The URL can be used to link to this page

Home My WebLink About061-630-015.......... 04PHO60-015 ALKOWSKI �j I-of-vafojfll-� . rW/S * :Dee hl��d (ow Rd, 1501S Dounacou t Rd, Bloomer re Permit#722-85B.,P, new rL"-m >5 single ftah3L.6j Permit -86B(Ist renew.al/722-85) 061-630-015 02-0613 LUDVIGSON, Larry & Mary 322 De�r MeadoNv Rd., Berry Creek Cont: BUrtetishaw Constructioil Ueplace Ex Wiiidows & Doors/SF 061-630-015 02-0613 LUDVIGSON,'Larry & Mary 322 Deer Meadow Rd., Berry Creek Cont: Burtenshaw Construction Replace Ex WiIndows & Doors/SF '09 k- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI -16N 7 County Center Drive - Oroville % , Cali.fornia 95965 - Telephone (530) 538-7r,71- PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Z02 -06/ 3 ASSESSOR PARCEL NUMBER 061-630-015 ZONING BUPMINGPERMIT OWNER UJMGSWO LARY & WX TELEPHONE 589-1419 SQ. FT. OCC. BUILDING VALUATION 80000.00 OWNERS MAILING ADDRESS 322 DEER MADOW ROAD 8MY QMX, CA 95916 CONTRACTORS NAME . TELEPHONE BUMSMW MNSMUMON 589-5266 CONTRACTORS MAILING ADDRESS 5 till.4M 415 WXR RD. ORIMMs CA 95%6 CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation —8. QW. 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ z!&66% 11127 DDRESS A OUR MEADIN RD. BEm am, CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $ 122.00 LOT NO. SUBDIVISIONS NAME EL PARC MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IF,. Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gastwater heater.or-vent 15.00 TYPE OF WORK' %\ k k, New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other M Describe Work: REWCE MSTM - WINDW & DOM Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service 200A 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 and Profes7sions Code, and my license is in full force and effect. 171-1, -1 e�_ License Class Lic. No. 14� 1 OWNER -BUILDER DECLARATION I 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I 0 1, 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 sali. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workeis' compensation, as provided for by section 3700 of the Lablor C6de, for 'the performance of the work for which this permit is issued. I 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700ofthe 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 hose provisions. Da4, -, 0 -� _ ,Sign&tG'Cdbf*AppI1F�nt - 0 'Owner 13 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Seryice 2�OA Tb I000A 46.00 NEW CONST:, %E�JNG OCCUP. so. OR ADDNS. C . 3.50FT. — =ico,..T- am,"T'-D�RC,,T, @7.50 PO'WELR AF= U E C SIR. 1. 0 Ex. Occup. OUTLET OR FD(TURES 20 @ 1.00 SAL @ .50 ..FIXED A LNS OR Ex. OCCUP. P(P ES, 6.) E.1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wiring 23.00 —Misc. I PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 - Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSI . TYPE TOTALFEE$ 122.00 E _�AZ7.D. ES FEES IMP IMP FLOOD CDF PARCEL 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 Date PERMIT EXPIRES ON _Tlle�71'lv 7T (D�ate) ReceiptNo. 6143%1 / I?-? WHITE-D.D.S.-B.D. CANARY-TASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538>-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 7 n P _00/ 3 ASSESSOR PARCEL NUMBER 061-630-015 ZONING BUPINGPERMIT OWNER LUDVIGSON, LARRY & MARY TELEPHONE 58 -1419 SQ. FT. OCC. BUILDING VALUATION 8 000.00 OWNERS MAILING ADDRESS 322 DEER MEADOW ROAD BERRY CREEK, CA 9591� CONTRACTORS NAME BURTENSHAW CONSTRUCHON TELEPHONE 589-5266 CONTRACTORS MAILING ADDRESS 5415 MINERS RANCH 'RD. OROVITLE, CA 95966 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 8.00 .00 ARCHITECT OR ENGINEER LICENSE Nu. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2ftft& BUILDING ADDRESS 322 DEER MEADOW RD. BERRY CREEK, CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE 122.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ff, Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other ]Q Describe Work: REPLACE EXISTING WINDOWS & DOORS —Each Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ) 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 in full force and effect. 7 License Class &.,914"& Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEU.INGffUP. so. OR ADONS. & ACC. S. 3.50FT. NEW CONST NON-RESID. m,�Q'-OciM @7.50 &POWE.RAP.PAPATUS 0 C'R. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup. ( BAL @ .50 ( O.9XED APP . OR Ex. Occup. (.1% .) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. El I have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE 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.) kI certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensAvic n s of section 3700 of the Labor Code, I shall I provision ,p those provisions. Dateo�� —_?4;� ig e o A -Wowner 13 Contractor 0 �bent_ Wt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CO,NST. TYPE TOTALFEE$ 122.00 �H;AZ. I D. FEES IMP FLOOD I CDF PARCEL pD 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 Date 7 PERMIT EXPIRES ON I (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANAWASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I-,' ,K4rtj&- a Existing Deck TO " x 4'0 5'0 " x 6'8 6'0 " x 4'0 alum. window alum. patio alum. window Kitchen Windows and door to be replaced 61LITTE COUNTY Replacement windows to be WILDING DEPARTMNI 1- TO" x 60" Anderson wooden window 1- 6'0" x 60" Anderson woode'n window APPROWn 1- 6'0" x 6'8" Anderson french door Dual glazed low E glass typ. House appr. 40' x 30' Living Room 1200 sq. ft. Bedroom Bedroom Bath Window and door replacement for Larry and Mary Ludvigson 322 Deer Meadow Rd. Berry Creek CA AP # 061-630-015 ' Floor plan - no scale 3/20/02 Drawn by Brian Burtenshaw Z�-- Remove existing 3'0" x 4'0" alum. window and replace with 3'0" x 60" Anderson wood window Remove existing 5'0".x 6'8" alum. patio door and replace with 60" x 68" Anderson 'french door. Replace headers with 4xl 0 DF #2 where necessary. 2x6 studs typical. R-19 insulation typical. Tyvek or equal barrier typical. "Dura Temp" siding typ. @ ext. walls U8 pine Panelinq typ. @ int. walls 6UTTE COUNTY iUILDING DEPARTMEN' 02,- -�APPROVFD Dw Remove existing 60" x 4'0" alum. window and replace with 60" x 60" Anderson wood window Living Room Window and door replacement for Larry and Mary Ludvigson 322 Deer Meadow Rd. Berry Creek CA AP # 061-630-015 3/20/02 - Floor plan - details Drawn by Brian Burtenshaw 4- 13UTTE COUNTY 1� 3UILDING DEPARTMEN.. P P -P OV F DW Dl- blpl� � -jP , 0,21 Window and door replacement for Larry and Mary Ludvigson 322 Deer Meadow Rd. Berry Creek CA AP # 061-630-015 3/20/02 * Interior elevation Drawn by Brian Burtenshaw 5� (0(- 41 g' W 114 =ft. stas- 0 - to AC I . HARF5 IVIL L V/2�aq 646. 97-4 568.17 1 r 1 00 33.761�� -1 1 C 3 4 C47, 78 1294 41 40 01 77 0-4 a, 9.19Ac A 4 S. 7-9 Ac 3.11A TO &87. 6 6 .0� 79 68 Wo 4 2 N 10.33 4c `iP 20.35 AC. Vo 81 QD 'RS 47- 12 -86 .93-90' RS 47- 5 p 6Z PM86 '($A c 14C.25AC�pM 4262 p 1 4 0.25 4 e�f - RAW610- .886.23 1078. Diff I /0. .112 12.76 4 Z! 0. AC. 102 p A AC.. 041' 612 20 13AC j - , 1/ 4 ;�CRiF K) U/ :.,r '982.19 jf)r)r) too 3 104 . 0 LAWIN 1.3 4 ENG 47 3Ac. RS Z q. 824c - 7::- 20.044C R 47 4 V Z� -*- %, N S - T 138.16Ac PM -7 4 34 1 77, N uii-41'50"E LIS, 7 So.. -- 1789.9 1 1. 892.6 AC. 1 11.8 21' 4 1 12 11.1 30.04S A c co qj 117 'IF N* Cd 3 co l. (\P9 7 60 Ac. 120 1184 it' AC 4 RS 33-50 9.44 2.58A I q -C\i V. p - wip v 2664,07 "7*' 24 419.23 156.4 AC 99 ko QO cd CID C\, 7 40.02Ac 40 41. 3 2 A�.- co c 4758Ac tArRLr, ROAD Or S56-,10 5 4 7- 5 3/54 0 pm&3-.g" . : I R '10,,5672 105&7"' '-2689 4 1343.59 1052.4 \IN 2572.96 N , , I . .. r U i 5 8607 D� 0 15., 903 If 160 Ac 15.084C. 95. 65 Ac 320Ac 1200.37 -61574 4 8 -5. A 92 ?84 150. 58 59 N 86001'30"E'� 2573.26 2401.28 3.80\Q, .1726.56 !j 44.91 T- 6 52. 76 A 61 3 109 Ic 2 CO4 NO tZ.275�A AG. Is 1318.33 40 40 Ac. 108' SYCGI�70r,- C\I tfi ZO.01 Ac. (0 C, 2' 105 3' 42.5OAc. /06 3-9 cy 46 SYCAMORE OD A to I V. Z4Z7Ac- 4 n66 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8911-275'1� 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. L I M-� qel j2 XAN� 1i '-ell A4 Y, M � Inspector— Date 14 V61er "T1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E "Temp. Gas Service CalledPG&E I.,, -JOB FINALED (Date) Signatur C) 722-85B,P,E,M PERMIT NO. PERMIT EXPI RES- 4/ WYRTH FALKOW6KI OWNER CONTR.� owner ASSESSOR PARCEL LOCATION W/S Deer Meadow Rd,, 150'S Dounacountr Rd.% Bloomer Mtn 14 V61er "T1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E "Temp. Gas Service CalledPG&E I.,, -JOB FINALED (Date) Signatur it = OK 0 = Not OK -..Not koPlicable RESIDENTIAL'(Single andiDuplex) * = Not Ready Date UNDPKLOOR (Plans) OK except #'s Date FRAMIN2=ffontinued) lk.,_��ng requirements -Setbacks- ants, AS-11roperty Line Firewall & Openings *'-"-Ftg., Main; Soils-Steel-Elecile'lirnd.- Y(2 /" Ftg. Depth 49 -'f -x , I. Doors -One X -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5��Headroom-R i se -Run- Land i ng -F ire Protection 4. ttg., Porches & Decks; Soils -Steel- / �� Ftg. Depth OCIP lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5eStemwalls, Maonteel-BlooK'6uts-WraAplfd-Slair-- C 5?�! Siding -Nail* -Veneer J. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab '"35r--�fesh-LI)rip Screed-Fdn. Vents-Underfir. Access 7 rep a Ftg.7Steel 1-1 s - PZ 54r.-G4ee ing-A"s-64effbProtecti on-Skyl ights-P last ic Q _tj_jj�� 8. E VF -F ttk(gs-Tj9t'-2 way C/O-S;,;W Test 55,epukam-�, �Bolts Gas Pipe; Size -Anchors -*40. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. �*nums & Ducts; Clearance-Materip-Supwrt-Ins. fa, I �,-ff-lKGirders-Siila*'-AncholArolts-JoisK-Ir eWCHKes Card -BIC,,-, Dat!�� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI CQ Date -1 ?.-gKCard-BI Date Date FINAL (Plans) OK except #'s Card-BIC,&&,j Date -1 / _jq_<'_Card-B I Date I Date \1 - P UMBING (Permit) OK except #'s 3- 6. E I. Steps -Door & Sidelight Protect ion- Land i ngs 'W7 ',Q4-57.,Smoke Detector 5&4. I I Uter Ht.; Vent Access -Combustion Air VIT8.,�Furnace; I/ Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection ife9kater Pipe; Test & Anchors -Nail Protection $15' DXV.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 63;;G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access ji-l"611. Elec. Trim & Subpanel; Breaker Sizes -Labels .4�4 9. Gas Pipe; Size & Anchors 62_,��i I s 1--'6-3. Fireplace or Stove; Clearances -Hearth 6!:=..f t Is a Wood Panel; Int. & Ext. Card -B I Date --?- 2,1.-Klmard-B I Date K�t ixl, & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI \J Date Card -BI Date P 66 Eu lets & Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except #'s 6 ringer �8. er 20. Eixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection M!��_c. Receptacles Spacing -Lights & Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location 121-ESize Boxes & No. of Conductors -Stapled 71. in Garage; (G.F.I.)-Romex Protec. la"RpAex installed Close to Edge of Studs & C.J. quip.. Ground made up w/Mech. Fasteners -Bond Gas & Water I nsu lat ion- Foam- Looked in Attic [3 Yes 2Xpliance Circuits in Kitchen & Conductor Size '10f-73. ,Ouard Rai Is & Deck Construct I on- Post Caps i,.M. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes Z6,-*'Subfeed Wire Siz2 Cu or AI-A.C. Wire Size ga. Cu or A I 27. Range Circ. ga."r Al -Oven Circ. ga. Cu or At, _-Lnsulated NeuXal []Yes E]No 75. Following instld.: Drive Yes P44tr-Walks Yes J2,11o; Planters El Yes M-0-1:1 2?. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Pane I s-Motors-Mech. Equip. 77. *. e�., �-onnect-Clrnces-Brkr. & Cond. Size -115V Outlet' 30,_C4eW&s-CTlTTe=g t -Shower Light Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. V179. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-rAI2 Date'T-�M_ Card -BI Date '�-811 . Ventilation throughout House Card B-1 Date[O-/?- �!LCard-Bl Date i;;6; Glass Protection Date el' MECHANICAL (Permit) OK except #'s P'83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric If 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation C8 Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date_�5�?k r7 Card -131 Date Card -BI Dat Card -61 Date %0 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRANUNG(Plans) OK except #'s Ise"Swe' Proper material & Anchors MW*jWls; Studs::Nailing, Spacing & Bracing -Plates -Sound -tJ,,J q-* gt��aring Walls over Girders & Floor Nailing _(� �.raft Stop in Walls (rat proof) X,-) t Z% A .Ak) 4X- 40. ��ops; Furred Ceilings-Slairs-Chases-Tub -J--- I I '.It 4*. --Header & Beam -Size & Bearing "IN XTA �Q DP,42. H!aq�-Post Caps -Anchors -Connectors . 4 Ing. Joist-Rftr Ties-Purlin- Roof Brac.-Truss-Shithrig-11frig. V V0 4f --i 4. Fireplace Ties or Type A Flue-Fire�[�ae_Throat 4b-i��_cceng�' �'Romex Protect i on -Draft Stop -Ins. Baffles -461�'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Framing (NOTE: Anentrymust be made each time youvisit jobsite) V, OK, . 0 Not OK Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Req u i rements-Setbacks- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements-Setbkks�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 /o'r'Joi sts-Dec ki ng-Brac i ng-Sta irs-Ra i Is 4. Water; Local i on -Test- Easement Needed (Sketch) 4. Wood Awn.; Posts-Bea:ms-Rftrs.-Connec.-Shth I g.-9fg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ J Amp-Cpncrete 5. Alum. Awn.; Column�-Connections-Splice-D6cal7Enclosures 6. Gas; Locatiorv--Test-Wrap:/ /"L"ft./ /".Nat..or/ /"L"ft./ LPG 6. Carports; Windows-Do.ors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Req u i rements-Se tbac ks- Easements -Card-BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbac ks- 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-Cros sovers- Brea kers-C learances 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'-Circulaiing Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc losures- Pane lboards- Ins. to Main in,Cond,uit 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 owner: 4 //1 rolu '5 c Permit No. /2 ENERGY C,ERTiIF ICAT ION #�A boa) .LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) !!S_1 CEILING Batt or Blanket Type ' Thickness(ificbes) Loose Fill Type Minimum Thicknesi(Inches) Area covered(ft. FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material, Thickness(inches) Brand Name Thermal Resistance (R Value),,;;?Z, Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag _ lb. Thermal Resistance(R Value) 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 Req4Lrements. ARM NAM_E/O�INER STATE*CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION 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. 3TATE CONTRACTOR'S LICENSE NO. 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 IERMIT NO - - I 41M:: r 7 County Center Drive - Orovi4le, California 95965 - Telephone 916/534-45 APPLICATIN AND PERMIT ASSESSOR PARCEL. NUMBER .N W-0 / -/ 6 A, 2� V BUILDING PERMIT. OWNER TELEPHONE V) Vf �77-t4 F/I 4K6WSK I t7_2A -,-)P 2 qet SQ.FT. OCC.1 BUILDING VALUATION /1;1 U2 oo OWNER'S WAILING ADDRESS &/ *6 otllk CK CA '��6 4 CONTRACTO ,AR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 0 0(n CONSTRUCTIO NDER �_,& ii U UNKNOWN I Total Valuation $ Filing Fee $ 10.00 — LENDER'S MAILING ADDRESS Permit Fee $ za-?k, 0-b ARCHITECT OP71ENGINEER ENSE NO. Plan Checking Fee $ /4cbn C $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 21 00 BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 A�WX Amd-S ol, Qr_)ui\j1+e,&1A1 rA /LJ Each Trap 2.00 /,/.00 Solar Water Heater 20-00 a �) fl,171,0 Water piping 5.00 157, 0 0 LOT NO. -2-- SUBDIVISION NAME 1 PARCEL MAI Tq,-) �. Each qas water heater or vent 5.00 Gas piping system I - 5 outlets 5.00 USE OF STRUCTURE SF\64 DuplexF_1 MobilehomeF-1 Other SPECIFY Building sewer 5.00 Mobi le,Home 10-00ea EL. rzcX Vf2yg k)V D TYPE OF WORK NewK Addition[] RemoKdl EJ Uti lities El InstallationD Other [I Describe work: Permit Fee $ & - Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10-00 La 6z Main service EA. ADD -L 100 AMP 2.50 _;16-0 NEW CONST DWELLING SO.�C, W_ OR ADDNS.' ACC ' BLDG 21/20sci It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. — Classification 1, as the o wner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec.—, Business and Professions Code for this reason NEW CO N5T MU'T I-OLITLET ' 2.50 ea I NON -RE S'O,� BRANCH CIRCUITS) NEW.CON,STR. (POWER APPARATUS IN) NON RES D , SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES 1.20 @ 50C AL@ 300 FIXED APPLNS OR Ex. OCCUP- OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 oc Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 Permit Fee $ n, to Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): - _. F-1 The permit is for $100.00 (valuation) or less. E] I have placed on -file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Inswe. 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 ICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 13,00 Venti lation --r— Permit Fee $ 43 0 a Contractor — 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relat I ng to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil "tidesdoJudgments, costs, and expenses which may in any way accrue against sai u y I pipw4ye u ce of t granting of this permit. f X =/11:z r Date Sign .01111., - f A p p I i cant Owner;K ControctorEl Agent R 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 $ /WSP L300 00 TOTAL PERVIT FEE occul, CR*Ul 1 1111 11 CINIT* This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREFrIOR OF PUBLIC By PER&4 'EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.,V90's-- WHITE-D.P.W.. YELLOW-ASSIESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTME'NVOIF-RUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,--CALIFQRNIA 95965 - TELEPHONE: 916/534-14541 PERMIT APPLICATION DATA SHEET Permit No. OWNER_W11t4ZA 77//<n1)95A A. P. No. Proposed Building Use Permit Fee Based Upon: —Complete Contract Price DPW Valuation Other (Explain) B uilding Inspector A —1 To. - V Date At time of permit application, I was advi'sed the following data must be submitted prior to permit processing and1or 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. State Energy Form� No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9 Letter of signature authorization . . . . . . . . . . . /7 /7/1 Sanitation approval from -)410 Health Dept. 11. P lann i ng approva I f or (A) Use: (B) Park i ng: i2. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner-Bui Ider Verif icat ion (G iven to owner 0, Mai I to owner 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . .. 4 Pre-Inspec. request to (Date) 17. Pre -Inspection for Required- Building Inspector Recorded cop of Agricultural Acknowledgm nt 8—tat—em6ifit. 19. Other I if-' X - When you issu.e'thefoermit, "6cess as follows: to owner. —Mail to contractor. t P! Telephone and hold for pickup at —office. —Deliver w/inspector. Other A p p I i c a n t D a t e Copy of plans sent —Health Dept., —Fire Dept., —Other Date o—c' tted prior to permit issuance; During the plan checking pr ess, he foll-owing data m6—st-be submi - - (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: AA�� Copy—DPW Telephone —Mail 'Date Date Date Other 4 To: Building Department From.: Envir*onmental Health Subject.: Sanitation Clearance /zu Own er Location. 1�0� AP# Plan ApproVed for: Sewage Disposal Water Supply Hold Final'for- Water Supp17 Final Clearance 0'. X. for: Wa' t er Supply Clearanc.e. for' ;�bedro(m=ouse>obilehome or other Note�*** Date, JOY COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-53474541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building 'permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and mat *ials for construction of the proposed property improvement (yes or no) 2. 1: (havef"_= 4 signed an application for a building permit i6o*r�p`roposed work. 3. 1 " have contracted with the following person (firm) to provide the proposed construction: Name Address City, Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City, Phone Contractors License No. 5. 1 will,provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name' Address Phone' Type of Work. S igned: Property Owner lelz Social Security numb& .'Date Jai - 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 permitted to issue the permit. ,�.;RetuTn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 7555 FOR RESIDENTIAL DEVELOPMENT g E gx) f off, Section 26-8.1,of the Butte County'Code requires this acknowledgement be recorded prior to issuance of a building permit. 5 E �6 o P, P The property described herein is adjacent to land or included 4 within an area zoned for agricultural purposes, and residents' of"this- .property may be subject to,inconveniences or discomfort arising from ELV-hN8'44 the use of agricultural chemicals, including, but not -limited to. hierbicikc6fi�-'-'Ott-",ir"lc'ide pes 'i s up - fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust" smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones'and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY 0 WNERS: of 19 State' A On this the day of 0 — , before SS. me, the undersigned Notary Public, personally appeared County of L/'Personally known to me. ff/'Proved to me on the' basis of satisfactory evidence. OFFICIAL SEAL DOROTHY A. WISE to be the person(s) whose hame(s)t),,4,.d,,, subscribed to NOtM PuMic-Calltonft the within instrument and ackri:d4le' 'gQed that 7'�K� SUM COUPM . .4 executed the same for the purpblge �,t`herein contained' MY coam 1* AJ4 IN WITNESS WHEREOF, I hereunto'setoNl� i hand and offic al seal. A % IN -4 /Notary -Pufiiic Present A. -P. No. I'll"Wir-Irk P., -A C^ f ITOROQ aal%N.A YP 3mla "t Oct;A QX3 M -M.03 A. 85!-- 7555 DESCRIPTIONS All that certain real property Oltuati In the County of Butte. State Of COIifr-?nIs, described as follougg PARCEL Is Parcel 2, as shown on that certain Parcel HOP entitled, *lying In Section 6, T.20M., N.M., N.O.N.-P which Parcel HOP was filed In the Office of the Recorder of the County of Butte, State of California, on February 10, 19S4, In Book 94. of Parcel Maps, at page 36. RESERVING THEREFROM a right of way and public utility easement as shown on the Parcel HOP referred to above. PARCEL -11s A non-exclusivq easement for road purposes and public utility purposes over a strip of land 60 foot in width lying 30 feet on each side of a line described as follows: BEGINNING at a point In the North line of the Southwest quarter of said Section 6, which point bears South 870 040 490 West, 882.96 feet from the Northeast corner of said Southwest quarters thence from sold point of gginnb ing along the following course* and distances: North 030 431 13" at, 73.09 feet; North 260 $91 25" West, 231.14 foots North 490 431 07" East, 147.56 foot; North 06* 571 10" East, 179.27 foots North 39' 171 02" west, ge.65 foot; North 01* 09, 52" Went, 104.69 feet; North 330 50, 080 East, 284.86 foots North 260 46' 18" East, 133.81 foots North 15' 121 01" East, 135.40 feet; North W 491 44" East, 158.57 feet; North 35* 30' 52" East, 60.75 foots North 700 531 17" East, 71.74 feet; South 790 55' 28" East, 122.5�' feet; bluth 516 56, 51" East, 181-46 feet; South 78' 37' 58" East, 223.83 foots North 86* 361 35" East, 171.37 feet; South 750 241 58" East, 171.06 feet; North 54* 241 37" East, 152.73 feet; North 23* 341 55" East, 122.17 feet; North 360 56, 15" East, 235.72 feet; South 56* 01, 50" East, 230.07 feet; North 340 051 00" East, 89.32 feet; and South 86' 451 48" East, 140.10 foot to a point in Ponderose Way, an existing public 'road. PARCEL IIIs A non-Oxclusive road and public utility easement Over Parcels 2, 3, and 4, of shown on that certain Parcel Map entitled, "The S.W. 1/4 Section 6, T.20N., R.5E., M.O.M.", which Parcel Map was filed in the Office of the Recorder of the County of Butte St4ts Of California, on 3une 5, 1981, in Book 83 of Parcel Maps, at p@g9'9. 'P A Certificate Of Correction recorded November 30, 1983, in Book 2888, page 86, Official Records. PARCEL IVs A non-exclueive road and public utility easement over Parcels 1, 3 nd 4 as shown on that certain Parcel Map entitled, "The S.W. 1/4 Section'68 R;5E., H.D.M.", which Parcel Map was filed in the Office of the Recor I T.20N. the County of Butte, der of State Of California, on February 10, 1984, in Book 94 of Parcel Maps, at Page 36. W00FDOCUMENT END -OF D0CUURNT-----!1 MCLUL L& LU LIK" VA: n%.1L%.11VVVLArJLJkJr1rW1111 7. FOR RESIDENTIAL DEVELOPMENT qtiew 7555 .;ec(tion �6'-8.1 of the Butte County,, -.Code requires this acknowledgement be recorded prior to issuance of.,a building permit. The property described herealh is adjacent to land or included within an area zoned for agricultu341 purposes, and residents of this k9111,7, T property may be subject to inconveniences or discomfort arising from MAR Je47 IM, the use of agricultural cheeical's, including, but not limited to herbicides, pes L 8,� and fertilizers; and from the pursuit of agricultural operations i-ncluding,.6&,.tY,'�,hb',tMli�,,iped to cultivation, plowing, sprayink, pruning, and harvesting,'which octasionall(it.�g-e��a-'Ei't.(d(I t smoke, noise, and odor. Butte County has. established agricultural zones wh.ich','havb��ag a priority use for productive agricultural purposes, and residents within safd:-z:oneW-and on adjacent property should be prepared to accept such inconvenience or disc6rif6rm' from normal, necessary farm operations. All that real property�situate in the County of Butte, State of California, described as follows: Date: PROPERTY POINERS: th is the State of Z� Oil day of e-4 l9.!,5 ---'-p' before County of SS. me, the iinders:igned Notary Public, personally appeared C J OFFICIAL SEAL DOROTHY A. WISE Notary Publlc-Callfomla BUTTE COUNTY My Conn a— L%- 1 4410881 Pe-r.c.,orially 101OWn to me.. Y/ Proved to me on the' basis - of i3atisfactory evidence. to be the person(s) wilo..' e 114111le(s) f.� . subscribed to the within instrUMC11t Mid acknowledged that -�� executed the sanie J."or the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ZZ 13 C /Notary -Mlic- ;1 A D DESCRIPTIONS All that certain real PrOPOrtY GltuOte In the County of Butte, State Of CGIIfG?nis, described followel as PARCEL Is Parcel 2, 40 Shown on that certain P arctl Map entitled, *lying In Section 6, T.20N., 4.5t., M.O.M.-,,whIch Parcel Map was filed In the Office of the Recorder of the County of Butte, State of California, on februery 10, 1984, In Book 94 of Parcel Naps, at Page 36. RESERVING THEREFROM a right of way and public utility easement as shown on the Parcel Nap referred to above. PAICEL Ili A non-exclusivs easement f4r road purposes and �public utility purposes over a a trip of land 60 feet in width lying 30 feet an each side of a line described as follows, BEGINNING at a point In the North line of the Southwest quarter of a Old Section 6, which bears point South 87* 04.1 490 W No Ost, 862'96 feet from the rtheast corner of said Southwest quarters thence from sold point of beginning along the fOI104ing courses and distanceag North 030 431 131� West, 73.09 foots Nort h 290 59' 25" West, 231.14 foots North 496 431 670 East, 147.56 foots North 060 571 100 East, 179.27 foots North W 171 02* Vast, 98-05 foots North 010 09, 52" Neat, '104-69 foot; North 33' 50, do" East, 284.86 foots North 2V 46- 18" East, 133.61 foots North 15* 121 010 East, 135.40 foots North 55* 491 440 East, 156-57 foots North 35* 301 52" East, 60.75 foots North 700 $31 170 East, 71.74 foots South 70* 551 260. East, 122.55 foots Auth 519 58' 51" East, 161-46 foots South 78' 37' 58" East, 223.83 foots North 860 36' 350 East, 171-37 feet; South 75' 24' 58 East, 171-06 foots North 54* 24' 37" East, 152.73 foots North 23* 341 55: East, 122-17 foots North 360 56' 15" East, 235.72 foots South 50 01, 50w East. 230.07 feet I North 340 051 000 East, 89.32 feet; and South 660 45, 460 East, 140.10 fast to a point In Ponderose Way, an existing publ*ic 'coed. PARCEL III# A non-exclusive toed and public utility easement over Parcels 2, 3, and '4, as a hown on that certain P 'rool Nap tntitled, "The S.W. 1/4 Section 6, T.20N., R.St., N.D.M.", which Parc:l HOP won filed In the Office of the Recorder of the County of 8 u ttO, State of California, on June 5, 1981, in Book 83 of Parcel mops, at Page 9. A Certificate of Correction. recorded November 30, 1983, in Book 2688, Pigs 86, Official Records. PARCEL IVi A non-exclueive road and public utility easement over Parcels 1, 3-, and 4 as shown on that certain Parcel map 9 R.5E., M.D.M.", which Parcel ntitled, "The S.W. 1/4 Section 6, T . 20N. Nap was riled In FM the Office o� the Recorder of the County of Butte, State Of California, on rebruary 109-1984, in Book of Parcel Naps, at Page 36. 94 MPFDOCUMEN7 7U .OWNER A. GENERAL X7 Zoning requirements .o2' aluation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., -DUPLEX, & MISC. ONLY) Bldg. Permit # 772.- 9?s- A. P. # 71- 134 - /& (sideyards and parking). or Architect (if required). �B. PLOT PLAN ko." Complete parcel size and dimensions. etbaiakq, sideyards,'easements, etc. 3e' Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN �ok. Complete to scale plan with dimensions. .26- Required windows for light and ventilation (Sec. 1405). .0". Required windows for second exit (Sec. 1404). 7e�'Allowable glazing for energy requirements (20% max. per.State law). oF -Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec� 1407). er' G.F.C.I.'s'in baths and exterior outlets (Sec. 210-8). 1700" Light fixtures, switches, receptacles, and exterior receptacles for maintenance.of mechanical equipment. h"o' Locations of water heater, heating & cooling equipment, other electrical or gas equipment, ' 'and plumbing fixtures. 146"o' Garage firewall, door size, and closer (Sec. 503(d).(4)). 3'0" exterior exit door (Sec. 3303d). ]�K. Fireplace location. je3o.' Smoke detectors'(Sec. 1413). Di STRUCTURAL DET�AILS Foundationplan complete enough to construct building. .2- Floor construct -ion deiails complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof const ' ruction details complete enough to construct building. -8.- Fireplace construction details and c.alcs if overone-story in height. .6 -"*Sufficient data and'details to satisfy.energy insulation requirements (State law). E. MISCELLANEOUS -ITEMS TO LOOK OUT FOR --ro- CCX plywood on exposed locations and overhangs. e2l'o"Stairway details (Sec. 3305). ,,go." -Guardrail details (Sec. 1716). ,A -r Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 &.4708). fioo"_ Proper roof pitch for roof covering (Chapter 32). o��. Rafter ties or bearing ridge beam. OA-- Garage door or porch header sizes; 90' Adequate bracing. LGO.""Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. k ,X1 -.""Two (2) exits on three-story dwellings (Sec. 3302). ZONE 11 POINTS OWNER to Y'&'7;�-- ca'ac-'e ASSIGN I ED ACTUAL PERMIT NO. =7- - 1 . SLAB - INSULATfON 2. RAISED FLOOR - R-19 3. CEILING - R-30. 4. WALL - R-19 12 o 5. NORTH GLAZING - 2.4-3.6'/ :V = 6. EAST GLAZING - 2.5-3.6% _59� � 7. SOUTH"GLAZING - 1.6-3.6% n S. WEST GLAZING - 2.9-3.6% 9. SKYLIGHT - 0* -1.3% 10. SHADING (Exclude Overhang) EAST - 6 6 SOUTH - 9P .19-.42 WEST - X* /.13-.36 .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE 13. INFILTRATION (S tanda rd=O) (Tight= +12) 14. THER14AL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PU1fP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEEP,) 8.0-8.3/71-76% Table 3-3a. Ceiling Insulation I R -Value of Insulation I Points -IL- 1 -4 ' 22 ri- 30 0 38 +2 49 +4 Table 3-4a. Wall -Insulation Points I R -Value of Insulation Points -7 19 0 24 +2 30 +3 Table 3-7. South-FacinR Glazing Pt Table 3-10. Shading Coefficient Points T_ . .1 T Glazing Type Total Z of I Sngl. I 5`6117��Trpl, Floor (U (U - (11 - Area 1.1;) 0.65) o.41)1 1points Ivoints lvointsl I U P -to 1.5 1 1.6- 3.6 3.7-- 5.2 5.3- 6.5 6.6- 7.7 7.8- 8.9 9.0-10.0 10-1-11.5 11.6-13.0 13.1-14.5 14.6-16.0 +2 1 +2 -1 0 -4 -2 -6 -4 -9 -6 -11 -8 -13 -10 -17 -13 -21 �-1 6 -25 -19 -23 -22' +2 0 -2 -3 -5 -7 -9 I -14 -16 _i9 Table 3-8. West -Facing Glazin Pt I I 1_�� I Glazing Type Total I Z of I Sn I I D" WOOD STOVE 10.9-12.0 1 -17 1 -19 1 -12 1 -14 Floor (U - (U (U Table 3-5. T_ Noith-Facing GlazInR Pts I Area 1.10) 0.65) 0.41)1 11-1-11.8 11.9-12.7 I Glazing Type T 1points 13.3-14.5 14.6-15.3 1points 1pointsl Total I -42 I -27 ATTIC 2 7---T- 0 +1 +2 1 +2 1 +3 Z of 1 ST. I -46 I up to 1.3 1 1.4- 2.2 +5 +3 +-6 +4 1 +6 +5 Floor U UDb!.__7_T_r_p_j_.7 U - 1 2.1- 2.8 0 +2 +3 Area 0.66 0.42- 0.41 2.9- 3.6 -3 0 +1 TOTAL POINTS 7 1.10 0.65 dovn 3.7- 4.2 -5 -2 0 97 0 0 0 0 0 4 --U- __ T 4.3- 5.0 -8 4 -6 2 1.3- 2.3 �+4 +1 +2 +4 +2 5.1- 5.6 _37_7_-:_6_-_2 -10 1 -4 2.4- 3.6 -2 0 +1 -13 1 78 -6 3.7 -*4.8 -4 -2 -1 6.3- 6.9 -15 -10 -7 4.9- 6.1 -7 -4 -3 7.0- 7.6 -18 -12 -9 6.2- 7.3 -9 -6 -5 7.7- 8.2 -20 -14 -11 7.4- 8.2 -12 -8 -7 8.3- 8.8 1 -22 -16 -13 8.3- 9.7 -14 -10 -8 8.9-'9.5 -25 -18 -15 9.6-10.i -27 -20 -16 WOOD STOVE 10.9-12.0 1 -17 1 -19 1 -12 1 -14 -10 -12 10-2-11.0 -29 �-23 -17 00 '/ a r-' 7/_ HEATER 12.1-13.2 -22 1 -16 -13 11-1-11.8 11.9-12.7 -35 -33 -26 -29 -21 -24 0.- __VA1'*a_WATER 13.3-14.5 14.6-15.3 -24 -27 -18 -20 -15 -17 12.8-13.5 -42 -32 -27 ATTIC 2 7---T- 0 +1 +2 1 +2 1 +3 .19-.42 0 0 0 0 0 13.6-14.3 -46 -35 -29 _g:4ap OTHER - Z FA%4 vA *2 West .1 1.6 3.2 6.4 9.0 14.4-15.2 1 -50 -33 -32 1 0 +1 +3 +6 +7 .13-36 0 0 0 0 0 .37-.57 0 -1 -3 -6 -7 Table 3-9. -1 -3 i:6J -12 -15 Points -2 -4,.l '-8. 1 -1� 1 1 F I I TOTAL POINTS 7 ot Table 3-6. East -Facing Glazing Pts; T_ lkylight 0 +1 +3 +6 +7 T -able 3-1. Slab Floor Points Table 3-2. Ra T_T_ -7 Tn�,jia- R -Value of Insuistion R -Value of tiun Insulation Depth. T' _T____T inches 0-2 3-4 5-6 7+ 1 6.3 be'low 3 3 4 0 +1 +2 0 -5 -5 -5 -3 5 7 12 - 15 1 -5 1 -3 -2 -1 a 12 16 - 19'1 -5 i -2 1 -1 1 0 1 13 18 20 + 1 -5 -1 0 ! +1 1 -194- 7/7/83 Points -12 -8 -6 0 I I I - Glazing Type I ' Glazing Type Total I To t al I % of T_Sn� -1. 1 Db!, I Tr:I,T I % of I Sngl. I Ybl, I Trpl,1 I Floor I U U U Floor (U - I (U - I (U - I I Area 1 0.4- 0.42- 0.41 _T Area 1.10) 1 0.65).1 0.41)1 1 1 1-10 0.65 down I po!nts 1polnts+�Intsl T- I r 1 4 4 1 4.4 up to 1.3 -1 0 0 up to 1.3 1 +3 +4 1.4- 2.2 -3 -2 -1 _T 1.4- 2.4 +1 +2 1 +2 2.3- 2.8 -6 -4 -3 1 2.5- 3.6 -2 0 0 2.9- 3.6 -9 -6 -5 1 3.7- 4.6 -5 -2 -1 3.7- 4.2 -11 -8 -6 1 4.7- 5.6 -8 -4 -3 4.3- 5.0 -14 -10 -8 1 5.7- 6.7 -10 4 -5 5.1- 5.6 -16 -12 -10 _6_-ff-_7 -.r -13 . _ -7 5.7- 6.2 -19 -14 -12 7.8- 8.7 -15 -10 -Q 6.3- 6.9 -21 -16 -13 8.8- 9.7 -1.7 -12 1 -10- 1 1 7.0- 7.6 -24 -13 -15 9-8-11-2 1 -21 .-15 1 -13 1 1 7.7- 8.2 -26 -20 -17 11.3--12.7 1 -25 -18 -1 -15 1 1 8.3- 8.8 -28 -22 -19 12.8-14.0 -23 - -21 -18 1 1 8.9- 9.5 -31 -24 -21 14.1-15.3 -32 -24 -20 1 9.6-10.1 1 -33 -26 -22 J_ T__T SC by I - I . Orien- Z Floor Area tation f East r __T 3.2 0-3.1 to 6.4 up 6.3 0 -.19 0 +1 +2 .20-.36 0 0 tt .37-66 0 0 0 .67-.82 0 0 -2 .83 up 0 -1 -2 South 0 3.2 6.4 8.0 9.6 to to to to up 3.1 6.3 7.9 9.5 0 -.is 7---T- 0 +1 +2 1 +2 1 +3 .19-.42 0 0 0 0 0 .43-.66 0 -1 -2 72 -3 .67 up 0 -2 -4 -4 -6 West .1 1.6 3.2 6.4 9.0 to to to to up 1.5 3.1 6.3 7.9 f I I 0-12 1 0 +1 +3 +6 +7 .13-36 0 0 0 0 0 .37-.57 0 -1 -3 -6 -7 .58-82 -1 -3 i:6J -12 -15 77 -up -2 -4,.l '-8. 1 -1� 1 1 F I I Skylight I I i J_ .1 1 .8 1,1.6 t 3.2 1 4.0 to to to to to .7 1.5 3.1 3.9 5.2 0-12 0 +1 +3 +6 +7 .13-36 0 0 0 0 0 .37-57 0 -1 -6 .58-.82 -1 -3 -6 -12 1, .83 up -2 -4 -8 -16 -20 Table 3-11. Horizontal South Overhane Points T_ 1-5 Glazing I Length Out Area, I of Floor I from Wall I ft -7 0-6.3 6.4 up 0 - 0.5 2 -4 0.6 - 1.0 __2 -3 2.0 up 0 0 _iable 3-12- Movable Insulation Points 1 -_7 Moveable Insulatlon'l Area, Z of Floor Points 0 5.5 0 5.6 ii.5 +2 11.6 17.5 44- 17.6 23.5 +6 >23.6+ +8 b. Table 3-�'.3.' 71-ifiltzatlon Control # Fer.tmres Points I Com-rol Features Points 01 T- r S C anda,rd 0 .1.9 air changes per hr I T- I Tight +12 - '1 0.6 air changes per hr U Table' 3�15. Gas Furnace Without I Refrigeration Ccoll!ng Point 5 Season3l Efficiency Points (SE), T- 71 76- 0 77 82 +2 83 88 +4 89 94 +6 95 up -+a Tabli 3-'6.- Veat P"mv Potnts Eie-�gy Effl-!ency Points ' c Ra*tlo (EER). '7.5 7.9 +3 t�l S.0 a. 3: +6 3.4 3.7 +9 8.8 9.1 +12. 9.2 9.6 415 9. -�10.2 +18 10,3 10.8 +21 10.9 11.5 +24 11- L- 1 +27 1 1 0 1 a measure will , 12.4 - 13.2 +30 1 be completed after the CEC has approved an Alternative oaponent rack -age for Resistance I Beat. Table 3-13. Active Solar Space Heating wl r h Gas Pointg T Net Solar Fraction Points (NSF), % 0 6 0 7 14 +2 15 23 -k - 24 110 +6 31 39 +8 1 40 - 47 +10 48 - 55 +12 56 - 63 +14 64 - 71 +18 72 up .+20 ZONE 11. TA!LE 3-14 (ADAPTED) INTERJOR THERMAL MASS POINTS MA SS n.c. tMe AICA C -1-C 1111 AREA 1.000 1.500 2.000 per untr, 2.500 3.000 f E 2 3.500 4.000 4.500 -1 000 10-19 Sq. FT. A B C 0 A B C IT A B C 64 A B C 0 A B C +5 A 8 C 0 A 9 C D A B +6 +8 +10 +12 +14 1,500-1.999 0 +4 +6 '2 +8 +10 2,(100 -and �p 0, +2 +4 *5 +5 +7 +9 �o _D 900-999 - 0 +4 +9 +13 +17 il +26 +3C, - 0 +4 +7 .+1 1 +" "" 9 +22 +26 1.2k,1:499 0 +3 +6 +9 +12 -�l 5 418 +21 !-0 2 2 2 2 2 2,0()0---, ,)1,9 .0 1 2 2 2 OT 0 0 0 0 0 0.,. �O- 0, 0 0 0 0 0 0 0 0 0 0. 01 Qj .03. 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 1. '0 a 0 0 151) 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 Z -Z 2 o12 2 2 6i 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 ' 2 2 2 2 2 2 2 2 2 2 2 2 2 2 z 2 253 1010 8 6 6 6 6 4 6 6 4 2 4-4 4 2 4 4'2 2 2 2 2 2 2 ? 2 2 2 2 2 2 2 2 300 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 1 350 14 14 12 8 10 10 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 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 1 4 2 2 . 4 z 2 500 IS IS 16 10 12 12 10 6 10 10 8 6 _9, 8 6 4 6 6 6 4 6 6 6 2 6 6 4 Z 4 4 4 2 4 4 4 Soo 22 20 18 12 14 14 12 8 12 12 10 & 10 10 8 6 a a7 r. 4 8 C -6 4 6 6 6 4 6 6 4 2 6 6 4 703 24 24 20 14 18 16' 11 10 14 14 12 0 10 TO 10 6 10 10 8 6 8 4 8 6 . 4 6 S 6 4 6 6 fi P. a3o Z 6 24 22 16 70 16 16 10 14 14 12 a 12 To 10 6 10 10 a 6 to 4 - 6 : 4 8 6 6 4 6 5 6 900 28 28 P4 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 8 '11 4 8 a 6 4 1.010 30 30 26 18 ?2 20 20 14 18 18 16 10 14 14 12 8 2 11 10 10 10 0 0 1 a C 4 4 1 -.00 32 32 28 zO 24 24 22 14 20 20 18 10 16 16 14 8 14 4 12 : :2 2 12 1 1 0 1 0 18 0 18 6 1 to e e 1.200 34 32 30 22 26 26 22 16 22 20 18 12 IS 18 14 10 14 14 12 8 14 I 2 2 12 12 10 6 a 0 6 1 11) 10 8 6 I.JCO 34 34 32 22 28 26 24 16 22 22 20 12 18 18 1& 10 IZ 14 14 8 14 12 12 6 12 12 10 6 12 10 10 G 10 1 ,, F. 6 .1.400 .34 34 32 24 28 28 26 18 24 24 20 14 21 10 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 12 10 10 E I.i0o 36 34 34 24 30 30 26 18 24 .1 24 22 1 4 22 20 18 12 18 IS 16 10 1 16 184 It 14 14 1 1? 12 10 & :2 lz 1: 6 2.300 - 34 -34 32 22 30 30 206 18 26 22 16 22 22 20 14 1 20 ;6 0 1 12 1 6 To 16 i, T 14 14 12 2.500 34 34 3 126 2 2 3 0 30 26 1 8 26 26 24 1 6 24 24 22 . 14 T3 ;C :2 0 r, 18 1!1 1; 1 f, o 3.000 3.500 34 32 30 22 30 32 30 32 26 30 18 20 28 30 Z6 30 24 A 16 12d 24 24 28 22 24 14 �22 16 26 22 24 20 22 14 1, i 74 ZJ 24 I - 20 12 14 .1.000 32 32 30 ;a 0 30 30 26 18 9 ' 8 24 If 16 11.5 22 if 4.500 32 32 28 210 30 3�) t 26 e 51003 32 --------- 1� - Zi - 20 IJ G Y6 Iz A) I . Vj" Concrete Slab: HC�8.93; R-.29; Factor -7.3 2. 3 3/4. Thick Comnon Brick: 11C-7.125: R-.13; Factor -7.3 8 C1 1: S%',Concrete Slab: HC -14 Sol,d Filled Block: H 20. ; R- Jac o K. E!O';63'* 2. 8 o d Filled Block With Both Sides ExposedJa Conditioned Air. NOTE:' Use all,square footage directly exposed to conditioned'air . for Thermal'Mas Are : 11C� 0 164 R &L Factor -6 V .2. 5;; R -.68:j;, F;.ct;;T7* 0) V Thick Concrete/Tile; KE Table 3-19. Zonally.Controlled Electric ResI:;t'4nce Space-IleatIng Points Points f r Table 3-20. Table 3-17. Gas Furnace With Refrlveration CcollnR Points !Refrigeracionl Gas Furnace. Cooling I SE I 17 1-111- i 8 3-1 sg---Fg-5 -T 1'761 8221 881 94 "o F--T--T - - I I 8*.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7.1 +21'+41 +61 �91+10 f 1 8.3 - 9.2 1 441 +61 +C14101+12 I 1 .9.-- - -9.7 1 +61 +81+101�121+14d 1 9.8 - 10.3 1 +816-101+121+141+16 1 1 10.4 -,10:9 1 +10� +1.2i+1 -1 +1 6;+18 1 1 110 - 11.6 1+121+1 1+1614-1314-20 1 1 1 1 - - I -� k I 7/7/83 wood stove #33 poines-(no back up) casablanca fan + 1 point Fultifamil (per unit poincs) .Floor Area Net Solar Fraction (NSF). X per untr, f E 2 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 +14 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 4.2 +4 +6 +8 +10 +12 +14 1,500-1.999 0 +4 +6 +7 +8 +10 2,(100 -and �p 0, +2 +4 *5 +5 +7 +9 All others (per buil.dinp p;Ints) 8(j0 -e,99"-- 0 +5 rO- +19 +2 9 +3 900-999 - 0 +4 +9 +13 +17 il +26 +3C, I .00D-- 1., 199 0 +4 +7 .+1 1 +" "" 9 +22 +26 1.2k,1:499 0 +3 +6 +9 +12 -�l 5 418 +21 1,500-I.qgg 0 +2 +5 +7 +9 +1? +14 +IE1 2,0()0---, ,)1,9 0 42 +3 +5 -0 +8 +10 + I I .d Uo 0 .+1 +3 +!, 1 +5 4.7 .-S 4-10 Table 3-21. Other Water 11weatIng P 9. 7- 1 1 System Type Points Gas Only Beat Pump Sol3r vith Electric Resistance Backup meecing the Requir, ments 1:1 Part Eltccric Resistance O. -If 0 0 F�, � RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner -7 Climate Zone Permit No.. Floor Area y 2 lab Compliance path* : Package 13 A OB 13C MPoint System' Budget other —lg;� MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling 'Oe/�V/�o Wall 0 Slab Floor Perimeter Raised Floor (2) INFILTRATION: 13 (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. 7/83 Tight - the above standard features plus: 13 (D) Continuous infiltration barrier 13 (E) Electrical outlet plate gasket Area (F) Air-to-air heat exchanger R=, (3) GLAZING: MC= (A) Location Area Glazing %Floor Area Single Double Triple 13 Type Total Bldg dr Area Ft.7 North CPO R= East Location South West 13 Skylights Ft.2 (B) Shading MC= Shading Coefficient Description 13 C) East 13 Area South 13 R= West MC= Location Skylights (C) South Overhang 13 Type Length of projection ft. Description 13 (D) Moveable insulation: Area ftZ Description 7/83 (E) Thermal mass It -;is /,6 3 oor� AAo r 13 Type Area Ft.2 HC=- R=, MC= Location 13 Type Area Ft.7 HC=- R= MC= Location Type Area Ft.2 HC= R= MC= Location C) Type Area Ft.2 HC= R= MC= Location 13 Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z-HC=- R= MC= Location 7/83 �4 46 04-0 'PIP oil 13 LMI FORM I (4) MASONRY AND FACTORY-BULT 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 re ' adily 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, VENTIIATING, 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 model number type (liquid or air) solar fraction Collector brand and ft2 collector area collector orientation collector tilt rated y -intercept rated slope Other 1A./ 900 AO 9-" (describe) (B) Cooling Electric�Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95*F) Electric Heat Pump EER Btu/hr 13 (cooling capacity at 950F) model number type (liquid or air) solar fraction Collector brand and ft2 collector area collector orientation collector tilt rated y -intercept rated slope Other 1A./ 900 AO 9-" (describe) (B) Cooling Electric�Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95*F) Electric Heat Pump EER Btu/hr (cooling capacity at 950F) 0 other (describe) 0 (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 thermostats, except -all 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 DANPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSUIATION. 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 FORK I (6) DOMESTIC WATER SYSTEM 13 (A) Gas Only -- . Gallons (brand and model number) (tank size)' 13 Heat Pump w/ElectricBackup (brand and model number) Gallons (tank size) 13 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector areT) (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 lumets pet watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by'Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following; Heating.: Winter design'tempe elevation >2gog2a heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU U/4), A.'s Cooling: Summer design temperature 0, cooling load BTU *2 (USE ONLY AS A SIZING GUIDE, COOLING MAT-IBE.INADEQUATE) Submit T.I.P.S.E. chart or other approved system (form #5) to -document sizing of sola"r,panels. DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 2.4, Part 2, Chapter 2-53 of the California Administration Code. 7/83 —SXATUR9 OF'BUILDING DESIGNER OR APPLICANT 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califprnia 9,V,65 - Telephone 916/534-4541 APPLICATION AM PERMIT P RMIT 0. V ASSESSOJR PARCEL NUMBER 71-42-15 ZONING BUILDING PERMIT OWNER Wyrth Falkowski TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6186 Oneida Dr., San Jose, CA 95123 COVft6f OR*S NAME TELEPHONE lst renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace I COrff(3F1V&CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ �2- FEE $ 164.00 ARC&IffT OR ENGINEER CENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 174.00 PLUMBING PERMIT FilingFee 10.00 WIS Deer Meadow Rd. app 150' S Dounacountre Each Trap 2.00 Bloomer Mtn. Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME I PARCEL MAP I Water piping 5.00 Each qas water heater or vent 5.00 1 USE OF STRUCTURE SF 99 DuplexF� MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 Building sewer 5.00 1 Mobile Home I S I G JW 1 10.00 Pa, TYPE OF WORK New R AdditionEl R emode 1 [:1 Utilities [:1 Installation[] OtherEJ Describe work: lst renewal of permit #722-85 I Permit Fee $ Contractor ELECTRICAL PERMIT Fi I i ng Fee 10.00 main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pe1na ty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines and Professions Code and my license is in full force and effect. License No. Classification 11011 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F-1 I am exempt under Sec.—, Business and Professions Code for tNyeason NEW CONST. DWELLING OCC OR ADONS. ( ACC. BLDGS. UP") k/20SQ it NEW CONSTR. MULT]-OUTLET N D N,RES '0, BRANCH CIRCUITS) [2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup( OUTLETS OR FIXTURES 1.20 @ 50c AL@30C FIXED APPLNS OR Ex. Occup. OUTLETS (RESI'D.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare und7r penalty of perjury (check one): F] 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 —p I ennit Fee $ Contractor I certify that I have read this application and state that the above information is'correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue C 7equyy/bf the gr ting of this permt Date no of Applicani'01 Owner)K Contractor E] Agent E] PS I g, * I(./, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee — TOTAL PERMIT FEE $ 174.00 oc�UP-J CONST.T77 I I FLOODIPARCELI PD I NO I ISSUE SUE 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 plaid. qDIREC1T09"7FBJLI, WORKS -1. Bv natp 60, k�/, 4/ PERMIT EXPIR6S)Date 4-3-87 Receipt No WHITE-O.P.W., YELLOW -ASSESSOR. PINX-INSPECTOR. GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Attention Property Owner: OWNER -BUILDER VERIFICATION Phone: 916-534-4541 An,"owner.-builder" building permit has been applied for in your name and bearing. your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary -delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) —:75 2. 1 (have/have not) AIC-- signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person construction: Name Address (firm) to provide the proposed Phone Contractors License No. City 14. 1 plan to provide portions of this work, but I have hired the fol lowing -person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: f Property Owner Jotk�l �� Social, Security N;&;Aer Date : �:/_ / � / — I & 16 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and . 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are' per- mitted to issue the permit. 1�