sign Route 32 as the same existed on March 21, 1960, and more particularly
described as follows:
BEGINNING at a point in the South line of said North half of the North half
of the Northeast quarter of said Section 32 from which point the Southeast
corner thereof bears East 270.00 feet; thence from said true point of
beginning North parallel with the East -line of said Section 32, a distance
of 60.00 feet; thence West parallel with and 60 feet North of the South
line of the North half of the North half of the Northeast quarter of said
Section 32 to a point in the Easterly line of old State Highway sign Route
32 (sometimes referred t.o as Stage Road); thence Southerly along the
Easterly line of said road or highway to the South line of the North half
of the North half of the Northeast quarter of said Section 32; thence East
along said South line to the point of beginning.
PARCEL III:
Right of way for road and utility purposes over the Westerly 30 feet of the
East 330 feet of the South half of the North half of the Northeast quarter
of said Section 329 excepting therefrom that portion lying within Parcel
I, above.
END OF DOCUMENT
L7
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CO U
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0
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5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
/ Bldg. Permit #
OWNER S n� ( A. P. # �s
GENERAL
eoing requirements: (sideyards
luation.
ans signed by designer.
4.nergy Design and Compliance.
.Existing violations on property.
,Items on data sheet.
PLOT PLAN
and number of permitted living.units).
V, Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
t3! Other buildings or structures.
-/� Grading., fills, drainage.
tom. Flood hazard.
Special conditions on creation map or compliance document:
FAU & FAS road setback.
FLOOR PLAN
omplete to scale plan with dimensions.
('$,Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
/_ Human impact glass (Sec. 5406).
�l Required room sizes, ceiling heights (Sec. 1207).
�GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
�J. Locations of water heater, heating and cooling equipment, other electrical or
was equipment, and plumbing fixtures.
d1r Garage firewall, door size, and closer (Sec. 503(d)(3)).
X1!1 - 3'0" exterior exit door (Sec. 3304(e)).
�� ,Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Z Floor construction details complete enough to construct building.
i�, Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
airway details: landings, rise and run,
-drdrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
head clearance, handrails (Sec. 3306).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS.TO LOOK OUT FOR (CONY D)
`� Exterior plaster - weep screeds (Sec. 4706).
_roper roof pitch for roof covering (Chapter 32).
Roof covering type - (fire hazard).
-7-.-' after ties or bearing ridge beam.
` . Garage door or porch header sizes.
A! Adequate bracing.
10 -Living area_';over garage - complete 1 -hour separation required on garage side
�ricluding_':supporting walls and posts, etc.
��/T�'o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
��1�Z. -tic access and ventilation (Sec. 3205).
lad: derfloor access and ventilation (Sec. 2516).
d4. Combustion .air for fuel burning appliances.
.�-5�'.— Noise requirements on duplexes.
,16' -Adobe soils - special foundation:.design.
-1-7-.—Retaining walls requiring design.
1,8!�nusual shape, size, or split level house requiring lateral design.
-1< Flashing at all exterior openings.
Ac
Y
3 -a 3 s'o1.5
PERMIT NO. 3512-84P,E(MH)
PERMIT EXPIRES
OWNER BRUCE SCHOOLER
.I
CONTR. owner
ASSESSOR PARCEL 56-25-56
LOCATION W/S pri rd, 4.00'SW Stage Rd, 1000' W
w.v. 32. Forest Ranch
Sy ' 61"V. AW e44 L 06
--` 57��- • fid: • �:�,� adv' /= d/�
#w y
Temp. Power Pole
Called PG&E
Temp. Elec. Sery
Called PG&E
Temp. Gas Servic
Called PG&E
OFFICE COPY
Address
GAS I
Meter By Date_
ELECTRI
Meter By Date f
JOB FINALED (Date)-
Signature
Date)_
Signature
Y
V = OK -
0 = Not OK
— = Not Applicable MOBILEHOMES
= Not Ready
Date MO ILEHOME UTILITIES (Plans) OK except H's
oning Requirements—Setbacks—Easements
Vf Soils; Special MH Support—Sketc
(/'3 YSewer; Ldcation a al Concrete
4 ,Water; Location—Test—Easement Nee ed (Sketch)
5. lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete
.C. / /"I "ft / /"M.t _/ /"1 "ft / /"1 pri
v 7 .a
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements—Setbacks—.Easements
2. Footings; Size—Depth—Spacing—Connectors
3'. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Utility Clearance
7. Elec.
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
Card -BI Date 8S C rd -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date Oniui EHOME INSTALLATION (Plans) OK except N's
Date POOLS (Plans) OK except k's
1. coning Kequ i reme ntS—Setbacks— Easement s i. Setbacks—Casements
c. r-ooiings; Size—Spacing—marriage Line
— ..r
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; 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
9. Exits; Insp.—Sketch
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I Date �S�s Card -BI Date
Card -BI Date Card -BI Date
Card B -I Date ' Card -BI Date
Card -BI Date Card -BI Date
V OK
O = Not OK
Not Applicable
Not Ready RESIDENTIAL (Single Qnd Duplex)
�
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING Continued
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
55. Shear Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
64.
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive El Yes ❑ No;
Planters ❑Yes 0 N Walks ❑Yes []No;
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House _
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FRAMING Plans OK except #'s
Card -BI
Date Card -BI Date
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
)WNER PERMIT NO'
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please.notify this office
when/correction of work is completed. If you have any question pertaining to this
ma or or need additional explanation, please contact this office immediately.
I
i �.. .sGA ,1..
Inspector �� �W 6 r Date
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
r2 -04-
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.
Inspector "A 1/ Date / /��
991 991 991
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cglifornid95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
Z
BUILDING PERMIT
OWNEFtp,
TELEPHONE
S0. FT. OCC. BUILDING VAItATIS
OW ER'S MAILING ADORES
V V
MVV 6
CO 7 AC OR• NAME L
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
eM
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A ORES
S aDI
PLUMBING PERMIT
Filing Fee 10.00
(�Each
Trap
2.00
Solar Water Heater
20.00
I )J '14 S `7(j 4pS,
Water piping
5.00
LOT NO.SUBDIV
SION NAPE
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1.- 5 outlets
5.00
USE OF STRUCTURE'
SF [:]Duplex❑ Mobilehomegr Other�l—�t/�,l'
SPECIFY
Building sewer
5.00
Mobile Home 1C,91 G I Wf
10.00e 0 (j
TYPE OF WORK/
New ❑ Addition ❑ Remodel ❑ Utilities H Installation❑ Other ❑
Describe work:
Permit Fee
$ Q,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10Dv OR LESS
100 AMP OR LESS
10.00 '0 Q
r
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING 0cCUP.&
OR ADDNS. l ACC. BLDGS.
Z/I22SQft
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 CONSTR MULTI -OUTLET 2.50 ea
NO N.RESID BRANCH CIRCUITS)
NEW CONSTF POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
20@50e
TS OR FIXTURES DAL®30
Ex. OCCUP.
FIXED APP LNS. OR
FIXED
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00 ,
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte 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
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
aga' t said Cou yin onseque a of the granting of this permit. l�'
X S Date g
Signature of Applicant — Owner 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCE PD
199U
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date (�1� °—
Receipt No. Z)
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
1OTEt—M Materials & Workmanship Shall Be. in '.
Affiance `Yid kocognized Good Practices and
of ,aqutd.iy prescribed for the Specified use in the.
Wk—r4n Building, Plumbing & Mechanical Codes and
t6 HdItional Electrical Code. .�
k This set of plans and specif ca 'ons MUST bt
kept on the job at all- times and& is unlawful
pY1el;QY
all changeas or alterations on same Wit - V
s rl0on permission from the Deprtment o . P6,
9 W �ouMy of Buffs. �... /
Utility connections shall b ,,a
4 ft, of the mob'iiehomey'41� '
directly behind or WAM thQ f -99f
halfof the roadsido u@'Ift),0lhg
�1a�ii�4anms.
V%o e
hor"N O /
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for ft. eave overhang.
-! 3sia-&y
BUTTE COUNT
�U9LDANG DEPARTMENT
APR�20VEp
• '!' +' � ., � � � � 1, � l ' ' •'� •.`
�r��^.. ' +. ..Rtt +�n'.vti' ,•�4+4?'w H'�.i►'.+:�'Jrap,,ti,'�Ar'.rFr:tx'..-r.�„v'.�.'a4rat+�Yd1'�M!GMi�Y�j��i'�ry{'afj�Yii�cl�+4-�.'r-•... .. ...
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8�, �0�
FOR RESIDENTIAL DEVELOPMENT:'��
Section 26-8.1 of the Butte County Code requires this acknowledgement ,?V�,�g�,"�•�I�-
be recorded prior to issuance of a building permit. �0''p y
9R
zo AN I.
The property described herein is adjacent to land or included fly
within an area zoned for agricultural purposes, and residents of this g�f,4mORtA.i:
property may be subject to inconveniences or discomfort arising from &LEftK
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: '
SEE EXHIBIT "A" ATTACHED FOR LEGAL DESCRIPTION
a
Date: Noyemherr, 5, 1984
Bruce Schooler
State of California ) On this the 5th day of Nov mh r , 19_gL, before
) SS. me, the.undersigned Notary Public, personally appeared
County of Rf,rta )
BruceSchooler--------------------------------------
Personally
-- - --- --- -------------------
Present A.P. No. �Z -o(�
' � f .. ''� . ,} � � � 4 � ti°', .^ . 'v M 'XUY H � � 3�' �w�omi' H �.7.,',,; 1�� �� J •S' t�?�c.t � • � °sAiiti. a �5: iii •�/� 1 � '< : .r �� r, �
.. .. h.. �sr i�Y. ' irwiy►.r.:�w.rri�.� Y�" a s�•" + .,�,�', :,.,�,..,, r Y., 1y+ i'hw� fit ,�,. 'S
Personally known to me. ACR/ Proved to
me on the basis
of satisfactory evidence.
to be the person(s) whose
hame(s) _ ;s
subscribed to
the within instrument and
acknowledged that
he
executed the same for the
purposes therein
contained.
WITNESS WHEREOF, I hereunto set my hand
and official seal.
ON
WEE]IN
IFORNIApt,
)6, 1985
Nota
ublic
Present A.P. No. �Z -o(�
' � f .. ''� . ,} � � � 4 � ti°', .^ . 'v M 'XUY H � � 3�' �w�omi' H �.7.,',,; 1�� �� J •S' t�?�c.t � • � °sAiiti. a �5: iii •�/� 1 � '< : .r �� r, �
.. .. h.. �sr i�Y. ' irwiy►.r.:�w.rri�.� Y�" a s�•" + .,�,�', :,.,�,..,, r Y., 1y+ i'hw� fit ,�,. 'S
EXHIBIT "A" �I
DESCRIPTION:
All that certain real property situate in the County of Butte, State of
California, described as follows:
PARCEL I:
The North 165.00 feet of the East 330 feet of the South half of the -North
half of the Northeast_quarter of Section 32, Township 24 North, Range 3
East, M.D.B. 6 M. � -' ` . .
PARCEL II:
A non-exclusive easement for road purposes located in the North half of the
North half of the Northeast quarter of Section 32, Township 24 North, Range
3 East, M.D.B. do M., lying Easterly of the Easterly line of State Highway
sign Route 32 as the same existed on March 21, 1960, and more particularly
described as follows:
BEGINNING at a point6n the South line of said North half of the North half
of the Northeast quarter of said Section 32 from which point the Southeast
corner thereof bears East 270.00 feet; thence from said true point of
beginning North parallel with the East line of said Section 32, a distance
of 60.00 feet; thence, West parallel with and 60 feet North of the South
line of the North half of the North half of the Northeast quarter of said
Section 32 to a point in the Easterly line of old State Highway sign Route
32 (sometimes referred to as: Stage Road); thence Southerly along the
Easterly line of said road or highway, to the South line of the North half
of the North half of the Northeast quarter of said Section 32; thence East
along said South line to:the'point of beginning.
PARCEL III:
Right of wby for road and utility purposes over the Westerly 30 feet of the
East 330 feet of the South half of the North half of the Northeast quarter
of said Section 32, excepting therefrom that portion lying within Parcel
I, above.
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
AS SSOR PARCEL NUMBER
56-25-56
ZONING
TM -5
BUILDING PERMIT
OWNER
BRUCE SCHOOLER
TELEPHONE
343-1304
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
16246 CALLETIERIA FOREST RNCH
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace rr rr
CONSTRUCTION LENDER
NONE
VNKNOWN
Total Valuation $ 1500
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 25.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 16246 CALLETERRA FOREST RNCH
Permit fee
$ 35.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping ,
5.00
Each qas water heater or,vent
5.00
USE OF STRUCTURE
SF q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ®
Describe work: WOOD ST0yF
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 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,
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. I DWELLING OCCUP.yd
OR ACDNS. \
ACC. BLDGS. /
yzltsgft
NEW CONSTR. ULT'.OUTLET
NON ESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES
Ex. OCcu
eAL030
eAL*
FIXED APPLNS.
EX. Occup. OUTLETS IIRESID IREA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte 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 shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all li ities, judgments, costs, and expenses which may in any way accrue
aga' st aid County in consequence of the granting of this permit.
x Date �I/
Signature of Applicant — Owner[91 Contractor ❑ Agent ❑
I An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONSTTYPE
0
TOTAL FEE $ 35.00
E
HAi.
cun- PARK
SCHL
FLD
PAR
I HD.
Iss
This permit is hereby issued unaer the
sions or Butte County. Code and/or
work i is ted above Jor which f
DIR, OF PU I
B
PERMrT EXPIRES Date
applicable provi-
resolutions to do
s have been paid.
WORKS
mgq
te-hl
Receipt No. 96816 35.00
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL BER
ZQLjJ,�+! , -
I/�/UU �I -
BUILDING PERMIT
OWNER6ckIruc,-e_ n O.� /e ir-3
TELE"t 3PHONE 3�
S0. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDRESS / �--� LL,iOZ
'J
CONTRA TOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 5—co
Filing Fee $ 10,00
LENDER'S MAILING
Permit Fee $ c�
ARCHITECT OR ENGINEER
i1 fS14 L
LICENSE NO.
I
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS'� I ���� eS� ��Ck �� 1rsry2
Z
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 5.00
Building sewer 5.00
Mobile Home S I G I W 10.00 ea
TYPE OF WORK
New ❑ Addition ❑l Remodel ❑ Utilities ❑ Installationg Other
Describe work: Cr�i� c
�1� L �AvV
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty I y (check one):
of perjury
❑ 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 OCCUP.tr ,
OR ADONIS. ACC. BLOGS. 2h¢sgft
NEW CONSTR ULTI-OUTLET
NO N.RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20050¢
BALI 30
FIXED
Ex. Occup. OUTLETS ( R
RESID IEAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
❑ Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: if after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
Hood 3.00
I Ventilation
penult 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 enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Dcc
CONST TYPE
TOTAL FEE $
1AZ. CUA I PARK scHL
FLO cOF
PAR PD ND•
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 9 68��3stx
'NNITE-D.P.W.. YELLOW-ASBr35OR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department bf 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. e
6 1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) c cJ
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 toaprovide 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: Q
Property Owner ��ch"
Social S curity Number >
Date 4
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.
1. Ceiling Insulation
U -value
-48
Number of stories
-64
R -value One
Two
Three
R-0 -103
-49
32
R-19 -8
-4
-2
R-30 -2
-1
-1
R38 0
0
0
U -value
0.08
4 3
0.50 -176
-84
-54
0.30 -102
-49
32
1 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
1.
2. Wall Insulation
29
Number of stories
Single-
Single -
R -value
Family
Family
Multi-
: R -value Detached
Attached
Family
R-0 -68
-51
-34
R-11 0
0
0
R-13 2
2
1
R-19 8
6
4
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
U -value
-48
-69
-64
0.80
-153 -114
-76
West
0.50
-91 -68
-46
.31 to 0.30 or
0.30
-47 -36
-24
.60
0.10
0 0
0
50
0.08
4 3
2
-24
0.06
9 7
5
-90
0.04
14 11
7
3
0.02
19 14
10
-29
0.00
24 18
12
i
3. Raised Floor Insulation
-61
-21
-13
Insulation in Floor
4
12
29
Number of stories
-20
-12
R -value
One Two
Three
:
- R-0
-17 -8
-5
-2
R-11
-3 -2
-1
-52
R-19
0 0
0
i
R-30
3 1
1
-15
U -value
-1
7
14
-_-0.60 .
444 a0
-46
-7
0.50
-120 -58
38
24
0.40 '
95 46
30
1
0.30
-69 34
-22
-40
0.20
-43 -21
-14
8
0.10
-17 -8
-5
-9
0.08
-11 -6
---4
:.t
0.06
-6 -3
-2
!
0.04
-1 0
0
20
0.02
4 2
1
5
0.00
10 5
3
I
Controlled Ventilation Crawispace
1
6
Number of stories
16
18
R -value
One Two
Three
7
R-0
-11 -7
-5
'
R-5
-4 -4
3
12
R-11
-2 -2
-2
0
R-19
-1 -2
-2
•..:;j
4 Edge Insulation
-17
1
jSlab
r
Number of Stories
14
17
R -value
one Two
Three
7
•: R-0
0 0
0
13
R-5
8 5
2
11
R-7
8 6
3
-9
F2 factor
9
12
15
0.90
11
-6
I
0.80
-1 -1
0
19
0.70
2 2
1
11
0.60
6 4
2
9
0.50
9 6
3
15.
0.40
12 8
4
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
-14
-48
-69
-64
U -value
East
Percent
West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15.
17
20
8
2
12
14
16!
18
20
7. Shading (Shade Open)
--Etfeetlye Percent Class
(percent SIM x SC)
Effective '
-14
-48
-69
-64
%Glass North
East
South
West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na_
12 3
3
5
2
na -
11 3
3
5
2
na
10 2
3
5
2
1
9. 2
3
5
2
2
8 2
3
5
•2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
na = not allowed
2
3.
4
3
16. Shading (Shade Closed)
Etfeedve Peremt Glass
(percent Alas x SC)
Effective
%Glass North Eat South. West Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
35
-50
-46
na
12
-8
-29
-40
37
na
11
-7
-26
36
33
na
10
-6
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21.
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
3
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1 ..
1
1
1
1
-4
01--
2
3.
4
3
0
rna . not
allowed
14
8.5 7
10 12 13
• 14
9. Interior Thermal Mass
Interior
Stab Floor Raised Floor
Mass
Stories
Stories
SEER
/CFA One Two Three One
Two Three
0.0 -8
-5 -4 -2
-1
-1
0.1 -8
-5 3 -1
0
0
0.3 -7
-4 -2 0
1
1
0.5 -6
3 -1 1
1
2
0.7 -5
-2 -1 1
2
2
0.9 -5
-1 0 2
3
3
1.1 -4
-1 1 3
4
4.
1.3 -3
0 2 3
4
5
1.5 -3
1 2 4
5
5
20 -1
2 4 5
6
7
25 0
3 5 7
7
8
3.0 1
4 6 8
8
9
3.5 2
5 7 9
9
10
4.0 3
6 8 9
10
10
4.5 3
7 8 10
11
11
5.0 4
7 9 11
12
12
5.5 5
8 9 11
12
12
6.0 5
8 10 12
13
13
6.5 6
9 10 12
13
13
7.0 6
9 11 13
13
14
7.5 6
10 -11 13
14
14
8.0 7
10 11 13
14
14
8.5 7
10 12 13
• 14
15
10. Exterior Wall Thermal Mass
1.6
Exterior
Single- Single -
2.3
25
Wall
Famly Family
Multi
3.3
Mase
Detached Attached
Family
0.00
0 0
0
-24 to -1410
0.20
3 2
1
SEER
0.40
5 4
3
+5
0.60
8 6
4
-30
0.80
10 8
5
-13
1.00
13 10
7
-11
1.20
13 12
8
4 ,
1.40
12 13
9
-4
1.60
10 13
• 11
...
1.80
10 12
12
0
200 -
10 11
_ 13
I
11. Heating System !
6
5
4
SE or KSPF
9.0
16
14
(assumes ducts In attic)
9
7
Sum of 14
10.0
_
_
-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
1.1
Effective SE or HSPF
8
7
_ (SE or HSPF x duct efficiency)
4
Effective -25 or -24 to -i4 lo -4 to
+610 16 or
SE HSPF
less -15 -5 +5
+15 more
0.30 275
-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
to
to
System Type
_
Type
less'
Resistance
10 9 7 6
4
3
Other
6 5 4 3
2
2
12. Cooling Syst,!m
SCORE CARD
SEER
Measures
Point Scores
(assumet ducts
In attic)
HSPF 10.5615.15
9,, q x
Sim of 7-10
R -value [381
U -value [0.030]
Duct Efficiency [0.74]
-2S or
-24 to 44 to
4 b
+6 to
16 or
SEER
less
•15
4
+5
+15
more
8.0
-14
-12
-10
-8
-6
-4
8.5
-9
-7
-6
-5
-4
3
8.9
-5
-4
-4
3
-2
-2
9.0
-4
3
-3
-2
-2
-1
9.5
0
0
0
0
0
0
10.0
4
3
3
2
2
1
10.5
7
6
5
4
3
2= ,
11.0
10
9
7
6
4
3
=- 120
15
13
11
9
7
5
13.0
20
17
14
12
9
6 '
1.6
1.9
EffeNve SEER
2.3
25
2.7
(SEER
xduct efnclency)
3.3
3.5
3.7
Sum of 7-10
4.2
Effective -25 or
-24 to -1410
-41*
+6 b
16 or
SEER
less
•15
4
+5
+15
more
5.0
-30
-25
-21
-17
-13
-9
6.0
-12
-11
-9
-7
-6
4 ,
6.6
-5
4
-4
3
-2
2
7.0
0
0
0
0
0
0 i
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
5.5
Zonal Control Adjustment
5.9
50%
0.9
1.1
10
8
7
6
4
3
25
No
Cooling
System
Installed
3.5
'-Stories
4
42
4.4
4.6
4.8
5.1
One
-5
-4
-4
-3
-2
-2
Two +.
3
3
2
2
2
1
Single -Family
L
Detached and Attached
3
92
3.5
I Unit Size (sQ
3.0
Water
4.3
109
12W
1700
2200
2700
Heater
C=redit
or
t1b
to
to
or
Type.
Type
less'
1699
2199
2699
more
SG
None
0
; i. 0
0..
0
0
or
Solar
12
8
6
5
4
HP --HWR
6.1
8
5
4
3
3
1.7
WSB
5
3
3
2
2
3.2
POU
8
5_
4
3
3
SE
None
37
-24
-18
-15
-12
6.1
Solar
-1
-1
-1
0
0
2
HWR
-18
-12
-9
-7
-6
35
WSB .
-25
-16
-12
-10'
-8
5
POU
- 40
--12.
-9
_7-
-6
n
None
-5
-3
-2
-2
-2
23
Solar
7
5
.4
3
2
3.8
POU
3
2
1
1
1
E
None
-28
-19
-14
-11
-9
80%
Solar
8
5
4
3
3
26
POU
-10
-6
-5
4
-3
4.1
Multi•FamR
(Individual units)
4.7
4.9
5.1
5.4
j UM size (s
5.8
6
Water
64
699
700
1200
1700
2200
Heater
Credrt
or
b
to
b
or
TYPO
TYPO
less
.1199
1699
2199
more
SG
None
0
0
0
0
0'
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2'
3.8
WSB
9
4
3
2-
' 2
53
POU
9
5
3
2
2
SE
None
-45
-23
--15
-11
19'
27
Solar
2
1
1
0
0
4.1
HWR
*•23
-12
-8
-6
--5
5.6
WSB
-25
-13
-8
-6
-5
100%
P-QU..
_23
-12
-8
_:6
-5
lG
None
-8
-4
-3
•2
-2 '.
-
Solar
• 6
3
2
1:
1 1
5.9
POU
1
0
0_
0
1 0
E
None
30
• -15
-10 -'-8
28.
4
3.3
Solar
• 18
9 .
6
4
4
4.7
OU
-8
-4
-3
-2
-2
Interior Mass/CFA
. trre a w�ss
SCORE CARD
Measures
Point Scores
1. Ceiling Insulation
/7 30 or
HSPF 10.5615.15
9,, q x
R -value [381
U -value [0.030]
Duct Efficiency [0.74]
_
2. Wall Insulation
aIqor
U.rwrsC•1W
( e.t9ecw .two
Sy
R -v ue [ IJ
U -value 10.0981
3. Raised Floor Insulation
I TYPE
I
KASS
(UIMC 4-l;
Se: exposed slab)
R -value 191
U -value [0.0371
_
4. Slab Edge Insulation
or
0%
5%
110%
15%
20%
2S%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100% 105% 110% 115% 120% 125-
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
23
25
2.7
2.9
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
2.3
25
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3 3.S
X
%1
3.9
4.1
4.3
.4.4
4.5
4.8
5
5:2
5.4
56
30%
03
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
24
26
28
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40%
117
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
32
3.4
3.5
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
92
3.5
3.7
3.0
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
23
2.5
2.7
2.9
&1
33
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
28
3
3.2
3.4
3.5
3.8
4
4.3
4.5
4.7
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
22
25
27
2.9
3.1
3.3
35
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
•64
75%
`1.3
1.S
1.7
1.9
21
23
a
27
3
3.2
3.4
3.5
3.8
4
4.2
4.'4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
80%
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
65%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
56
5.9
6.1
63
65
67
90%'
1.5
1.1
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
100%
1.7
1.9
21
2.3
25
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.0
2
2.2
2.4
2.6
28.
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
68
7
110X.
1.9
2.1
2.3
2.5
2.7
29
3.1
3.3
3.6
3.8
4
42
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.8
59
6
6.2
6.5
6.7
6.9
7.1 .
7.3
125%
21
2.3
25
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
6.7
7
7.2'
7.4
Point System Summary: Climate Zone 11 .
SCORE CARD
Measures
Point Scores
1. Ceiling Insulation
/7 30 or
HSPF 10.5615.15
9,, q x
R -value [381
U -value [0.030]
Duct Efficiency [0.74]
_
2. Wall Insulation
aIqor
_ Type 1SG1
Sy
R -v ue [ IJ
U -value 10.0981
3. Raised Floor Insulation
( or
R -value 191
U -value [0.0371
_
4. Slab Edge Insulation
or
R -value 101
F2 factor [0.771
5.. Infiltration
6. Glass Heat Loss
Standard
� l✓
l
z
(� ��?
Type [double]
U -value 10.65]
% Total Glass ( 61
Sum 1 b
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
- Zonal Control? (Y / N )
13. Water Heating
% Glass SC Eff. % Glass
_ x _ 7 = 0 _
X &4
.�
,
% Glass SC Eff. % Glass
AL
�. X
Ox M
X =
X = v
TYPE 1 MASS AREA = n
InteiiorlVaas/CFA GOND. FLOOR AREA
TYPE 2 MASS AREA _ 8
Exterior Wall Mass COND.OR AREA
X .�
SE or HS F Duct Efficiency [] 0.78 EffectiveSE or
-0
Point Total:
10.7p2/6.6611
HSPF 10.5615.15
9,, q x
_
SEER 199.5]
Duct Efficiency [0.74]
Effective SEER 17.03]
_ Type 1SG1
Credit [none]
-0
Point Total:
Certificate of Compliance: Residential Climate Zone 11
Project Title _ n ,
Project Address -
I & ir/U,
7 -?v
Building Permit #
k5 l —AQ
Che&ed By/ Date
Pnfonxment ARency Use Only
0, lass
BUILDING DATA Glass %
North0,3
i Con' ' r Area Number of Stories .Z East
i 31a s it Number of ,Units South #_4�w 0
[ SingfMrnily Detached (SFD) [ ]Addition Alone West
(] Single Family Attached (SFA) [ ] Existing Building Skylight • I
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total
BWILDING SHELL INSULA116N
Component Insulation Locatiinn/Comments
Type R -Value (at3c, to gavage, rPict 1. etc.)
Wall ..............
Wall .............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (sf) (single. double) (holler blind. etc.) (shadescreen, etc.) ('yes/no)(metaVwood)
North ( ) L
North ( )
East
East ( )
South ( ) •$' _
Sou th ( )
West ( )
West ( ) s
Skylight....... -Cr
THERMAL MAS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (Sf) (inches) Location/DCSct'iption (kitchen. bath. etc,)
HVAC'SYSTEMS
Maximum
Minimum
Duct'
Type (furnace, air
Efficiency
Location Duct
Output
conditioner, heat pump) (SE, SEER,HSPF)
(attic, etc.) R -Value
(Btuh)
— l -
.
S % .
_v
53
s!5
fi7�agcm/'
=5
_S
9a—
Furnace Heating. Output:
HOT WATER SYSTEMS
` Btuh
Tank Manufacturer/Model #
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Manufacturer / Model #
a
a
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of tpe compliance
approach used. Items marked with an asterisk (•) may be superseded by mere stringent compliance requuements listed
on the Certificate of Compliance. When this checklist is incorpoi aled into the permit documents, the features noted shall
be considered by all parties as binding minimum component perform&= specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R•19weighted avenge.
§2.5352(bY Loose fill insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352 ft Slab edge insulation - water absorption rate no greater than 03%. water vapor
rrancmiccinn rat: P.9 grater than 2.0 perrn/urch.
§2-5311: Insulation specified or installed meets California Energy Commission (CECT quality
standards. Indicate type and form.
§2.5352((): 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 au
leakage,
b. Doors and windows certified.
c. Doors and windows weathersuipped; all joints and penetrations caulked and settled.
§2.5352(c): Special infiltration barrier installed tocomply with 12.5351 meeuCEC quality
standards.
§2.5352(dy Installation of Fireplaces
1. Masonry and factory -built fireplaces have
L Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
e, Flue damper and c=
2. No continuous burning gas pilon allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siting: attach calculations.
§2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems.
• §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2.5316(b): Exhaust systems have damps controls.
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water he= insulation blanket (R-12 or greats) or combined interiorkxtuior
insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate nxum & recirculating
piping,
§2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater:
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inleL
Lighting and Appliance Measures
§2.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2.5314(a): Rcfrigerawrs,refrigcmtor-freezers,fret=usandlluorescentlamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the Wding features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20. (�lap.w 2. Subchapter 4. Article l of the California Administrative code. This
certificate has been 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 purdlaser of the building.
Designer
Name:
Tek-ownc
Lic. N:
(signature) (date)
1 Documentation Author
Name:
Address.
Building Owner
Name
Titk/Fum:
Address:
Tckphonc
(signattrre) (date)
Enforcement Agency
Names
Atcncy.
Tekphom
1
.X
PERMIT
7 COUNTY OF BUTTE - DEPARTMENT F Ivo.
._ oI; PUBLIC WORK,
. 1
...a,. ,. County .Center Drive: - Orov'iile, California 0,,965: r Telephone 9�1G/534-4b4 � -
y APPLICATION AND PERMIT
ASSEbS9R, PARGE+, NUMBERl3U1LDING
PERMIT •'
OWNE'., 4 1
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TELEPHONE
SO, =r.
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BUILDING VALUATION
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owI�4cR s M {LING ADDR♦ (E5%5 s
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CONTRACTOR'S NAME 1EL?LiP'HONE
CONTRACTOR'SMA1..ING ACafl12E ss.
CONSTRUCTION LENDERs,CONSTRUCTION UNKNOWN
PrreplaCB
Valuation
$
_Total
Firing Fee
$ 10.00
LEN ERIS MAILING ADDRESS
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Poimit F'ee
ARCHITECT OR ENGINEER
I
r
LIC NSE No.
PlanChecking Fee
C
Penalty
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ARCHITECT OP ^N:GINtER"S MAILING ADDRESS
-
Permh flee
BUILDING AIPORESIL
01 ts
PLUMBING PERMIT
FlltngFee 10,00
t=ech Trap
2.00
e•. "' —T—}
Solar Water Neater
20,00
- rot
Water piping
5,00
'
LOT No,
SUBDIVISIPN NA E
PARCEL hAAP
5ach gas Water theater or Vent
5.00
Gas piping system i - 5 outlets
5.oa
ust! O% STRUCTURE l
SF❑ Duplex❑ Mobltehome Other �F` l.t �i}
SPECIFY
TYP5 OF WORK
New ❑ AddltIon[�. Remodel[ Utilities Installation[ Other
Describe wurk; �»
e r �,
Ruilding sewer
5.00
Mobile Home
10.00
foe
Permit Fee
Contrectar
ELECTRICAL PERMIT Ftllrrgped, ' 10,00
1oov on LEss
Main serv.ide IPO ArdP OR ,L�53'
lo,oa j0+t1�'
Mt�In Servide EA. A0O L 1.66 AMP
NEW CONST, ( DWELLING OGCUPus
OR AOONS. ` ACGcBLtlCS,. ?�tit'SQtt.
ONTRACTOEs LICENsE LAW
t1 y O perjury ;check aIle):
I declare Under enalt
f nen licensed tender provisions of ChaPt. p Div.,O _ A the business
and Protessiortss Coda and my license IS In furl toted and ellect.
L1'cense No , —_ .. Classtficatian
i as the owners
r , or my LI;rplOYee sWith wegesna inter tolorcgt a ed
tenon, will, do the Work, and theu
for sate, '(Sec. 7044)
nine (Sec ownJr', am e;x�luslVety contractlrig With licensed oontracC='
7044) y
�, uslness and Prov signs Cod�
C] lam e>tentpt under Sec, r� ;
for this reason 'yz
,.
rr cONSTR.; `1'1:`OUTL T
l N.R'Esib r.116.NGH�.1"v.t r ,..�._:
2.5aen ---�-• .:
NEW CONSTR, POW R APPARATUS b
NON-RESID, (,Nr. s OUTLET GIR.
.�
EX, 0dcUp dUTLE7'S bR plxyuRacs Is
xa�eoe
ALP 30
,x o APPLNB. Dn
_Ek. Oc17U . OUYt RT3.IRE5.ID;i �A:r�
"x.00,
TemParary servled.
t0,p0
Niobiie Nome E clfiktes'
15.0b ,
Mise+ WIriny
i5+00
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Permit Felt!
Con tat: or
-
WCHA:NICAL PERMIT, Filing
Fee 10.00
I�ORKMEN's coMP NSATfOfJ trvsURAtic
I dedlatg under penalty .o;f perjury (cheek one)::
1 ` he.iperrrtit Is to'r 5100,00 (Valuation) of lest.
ipave planed on Elie �With the Cour1►�t 01 Butte Building,tgepartrnent
a Certificate of Workmen's ComPensatton insurance or a Ce-tiltoate
yers-. , ,.'1
to SelfJy Jhsure. com> Seib ect
01 Cort pp �
hof
r to holW.o0claw�s of Ca lilbeh din an manner' Sotos to been
Notice to Appltcot. if alter making this statement, shau d you become ubject
to 'the W. C, provisions of the Lebot Coder you tnust'lcrttlWtth fttlpiy with sudh '�
provisions or rhes permit shat l be deemed revoked, Y
Cooling .
Hood' ..
... .. ..
Venttt,atlon
Cantradtor
Mobl1 e Hr3me� instailattoh
+ marten
i bdAl y that i havo read this epplicaollo� ri distant r
Is correct,' agr,e to oomPi to at C,uni y r li... s acrid Sf 1e l�arV relating
bulldin cdns ruction and hnreb authorlxe epre0,0htattlres of the Co tint of
1'l r ed'
iutte.to e!iar upon the rtbove4mentioned ro ery far Iris esti 1i ' utposes.
p p p I5
itli3lso .a nae to save indoninif and ee harmless he Count til butte a 13
It r y.. it p y `
pit Ilabi{tries, jiidgmerit, costar . `.d ukponse§ Which may Iii arty Vinay "aebrire
doolo t Bald County► fn oonseouencl t.bl the grentinp bf thi'd pdrnilt.
,. ft�s4+
rt �° •a"lam_ .:�C. � . �, Date .
Owntr crliili [ `Agent
Sipl�ldFe bi' �jsplicani •� � rini
Ai- CRNA pbrmlt ik tbga,rr d tai a}t, �votrans vV&+ 't1'r deep end demotliibri �r cartitRifuei•
tdrr of uerUrea f>ycY i} �lorrclt inti h+�iplit
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ilik'b�M W¢i V�tl`kiW+dYtllliilihM� rr►iirrlii6NigbtdNr'4CIbtkNtrb�Ah�I1EiN4
"TQTA,L PRIVIIT PEE '" ., l r
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,permit '1s hereby issued urrtlar tfia 'atipllcttbls prov1
sions� of rite. 80t1d) CO4it t.'y. Code �ptidltlr tesolCitiotta to do
woiis tiidlC0'd above �cr wtiici Ices hovel 'tidt;n pend,
r t3tl frGTOFt OF t'Ul�LtO WgRKB
D ,;,, � . Datil. - L . ►" ,,,,. ,
fyl�:�tMIT f~iPliii=8 tabu—
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O2 3338 Fiav« 617
R.14ht 0 Way,, (Nap
p,ober�4 C�'ilarress
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all courses extend to or"
l -vlonq bounq'nrles or lines' -
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CIT»YM BARICHOj SUBUIVI-t,
SCALE
DATE
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SECTION
TOWNSHIP
RANGE
MERIDIAN
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COU
HR
DATE DESCRIPTION
I UTH.1 BY 1 CH+
R.B. '12 1p OR. B`ir.1�G CH. BYt
Mop, i'
to
�r.4/0
�+%� 1d37/
�•4•?'s32
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1EiEFi NCe:a
DIVISION
AUTd- OkIZATION
ORAWINO
NO.
CNO.
BUTTE COUNTY OEPARTMEN'T` OF HEALTH
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