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058-550-032
9 J 58-55;ilk .J; . LEE TROM 11123 Yan Vista Circle, Oroville a� Permit#729-86 , E,M(new single family) 58-55-x'' it#3191-86B(add open decks/SF) 58-55� FLOYD H 11123 Y H Vista Z'� e, Orovi11 Permit#1385-87B,E(new g =ae) 58-55—M i.t#2082-87E(upgrade ele ser/SF) 058-550-032 02-1936Ij1j D HANDFORD, FLOYD $..5. 11123 YANKEE VISTA, OROVILLE CONT: GEORGE & SONS ROOFIN RE -ROOF 058-550-032 03-0748 HANDFORD,FLOYD �C 11123 YANKEE VISTA CIRCLF M, OROVILLE ��,, ,,�\ Cont: EDWARDS HOME RENO �\ REPLACE WTR HTR N r 3a r Ula' I rDYti. This se+ of plans and specifications ""' be Wept on the iob at all +;--s and it is lawful t0 ma"(9 an ' changes or alt�r^-sians 051 srna byirl7o:at Written permission from the ®epcartz ent of Public, Works, County of Butte. PIrR e�L 2 A� v C Tt-R 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 a 2 ft. eave overhang. i SCALE �'�So SPUTT ' COUNTY AUILDIN DEPARTMENT IPiROVED n PERMIT NO. __ 1385-87B,E PERMIT EXPIRES 00 r v OWNER EL D ANDFORD CONTR. Owner �. a ASSESSOR PARCEL 58-55-22 LOCATION 11123 Yankee Vista Oro I a OFFICE COPY I Address Temp. Powe GAS Dates I Meter By Called I ELECTRI ,— O ' Meter By --# —,cat Temp. Elec. ____�-----�-- Called PGAE Tomp. Gas Service Called PGAE JO© FINALED (Jale) Signalure---- -- -- a Not Apt•licable MO�iIEMOtMES Not Ready MISCELLANEOUS Date VOBILEHOMR UTILITIES (Plans) OK except #'a Date DECKS, COVERS, CARPORTS. ETC. (Plans) OK except 'i's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacke—Eseements 2. Solis; Special MH Support—Sketch 3. Sewer; Loco lion—Test—Fa ll-C/0—Concrete _ _ _ 2. Footings; Slze—Depth—Spacing—Connectore 3. 0ecks; G{rders and/or Joists—Docking—Bracing—Stairs—Rails 4, Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Locallon—Clearances—Grnd,—/ / Amp—Concrete 4. Wood Awn.: Posta—Beams—Rilre.—Connec.—Shthg.—RIg.—Brecinp 5. Alum. Awn.: Columns—Connectione—Splice—Decal—Enclosures 6. Gas; Local lon—Test—Wrap: / /"L'•it./ /" Nat. or/ /"l"N;7 /" LPG 6. Carports; Windowo—Doors 7..UllIIty Clearance 7. Elec. Card -81 Date Card -BI Date Card -BI Date Card -81 Date i Card -81 Date Card -BI Date Card -81 Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except O's Da to POOLS (Plans) OK except O's 1. Zoning Requirements—Setbacks—Easoments I. Setbacks—Easements 2. Footings: Size—Spacing—Marriage Lino 2. Solis; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connectar 3, Pool Structure; Steel—Connect tons— Thickness—Dead Men_Lining 4, Electricity; MH Test—Croesovere—Omkorti—Clearances 4, Elec.; Receptacles and Lighting: Diatances—GFI S. Drain; MH Test—Fell—Flex Connector S. Elec.; Pool Lighting: 15 volts—GFI 6. Water: MH Teat—Regulator—Connector 6. Elec.; Enclosures; Conduit Entriee—Torminals—listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding: Metal w/5'—Circulating Equipment—Heater S. Gas and Electricity Tagged S. Elec.; Grounding: Equip. w/5'—Circulating Equip.—Pool Lghig, Boxes— Enc losures— Panel boards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9, Health Department Approval 10. Plumb; Clr, Teat—Water Supply Test Card B -I Date Card -81 Date Card -BI Date Card -81 Date Card B -I Date Card -81 Date Card -BI Date Card -81 Date Olt CJ• _: Np1 C%i: - Noi Applic'ahle 1 6 Not Ready RESIDENTIAL (Single and Duplex) Daln UNDERFLOOR (Plans)OKexcept Ua ung requirements Setbacks -Easements _ 2. Ftp., Main: Soils -Steel -Floc. Ornd.- / / _' Fig. Depth Smis-Steel- /" FtQ, Depth --4. Fig., Porches 8 Decks; Soils -Stool- / /" Fig, Depth Stool-Blockouls-Wr pored -SI V�a_S-I---- 6. Stemwalls, G_ar_ Stroe4•=_Bio iris-4Yra -7. Piers-Fireplac0 Ft Sleol - _ 8. D.W.V.: Fall-Filti_ngs-Test-2 wog C/O -Sewer Test _Gas Pipe: Sizo-Anchors_ Water Pipe; Teat-Anchors- Regulator-Serv(co Test - 11. Electric; Underground - - 12. Plenums & Ducts: Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI 2::2Date6-Card-BI Date Card -BI Y Dale Card -81 Date Date PLUMBING (Permit) OK except is 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V_.: Test -Flings & Anchors -Nall Protection 17. Shower Pen: Test, First Floor -Tub Access 18. Test Tub & Slower. 2nd Flop -Tub Access 19. Gas Pipe; Size & Anchors card .61 - Date - - Card•BI Oate Card -BI Date Card -81 Date hLECTRICAL_ (Permit) OK except p's 20. Fixture & Transformer Clearanco-Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors - _ 22. Size Bates & No. of Conductors-Stap_ted - -23. Rome: Installed Close to Edge of Studs & C.J. 24Equip, Ground made up wrllech. Fasteners -Bond Gas & water 25. 2 Appliance Circuits in Klic hen & C_onducfor Size 26. Subfeed Wire Size : / ga. Cu Or AI-A.C. Wire Sue ! r ga. Cu or AI 27. Range Circ. r rga. . or AI -Oven Circ. / / ga, Cu or Al. _ Insulated Neutral _Yes ,No _ 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels -Motors -Neto, Equip. -- -^ Dnln FRAYING Conlinued -- oe Ins uewell 11 Oper11 s ' xt. Doors--0n-e-37--C- hoc (:or a -3rd slor -- "---- 50. _ - room ql q�n-Landing'Fire Protection --------- , . Plywood on Rool Overtwnp- Attic Vents -Rafter Outriggers -�� .--laing-Nailing-Venam - - - 53. - rip Screed-Fdn. V_ants-Underflr, 54, azing Area Sky--lastAictoss .ss Protection. 55. -aha ls; Nailing -Bolls Card -BI Date Card -BI Date Card -81 Date Data FINAL (Plans) OK �--•' Ext. Steps -Door 57:-6arehe-Beeee►ru In 1'-ard-ul Date Card -81 Data Cera -BI Delo kept I'a & Sidellohl Protection-LAnd s-k,learance-Gomb, Air-Connector- )ve Floor -Ducts -Meeh. Protection 59. 8etltnem_E,4m0 L-0. -u.F.1, IS oath Fixtures & Tub Access Elec. Trim & Subpanel: Breaker Sizes -Labels 62. learancas-Hearth 11-64' Panel: Int. & Ext. II 66•, btaclos at Kit, Counter 67. - r.ArAn+ Fun 69.,[Ir- Htr.: Vence -r: earanee-Comb. Air-Connector-P.R.V.- In Garage: Above Flop -Meeh. Protection ru• quip, Listed for Location A. Elec. Receptacles in Garage; (G.F.I.)-Romax Protec. 72• laiv+s!ron-Foram-Looked in Attic 1-1, Yes 73. G'�3 n^ -k Construction -Post Caps 74, F4a--VeaFs-&-eraw1 Hole Door -Drainage & Wood -Earth Clearance ----Looked under Floor E Yes 75. Following instld.: Orive y es V No; Walks C yes ���o.. Planners f ivwa ttrc� 30. Clothes Closet Light -Shower LigRt - - - 77' 1-Ctrrtce3-Brkr. & Coad. Size -115V Outlet -- Dg.-Appliance-Firepl.-Clearance to Opngs. _ ..- "--- - ---- _- 79. iLalnr 111011 rlc.,.•e"e pct, Electrical, Plumbing 80 , _ Fitw'ezFrY . G.F.I. Receptacle -Underground Card B•I Date Card•BI - - - Card B -I _ . - -'-- - - _Date Dale - - ---- CarA-BI Date 61. __8 -- V MC qui ut Mouse Gate MECHANICAL (Permit) OK except it's _-_�_• _-n Correct tons from Previous Inspections 31. A.C. Ducts. insulation &Support 84 ^Gii1 !11L tors Tagged; Gas -Electric - .^_ 85. -W011--t-fir-Sever Connected -CIO to Gredo-HD Approval - -. 2. Vent Fan. Exhaust above Insulation 33. Concensate Grain &Overflow, Size & Grnde - 3f-Gomplinnce Certificate -Other Certilicates _ . -... - 34. Formate -Vent AccOss-Comb. Air- Return Air - Venl-115V outlet 35, ArtrC Access & Platform if Fu'nace in Attie - - "" -- ' - - ----- ---- - ---- - - ------- Cartl•DI Card -DI Date Card -BI Datc D:11r Card Rt Data Card -B - - - Card -Bt Card•BL � Card -BI Dato - Dat --- Oatc �__-,---- __ _ -Card BI Date Cate `- --- Card -fort Date Cmmn•entc at Fin.11 _..... - . _.__.. .._ .. __. Lime FR MINGIVI•iiisl OK e%cvpt n's Jb. 11 s, roocr M.ucnol & Anchrns ��IY.ills ShuC:-N,uluiU, Spar ul;l & f3raung-I'I,ues-tihund - ..._ j 9 BV,111119 Cl.ills nv.tr Girder: a Film, Naoj.i; t i 11;a (1,11 pl uul) .. ... _ _ - - -- • i 40. F Ile -up. wn'i i'ilniyS--$hurt.-Ch.i5r5-Tuh .. _.. ... -- --- �I I rtr.utrr fl 17i�.anSr: rt K lfi :u uiy .- .. .. .. .. •-". A,'�'1'Icrtr7iR'S"t"n'st-Capt-Ani hhr •. _ Comiet hu S _ _. _ •- - 4.17. (, h1,i..Lir..I Hllr. 1 it•b- !'u11n1- Houl Ii,,K. -T1u•. `;-Shlhnu.-Rlnq, -_ '--- .._ 74-vjw r Fuepl.iir Ihi net •1'.. �+..-A-n-r��"-ti�r,�.:-tl Ihralr. 1'lulri trr;n..11r.111 Slup-Ing. h,Nlle� dd. Ii,inn. q..r��> t• t •11in,1 I)un�_tiill tlyt. K Pinwiisq.,oj COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95935:- Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOk PA RCE LJ NUMBER^/ ZONI G BUILDING PERMIT OWNER J �n 0 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER^!rMP,A LING A DRE�& /jt r /t r i� /(, CON C R'S NAME e- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSJTqUCTION LENDER O V1 C UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI. ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS — l� i % r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �nOV Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP — _ lv K Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT E n SF ❑ D.uplex❑ Mobilehome❑ Other C/ Cej V+ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W V0.00 ea " TYPE OF WORK New] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense 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 / oa ACONSD DDNST ACCLBLING LDGSCCUP.N1 yz¢sgft ,a NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e) SINGLE OUTLET CIR. zo®soe Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED Ex. Occup. OUTLETS PRESID )REA.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 shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. mentds, costs,nd deex enseless the s which may in anof y way utte against alalso liabilities, es ju e to save, accrue again t said Cou in c nsequen a of t r nting of this permit. XDate V Signature of pplicant — Owner Contractor E] Age ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ssjin height. ion of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE 11F,�DJPARCIE:L] \V PD ND ISz E 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 DateITE-D.P.W., PE EXPIRES Date J %' �0/ceipt No. YELLOW -ASSESS R. PINK -INSPECTOR, GOLDENROD -APPLICANT FH COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;'dAL''f-�ORN?A 95965 - TELEPHONE: 916/534541 PERMIT APPLICATION DATA SHEET I Permit No. _ ' OWNER 1 D �I �YQ �O�C - A. P. No. Proposed Building Use AV � N r" f 6" Va f Building Inspector Date �l � 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. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . '3. Complete plans in duplicate./triplicate, signed by preparer of plans. s F% 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . Letter of signature PP e/ P authorizat;.on. v . . . . . . . 10. Sanitation a roval from Z) / Health De t. 10 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) } /4i ...�. :..e',rK: 'S'.':•r•:;,-.: :.; �.. "�,..�:^'.h.ii-lac 14. Owner -Builder Verification (Given to owner, Mail't-o owner _15. Improvements may be required. 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: /Mail to owner, Mail to contractor. v Telephone and hold for pickup at office, Deliver w/ i ns pector.. Other Applicant f ^ T'3 r r ., .---bate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nall—counter by date Contractor, designer, owner, was advised of above required data by—phone _maII —counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 P.M. TO Buildina Department`' FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan .Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile home. NOTE * * * Water Supply Water Supply Other COUNTY OF BUTTE - Department of Public'Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 , OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 5 2. I (have/have not) &V,4 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: Named L 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' gZZ4 /I Property OwnerI , Social Security Numb ` ' ' 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 pex.-.1 mitted to issue the permit. NOTES l ;; RESIDENTIAL PERMIT NO. 0cs-s-• �• o3Z o3�0�4$ G. -- Ir— SPECIAL CONDITIONS 1 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Z ` 17, Signature on CHECKED BY J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 51. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 52. 20. Shower Pan; Test, First Floor -Tub Access 53. 21. Test Tub & Shower, Second Floor -Tub Access 54. 22. Gas Pipe; Sixe & Anchors 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 23. Fire Sprinkler; Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 60. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 64. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 65. 32. Service -Riser Conductors & Ground Main Disconnect 66. 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 46. Headers & Beams -Size & Bearing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = NotReadyable 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/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California •,95965 • Telephone (530) 538-7541 PERM I 0. (Rev. 12/96) APPLICATION AND PERMIT nz— n2 ASSESSOR PARCEL NUMBER 045;7 ... J ^ ZONING BUILDINGPERMIT OWNER , ' /VoL//a Y TELEPHONE (CrJC) SO. FT. OCC. BUILDING VALUATION . OWNER'S MAID ADDRESS 1 ' CONTRACTOR'S NAMETELEPHONE P e �eirrcx 3 2 -I 7 7 CONTRACTORS MAILING ADDRESS U — CONSTRUCTIO LENDER Fireplace LENDER'S MPJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS «� ✓✓ F Ul✓ Ei` Ener Plan Checking Fee 9Y 9 $- $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF $F`_"'Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 CO TYPE OF WORK // New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 01.6ther D Describe Work: 2&e&,�pGGf U!/�/ � Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S GO ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.VA ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full f rce and epect. ���ll License Class e,,M �c. No. (0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with omply wit those ovisions. X _ Date Z Signature of Applicant - O ner Contractor 0 Agent '2 An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig . Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. OCS. 3.5¢FT: ptOµRE10T' MULTI.OU"CUITSTLET @7.50 POWER APPARATUS A SINGLE OUTLET CIR. 20 @ I.50 Ex. OCCLI OUTLET OR FIXTURES SAL @ .50 Ex. Occup. OUTFIXLETS REESIDLNS.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ o, HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD UE This permit ' reby issued under of the B e unty Code and/ indicat a ove for which fee r By PER IT EXPIRES O the applicable provisions esolutions to do work a been paid. ate / v Date ReceiptNo. WHITE-D.D.S.-B.O. CANARY SS SOR PINK -INSPECTOR GOLDENROD -APPLICANT rr �., ... ..,-.. -..«_ ;dt..a.. e.,�,—. - ...-.,..Nv..�;rti �++.�'y:'�k��--v-•v:rT�crxxY:r�avalr�?'�,�7#3'JR�OG`7�.�w:r►�Wu.'�';Q."t^-�,?!ar77P�,aam,+':`�3rt;:iiF'�..��%+'X„R`r.-?;osLL Kn,B .:,,�{�,n ;'�g'+.� _ 058-550-032 02-1936 HANDFORD,FLOYD 11123 YANKEE VISTA, OROVILLE CONT: GEORGE & SONS ROOFING RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `I`'� ( ASSESSOR PARCEL NUMBER I� M (. ZONING BUILDINGPERMIT OWNER ' f 14ANDMPD, TELEPHONE SO. FT. OCC. BUILDING VALUATION C1. . OWNERS MAILING ADDRESS CONTRACTOR'S NAME 0MRGE X . ri 00 Tidy:.' TELEPHONE CONTRACTORS MAILING ADDRESS low _ rrri% a IONLER - -� CONSTRUCTNDE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ —Filing Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Permit Fee 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee _425 $ BUILDINGADDRESS 11121 Wh�M VIM -4 mu - Energy Plan Checking Fee $ PERMIT FEE $45 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l.Z Describe Work: RE-I1MF (Nmy % Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20,00 R UES Main Service 200A OR LESS 23.00 1 LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. i .^y� License Class [ " Lic. No. t].j( OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 11 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following, declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'`` compensation insurance carrier and po icy number are: Carrier �•i �1 Cr ,t • Policy Number `a 17 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is -issued, I shall not employ any person in any manner so as to become subject'to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply`with those provisions. f X j . ,.. _� _ �--"'' / Date r ( C, Ir Signature of Applicant - ❑ Owner ❑,oContractor ❑ Agent An OSHA permit Is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BUDS. 3.5¢FT. NO'.RES DT' MULTI.OUTLET @7,50 POWERAPPARATUS SINOLE OURET CIR. Ex. OCCU . OUTLET OR FIXTURES 20 SAL @ .50 Ex. Occup. GUTLEEDTSA R 1p.0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coralr , . TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By >G` ate PERMIT EXPIRES ONIV r lid.;'1 Il j Date ReceiptNo. —W560 SAS -N) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR . GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P �N (Rev. 12/96) APPLICATION AND PERMIT Dpi 7 ��' ASSESSOR PARCEL NUMBER 099-990-012 ZONING 1 BUILDING PERMIT OWNER 14A 1) FT MM TELEPHONE SO. FT. OCC. BUILDING VALUATION 960 . OWNER'S MAILING ADORES 2 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADCRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 960 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $25 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RF—ROOF (METAL) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professions Code, and my license is i full force. and effect. License Class _ Lic. No. .- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /erformance of the work for which this permit is issued. I.have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for hich this permit is issued. My workers'��•co"m�pe�n�sati� ,n insurance carrier and p Ic number are: Carrier V Yt--� C__C� 9\ 1 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith coDVI with those provisions. X Dater f!( 2 Signatu of plican - ❑ Owner ontractor ❑ Agent An OSI permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. SO 3.52FT. T. NON-REOSID. MUL 0NT I @7,50 POWER APPARATUS S SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup. E40 01:00 FlXEO APPLNS. OR 5.00 Ex. Occu . ouTLETs RESID. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. p. FEES IMP I FLOOD I COF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which feids have been paid. B K�Vate PERMIT EXPIRES ON (0 ti3 I I I (Date) Receipt No. 360560 $49_0Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 104x„1 \;#T,; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' Y PERMIT NO. 7 County Center Drive - Oroville; Gralifornia 95965 -Telephone: 916/538-7541 _% 6(,/ -? APPLICATION AND PERMIT ASSESSOR PA NUMBER ZONIW. "-=F BUILDING PERMIT OWNER`' 1_/%`/d /y�/ TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS Oro U I/ /,c, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER fti) 0 A (:- UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER o 11 "C -.J LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR E'NGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF R1 Duplex❑ Mobilehome❑ Other `'"7 j,//Ir 11/a �v SPECIFYf 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: I r /o A? /A deOJ/a VA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C1 /3 Q�/�'� 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 penalty of perjury (check -one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP.el OR AODNS. ( ACC, BLDGS. 1 1 �Z�SQ ft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20®@300 eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 / Permit Fee $ :�T® 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. ®D I shall not employ any person in any manner so as to become subject to the W. C. laws of California. N 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 , ,r $ Contractor 3 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 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 expenses7which may in any way accrue against, said Cou�ity in consequence of-th gr nting of this permit. X Dates n/ r Signature ofl4pplicanl — Owner Contractor ❑ A91 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3.sttories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ '2 0 occuP. CONST.TYPEJ FL001 PARCEL PD HD Ise E This permit is hereby issued under sions of the Butte County.Code and/or work Indic ted above/for which fees DIRE�C ORIF PU CIC;WORKS 13 r c: �.vt� '�� /^ PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. 1,�, Q Date( L� / 1a A - �� Receipt No. ?l /� WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT /NO. ASSESSOR PAQ'C-s1►A6ER J %—NTN G BUILDING PERMIT OWNER�/ U v( TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S M ° ING A DRESS it / 3 �- s L ro v t CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE �J SF® Duplex[] Mobilehome❑ Other SPECIFYf 17 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IsFGTwT O.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other,] Describe work: Permit Fee $ Contractor " ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.0 00 ' Main service 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/POWER 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 //EA. oR ADDNST l DWEACCLLIN GSCCUP.It+� /22sgft NEW CONSTR ULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS APPARATUS .&) (SINGLE OUTLET CIR. zo®soa EX. OCCup(OUTLETS OR FIXTURES 3AL030 FIXEAPPLNS. OR D .00 Ex. Occup. OUTLETS (RESIO.) EA. 2 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 - :H I Permit Fee $ Contractor WORKMEN 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju en •s, costs and expense which may in any way accrue agains said Co t 'n conseque e= g Ing of this ermit. X Dat fly Signature of pplicant — Owner Contractor ❑ A en 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 $ TOTAL PERMIT FEE $ 7:5-0 OCCuP, CONST.TYPC I I FLOOD PARCEL PD No Is3 E This permit is hereby issued under sions of the Butte County. Code and/or work indic d above for which DIR F Pttte MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS - Receipt No. 6 �� © 1S WNITC-D.P.W., YELLOW-ASBE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT =r, COUNTY OF BUTTE - Depart -Ment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) V� . 2. I (have/have not) 2OV o�_ signed an applications for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address a City Phone Contractors License No. 4. I plan to provide portions of this work,,,but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed; Property Owner Social Securi y 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. PERMIT NO. 79a$6P,E,M PERMIT EXPIRES LEE HALSTROM OWNER' V` CONTR. owner 'F ASSESSOR PARCEL 58'55-02p4a 3 LOCATION II c�, Yankee Vista Circle, Oroville 1 y U+LL Uo J h F S c V � OFFICE COPY 4 Temp. Pow; Called Address .rt'Tgmp. Elec. GA ( M y Called P, ELECTRIC Dat`e��'� Meter By Temp. Gas Se Called PG&E JOB FINALE[ �t I Signature f A K, OK 0 = Not OK =•Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; 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/0 to Grade -HD Approval 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V =: OK 0 = Not OK = Not Applicable :� = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK excepta's Date FRA Continued Zo ing requirements-Setba ks-Easements Pro erty Line Firewall & Openings tg., Main; Soils -Steel- n .- / '2-4:' Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Etg., Garage; Soils -Steel- / /" Ftg. Depth - eadroom-Rise-Run-Landing-Fire Protection tg., Poseife's & Decks; Soils -Steel- //--LP' Ftg. Depth 5 !ywood on Root Overhang -Attic Vents -Rafter Outriggers St'Sternwalls, Maid; St-B�s-Wrapped,&iab- iding-Nailing-Veneer g cta •alts rarai^ .'-�el-Blockouts-Wrapped-Slab 3. t=cu MuSli-DripS-creed-Fdri. Vents-Underflr. Access '9--Piers-Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55., -Bolts I'Aas Pipe; Siz0-'Mnc rs 1 ter Pipe; T -Anchors-Regulator-Service Test ergroun 12.y_earance-Material-Support-Ins. 11r Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date r Card -BI Date Card -BI DateA_&_ Date Card -BI Date Card -BI Date Card -BI Date lF- Card -BI Date Date tans) OK except p's Card -BI Date Card -BI Date Date PLUPBING (Permit) OK except p's teps-Door & Sidelight Protection -Landings oke Detector _ Wier Ht.; Vent -Access -Combustion Air 58-._ omb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection Test & Anchors -Nail Protection _*-'Water'Pipe; .W.V.: Test-Fttngs & Anchors -Nail Protection 9 edroom Exiting st, First Floor -Tub Access •F . & Bath Fixtures & Tub Access 18TFe$hower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels __ Pipe; Size & Anchors 6 St Rails _ _Gas Card -BI Date �S�r� and -BI Date CftZ' it lace or Sto e; Cle es -H arth lec. Outlets at Woo ane ; nt. & Ext. 6 _, ._yxt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 86w'ETec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67.-Carage.F-ire_Door-Swing- Land i ng -C loser 68. A-.G-DuCT tTr- arG age -Damper 20. F' ure & Transformer Clearance -Ins. Protection - les. Receptac s Spacing fights &Switches at Doors e Boxes & No. uctors-Stapled Wtr. Htr.; Vents -Clear -Comb-Conng,jae-P�V� JD Cater g rotection plb., Elec. &Mech. Equip. Listed for Location �_ 23P'Romex Installed Close to Edge of Studs & C.J. 71• E arage; (G.F.I.)-Romex Protec. 24. Equ' .Ground made up w/Mech. Fasteners -Bond Gas &Water 7�s -Foam-Looked in Attic ❑Yes - -U2 2 Appliance Circuits in Kitchen &Conductor Size 26. . Cu or AI-A.C. Wire Size / / ga. Cu or At Zuar s"& Deck Construction -Post Caps 7 n. Vents & Crawl Hole Do -Drainage & Wood -Earth Clearance N� g Looked under Floor es 27 u or AI -Oven Circ. / / ga. Cu or Al, _ I_ns ted_N_eu_tral `;Yes ❑No ervi'_S tors & Ground -Main Disconnect 75. Following instld.: Drive E] Yes o; Walks El Yes o; Planters ❑Yes L,d•Iyo 76 29. quip. Clearances; Panels-Motors-Mech. Equip. 77, Irnces-Brkr. & Cond. Size -115V Outlet 30. __-' ht -Shower Light Card B Dat r� - r� Card -BI Date Card B-1 n Date Card -BI Date encs Above Roof; Plbg.-Applia it l.- earance to gs. Plumbing b96 Ex erior EI c. Trim; G.F.I:`R eptacle-Underground entilation throughou ouse s Protection Date MECHANICAL (Permit) OK except k's 8 Corre ion m Previ us Inspections 84. T -Meter agge as -Electric 31. AX. Ducts_ Insulation & Support - - 32. Vent Fan_Exhaust above Insulation _ - _-_ _ Condensate Drain & Overflow; Size &Grade _Furnace-Vent Access -Comb. Air -Return Air Vent -715V outlet 35. Attic Access & Platform if Furnace in Attic _ - _ _- Card -BI Date r.� Card -BI _ Date _ Card -BI Date Card -BI Date Bix Water &Sewer Connected -C/0 to Grade -HD Approval 6, nergy Compliance Certificate -Other Certificates .✓ ` y �4 It 0 �p Ta—rd- Dae Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date ------.Comments al Final: Date FRA Plans) OK except H's._ - /S�4s;Proper Material & Anchors _ 3� Is_Studs-Nailing, Spacing & Bracing -Plates -Sound f ll ring Was over Girders & Floor Nailing__ _ M ra top in Walls (rat proof)_ - e_Stops: Furred Ceilings -Stairs -Chases -Tub —`� �►/� f�� a -- - O- -- Hea er & Beam -Size & Bearing 4 rs-Post Caps -Anchors -Connectors 43�' �G oist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. 4 eplace Ties or Type A Flue -Fireplace Throat _+���' 9yN+`Access: Size & Romex Protection -Draft Stop -Ins. Baffles 4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. G a ng - - �C - - (NOTE: Anentrymust be made each time youvisit jobsite) Owner: ef, /'tel (S'h-6M , _ Permit No. % 0L-5 —?K ENERGY CE—RT—IF ICAT ION Yankee Vista Circle LOCATION A.P..No.' DESCRIPTION OF INSULATION ROOF Material 0.9 7I � Thickness(inches) 4011411 EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 32" CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiberglass Minimum Thickness(Inches) 104" Area co�ared(ft.2) 958 FLOOR, ELEVATED Material���o%.rs c��? Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Aeu/Z CGS Thermal Resistance (R Value) Z Brand Name Manville Thermal Resistance(R Value) Rll Brand Name Thermal Resistance(R Value) Brand Name Manville Number of Bags 20 Wt. per bag alb. Thca:+.�al I e0Astance(R Value) R30 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. I nFPKF TNqII ATTnN Cf]_ #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. _ June 23, 1986 SIGNATURE OF INSTAL TION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAMEOWNER )(Please print) All SIGNA RE OF GENERAL CONTRACTO. STATE CONTRACTOR'S LICENSE N0. 4 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN PERMIT ASSE O PARCEL NUMBE - ` _ C) �L ZO N BUILDING PERMIT OWN R 0 T V140 SQ. FT. 0 C. BUILDING VALUATION OW 'S MAIL( ACDRESS o s11(9 1-1 zoo CONT ACTOR' AME U TELEPHONE CON A TOR'S MAILING ADDRESS Fireplace 11060 CONST(IiUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH( CT OR ENGINEER a 14a LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT CT ENGINEER'S MAILING ADDRESS .. Penalty $ BUILD G ADDRE Permit fee $ t PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL MAP ' Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE''] SF DuplexMobilehome❑ Other ( SPECIFY Gas piping system 1 - 5 outlets 5.00 5 Building sewer 5.00 Mobile Home is 10.00ea TYPE OF WORK New [Q� Addition ❑ RemocWl Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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 OCC '/z¢sgft , OR ADDNS. 1 ACC, BLDGS. NEW CONSTR. ULTI.OUTLET 2.50 ea NON-RESID BRANCH CRC ITS (POWER APPAIRATUS h\ (SINGLE OUTLET CIR. Ex. Occu 1520050t p OUTLETS OR FIXTURES 5200030 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 $Ue 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. MECHA IC L RMIT FiIingFee 10.00 Heat' Y Cooling Hood 3.00 1 Ventilation �--- permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 sat Count i on a enc a granting of this permit. 2 _�7 � 7 X Date �) 7 Signature of Applicant — Owner ❑ Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0•• deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ r OCCu P, 9-3 CONST.T7PEJ -V� Flo D PARC L PD HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR WOF 011UBLIC WORKS f _ ^� By Dae v��/ ,d PERMIT EXPIRES Date , '1�2' Receipt No. WMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ,� .rs. ,• .�sri. i ,�•• f ;+I+'?. ylotl? fgTTl�iw.g9t�: `,'7s, r��! + V, \i ,r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIV.ISIO'N 7 COUNTY CENTER DRIVE - OROVILLE;*14:1` f'AIA 95965 - TELEPHONE: 916/53,44541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER �G' Q f r0 n'T A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price X DPW Valuation Other x I ' ) / Building Inspector Date �l 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. . . . . . . . . . . 3. Complete plans in.duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD 'Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . • Letter of signature authorizatio . . . . . . . . 10. Sanitation approval from v - Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . • . • • Pre-Inspec. request to Note) j,7. Pre -Inspection for Required. Building Inspector yI d, 18.\RRee�ojff&A� f t I Acknowledgment State ent . _ �Uonstructi.on approval required prior to occupancy Af hen you issue the pg.r int, ocess as follows: Mail o owner. Mail to contractor. Telephone �✓- n and hold for pickup at ±S�office. Deliver w/inspector. Other { Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,,,Owner) was advised of above required data by By Plans checked by' Plans approved by Other Copy—DPW Telephone Mail Other Date Date Date r` To: Building Department From: !!7ivironmental Health 'Subject:- Sanitation Clearance Owner Location Plan Approved for: Sewage disposal Hold final for: -szs- - C-?-,-)- AP// water supply water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home Other NOTE Sanitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT a�' EGORDFD=th OFF[ CidL RECpP,.OS section `26-8.1. of the Butte Count Code re uires this acknowledgement C�.C#UTTH59EtY: ST0-RPiip Y q g d77HEREQUESTOl=� Abe recorded prior to issuance'of a.building permit.. 86- 9938 PARR SH }� The property described herein is adjacent to land or included �98� APR -j ��j H 3 within an area zoned for agricultural purposes, and residents o.f this property may be'subject'to inconveniences or discomfort arising fromEL� B r1l �'' the use of agricultural chemicals, including, but not limited to herb, s�Fes and fertilizers; and from the pursuit of agricultural operations including,. uu t 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: Awe / C4 -S 1/Z ow n, 0n PArC"0- 0 0. 10 ort ate, of � /1 e 6 G �7" G „ -�o !.cGL c�J S %L �r G� // %� C3 V - S� C T� o 7 .3,41, T 6c k s /0 �L 2 /Vor-`J �t rzf-� �a r M i a .8, ' l W / 1c, 4, tknap wei s le pda� /`c R7' J� f' S J�ee ncl 7 7 Date: `'- / - 8,6 State of SS. County of ) PROPERTY OWN Aa4P On this the �� day of A .pe j 19j2L, before me, the undersigned Notary Public, personally appeared L�� �ld4L�+►�oh� Present A.P. No. i Notary.Public OMCIAL SEAL GAYLENE B. HUSTON y. NOTARY F"MC - CAllFar?YIA CCU111it OF BUTTE. My Comm. Expires March 22, 193° S:l Personally known to me. // Proved to me on the basis OMPPY� OV41 G�,A� be of satisfactory evidence. to the person(s) whose names) /-S subscribed to r UV` � ` the within i instrument and acknowled g ed that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. i Notary.Public OMCIAL SEAL GAYLENE B. HUSTON y. NOTARY F"MC - CAllFar?YIA CCU111it OF BUTTE. My Comm. Expires March 22, 193° S:l Table 3-7. South-Facine Glazing Pte Yable 3-10. Shadina Coefficient P i I I Glaring Type I I Total I 1 I 2 of I Sngl, Dbl, r Trpl, 1 Floor I (U - I (U - I (U - I I Area 11.10) 1 0.65) 1 0.41)1 I I oints (points I ointsl o 1 +3 + +3 1 u to 1.5 +2 I +2 1 +2 1 1 1.6- 3.6 1 0 1 0 I 1 3.7•• 5.2 1 -4 1 -2 1 -2 I 1 5.3- 6.5 1 -6 1 -4 1 -3 1 1 6.6- 7.7 1 -9 1 -6 1 -5 I 1 7.8- 8.9 1 -11 i -8 1 -7 I 1 9.0-10.0 1 -13 I -10 ,I -9 I 110.1-11.5 I -17 ( -13 I -11 I 111.6-13.0 I -21 I -16 I -14 1 113.1-14.5 I -25 I -19 I -16 I 114.6-16.0 I -23 I -22 I I I I I Table 3-8. West -facing Glazing Pts. II I I I -' Glazing Type I I Total I I 1 x of I Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (u - I 1 Area 11.10) 10.65) 10.41)1 I I oint9 Ipoints I dints! o +6 +6 +6 I up to 1.3 I +5 I +6 I +6 I 1 1.4- 2.2 I +3I +4 I +5 1 I 2.J- 2.8 i 0 1 +2 1 +3 I I 2.9- 3.6 I -3 I 0 1 +1 I I 3.7- 4.2 I -5 I -2 I 0 I 4.3- 5.0 I -8 I -4 I -2 I I 5.1- 5.6 I -10 1 -6 1 -4 1 5.7- 6.2 ! -13 I -8 i -6 I I 6.3- 6.9 I -15 I -10 1 -7 I 7.0-'7.6 - -12 I -9 •I 7.7- 8.2 i .-2J I -T4,- I -11 1 1 8.3- 8.8 I -22 I -16 I -13 I I 8.9- 9.5 I -25 I -18 I -15 I I 9.6-10.1 1 -27 -20 I -16 I 110.2-11.0 I -29 1 23 I -17 1 111.9-11.8 1 -33 __I _29 1 -21 1 I 11.9-12.7 I 33 T-_29 I -24' I 112.8-13.5 1 -42 i -32 1 -27 1 13.6-14.3 I -46 1 -35 1 -29 1 14.4-15.2 i -50 i -33 i -32 ZONE 11 I Orfen- 1 : Floor Area tation I +4 1 OWNER LEE �,Qt$T,2®/�/ POINTS 1 Table 3-3a. Ceiling Insulation PERMIT NO. -729-8G ASSIGNED ACTUAL Points ( .20-.36 1. SLAB - INSULATION POINTS .67-.82 I I R -Value of Insulation I Points I 0 i -1 i -2 I SouthU31 3.2 1 6.4 18.0 19.6 I 1 I 2. P.AISED FLOOR - R-19 /9•DO 0 I 19 I -4 ' 1 3. CEILING - R-30 30.OD Type I 22 I I -230 4.WALL - R-19 / " 7 49 0 +4 I 5. NORTH GLAZING. - 2.4-3.6% /•Zs +4 I I I 6. EAST GLAZING - 2.5-3.6% 3.15 Z 0-.12 10 I +1 I +3 I +6 I. +7 7. SOUTH GLAZING - 1.6-3.6% O'% f Z Table 3-4a. Wall Insulation Points S. WEST GLAZING - 2.9-3.6%-,/Z747 -2 I -4 I -8 1 -16 1 -20 I I I 1 � I R -Value of Insulation I I Points 1 9. SKYLIGHT - 0-1.3% �•0 C9 I I U - ! U- I 'able 3-1. �+ Slab Floor Points 10. SHADING (Exclude Overhang) Floor Points I Floor I 19 I 0 10.42- EAST - . 66 6 G j) i 30 i +3 Insvlstion SOUTH - .19-.42 T 7I Area 11.10) 1 0.65).1 0.41)1 1 1 WEST - .13-.36 .66 % Table 3-5. North-Faein Clarin Pts .SKYLIGHT - .37-.57 1 R -Value ofI ( T- oints I oints Iointsl 11. HORIZONTAL 2j I I Glazing Typc I I Total I SOUTH OVERHANG 2' 0 i Insulation I ' 0 '+ 1 +, ♦4 I up to 1.3 I -1 I 2 of I Sngl, Dbl, I Trpl, 12. MOVABLE INSULATION - NONE 3-4 5-6 I' I Floor I U- I U- 1 U- 1 1 I up to 1.3 1 +3 1 +4 1 +4 1 ( 1.4- 2.2 I I Azea 1 0.66 10.42- 10.41 I 13. -INFILTRATION (Standard=0)(Tight=+12) I I I 11.1010.65 ( down I -THERMAL I 1.6- 2.4 o +4 + 4 +4 14. MASS SF -3 I ( 0.1- 1.2 +4 1 _� -T.-3-2. +4 15. GAS FURNACE (SE) CWAU) 71-76% I below 3 0 1 3 1 +1 +2 I 2.4- 3.6 i -2 I o I +2 I I +1 I I 2.9- 3.6 I ArM -6 1 -5 I I 3.7- 4.s I -4 1 -2 I -1 I 16.HEAT PUI1P (EER) 7.5-7.9% T -5 1 I 3- 4 I 4.9- 6.1 I -7 ( -4 1 6.2- 7.3 1 -9 I 1 -3 I 17.7.4- DUAL PACK (SE, SEER) 8,0-8.3/71-76% -8 -6 8.2 -12 1 -8 I 8.3- 9.7 I -14 I -lo I -5 I -7 I -8 1 -5 I WOOD STOVE YEs 4 W I 9.8-10.8 I -17 I -12 1 I -10 I .5. 7-5 - -4 I -3 1 ( 4.3- 5.0 ( -14 I 10.9-12.0 I -19 I -14 I -12 I 116 - 19 I GRS WATER 'HEATER -2 1 Q 112.1-13.2 I -22 I -16 I -13 I I -4' I I. 5.7- 6.7 I -10 I -6 I -5 1 I 5.1- 5.6 I 1 13.3-14.5 I -24 I -18 I -15 -10 I ATTIC /op '/o -5 f 3 i 14.6-15.3 i -27 i -20 i -17 I 13 - 18 OTHER I 6.8- 7.7 I -13 I -8 I -7 I I 5.7- 6.2.1 -19 1 Table 3-7. South-Facine Glazing Pte Yable 3-10. Shadina Coefficient P i I I Glaring Type I I Total I 1 I 2 of I Sngl, Dbl, r Trpl, 1 Floor I (U - I (U - I (U - I I Area 11.10) 1 0.65) 1 0.41)1 I I oints (points I ointsl o 1 +3 + +3 1 u to 1.5 +2 I +2 1 +2 1 1 1.6- 3.6 1 0 1 0 I 1 3.7•• 5.2 1 -4 1 -2 1 -2 I 1 5.3- 6.5 1 -6 1 -4 1 -3 1 1 6.6- 7.7 1 -9 1 -6 1 -5 I 1 7.8- 8.9 1 -11 i -8 1 -7 I 1 9.0-10.0 1 -13 I -10 ,I -9 I 110.1-11.5 I -17 ( -13 I -11 I 111.6-13.0 I -21 I -16 I -14 1 113.1-14.5 I -25 I -19 I -16 I 114.6-16.0 I -23 I -22 I I I I I Table 3-8. West -facing Glazing Pts. II I I I -' Glazing Type I I Total I I 1 x of I Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (u - I 1 Area 11.10) 10.65) 10.41)1 I I oint9 Ipoints I dints! o +6 +6 +6 I up to 1.3 I +5 I +6 I +6 I 1 1.4- 2.2 I +3I +4 I +5 1 I 2.J- 2.8 i 0 1 +2 1 +3 I I 2.9- 3.6 I -3 I 0 1 +1 I I 3.7- 4.2 I -5 I -2 I 0 I 4.3- 5.0 I -8 I -4 I -2 I I 5.1- 5.6 I -10 1 -6 1 -4 1 5.7- 6.2 ! -13 I -8 i -6 I I 6.3- 6.9 I -15 I -10 1 -7 I 7.0-'7.6 - -12 I -9 •I 7.7- 8.2 i .-2J I -T4,- I -11 1 1 8.3- 8.8 I -22 I -16 I -13 I I 8.9- 9.5 I -25 I -18 I -15 I I 9.6-10.1 1 -27 -20 I -16 I 110.2-11.0 I -29 1 23 I -17 1 111.9-11.8 1 -33 __I _29 1 -21 1 I 11.9-12.7 I 33 T-_29 I -24' I 112.8-13.5 1 -42 i -32 1 -27 1 13.6-14.3 I -46 1 -35 1 -29 1 14.4-15.2 i -50 i -33 i -32 I SC by 0 I I Orfen- 1 : Floor Area tation I +4 1 I east I I 3.2 I 1 Table 3-9. Skylight Points 6.3 I 0 -.19 1 0 I +1 I +2 ( .20-.36 1 O I 0 1 ♦i TOTAL POINTS .67-.82 I Table 3-6. E..t-F.,ing GlazinR Pts. 0 i -1 i -2 I SouthU31 3.2 1 6.4 18.0 19.6 to, i' to I to I up 6.3 1 7.9 1 9.5 i I I 0 -.18 1 0 1 +1 1 +2 1 +2 I +3 I .19-.42 I 10 1 0 1 0 1 0 I .43-.66 1 0 1 -1 1 -2 I T2 I -3 I u ' I I Glazing Type I to I to I to to up 11.5 13.1 1 6.3 7. i I I I I I 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 I 0! 0 1 0 1 0 1 0 .37-.57 1 I I Glazing Type I I Total I •'3 up -8 I -16 1 Lo 1 .1 I .8 i 1.6 1 3.2 14.0 I to I to I to i to I to II.7 t`s 1 3.1 I 3.9 I 5.2 0-.12 10 I +1 I +3 I +6 I. +7 - "- --I Total I I I % of TSngl, Dbl, Trpl, .83 up I I -2 I -4 I -8 1 -16 1 -20 I I I 1 I Z -of I Sngl, Dbl, Trpl, I Floor 1 U- I U - ! U- I 'able 3-1. �+ Slab Floor Points Table 3-2. Raised Floor Points I Floor I (U - I (U - I (U - I I Area 10.66- 10.42- 1 0.41 I I Tn=•ala- I R -Value of Insvlstion I T 7I Area 11.10) 1 0.65).1 0.41)1 1 1 1.10 10.65 I down I 1 ttun i 1 R -Value ofI ( ISI oints I oints Iointsl I Depth, _� i Insulation i Points I ' 0 '+ 1 +, ♦4 I up to 1.3 I -1 I 0 I 0 I Inches 10-2 1 3-4 5-6 I' 7+ I 1 I up to 1.3 1 +3 1 +4 1 +4 1 ( 1.4- 2.2 I -3 1 -2 I -1 I I I I 1.6- 2.4 I +1. I +2 1 +2 1 I 2.3- 2.8 I -6 I -4 I -3 I 1 1 i 1 I below 3 I -12 I I. 2.5- 3.6 I -2 I 0 I 0 1 I 2.9- 3.6 I -9 1 -6 1 -5 I I 0 11 -5 -5 -5 T -5 1 I 3- 4 I -8 I 1 3. � -8 -6 1 12 - 15 1 -5 I -3 I -2 1 -1 I 5 7 -6 .5. 7-5 - -4 I -3 1 ( 4.3- 5.0 ( -14 I -10 i -8 I 116 - 19 I -5 j -2 1 -1 1 0 1 I 8 - 12 I -4' I I. 5.7- 6.7 I -10 I -6 I -5 1 I 5.1- 5.6 I -16 1 -12 I -10 I +20 + -5 -1 0 +1 I 13 - 18 I T2 I I 6.8- 7.7 I -13 I -8 I -7 I I 5.7- 6.2.1 -19 1 -14 I -12 I i i i i i I •19+ I 0 I I 7.8- 8.7 I -15 i -10 I -8 I i 6.3- 6.9 I -21 I -16 I -13 I I I I I 8.8- 9.7 1 -1.7 I -12 1 -10 I I 7.0- 7.6 I -24 i -I3 I -15 I I 9.8-11.2 1 -21 I .-15 1 -13 ; I 7.7- 8.2 I -26 ( -20 I -17 I 7�f 7/83 1 11.3-12.7 1 1 -25 I -18 -1 -15 I I 8.3- 8.8 I -28 I -22 I -19 I 12.8-14.0 I -23 i -21 I -18 1 I 8.9- 9.5 I -31 I -24 I -21 I - i 14.1-15.3 I -32 i -24 I -20 1 I 9.6-10.1 I -33 1 -26 I -22 I I SC by 0 I I Orfen- 1 : Floor Area tation I +4 1 I east I I 3.2 I 1 10-3.1 i to 1 6.4 up 6.3 I 0 -.19 1 0 I +1 I +2 ( .20-.36 1 O I 0 1 ♦i ( .37-.66 I 0 ( 0 I 0 .67-.82 I 0 I 0 1 -1 .83 up i 0 i -1 i -2 I SouthU31 3.2 1 6.4 18.0 19.6 to, i' to I to I up 6.3 1 7.9 1 9.5 i I I 0 -.18 1 0 1 +1 1 +2 1 +2 I +3 I .19-.42 I 10 1 0 1 0 1 0 I .43-.66 1 0 1 -1 1 -2 I T2 I -3 I u ' i -2 i -4 I -4 I -6 West I .1 1 1.6 13.2 I to I to I to to up 11.5 13.1 1 6.3 7. i I I I I I 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 I 0! 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I -7 .58-.92 I -1 I -3 -6 I -15 •'3 up -8 I -16 1 Lo Skylight i .1 I .8 i 1.6 1 3.2 14.0 I to I to I to i to I to II.7 t`s 1 3.1 I 3.9 I 5.2 0-.12 10 I +1 I +3 I +6 I. +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I 58-.82 I -1 I -3 I -6 I -12 I -. .83 up I I -2 I -4 I -8 1 -16 1 -20 I I I 1 Table 3-11. Horizontal South Overhand. Points South Glazing Length Out 1 Area, 2 of Floor i I from Wall I 1 I ft T I. 10-6.3 I 6.4 up 1 I I I I 10.6 - 1.0 I -2 I -3 1 11.1 - 1.9 1 -1 1 -2 1 I .2.0 up I 0 I 0 I I I I Table 3-12. Movable Insulation Points Moveable Insulation'! Area, I of Floor I Points I 0 - 5.5 I 0 I 5.6 - 11.5 I +2 1 i 11.6 - 17.5 I +4 1 I 17.6 - 23.5 I +6 1 I _23.6+ I +8 1 Table .3. Infllttatlon Control Fen.tures Points t -- -- I Control Features I Points I T- I I I Standard 1 0 1 I I I 1 0.9 air changes per hr I I I Tight I +12 I +1.6 air changes per hr 1 + Table 3-15. Cas Furnace Uithouc _ Refrigeration Cooling Points 1 ! Seasonal Efficiency ! Points I I (SE), z I I � I I I 71 - 76 I 0 1 I 77 - 82 I +2 I I 83 - 88 I +4 1 I a9-9: ! +6• I I 95 up I +8 1 I I I Table 3-l6. Neat Puma, Points r 1 Energy Efficiency I Points I I Ratio (EER) ; I 1 7.5 - 7.9 I +3 1 I S.0 - 8.3 I +6 I I 8.4 - 8.7 I +9 1 I 8.8 - 9.1 I +12 I I 9.2 - M ( +15 I I 9.7 - 10.2 1 +18 I 1 10.3 - 10.8 I +21 I 10.9 - 11.5 I +24 1 11.6 - 12.3 I +27 1 I 12.4 - 13.2 I +30 I 1 I I Table 3-17. Cas Furnace With Refrleeration Cooling Points IRefrteeracioal Gas Furnace I I Cooling I SE I I I171 -177-i83-139-195 I 1 761 821 881 941 up I 1 8.0 - 8.3 1 01 +21 +4I +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 1 8.8 - 9.2 1 +41 +61 +81+101+12 1 1 9.: - 9.7 1 +61 +81+101+121+14 1 I 9.8 - 10.3 I +31+101+121+151+Ib I I !0.4 - 10.9 1+101+12i+1:1+161+18 I 111.0 - 11.4 1+121+141+161+181+20 1 I I I I I I 7/7/83 TABLE 3-14 (ADAPTED) 4aq' nu ri i rue ser. ZONE I1 INTERIOR THERMAL MASS POINTS AREA 1,000 1,500 1 +2 1 1 15 - 23 x2,000 1 24 - 30 I +6 I 2,500 ( +8 I I 3,000 I 48 - 55 I +12 I 3,S00 ( +14 I 1 64 - 71 4,000 I 4. Soo ft2. 5,000 I Sq. FT. I A B C 0 A B L D A B C D A 8 C D A B C 0 A B C' 0 A B C 0 A 6 v G :+ B +16 +19 1,000-1.499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1.999 0 +1 +3 +4 +6 +7 +8 +10 2,1100 and UP 1 0 1 +1 1 +2 1 +4 1 +5 1 +6 +7 +9 All others (Pe building points) :n 2 2 2 2 2 2 2 0 I 2 2 2 o I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C 0 0I o. 0 G D 100. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 O 0! 0 0 0 0 150 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 ? 2 0 2 2 2 0; 200 B B 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 i 2 . 2 250 10 10 B 6 6 6 6 4 6 6 4 2 r' 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Z 2 i 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2. 2 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7` 2 2 2 2 400 14 14 12 8 10 10 8 6 8 B 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 3 4 2 2 507 IS 18 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 6 4 6 6' 6 2 6 5 •1 4 < 4 2 4 4 4 d j 603 22 20 18 12 14 14 12 8 12 12 10 C 10 10 8 6 8 86 4 8 C 6 4 6 6 6 4 I 6 5 4 2 6 6 4 2 1 703 ' 24 24 20 14 18 16 18 10 14 14 12 0 10 10 10 6 10 10 8 6 8 B 6 4 8 6- 6 4 1 h A 6 41 6 6 6 2 230 f 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 8 B 4 ? 6 6 4 I 8 6 6 4� C 6 u = 903 jI 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 ( 3 8 '8 4 i 8 8 6 41 B 8 6 c i 1,000 30 )0 26 18 i22 20 20 14 18 18 16 10 14 14 12 8 12 17. 10 6 12 10 10 6 10 l0 8 6 I 8 a 0 41 .n, B C 4 i 1,:OU .12 32 28 20 I24 24 22 14 ZO 20 18 10 16 16 14 8 14 114 14 12 8 12 12 10 6 10 10 10 6 X11 10 8 f l `0 e f + 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 12 8 '12 12 10 E 1 10 10 8 f i 1'1 in 8 6 1.1C0 34 34 32 22 28 26 24 16 22 22 20 12 18 13 It 10 lu 14 14 8 14 1.2 12 8 12 12 10 6112 10 10 C 10 ; D F. o 1,:00 34 34 32 24 28 28 26 18 24 24 2n 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 iI12 12 :G L. 10 13 13 1 .600 36 34 34 24 30 30 26 18 24 24 22 14 22 20 18 12 18 18 16 10 16 1 E 14 8 14 14 12 y 12 10 f I ; 2 ) 2 1 ; o i I 2,000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 117 10 1C 16 i4 C� 14 14 12 5 i 2,500 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 22 22 13 :2 20 2G 18 1:'I is 1; it :U 3,000 3,500 34 32 30 22 30 32 30 32 26 30 18 20 28 JO 26 30 24 26 16 la I24 28 24 28 22 24 14 22 16 26 2? 24 20 22 14� 1t! ?4 ;4 20 ,1.7 .1.000 I 32 32 30 20 30 30 16 18 119 28 24 1f 26 2i 2: if � 4,500132 32 28 20 1 3U 3.3 26 1E' j in a. ?= .E 5;003 132 07 1i 20 j IJ .G h5 13 A) 1. 3'y' Concrete Slab: HC•8.93; R-.29; Factor -7.3 - 2. 3 3/4' Thick Common Brick: IIC=7.125; R-.13; Factor -7.3 8) 1. Sk' Concrete Slab: HC -14.106; R -.411I; Factor -7.1 C 1. 8" Solid Filled Block: HC -20.63; R-1.92; Factor -6.1 2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly expo`' -ed to conditioned air for Thermal Hass Area., IIC-10.164; R-.96;; Factor -6.1 D) 1' Thick Concrete/Ti.le: HC-2.SS; R-.083; Factor�-3.7 Table 3-19. Zonally Controlled Electric Reststunce Space Heating Points I Points for this measure will I be completed after the CEC I I has approved an Alternative I Component Package for Resistance 'I I Beat. Table 3-18. Active Solar Space Heating with Cas Points Net Solar Fraction I Points (NSF). z I I 0-6 10 l 1 7-14 1 +2 1 1 15 - 23 I +4 I 1 24 - 30 I +6 I I 31 - 39 ( +8 I 1 40 - 47 I +10 1 I 48 - 55 I +12 I I 56 - 63 ( +14 I 1 64 - 71 I +18 1 72 up I +20 I T -A1- 7-9n a-1.,- rJ..n.. V--.+..- U4.0 r.. n--4..- n -.-.- wood stove #33 points -(no back up) Casablanca fan + 1 point M.ultifamil (per unitpoints) Points I I ( I Gas Only I I I 0 i 1 I Beat Poop I I I Floor Area I Solar with Electric 1 Net Solar Fraction (NSF), Z I per un.lc, 'r I I ments in Part 2 1 1 0 i I 1 Eltctrtc Resistance 1 I I O:li i -40 ft2. 0.9 10-19 20-29 30-39 40-49 50-•59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1.499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1.999 0 +1 +3 +4 +6 +7 +8 +10 2,1100 and UP 1 0 1 +1 1 +2 1 +4 1 +5 1 +6 +7 +9 All others (Pe building points) 800-899 0+5 +10 +14 +19 T +24 -9-29+34 900-999 0 +4 +9 +13 +17 +21 +26 +30 1,000 1,199 0 +4 -1•7 +11 +15 4-19 +22 +26 1,2k,1.499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +1� 2,440-:,999 0 +2 +3 +5 +7 +8 +1G +ll 3,000 n:.d uo -0 +! +3 +4 +S +7- +S +10 Table 3-21. Other Water Heating Pts. T 1 System Type I I Points I I ( I Gas Only I I I 0 i 1 I Beat Poop I I I 0 I I I Solar with Electric 1 1 Resistance backup I I I Meeting the Require- i 'r I I ments in Part 2 1 1 0 i I 1 Eltctrtc Resistance 1 I I O:li i -40 A9, } RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM y .,Owner 66,45 A1141517e0A, Climate Zone Permit No. 7Z9.110 Floolk Area 6 7 - .Compliance .Compliance path: Package ❑ A ❑ B ❑ C 15 Point System ❑ Budget 060ther Q/3 /6,3 MIN R -VALUE DESCRIPTION* REQ'D INSTALLED ITEMS (1) INSULATION: Q' Roof/Ceiling 30.00 Wall //• o0 ❑ Slab Floor Perimeter Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. L� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled-4- (C) abeled-.(C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: (D) Continuous infiltration barrier (E) Electrical outlet plate gasket (F) Air-to-air heat exchanger. (3) GLAZING: (A) Location Area Glazing %,Floor Area Single Total Bldg /18.00 /3.3/ North - 11.vo /•ZS East 38• oe 3.95 South .do 0.9¢ West ov 7/7 Skylights (B) Shading Double Triple _1_ 7/83 Shading Coefficient Description Q� East s.6G Q- South [[� West .4G ❑ Skylights (� (C) South Overhang Length of projection 2 ft. Description 0p41le ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft. .HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 - . FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting :closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A).'. --Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar "type (liquid or air) Collector. brand and ft2 model number solar fraction collector area collector orientation collector tilt rated s.lpQpe Q/ other (t/O00 .80, C 91 rated y -intercept S7or/& / LPG 'O/Au- #re. (describe) *1 (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump (seasonal EER) EER Btu/hr ' (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ®-'- (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 *, FORM 1 (6) DOMESTIC WATER SYSTEM• 1� -(A) Gas Only GPC Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) C3 * Active Solar (collector brand and model number) t (rated y -intercept) (rated slope) (solar fraction) ft :(backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑. Location of Solar Panels ❑ Other (Describe) (� :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems -shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency.standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: .Heating: Winter design temperature 90 °, elevation �'18S ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Allr# k/VOD ,Bt1eW11Jf Cooling: Summer - design temperature —,?' °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property /improvement (yes or no) 2. I (have/have not) /l." ,f� 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 41 ja Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social,Security Number Date 3----T l elp 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. RECORDING REQUESTED BY ,m AND WHEN RECORDED MAIL TO NAME F/�L/qqJ A S/17_O" L- ADDRESS 1-3 9 A/CITY & STATE Title Order No. Escrow MAIL TAX STATEMENTS TO RECORDED iIJ OFf Iii1A1 RECORDS OF BUTTE COUNTY,CALIFORRIA, AT THE REQUEST OF PAMY SHOWN 1986 NOV 13 M - 9i 02 ELEANOR MAECKER CLERK-4ECOROER FEE 86440434 SPACE ABOVE THIS LINE FOR RECORDER'S USE IDocumentary transfer tax $........................ NAME ❑ Computed on full value of property conveyed, or ❑ Computed on full value less liens and encumbrances ADDRESS remaining thereon at time of sale. CITY & �f STATE I .. L ................................................... Signature of declarant or agent determining tax—firm name bibibibitzil Grant ;Detb WESTERN TITLE FORM NO. 104 FOR VALUE RECEIVED, LEE OWEN HALSTROM, an unmarried man, GRANT—S--to ROD IMES all that real property situate in the County of An easement for the use and maintenance of an existing water line and water well over a portion of Parcel 2, as shown on that certain Parcel Map for Lee 0. Halstrom, which map was filed in the Office of the Recorder of said Butte County on August 28, 1985, in Book 99 of Parcel Maps, at Pages 76 and 77, and more particularly described as follows: Butte , State of California, described as follows: A strip of land 10.00 feet in width lying 5.00 feet on each side of the following described centerline: Beginning at a point in the Northerly line of Parcel 1, as shown on said Parcel Map, said Point of Beginning bears, South 510 511 06" East, 25.00 feet from the Northwest corner of"said.Parcel 1; thence from said Point of Beginning, North 37° 401 30" East, 71.15 feet to an existing well. The deed was created for the easement as described above for the benefit of Parcell of said parcel map as described above and shall inure to- -the benefit of and may be used by all persons who may hereafter become the owners of -said appurtenant property or any parts or portions thereof. STATE OF CALIFORNIA County of Butte ss. on A/eV. ! O , 1Q a fa before me, the undersigned, a Notary Public In and for said State, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the person_ whose name _ i s subscribed to the witt iwl"ment, and acknowledged to me that_ he_ executed it. MAIL TAX STATEMENTS AS DIRECTED ABOVE FOR NOTARY SEAL OR STAMP OFFICIAL SEAL POLLY MACK NOTARY PUBLIC -CALIFORNIA Principal Office in BUTTE County My Commission Expires May 27. 1989 r, 4.i 729-86 8' 4 PERMIT N0. 3191-86B PERMIT EXPIRES /W,-;) 9 A? OWNER Lee Halstrom CONTR. owner i ASSESSOR PARCEL 58-55-22 Circle LOCATION 11123 Yankee Hill lff,'Oroyille Temp. Power Pole Called PCRF Temp. Elec. S Called P( Temp. Gas Sei Cal led PG JOB FINALE[ Signature V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tN's Date FRAMING (Continued) - - 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., 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. Fig., 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.Stenwalls, 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 55. Shear Walls; Nailing -Bolts _ - _9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test - -'-`-- 11. Electric; Underground 12. Plerums & Ducts; Clearance -Material -Support -Ins. �13._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 Card -BI _ _ Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.: Vent- Access -Combust ion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Test & Anchors -Nail Protection In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting Pipe; 16. D.W.V, Test-Fttngs & Anchors -Nail Protection 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. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Gard -BI Date _ Card -BI - Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearan Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. Duct in Garage -Damper 20. 21. 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.' In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 23. 24. 25. Romex: Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitch-hen & Conductor Size 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes +t 73. Guard Rails & Deck Construction -Post Caps 26. 27. 28. 29. 30. Subieed Wire Size / / ga. Cuor AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral _,Yes No -- Service -Riser Conductors & Ground -Main Disconnect_ Equip. Clearances: Panels-Motors-Mech. Equip. Clothes. Closet Light -Shower Light - - - - -- - - 74. 75. 76. 77, Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance, Looked under Floor El Yes Lokedter Fl : Drive Following ❑ Yes E] No; Walks ❑ Yes Planters ❑Yes EJ -No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -� 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 Gard 8-I - ---- Date Card BI_ Date _ _ Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas -est -Meters Tagged; Gas -Electric 31. 32. 33. A.C. Ducts. Insulation &Support Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 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 Card -BI Date Card -BI Date _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -81 ;e Card -BI Date G .ie Card -BI Date Date FRAMING(Plans) OK except N's Com lents 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 Stoos: Furred Ceilings -Stairs -Chases -Tub -- - - -- - - - -- ---Beam-Size 41 Header & & Bearing - -- 42. Hangers -Post Caps -Anchors -Connectors 43. Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protect ion -Draft Stop -Ins. Baffles � -- 46. Berm. Windows or Exiting Doors -Sill Hgt. & Dimensions - - 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) JOK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing _ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ P'L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elea and -BI Date Card -BI Date Card -BI Date Card -BI Date �d-BI Date Card -BI Date Card -BI Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except a's Date POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 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 Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagged xits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Date Card -BI Date Card -BI Date Card -BI Date Date Card BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER NO AS ,5SSOR PARCEL NUMBER S— a I)- y ZONIN BUILDING PERMIT OW fro � T,/ P`o a SQ. FT. OCC. BUILDING VALUATION t• OW R'S MAI LI G ADDRESS `n Y L5 � C NTR CTOR'S NAM TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation $ L ND R'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ AR H ;ECT OR ENGINEER LICENSE No. Pian Checking Fee $ js� 90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 6116 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 W Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK New ❑ Addition [pL RemodelUtilities ❑ nstall tion❑ Other ❑ Describe work: R?pContractor IF Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service foo AMP V 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/POWER and Professions M �and my license is in full force and effect. License No. I f Classification t ❑ 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.It. , A h�sgft NEW CONSTR. ULTII.OUTLET NON.RESID BRANCH CIRC ITS 1.2.50 ea APPARATUS .&) (SINGLOUTLET CIR.'/-` Ex. Occu O 20050c p(UTLETS OR FIXTURES SAL030 R Ex. Occup. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing 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 author! zetreprese,ntatives of the Countyot Butte to enter upon the above-mentioned,.property for'itispection purposes. I also agree to save, indemnify and keep.fifartnless.the County of Butte against all liabilities, judgments, costs, and expenses. which, may in any way accrue against said ounty i 4a2L2fJbAg ranting of thi;!Ei,wpermit. 0� _ /� X �� Date / / Signature of Applicant - Ownerjo Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE � OCCUP. CONST.TYPE NOOJNCEL4�q ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date! -4—s-$7 P lo-- L' �� �eceipt No. f/NITE-O.P.W., YELLOW-ASSE3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �I To: :suildin;; Departm: t, From: '_-,nvironmental Heath Subject: Sanitation Clearance �-�-�g .w.,, -- �� a;c 0 Owner Location AP!/ Plan Approved for: r;ewaL c disposal Hold final for: Final clearance O.K. for: water supply i;!-tcr supply eater supply Clearance for bedroor: mobile home. Other O-e,� (-la'1 -j,R=2n / )G-_ z.a _gco Sanitarian Date �C OWNER COUNTY OF BUTTE - DEPARTMENt OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICAT!gN DATA SHEET c' Perm it• No. Proposed Building Use A. P. No. 15-8 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . 3.bPlot plans in p icate. triplicate, signed by preparer of plans. . omplete plans inplicate,7 riplicate, signed by preparer of plans. 4. Complete engineeredd p ani and talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for,Non-Heated and AC Buildings. .r. .. M•- Fees of. Letter of signature autliorizat•j h. 1f Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 1 Contractor's Licerise Information (no:,/na.me'style; class if.) 4. Owner -Builder Verification (Given to owner, Mail to owner ❑•), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy, ofAg•ricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. •'_ 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone � n • and hold for pickup at—off ice, Del iver w/inspector. Other. Applicant /� -ate 4 r Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No: _r 2. Additional items required: •-t''.,.. !-w Contractor, designer, owner, was advised of above required data by_phone4by ounter by date Contractor, designer, owner, was advised of above required data by_phoneou er by date Plans checked b ate fid' fans approved Date Sets of plans on hold in File cabinet AP folder —`Hours: 10:00 a.m. - 3:00 P.M. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 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 Ivo Ale, 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 hib A e . Signed: Property Owner Social Security Number '— Date /0—/%e,6L 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. �40TE:—All Materials & Workmanship Shall In r Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specificdtions MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department o4 Pubiic Works, County of Butte. �,t'D�/GLS �il,�i�A�1'/�. ���F.ro���f►t� TD Gj�C�Of 30''`O.0 /J90�R� J7 L spa le . X;4 -Tipxna,z PFS • exa-wTia G " mi?,f ,4, 3�y/ -W ANEW BUTTE COUNIM SEMI! DING Dl_r ARTW-N . ` ROV j diz { _ } . ecicie Wood stove F x sys % '4 yoK S.e� S 4-1SOLD L Scar% Fro fqy- . ,- VARIES x m 0 1 z m_ //30"- 34" o X 0 c z o O W c m� =m m o I v < �`°v` m I m j ol °i D ' Wo O -1 En A - K co z 0 w N j0 � v � C13 N n 0' 36" MIN... 0 mm c AW K O -a o 3 �A A� 3 tk ►J x � N x P m N. _ x p 7< Q X W ILI - l� �o N II O � N r � _ x` 6: //30"- 34" o o C64 MAX. ol 30" MIN. STAIR,- � W I DTIC Ili "p. �e t O iP: x` 6: GJ�'�J%� �•4� wot.rLAO t 0s�-5so,-o3a OWNER • • .TERMIT NO. 'ihexmal mass: Hater ials.which have'the ability to store heat (typical types are masonry, brick and ceramic tile). Thermal mass cannot be insulated from the interior of the building. (If covered by car- pet, cabinets,'or.enclosed in closets the mass-is considered insulated). Thermal.mosd floors must have an exposed'and textured surface or design �o that carpeting wil not occur. •.(Covering ofvinyl or asphalt tile and ,linoleum is permitted). TYPE TUICKNESS LOCATION , DIMENSIONS AREA r4 -SL-4d Entry .Floor • y.S" ' x �.S ' .?D.�S' SQ.FT. Bath•#1• •Floor x SQ.FT. Bath #2 Flo.or .5 ' X. ' 3a-5- SQ. Fr., -' -' Kitchen• :Floor �_' x 36.00 SQ.FT. Floor ' x' •' __SQ.FT. Floor ' x ' • SQ.FT. Fireplace ' x ' • SQ.FT. Fireplace ' x' •. :__SQ.FT. B.dth #1 Counters ' x ' • SQ.FT. Bath #2 )Coulters ' x' SQ.FT, Bath #3 Counters ' x ' -" KitchenCounters ' x ' • __•SQ.FT. SQ.FT. Wall Shield ' x ' • __•SQ.FT. • Wails ' x ' • ' SQ.FT. Walls ' x ' SQ.FT. Walls. ' x ' SQ.FT. x SQ.FT. �. ' x ' SQ.FT. JAN !^`X��: Provide 1/2" x 10" anchor bolt, b' O.C. max. and within 12" of joints. 'i rt P MIV w.—J-4-x uan J— ---. - 11 ; X 4 J. 40-T 2-1, of 5 ft, Fmorn JmF-4J . ,V -,r—a, REVISIONS ZONE I LTR DESCRIPTION DATE I APPROVED 3 1 11 fi r, 'i1 4 3 2 REVISIONS ZONE I LTR I DESCRIPTION I DATE I APPROVED I SYM NOMENCLATURE 4`Ii C I I B 1 11 fi r, 'i1 4 3 2 REVISIONS ZONE I LTR I DESCRIPTION I DATE I APPROVED I SYM NOMENCLATURE 4`Ii I I $ I I CODE IDENTIFYING N0. SPECIFICATION MATERIAL UNIT FIND WT ZONE I REVISIONS ZONE LTR DESCRIPTION DATE APPROVED t 'k. SYM NOMENCLATURE CODE IDENTIFYING N0. IDENT _ SPECIFICATION MATERIAL UWT ZONE NOD 0 R -:SI a a ZONE ILTR REVISIONS DESCRIPTION U I DATE I APPROVED 0 3 4 r lit C, I N TIU� InAul �SxiS T, �tl 4 j , i 2.g 14 t/a i6� .. L.& to L-/4 B=4: OkL �q�A6 1 4.- = rw 10, � I R -4,0:d045,.' TT412 tp. -3-61 ouss Lf.)A,)a;TNo It VNIF LOAO, OF lo