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063-040-109
AP 63-04-/-q# OXEL s =lidi Way, ntersection of Tippi To ane, Fore arch nit# 3367- (util., C GAS ". SUPPORT -S 'X35, E REQ, . - C OMPACT ION TEST R ` 63-04-109 CHRIST.'U ER MALEK F -.. Vivian n, 350' E Cody Ln, For Rch Permit#1468-855-:,,E(util, MH) travel trailer °-1=6 04-109 Permi, #1470-85B, E �new cabana/NH) ^63-04-109 Perm* '238-85P,E(gas piping & ele/14 d6`8�.85) MH 063-040-109 92-4181B,P,E,M --PALMER, BOB �� V/ b'% 1#11 Vivian Ln, Forest Ranch (new sf) 063-040-109 '93-774 B PALMER, ROBERT & LISA '4 VIVIAN LN, FOREST RANCH OPEN DECK/SF ---------------- � � I o AP 63-04-/-q# OXEL s =lidi Way, ntersection of Tippi To ane, Fore arch nit# 3367- (util., C GAS ". SUPPORT -S 'X35, E REQ, . - C OMPACT ION TEST R ` 63-04-109 CHRIST.'U ER MALEK F -.. Vivian n, 350' E Cody Ln, For Rch Permit#1468-855-:,,E(util, MH) travel trailer °-1=6 04-109 Permi, #1470-85B, E �new cabana/NH) ^63-04-109 Perm* '238-85P,E(gas piping & ele/14 d6`8�.85) MH 063-040-109 92-4181B,P,E,M --PALMER, BOB �� V/ b'% 1#11 Vivian Ln, Forest Ranch (new sf) 063-040-109 '93-774 B PALMER, ROBERT & LISA '4 VIVIAN LN, FOREST RANCH OPEN DECK/SF ---------------- � � I I I , AP 63-04-/-q# OXEL s =lidi Way, ntersection of Tippi To ane, Fore arch nit# 3367- (util., C GAS ". SUPPORT -S 'X35, E REQ, . - C OMPACT ION TEST R ` 63-04-109 CHRIST.'U ER MALEK F -.. Vivian n, 350' E Cody Ln, For Rch Permit#1468-855-:,,E(util, MH) travel trailer °-1=6 04-109 Permi, #1470-85B, E �new cabana/NH) ^63-04-109 Perm* '238-85P,E(gas piping & ele/14 d6`8�.85) MH 063-040-109 92-4181B,P,E,M --PALMER, BOB �� V/ b'% 1#11 Vivian Ln, Forest Ranch (new sf) 063-040-109 '93-774 B PALMER, ROBERT & LISA '4 VIVIAN LN, FOREST RANCH OPEN DECK/SF ---------------- � � I m - � -Cj V=OW O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a .1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector . . 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DEC OVERS CARPORTS GARAGES Plans OK except #'a Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joista-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports;. Windows -Doors rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test-Anchor-Reguietor-Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Materlal-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27.2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above Insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bmc-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3b Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Alr-Connector- In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Alr Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO PERMIT NO. 7_County"Center Drive - Orovil le,,Califchnia 95965 - Telephone: 916/(38-7541 ., APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-040-109 ZONING TM -5 BUILDING PERMIT OWNER Robert & Lisa Palmer TELEPHONE 893-0754 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 P.O. Box 156 Forest Ranch 95942 1,360 Oppn 9.520.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER97-50 LICENSE NO. Plan Checking Fee ,$' -48.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 161.25 PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP e7-/-3 Water piping Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets J7.00 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: - Open Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON•R I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$ and Professions Code and my license is in full force and effect. License No. Classification Del 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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUPM OR ADDNS. l ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR U TI.OUTLET ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. I EX. OCCU p OUTLETS OR FIXTURES 20 76 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities. judgments, cos,4, and expenses which may in any way accrue again id C unty ' e nc of the grantin of this permit. Q XC;Q Dates �Q� /� Signature of Applicant — OwnerContractor ❑ Agent 1-1sions An OSHA permit is required for excA tion: over 5'0" deep anddemolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $161.25 HAz 0FEES IMP FLOOD coF PARC PD HD ISSUE r This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees By QIRE_C OR OF PUBLIC �— PERIIAI EXPIRES a applicable provi- resolutions to do have been paid. WORKate� I _1 Receipt No. WHITE-D.P.W., YELLOW-ASSC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT IMPORTANT MESSAGE FOR l��A�h�' ` DATE - � `3 '-,49 _TIME M L i `SA Ph i m' e.tr OF PHONE 84� -5a 3a AREA CODE , NUMBER EXTENSION "' , TELEPHONEDu PLEASE CALL ',••, ''' W1•VI.M.,v.} •i:-64140 M46 WA WAS A,'1.A, 44fA;Ni... CAME TO SEE YOU 01, M.MAIN & M.VA,rM,,-YA WILL CALL AGAIN ir4KfHY.. WANTS TO SEE YOU RUSH RETURNED YOUR CALLSPECIAL A ON J MESSAGF= Al L 1-4 . I . ' ' �� • • L��. jA i �► _A oa m 49 SIGNED 4 uTtlo IN U.S-k - � TOPS -17 FOR..A 8002S I� ''. _ '''�,.'.�w',-�n,-.,..�"W'�I"-='-Y`Mi.l�,'�(v+`r��Y-(`�4..'�.�a-.5P`sfarr'^.•-,.•tn •_ � • �Mrp�}yiq�+.�^�.�•�r^,�c��.�,`�r....:.:rQ;,nwY:' �'"'"'`. �`.. y„�,b.�. �.�, :�'..r ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION j 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916)538-7541 % 916)538-7541` PERMIT APPLICATION DATASHEET /� OWNER _,/ A. P. No.-6 3 ` oyo ` I0% Proposed Building Use _ � Building Inspector_ Date �3 ZL _57j At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted........................................ . 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans. ....................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form.............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . Q�14. Sanitation and plot plan approval 400i/C' o Health Department . ............ 15. City of Chico plumbing permit.......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre-inspection for required. .. oBuilding Inspection ctorr (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use.......................................... 28. Mobilehome utility clearance. .................. ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. TelephoneA9857-,3*and hold for pickup at G L1/L a office. Deliver with inspector. Other - L� Parcel Creation Acreage Applica t ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health-Dept. Fire Dept. Other Date By The following data must be submitted prio o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owrw ,was advised of abo'v'e' required data by_ phone _ mail Counter b" Date 3 " j 3 Contractor, designer, owner, was advised, of above required data by _ phone _ m it Counter by _ Date Plans checked by ' Date Plans approved byl 4" Date -/Z Sets of plans e44wA4-in -Dile-eebimet p i Copy - Department of Public Works 5 3-3 /- �3 .5�.�; > A-i 10 T �/d�1�0%,✓s 4- 14°v / Ara C �� / �, t /sae C/tz,ra.vc� TO: FROM: SUBJECT Building Department Environmental Health Sanitation Clearance F.H. USE. ONLY Plot roan ntt: ched �- 1'1flflr Han Atlncht-d Sunt to B.U. Owner Location APf# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE ou 4Id / Environmental Health Specialist 8/92 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovill'e, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L_3 — O %�� — 1©9 ZONING fvl _�5' 1 BUILDING PERMIT OWNER k__6L/ SR ��/�j�ti TELEPHONE - 02sy SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . /So ,�.�Lti Ss17yz / y 6. 6v Q CONTRACTOR'S NSA/MSE 5W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ c7fs Z Q ' LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 737� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $57 � U ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ v PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 1114m/e- L�,_ Solar or heat pump water heater 20.00 LOT NO.SUBOIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFZplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New[:] Addition2Remodel❑ Utilities❑ Installation [J' Other E] Describe work: 0i, e J pI GG l2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.8J OR ADDNS. 3.6a sQ.ft. ACC. BLOCS. I NEW CONSTR ULTI.OUT LET NON ESLD BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 61 SINGLE OUTLET CIR. 1. Ex. OccUp(OUTLETS OR FIXTURES 20 76d Ex. OCCUp. OU FIXLETS (RESID )REJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE 2 TOTAL FEE $ `.GT 7 HAz 1 DFEES I IMP I FLOOD I COF PARCEL I PD I Ho ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WNITC-O.P.W., •[CLOW-A3e[e30R, PINK -INSPECTOR. GOLD[NROD•APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mater Is for construction of the proposed property improvement (yes or no) l 2. I (have/have not) V -a- vy— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secu ity 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. C• � 7 4' C r f • t• Wf V i� i A! -baAX—. Pt,S-- wa Ap oqo- o CC , , 421 1.1-7 ( .0 co 421 1.1-7 ( .0 ji, VARIES , 0 N f36" MI 0 m (71 0 m 7Q r 4 MAX. i r I w •: c m -a N I I C> Z N II 3 L7/ <34"1 '-�'�� J,rHfWI)RAIL HE16HT � `36 'MIN. S TAR .- eC//� � W i DT4, ol A ozN FC a R �d�TTY s x 3. �m Z 6. 7rnv v O � p -f z a f36" MI 0 m (71 0 m 7Q r 4 MAX. i r I w •: c m -a N I I C> Z N II 3 L7/ <34"1 '-�'�� J,rHfWI)RAIL HE16HT � `36 'MIN. S TAR .- eC//� � W i DT4, ol A ozN FC a R �d�TTY s x SIDENTIAL 063-040-109 92-4181B,P,E,M PALMER,. BOB #1 Vivian Ln, Forest Ranch (new sf) T0.�Cc Yl.op¢l QQ i� K / W X13 I - Co &o G- 9 Al JOB FINALED (Date) *� vo Signature OK Not OK = Not Applicable RESIDENTIAL, = Not Ready Date UNDEOOR (Plans except q's oni Se s -E ments-FI dd-S e g., Main; S ' -Elec. G /V" Ftg. Doth X?,o Y 3. ., Gar Soils -Stec. G .-/ /" Ftg. Depth 4. Ftg., orche & Decks; Soils -Steel-/ /Ftg. Depth 3!Sle`mwalls Main; Steel -Bloc kouts-Wrapped 6&-ST,emwalls, Garage; Steel-Blockouts-Wrapped -6a�-Held Downs and Special Anchors /-;r•. b; Steel -Wrapped yrs -Fireplace Ftg.-Steel 9yif�W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test —� . Water Pipe es Anchor -Regulator -Service Test °_12_EIECYric; Underground . Pienums & Ducts; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 13-A,66ess & Ventilation -16. Insulation Date jo 7 Card B-1 V45 Date Card B-1 Datek .S Card B-1 60 Date Card B-1 Date PLUMBING (Permit),OK except ft's _ 16. Water(it :IF Acc s -Combustion Air -Baffle War Pipe; - -N Anchorail Protection---------- ----- ---- i- 1 W. V.: ittings & Anchor -Nail Protection - ------------------ -19. - -19.Shower Access --------------- ------------- 20. Test -Tub &----Shower,--Second--Floor-Tub Access --------- --------------- Gas Pipe: Size & Anchors --------- -------------'-/- - -- -- ----- - -- -- Card B-1 Date Card B-1 -------------------- V ------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's - 2 Fix a &Transformer Clearance -Ins. le ti n ---- -- -- - -- ------------ ------------ -------- ---- 2 . eec. Receptacles Sp g -Li is & Sw es at Doors ---------------- --- ----------------- - ----------------------- ------------- 24. a Boxes & No. of Conductors -Stapled ----------------------------------- ----- ------------------ -------- 25. Romex Installed Close dge of Studs & 6.d� ©E round made u w! Mech----------- Fastner Bond Gas & Water ............. -----ui-G -- ----- --- ------------------ ---- APp fiance Circuts in Kitchen & Conductor Size!GFI ---------'------------------------- 22. re Size ! ga. Cu or ---------------2 ange Circ gaga Cu or TAI�-O irc. / / ga. Cu or Al. ------------- - - - Insula ed Neutral 19`7es - ❑ No - - --- - 3 er ' e -Riser Conductors & Ground -Main Disconnect --- ...................... ----------- ----------------- quip. Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------------- 32. Clothes Closet Light-Shov�ght-Spa Light - - --------------------------- ------- -- 3. Smoke Detector ------------------------------------------------------------------------------- - DateCard B-1Date Card B-1 - -------------- ------------------------------------- Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except ws 3 . A.C. Ducts Insulation & Support ------------------------------------------------ 7 ------------------------- - Vent Fan; Exhaust above insulation Condensate D ---rain & Overflow. Size & Grade --------- �•C� - --------- --- - ------ -- - Furnance-V�nr Access -Comb. - Air -Recur 115 outlet flit Access &Platform if Furnance in Attic ------------------------------------------------------------------------------ Date'I-t .j Card B -t(//7 Date Card B-1 -------`---•--------------------------------------------------------- ---- Date Card B-1 Date Card B-1 Date FRA"G (Plans) OK except #'s 3 . Sils. Proper Material & Anch_or_s_ 4 ss Studs-Na�ting Spacm BraArrrg-Plates-Sound J� �" ------------- ---------------------- ----------------------------- QLB'eanng Walls over Gir ers & Floor Nailing 2 Draft StopWalls---- ----- -------------------------- 1,�4- -- - -to in - -(rat - -- - - ------------------------ ;L43. - - -----------yL43. Fire Stops: Furred Ceilings -Stair -Chases-Tub --------- P -- - - ------------------------ aders & Beam l%k< B ng (Single'& Duplex) Date FRAMING Continued) f45.' anger -Post C ors -Connectors 46. Cing. Joist-Rf ies-Purl in -roof Brac-T -Shthng.-Ring. _- -- 47 -ireplace Ties o Type A Flu Fireplace Throat clearance 48. Attic Access: Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Win or Exiting Door H`gf-&-Dibiorrstons ------50_Garage_Fire P --ion Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits /5DStairs: Wi Headr - isetlawrflCanding ire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------------- ---- 55. Siding -Nailing Veneer ----------------------- ---------------- 56. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----- --- 57. Glazing Area -Glass Protection -Skylights- Plastic ---------------- ---------- 5' ear s; Nailing -Bolts sulation-Walls-Ceilings ------------- --------------- - 60. Infiltration -Walls -Windows -- ----- Date C) -1j3 Card B-1 Date Card B-1 --- - Date Card B-1 Date Card B-1 Date FINAL lans) OK except ti's Xt. Steps -Door & Sidelight Protectio - an ke_Detector 6 urnace_n e ce omb. Air-Connector- in g•arag : _ove Ducts-Mech. Protection Exiting ----- ---------- ------------------- & Bath Fixtures & Tub Access -Spa ------------- pec rim & Subpanel: Breaker Sizes & Labels ---- - --- 47�Sta' --Rails --------- [ireplace or Stove: Clearances -Hearth COMA ` �e^�&Ext. -- - C No <it.F xt & pliant it _a coking Clearance lei. Outlets t eg-6ptacles at rt. Counter - ------------ t - ---- -- ----- 7 .Garag ire or; wi oser - - .-_- - -- amper tr. Htr. en learance-Comb. Air-Connec G ---------- In arage: ove Floor-Mech. Protection �`T ------ --- & Mech_Equip, Listed for L alio, 7 l��ec. Receptacles in Garag (G. . Romex Protection sulation-Foam-Looked in Attic Yes - 7A r � 1A Qx I� x no14 r^nstruction -Post Caps -------- -- ents & Crawl Hole Door -Drainage & Wood -Earth - ______Clearance Looked under Floor Yes fir- ollowing instld. Driv Yes ❑ No; Walks �q ves ❑ No; Planters ❑ Yes ❑ o Unit; Disconne , lectrical, Plumbing ------------- e ove R f: Ibg.-Appliance-Fireplace.-Clearance to Openings er Wa Disconnect, Electrical, Plumbing --- --erio - Iec: Trim G.F.I. Receptacle -Underground entilation Throughout House - -- - — -----_-- s Pr ection -.. .. - - - ------ ---- - ----- --------- d ec_ _ s from Previous Inspections s T st- eters Tagged; Gas -Electric ------------------- ---------------- 9 r _ Sewer Connected -C/O to Grade -HD Approval - - — - nergy Compliance Certificate -Other Certificates --------.---- - - -- -- ------ --- Date Card B-1 6 Date Card B -t iZ- /'- 3----- - Date 00�� /� Card B_1 _Date Card 8-1 Date Card B-1 Date Card 6-1 Comments at Final: i J=OK ' O =*Not OW Not = of Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location-Test-Easemerit Needed (Sketch) 5. Electricity; Location-Clearences-Gind-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L" ft! / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance-, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements \ t 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date' DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries_TerminaIs- 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 in Conduit 9. Health Department Approval A� 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 --bate Card B-1 Date 'Card B-1 Date Card B-1 i• f�� �� 1 ,��it� f��� fir, '� � ��A � _ P.O. Box 1947 0-roville, CA 95965 7 �Ls. (916) 533-0922 _ 11La C Corp.C:,£, (916) 534 3515 � �' FAX COVER SHEET • SENDERS NAME: f'; DELIVER MESSAGE TO: f-� PAU�L/11\ TOTAL. # OF PAGES (not including, cover_,shee.t ) DATE SENT: If you do not receive to-t:al number of 'Pages listed above, -Please cal1 � A.S.A.P. (91G) 533,0922. - 1 I Y . u = e a 700�Z6OZ Hglif [ SHri ME' b£S 916Z 9£ Z £6/£Z/LO r 4 _ � til # nb+�sRekti+}�,�hCi�?�f`Y ..;,„�ts`«wa�w+•� �:wt,�.rr � �/ L.. ..�� G / / � ,.•:i C` E R ; aVCAAE IT • ����TF �Of ilgr���� . 8y C E I% -A, I "Of c W ;-,C0i4t0RMAJ1 ,,'* °^. n ?hat.the products identified below and on attached sheets Nos. are marked vvitn zhe Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (RITC) and were manufactured in conformance with applicable provisions of American National Standard R'NSI/A!TC A190.1-19$3, Structural Glued laminated Timber, and that such manufacture has been at our plant in Dr4i:f,�OR , which plant has a quality control system approved ny the inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. ,Ihe manufacture of . these members complies with the manufacturing and fabricating provisions of Chapter 75 of the Uniform Building Code. h,?FAE . -- iut-n'oer Sales. Inc. for Stock 30s I.Oi;ATYON• C US 7O.V, ER'S ORDER NO. DATE 8'25 7G �.gFOR'S ORDER NO, 2165-6 &1GR`ATURu COMPANY Dir— 3—Lam TIIIF 11�,,,� C,�(��C>.f, AODRESS_Y�1_A�V�! 2��. Drains OR „ATE 9-2-92 s<t-�ev�vea��:�z.�„:act�ose�zear�auua�• - ---- ast:c+x::�r�--. f STC HFRE8 Y .CERTIFIES -that the said company at its said plant is licensed by the AMERICAN INSTi T &'I OF TIVBER CONSTRUCTION to use the AITC Collective Markin respect of products which co;°nply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the �tvIFRICAN ?NSTITIUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, Said company is capable of cosmplyirlj with applicable manufacturing and testing provisions of said St,prdard in respect of products manufactured at said plant. Conformance with the Standard in respect VI .any specific or particular prod ct is the sole responsibility of the• manufacturer; AITC's guarantee i�er��under being that the saId'ccrnpan%� is'qualified to produce a pr(ciuct meeting the said Standard an(] ;ha! its plant is periodically. ir*,,eCted Graf verified by the.AI T C Inspection Bureau. . A'TC Carlli/Ca'le /Vv, AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AITC f:VIW t8CA tf i983 AN-k4iCAt1J IPJST;TUTE Or i t?IitaEt? CofVST RUC'r,L) NFIKI1: SVEITId SE"I 5T'8£ b�5 a [6�. bf: ZT E6/4Z/LO N CALIFORNIA - Insulation Certificate V iy o.r-o L t ---N Number and Strcct City County Subdivision Lot Number ROOF Material Thickness (inches) EXTERIOR WALL Material Thickness (inches) CEILING Description of Installation Brand Name M o'n S V I (, -Q Thermal Resistance (R -Value) TZ.— 3 O Brand Name 1_. l C` V% S NJ t �' $ Thermal Resistance (R -Value) R- l q Batt or Blanket Type Brand Name per, ^S �! t `1 Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name-r.� Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Brand Name �A A ^ 5 V Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Declaration I herr-by certify that the above insulation was installed in the building at the above location in conformance ::,ith the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. obQ� C . �w�er Ow neri�C�9- Cencral Co t (Builder) License Number 01 Signature and Title Date Sub -Contractor (Insulation Installer) 1 Signature and Title License Number Date 1981 UNFORM BUILDING CODE A. Assesrihly roaata having a Ooa az+a or not over y50 equars feet. amti elcriAl otruxs and similar mama wlsiCb dOrlOteateW 25 ocraoaoftiremajormewhannou+eta*edt Cu—pK,Dovuim . Division 3 8ora90CkS, sifii0Wjve offxes andsimilW mans in Ga mp R Division t x exceeding 10 peretas of she 110ar area of she 9011 r use. O Via$ de d"saipg etraof Which It IS apart. .. �` sparadaa Deed act be powidad between a CMQP R, Divisxia 1 `+ [port having ao enclosed tans abovq ps+ovbkd the call= is• r mom sides. . l l 3 100 1 occupaaryused4mtusivelyforthrpatfiggor6tooW ypemmorvehiclesneed aotbeSOPM WfwsoROoaupB.Di- t xn parking garage as defined LD Sosictt 709, saacy sqm uiam nerd rsor be provided bewveen f-144 -- sh a sxssepy OM is open out ttuaa or amore sides. 2114 a Coatp Ag ley retail Rett having aD area of less than 25Msgtteroe Lent kJo a&ioaa exisc rivision 20—Fancy is provided with twoeximseparased as M tion 330 (e) and twt Located in she Lana eaxrior wall. lD 01 t:amIecareawiWOOfact ofdxCiznup0.Di —' :Oa20ras- x. srtofethmome occupancy. eacb portionofine building ements for" Occup wwy housed therein. &located ahavetheatbryorheigbtsetfaattsin7'abkNa Sectioa 309 -Wharf a mixed occupa=y buildjogeon- -qccuwcy.thepordonwntai n4a tbn Groupli,Zvi- exceed three stories or 55 feet in heigj+ ►t. SeparaiiottsOacuPGACY WTaraaittfts•". the vettical ell aecessery.of swhodterform as maty bewgtsired to 1 betweetl*zvwiow*eCttPancYdivisiGMi1l9mbilAd- ung VY.wre the occupancy separation is hodaantal, structurd2 mertcbers sugpar4" thio sepa=ion shall be prowzted by equiivateni fircrresislive consm don. (c) 1j000foecapWWYS Mdon1L4ccuancyseparaim-awn1,e4asaed as •`four -lour fur-setistive;." "three -hats fim-Icsilifim" +two-hour fimwxis- five.- trod `one4toasrfir1e1-Misdve." : 1. A ftfur-hourfsro-tmisriveorxupmtcYa f--'citm shall havepo, oPeJ'inpftw- in and shall riot be of Iris d" famhttuc fir6gee'stive eortsuuctnon. 2. A [tune -hour fxr6.md6ivo oecupm y separatian shall not be of ]css than three-hoarfae-aesisave con:.=don. Ali cpenatgs in wallsformingsuce sepam- tice sb aU be pu ousctad by a fire assembly ]raving a thnee-Iwtrr fire-pmrecdo n ra- ligg. 'fie total width of ail openings is any tlsr,ee-Itostr fire-rrsitttive axupaficy Momatioo fhcxall ia,to ssuy"nos-sagleap=ng sba haveanueagreatxrd=120fiqu=44. A11wenitW in a0Vasfaanting athre4-bout f-na-msistivoe ocwPancY se shall be praoocW by vemeg mclosums extending above and below such open. 35 W X UW;0RW6Utt.Dtl+4CODE iag�,TEtewall� of sueh vcr CW enclatu(M"not be of less thantwa-hourhm, by a t%easaemblY ro�tiota asidallopeaitsgrtha�sl�allbe profec�ed f�a�s>SgsOno-stsda�-ltatfhonrfi�+ be oflese tion o-resistire OGOWWCY mp 4m shatl not 3. A two-hur frce heePatatiaatslsa]lbepc° tune-hwra'ricsistiveco>ss�ion.Allo➢oainsaiz)s tsxtodby2 Ciro aseemblY faunas &arae- aadome-half-hour GteVdtocdon T&on8- �. A ertr hvatr im-miative occupancy sspamion Shall not be of less thea anerbourf6tr t�sisuve const=do t• All opt:ttings ittstich Sepasatiam awl leapro- tedad by a f1w assembly baving a WWII to fire protection sating. ianss sllbe C�FSreItatrtagsfor OccuWgsoPacelii a&CkcupMwySoPM.'d pna+i ,a betwe= *W various groeps and divi9iWA of occupancies as set four][ in Tablexo-5-8. "LEpTWNS: 7- A dm5abaur ocatpa=Y seWs'do"n" be used betweene sWe tI0wvP=yuxduaiV*icr 1 GronpA,DivisionisadaGMPB.Divisim P"a�RacAlleoCptivnt6erpleaau%nRomatorvchiclesaa4Qrovidedtawpair tmy be used betvrcen a GmuP or t MR4 is doe — A twn-0totuatcuP,,cY ggwwoo 2.2.1, 3 or4arBor [ClcCttpaat7 OW fiimeup 6, Dlvisloa 1 ocmgan y i , +i,L?iviaion au,is uwcaciuszvelyfa dtepaIUM Cc 1toaageo8pnV=-pkUuMAYPa1MOWr wXw4 s wAprovided m0 tepWr-ftjt i is doaa 2.tloless mquimdby SW -M702 (b)l,ft*-5-twsa 000aPaneY'�Df° rsveeaaCrmw1c,DivisionIocet -yand&Gr" D. DivisionlOuapvttyvse6 onlyrordrepastin8asunvPafpdvstisaplea4tttx�4�PC� vehicfeswitbno+e- i In poitorfirtliagnmyberodmoeStotwohotos• Such*=*=°Ysep—tienmsybefvt- i 0csugsaW40M kJo thersedtwWwassehossrwhcMftareaofaschGMPS'Division trot exceed 3.400 s4mse fool 3.lndxeano-hostsaacopascYseParaconb CirougS Diviaion3todChwp be limned m rise fesi5118tlOa of madertei9 ap- M ld pootpor ZW. the mom may proved faf one-hcurfioo-teatscveeortsaoaiea om she wooed door 1 s hsda»v is thidcic . ar u pielf�lamss8 fittyt9 mew 'Ae nndisetf-tia6lrtg. I lD 01 dootltsvingafiro- anti not ass set 2m $woltbiscodem is per - M part 1101 U.B,C. �1 dsorKe be inetal� in eh miffed is lias of a ono hovrStaasaerettsly. Piro dampens tingaOtogR.Diviaio&30r- ducsapyssinStbro%btbewad.flocraccciiing cup®sseylrosnz0SMpM0.=W yp-wvWedsLwbductswilhinIM13TsuPMOocss- tbi6t1/YCrs met lshoo 0019 1pch1(N0. ?b ptricy an cOa strucsed Of Sted aving J;dvVd=d stsoet awl and lave ao openings IWO the CIMW M Oastpattey. Division 2 wACuoup H. Division 3 0=pawies teed not beWP&- 5sscb oavpasK a also wsmply modfrom C=up IL Divituaa 7 Ooarpatrcse+t wbPas f".& Group l3. Divislors'f C)ceupanaY• with tlta mo mscnss Location an P1'OPedY Sec. 301. (a) Gettsr0- Buildings shaft adjtlun ttr have access to s public way . d 1 mairnsined. yard on net kss fimr oneside. Rsgnimd yards shailbe ltewayslsallbe � Forthe purpose of•tliis•setxi�� oenrirliae otan adjonfiirlg Qub " v emsWated ars adja nl WQPeM lose' 0 Eaves over regoirt d windows shall=be lass than 30 inebea Crams �° sear pMPUYU=• %or raves. a- Sevioci 1711• 3 m m f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR ° 7 County Center Drive - Oroville, Galifornia•95,965 - Telephone: 916/5 8-7541 APPLICATION AND PERMIT PERMIT NO. �if/ p �" 7./U/ ASSESSOR PARCEL NUMBER 063-040-109 ZONI `'M5 BUILDING PERMIT "'W&PALMER T � P��4 SQ. FT. OCC. BUILDING VALUATIO. OWI`fO BVXL1136ADDREss FOREST IRANCH 95942 COtgXSSOR'S NAME TELEPHONE 2054 R 110,916 768 M 13,824 /. X10 C 5,460 'iL CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace A 1,500 Total Valuation $ 131.700 LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ 709.50 Plan Checking Fee $ 354.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUI DING AD R ss 1 VI\Ff9A AVE FOREST RANCH Permit fee $ 1099.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1& 5.00 Solar or heat pump water heater 20.00 LOT NO. SU BDI VISION NAME PAR�E,L P Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY 7-00 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W 015.00 TYPE OF WORK NewX] Addition F-1 Remodel❑ Utilities❑ Installation❑ Other F] Describe work: 4BDRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 bu CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under P prOVISIOnS Of Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO t000A) 37.50 NEW CONST. DWELLING OCO2Mf1 3.64sq.ft. 98.75 OR ADDNS. ACC. BLDGS. L44 NEW CONSTFL ULT' -OUTLET ^ 5.00 NON.RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 20L. 76 P FIXED APPLNs. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 132.25 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notl a 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 FilirlgFee7 15.00 Heating Cooling 41128 1! Hood Ventilation 4.50 - Permit Fee $ 62.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn' and keep harmless the County of Butte against all Iia I'I' S, judgm nts, s , nd expens s which may in any way accrue ag � 'd o n 'n n e e of the gr ting of thispe/i"� Date 7 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occones T E (� TOTAL FEE $ 1432.50 HA? DFEES IMP FLOOD CDF PARCE PD D Is J� This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been paid. IRECTOR OF PUBLIC WORKS 9 By `�— Dat PER IT XPIRES Date Receipt No. 129868 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 93 ~ P'*Re, .-n to DPW AGRICULTURAL STATEMENT OF AC3UJOWLEDGE`MNT ` _' O 0 19 FOR RESIDENTLAL,,, DEVELOPMENT .4Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. C_ The property described herein is adjacent 93-0100191' Rec Fee to land or included within an area zoned 8.00 I Cash 8.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 10:56am 12 -Mar -93 I PUBL XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, .smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the .County of Butte, State of California, described as follows: SEE"THE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION Date: i- _? _93 PROPERTY OWNERS: Robert C. Palmer ,i. -,a J. Palmer State of CA ) On this the 7th day of January , 1993 , before me, the ) SS. undersigned Notary Public, personally appeared County of Butt6 ) Robert Carl Palmer and Lisa Jean Palmer El Personally known to me. ® Proved to me on the basis of satisfactory evidence. RW�o be the person(s) whose name(s) FFICIAL NOTARY SEAL ubscribed to the within instrument and acknowledged that ELIZABETH A. RIDLEY xecuted the same for the ur os -s herein contained. IN WITNESS otary Public —California P PBUTTE COUNTY EREOF, I hereunto set my hand an official sealComm Expires OCT 14,1994 Q �J Present A.P. No. 063-040-109 Notary Pub A - --A{ 100 19 \14- (19 �1 - 5 �12 6 1 Order No. 2-155761 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 1, as shown on that certain Parcel Map entitled, "Being a portion of the N.W. 1/4 of the N.W. 1/4 of Section 8,.T.23N., R.3E., M.D.B. & M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on December 11, 1981, in Book 87 of Parcel Maps, at Pages 13 and 14. AP No. 063-040-109 PARCEL B: A non-exclusive easement for road and public utilities over a strip of land 60.00 feet in width, lying Westerly of and adjacent to the following described line: BEGINNING at the Southeast corner of the Northeast quarter of the Northeast quarter of the Northeast quarter of Section 7, Township 23 North, Range 3 East, M.D.B. & M., said point also being shown on that certain Record of Survey Map for Charles E. McLaughlin and Edward C. McLaughlin, which Map was filed in the Office of the Recorder of the County of Butte, State of California, in Book 54 of Maps, at Page 80; thence following along the Easterly boundary line of said Northeast quarter of the Northeast quarter, South 1° 52' 23" West, 6.77 feet to the true point of beginning for the line herein described; thence from said true point of beginning, North 1° 52' 23" East along said Easterly boundary line of said Northeast quarter of the Northeast quarter of Section 7, for 70.00 feet to the end of said described line. EXCEPTING THEREFROM that portion lying within Lot 1, as shown on that certain Parcel Map filed in the Office of the Recorder of the County of Butte, State of California, March 26, 1973, in Book 45 of Parcel Maps, at Page 60. PARCEL C: A right and easement over the West 20 feet of that portion of the Northwest quarter of said Section 8, lying South of the land herein described and extending South approximately 1650 `feet more or less, to an existing road; as said right and easement was conveyed in Deed executed by William E. Fitzgerald, et al, to Ray Oxelson recorded April 2, 1963 in Book 1236 of Butte County Official Records, at Page 380. AT. NO. NNO1501 O 2931 (12.90) witness Acknowledgment) STATE OF CALIFORNIA J TICOR TITLE INSURANCE } SS. SEN® OF DOCUMENT 1 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX &.MISC. ONLY) �p" Bldg. Permit # OWNER /i���/'/ W� A.P. # GENERAL - p Plan Checker 'X,,5 Voning requirements: (sideyards and number of permitted living units). aluation. ` lans signed by designer. roper description of work on application. Existing violations on property. i Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. _h,Fer buildings or structures. ading, fills, drainage.od hazard. ecial conditions on creation map, tible, and foundations). U & FAS road setback. (noise, CDF, fire sprinklers, non -comb- . Building or utilities across lot lines (Record form). PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). �k lights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles,,and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. ;'arage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS iStandard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. �hree story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. . Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building �R6of construction details complete enough to construct building. h Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. etaining walls requiring design. pecial Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). • Guardrail details (Sec. 1711 & 3306(j). • Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living .area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). L] Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 1-�nergy design. &6� Flashing at all exterior openings. 7r. CDF responsible area requirements. o) ioz- �2-92/ �.r MATS d� rd -V r wu S ll -� + �-j Z/22�9 z ------------------------------------------------------------------------- REV 4-3-92 LATERAL DESIGN DATA 10/22/92 DESCRIPTION )>SPENCE RESIDENCE -------------------------------GENERAL DATA ------------------------------ EXPOSURE > B Ce > .76 HEIGHT EXP. D EXP. C EXP. B 30.00 1.54 1.23 .76 BASIC WIND SPEED > 80.00 qs > 16.40 IMPORTANCE FACTOR > 1.00 METHOD > 1.00 NORMAL FORCE METHOD ROOF PITCH > 5.00 IN 12 0 > 22.62 DEGREES p=CetCgtgst I PRIMARY FRAMES AND SYSTEMS DESCRIPTION Cq p(KSF). DIRECTION ------------------------------------------------------------------------- WALLS WINDWARD WALLS .80 .0100 INWARD LEEWARD WALLS .50 .0062 OUTWARD TOTAL WALL .0162 ROOFS: WIND PERPENDICULAR TO RIDGE LEEWARD OR FLAT ROOF .70 .0087 OUTWARD WINDWARD ROOF SLOPE 2:12 TO LESS THAN 9:12 .90 .0112 OUTWARD OR SLOPE 2:12 TO LESS THAN 9:12 .30 .0031 INWARD . ROOF TOTAL .0125 WIND PARALLEL TO RIDGE AND FLAT ROOFS .70 .0087 OUTWARD ELEMENTS AND COMPONENTS DESCRIPTION Cq p(KSF) DIRECTION WALL ELEMENTS ALL STRUCTURES 1.20 .0150 INWARD ENCLOSED STRUCTURES 1.10 .0137 OUTWARD OPEN STRUCTURES 1.60 .0199 OUTWARD PARAPETS 1.30 .0162 INWARD/OUTWARD ROOF ELEMENTS ENCLOSED STRUCTURES SLOPE LESS THAN 9:12 1.10 .0137 OUTWARD OPEN STRUCTURES SLOPE LESS THAN 9:12 LOCAL AREAS AT DISCONTINUITIES DESCRIPTION ----------------------------------- WALL CORNERS CANOPIES OR OVERHANGS AT EAVES OR RAKES ROOF RIDGES AT ENDS OF BUILDINGS OR EAVES AND ROOF EDGES AT BUILDING CORNERS EAVES OR RAKES WITHOUT OVERHANGS AWAY FROM BUILDING CORNERS AND RIDGES AWAY FROM ENDS OF BUILDING 1.60 .Ot99 OUTWARD Cq p(KSF) DIRECTION ----------------------------- 2.00 .0249 OUTWARD 2.80 .0349 UPWARD 3.00 .0374 UPWARD 2.00 .0249 UPWARD 21 000 PERMIT NO. 1468-85P,E(MH) PERMIT EXPIRES OWNER CHRISTO ER MA EK CONTR.. owner ASSESSOR PARCEL 63-04-109 LOCATION N/S Vivian Ln., 350' E Cody. Ln,• FR OFFICE COPY:' t Address • t GAS Meter By Date t" ELEC 0,Meter Dat 1• R � ` x t Temp. Power Pole t ' c Called PC a Temp. Elec. S Called P( Temp. Gas Sei Called PG JOB FINALE[ Signature s J = OK ` 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready /1 c Date MO {LEHOME UTILITIES (Plans) OK excep N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements So' ;Special MH fort—Sketch 2. Footings; Size—Depth—Spacing—Connectors i Sew o 7 —Fall C o 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; oc Test— Easement'Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracing �' `_ Electricity; Location—CledanceS—Grid.—/125/ Amp—Orricrge 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures e -so/"l_ fL/ /"Nat. or/ /"L"ft./ /'t 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI C Date $ gs Card -BI Date Card -BI Date Card -BI Date Card -BI Date i 'f LCard-BI Date Card -BI Date Card -BI Date Date MOB EHOME INSTALL TION (Plans) OK except N's . Date POOLS (Plans) OK except N's - Zoning Require Setbacks—Easements 1. Setbacks—Easements 2. FogITngVfjz4 acing—Marriage Line 2. Soils; Compaction—Structure Stability 3. a est—D and—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, icity; M est rossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; Te t—Fall Flex Co ctor 5. Elec.; Pool Lighting; 15 volts—GFI 6. t M Test ula or— ctor 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Ntelan onne d /O to de—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas a 9 8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—S h 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 7—f s. Cllr; /V C V = OK O =:flot OK = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) �E = Date UNDERFLOOR Plans OK except #'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 11. Electric; Underground. 12. Plenums & 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 Date Card -BI Date FINAL (Plans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 22. Size Boxes ll No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic C] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes EJ No; Walks El Yes E] No; Planters ❑Yes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. 46. Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng_._--Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE = ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, .Ext. 57 CORRECTION NOTICE PERMI 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 , orrection of work is completed. If you have any question pertaining to this matt r, or need additional explanation, please contact this office immediately. CS �/d/CS PR- Inspector R. p �� 7��V7' , -)- g,�- Ins ectorDate_ COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �/ - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, o need additional explanation, please contact this office immediately. lI^ I �s Inspector �� t7 Date COUNTY OF BUTTE-.DEPA,r?TMENT* OF PUBLIC WORKS. PERMIT NOs: 7 County Center Drive - Oroville, Californla 95965 - Telephone 916/534-4541 l� APPLICATION AND PERMIT ASS SOR PARCEL NUMBER 9 _ ZO ING'- /� i' '- BUILDING PERMIT o WIN TEL PHONE S0. FT. OCC.1 BUILDING"VALUATION OWN E S.MAr A DRESS r CONTRACTOR'SN ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONR CTII�OON LENDER UNKNOWN Total Valuation $ Filing Fee $ `46.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ LJ^dC) Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 15-.00 BUILDING ADDR PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP -� Each qas water heater or vent 5.00 Gas piping system 1 • 5 outlets 5.00 USE OF ST�ter SPECIFY UCTURE L-/ SF ❑ Duplex❑ Mobilehome Oth Building sewer 5.00 Mobile Home 10.00 e �O Q TYPE OF WORK ❑ ❑ NewAdditionRemodel❑ Utilities Installation❑ other[] Describe work: — Permit Fee $ (j Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q — / /" Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 27/22sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. // POWER APPARATUS &) NON.RESID. %SINGLE OUTLET CIR. Ex. Occu P�o OR FIXTURES 20@SOS 9AL®ao FIXED APPLNS. OR FIXED A Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against I all liabilities, judgments, costs, and expenses which may in any way accrueI,( • against said County in consequence of the granting of this permit. X % S'-- /� �' Dated Signature of Applicant — Owner;, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove-rr 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees WDIECT R OF PUBLIC y PERMIT EXPIRES Date the applicable t ovi- resolutions to do have been paid. WORKS Date X21 / Y 3 - Receit'No. p 1Z J Z a9� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - telephone 916/534-4541 S APPLICATION AND PERMIT ASSES R PARCEL N BER ING e� !�--S ' BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWN R' MAIL IN AD ESS CONTRACTOR'S AME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN ER S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Odt/ LICENSE NO. Plan Checking Fee ,$" " Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A� ss �" PLUMBING PERMIT Filing Fee 10.00 v Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOFTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S W +�00 Q Q TYPE OF WORK New ❑ Additionp Remodel ❑ Utilities ❑ Installation❑ Other Describe work: -4 j ermit Fee $ v Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L —Main service 10000 AMP ORSLESS 10.00 / a Main service EA. ADD'L too AMP 2.50 b NEW CONST. // DWELLING OCCUP.& OR ACDNS. l ACC. BLDGS. ZIhP.Sgft CONTRACTORS LICENSE LAWNEW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0c 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 CONSTR U TI -OUTLET 2,50 ea NON -RE BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o TS OR FIXTURES BAL®30 FIXXEEDD APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ "O Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate 'of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT 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 o building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities,. judgments, costs, and expenses which may in any way accrue 1 against s id ounty in consequence of the granting of this �peerrmit. e� X Date `( — ) — uS Tz -- Signature of Applicant — Owner' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 15b OCCUP. GROUP I TYPE OF CONST. PARCEL Ab I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TO OF PUBLIC By idE'! PERMIT EXP6iiS the applicable provi- resolutions to do fees have been paid. WORKS / � Date -� _` Receipt No. /�,L 7y � v, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � '[U:tZ 1 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT's 'c� D`v 1114� UFF1t�I�1L RECORA5 nF BUTTE COUNTY, CALIFOR NiA FOR RESIDENTIAL `DEVELOPMENT ATTHE REOUEST OF 85-20'721 WARTY 5HO' N Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1985 JUL 12 PM 4: 31 The property described herein is adjacent to land or included ELEANOR M.BECKER within an area zoned for agricultural purposes, and residents of this QLERK-RECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not.limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,page� 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: �ARcE�. 1 as flown on Farce.l Map of a.. por4ion of +ke. Nor+homes-I' vas-- e_t- Nor+h Wes+ �U4r+er o� Sec+ion 9) l'ownshI a3 1�V�r-��,, 1'av)4�e 3 East) M,5,5.f- M. which, �naP was P -�i �� i v� -�h o'- i c e. ©� +ke- Keco rde. r o� ike Coon+ of C3v++e., Sia}e of COJI-6r rrio .) Dec.e m- be r- ' I I, 19S1 'in Ecctk 8 7 of ?arce.j Ma�S, Q�" pcLy5 13 Qli� 1�-0 Date: / 1 PROPERTY OWNERS: l State of/— f On this the day of , 19, before SS. me, the undersigned Notary Public, personally appeared County of AonsF ) / Personally known to me. LProved to me on the basis of satisfactory evidence. to be the persons) whose hame(s) , .d. _ subscribed to the within instrument and acknowledged that r -W-, y executed, the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. (O-�' ��� Q ill' Notary Public OFFICIAL SEAL [0: SANDRA HOMER NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY My Comm. Expires Oct. 1 d, 1988 END OF DOCUMENT COUNTY OF BUTTE DEPT. OF PUBLIC WORKS JUL 17 1985 m 0 CGS r i S i 0/0 h f V- U a X 03 .,7 Tbis set of piens and specifications MUST be 3`13 — 7 $ .t kept on the job at all times and it is unlaw#ul to wale any changes or alterations an some wAout wrrt~hen permission from the Department of PWAc W", C mnfy of Buffe. � 61 6�S Q - VIV i4IV i �o A setback of $ ft. `rom the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment excepi '-- " ft. aaw� overhang. 090TE. Al Materials & Workmanship Shen % b ccordance with R -'..ad Good Practices end :f a quality prescrV Ae Specified use in t,6 "niferm Building, Plv. - & Machanical Codes ft - 'fie Natio" Electrical Code. 1 M vgi' E HOME � % �ICD Utility connections shall be with' '4 ft. of the mobilehome, either I I directly behind or within the re- I half of the roadside (left) of the i `6 obbilehome. PLOT PLAN MME COUNTY ,4.P. # 63 - O4— 101 4 ILDING DEPARTMENT APPROVED 'I/ luw-g_&�- A4 t, c, `1 S%u2 TMs set of on. cmd ap$ci icetio� MUST d it is aWkwfld 3 y 3 7 5 kept op the job dfON te at o� an sam Folie any changes wrfiten permission from the Department of Pob �/, county of Bitte. X50. N 337' f V 1 V 1�4N Lh: l i Q D Y Ln, i A setback of ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of �- structures or,equipment except` Za for a 2 ft. eave overhang. t�'-. -^ 11 Materials & Workmanship . Sh*N Do ii► �® Acton'. "i with Recognized Good Praetlee� �R a .� = prescribed for the Specified use In th@ Unif�r> ", ilding, Plumbing & Machanical Codes a*d Electrical Code. 1 J Utility connections shall be within O 4 ft, of the .mobilehome, either I m dlredly behind or within the rear half of the roadside (left) of the j `6 rbllehome. BUTTE COUNTY WILDING DEPARTMENT APPROVED PLO --r PLAN .A. P. - # 63-04— l 01 4 (019l9Sr. AP #_ OWNE�-f � PERMIT Zy�i e �S �2G /LSI UT IL . CLEARANC DATE INSPECTOR ELECTRIC GAS. Support Compaction Struc. Test Re . Service Other. Pipe YES NO YES NO Size Load Type Size Length /as awl io v 'Afy �crv�v 6-- --a.,V ,a., V lylG� j��dt Si -7- 4�/�y jou. OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Christopher Malek ADDRESS: P.O. Box 193 CITY & STATE: Forest Ranch, C_A 95942 IMPORTANT: DATE OF CLAIM: October 1, 1985 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING Gook na m?virrc DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Permit application not required. (Bldg Permit Appin. #1469-85B, Receipt #37788, dated 5/21/85, AP #63-04-109). Total fees paid ------------------------------ $70.00 (--- _ Amount retained ---0 (Clerical Error) TOTAL REFUND DUE -----------------------------$70 00 70 00 TOTAL $70 00 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deli claim is true and correct as stated. //��,,,, __'�` �J r //�� Dated this _- �tP day of >L.JCQ] I io A�/... CIA rn n ,. .._ o/ Li ered, and that this ...............'. - - Signe ure of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval ❑ (Check one) for the same. Dated this............ l.S.t............... day of ....October l9 85 al „Oroville Cal ... p ...... e artment Head or Auu prized Deputy Dept. Esp. Code ............. Code PAYABLE FROM ............................................................................ ........... FUND DO NOT WRITE BELAW TNI( I Ince ♦ttnrTnnre DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ly- 5 \W V COUNTY OF BUTTE - DEPART'MENT"OF PUBLIC WORKS 7•County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT,-ON AND PERMIT t PERMIT ASSE OR PARCEL„ NU BER 7 P,PfING BUILDING PERMIT OWNER ! �� TELEPHONE L SQ. FT. OCC. BUILDING VALUATION OWNER 4AILING,ESS- CONTIRAC'TO.,'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAI ING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A653 LICENSE NO. Plan Checking Fee$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS // I T ' /� IV PLUMBING PERMIT Filing Fee 10,00 /G. ' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ,Li—�,"/ SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S GW 10.00 e TYPE OF WORK New ❑ Addition�] Remodel ❑ Utilities ❑�� �� Installation Other ❑ Describe work:.�����`Da/���ff�`J/��e_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 / Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/2(tsq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OccuP20e50C OR FIXTURES 9AL®3o . FIXED A PLINIS R Ex. OCCUp. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co my in consequence of the granting of this permit. Date �� �� m.— Signature of Applicant — OwneA 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 $ U ��f1� TOTAL PERMIT FEE �`JJ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date • Receipt No. �� a a WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7COUtJT1rCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET / Permit No.. OWNER ( lYI�/,.f7� ri m �% �`��� A. P. No,(2 Proposed Building Use- Permit se Permit Fee Based Upon: Complete Contract Price , '' 'DPW Valuation %%� Other (Explain) Building Inspector /_/T/�%/.�� �/ Date At time of permit application, I was advised t•he�ol' owing.data must be submitted prior to permit processing and:/or issuance: v DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2..,.Plot plans in duplicate./triplicate. . . . . . . . Complete plans in dup�/triplicate. 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. ,Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 1.3!Contractor's License Information (no., name style, classif.) �14. Owner -Builder Verification (Given to owner0!Mall to owner )51:I /_41 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement. / 19. Other 7/071;O�i.�r ��� /rte s/� _eas �t� When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. -Deliver w./inspector. Other Applicant / Date Copy of plans sent Health Dept., Fire Dept., Other Date 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 Telephone By Plans checked by Date Plans approved by Date Other: Copy—DPW -Mail Other Date COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville„California 95965 / Telephone: 534-4541 , APPLICATION AND PERMIT r BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Contractor Mai I i ng Addres Building Address /tv�)g? S” F`_ i. ephone elephone No. Fees. Sanitation Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovements P ns Recd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel 02 or less) (more than 12) Ranqe, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps„ switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Mobil Home Facilities Temp. Power Pole Misc. wiring License No. Classification MA I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ® $ B MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employei to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. 14t I certify that in the performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. ' Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X LOA, ® Date / J Signature of Permitee or Agent Receipt No. =5.S�2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE I$ 44.040/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 70 - A•routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed: If you have, any,question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date � J jr 2. old �" � K ' � m,�t�+�+ :';,' ,�..,�/2°,� , ' •�'� ,� ,/ PERMIT NO. ' 1470-85B.E A4 `F,5 N"� °�4 J § PERMIT EXPIRES 30 OWNER CHRISTOPHER MALEK J�C06 V0 l k C(,Ei --o I 74)wct/ Ft -'14' 4e -«s CONTR. owner ASSESSOR PARCEL 63=04-109 LOCATION N/S Vivian Ln, 350' E Codv Ln FR Temp. Power Called Pl Temp. Elec. S Called PI Temp. Gas Se Called PG JOB FINALEI Signature `y Temp. Power Called Pl Temp. Elec. S Called PI Temp. Gas Se Called PG JOB FINALEI Signature J = OK 0 = Not Olk -�= Not Applicable d of Ready 4; 5r r RESIDENTIAL (Single and Duplex) Date ' UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Al 5.Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 50. 51. 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & 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 1WDate _/ -Card-BI Date Card -BI Date Card -BI Date Date ,3 G�s , FINA (P 11) OK except #'s Ext. Ps -D gs 57. Smoke Detector 18M, QMT9--etear&Ree-Comb. Air -Connector - I r-Ducts-Mech. Protection Card -BI Date Card -BI Date y�/�r'1✓7 'D�te PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -L 19. Gas Pipe; Size & Anchors 62. 6 Stars & Rails ireplace or Stove; Clear es -H 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -81 Date Card -BI Date 26 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter ser tel ELECTRICAL ermit OK except #'s e. nuut In ed 20. Fixture & Transformer Clearance -Ins. Protection i� 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Iff QPlb. 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Elec. &Mech. Equip. Listed for Location ex-Protec. ' 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water Je 72. Insulation -Foam -Looked in Attic ❑Yes7Post-@apses 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At X74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No y43 7&�ollowing instld.: Drive C1 Yes o; Walks [__1 Yes o; Planters ❑Yes Obte> 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip.77. 30. Clothes Closet Light -Shower Light A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. a� Ventilation throughout House r_�•_.ce P.ntcrrinn Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation pectionsMeters T ; Gas.^EWQ&PZ 8 er & Sewer Connected -C/O to Grade -HD Approval 86• Energy Compliance Certificate -Other Certificates 77 33. Condensate Drain & Overflow; Size & Grade 4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 05. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date L Date FUM �s A I G PIOK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound oe 38. Bearing Walls over Girders & Floor Nailing s 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 7 CJng. Joist-Rftr. Ties -Purl' -Roof Brac.-Truss-Sh_thn_q.-Rfn_p_._ _ wepFeee-F4ea-or Typ Flue-FTroFtaoe. hroat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles fjlf 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions TSP Frp protP[•finn F amino (NOTE: An entry must be made each time you visit job site) V = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -.Easements 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except ti'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 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 n j COUNTY OF BUTTE iJ" DEPARTMENT OF PUBLIC WORKS f` " 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534454;1 Skyway and Elliott Road, Paradise — Phone: 872-2961 JExt. 57 CORRECTION NOTICE OWNFR OCO\AIT - 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, oreed additional explanation, please contact this office immediately. �• � /� �sG % / S �f/l (�/ � F /�//��Ci div ' r ' vr� X< Si l%i v j Cjj Inspector 'l �i�f Date f P9 COUNTY OF BUTTE - DEP.ART,MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9n65 - Telephone 916/534-4541 APPLICATI®N'AM PERMIT PE M�IjT NOV ASSESSOR PARCEL N MBE IN _ _ &) _ BUILQING PERMIT OW ref TELEPHONE` C OWNER'AILING DD S ,rte O SQ. FT. OCC. BUILDING VALUATION Al 0 U CON RACTOR•S NAM TELEPHONE / (/ D v CONrRACTOR'S M91LING ADDRESS Fireplace CONSTRUCTION LENDER A1010V IV, UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i 7 $ AR CHIT C OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSt �' _ , /l/ PLUMBING PERMIT Filin g Fee 10.00 �O 1C.4 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MA - Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STg41CTURE *;>0t SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: K ::i," — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING P & OR AODNS. ACC. BLD 2h2Sgft 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 NEWCONSTR ULTI.Ou LET 2.50 ea . RES] D BRANCH CIRC ITS _NON NEW CONSTR. POWER APPARATUS & NON.RES,(SINGLE OUTLET CIR. 20e50e OR FIXTURES 6AL®30 Ex. Occup(o XED FIXED APP LN S. OR A EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 70, 32's 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 4 p Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information j is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id C unty in consequence of the granting of this permit. __ I ' _ 5' —� _ �� X Date Signature of Applicant — Owner„K Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- I Anof structures over 3 stories in height. Mobile Home Installation Fee $ C., 701013 TOTAL ERMI FEED` $ 29 66 OCCUP. GROUP I TYPE OF CONST. PAPD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PERMIT PIKES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date -7-2- �S �eceiptp.No- �.,T._...W, YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'MENT OF PUBLIC WORKS ------ nia 95965 - Telephone: 916!538-7541 063-040-109 93-774 B IND PERMIT T%A T Ilnn TATTT)T D T T*Q A PERMIT N0. •FMIC1rf`%, RVDrj1%1 LY i.L01i 1 VIVIAN LN, FOREST RANCH OPEN DECK/SF 'NE _ )754 �unrn r�.-rvr'-3•NAm.;... -�� _. -. '-"+-• NE r OWne— BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION 1.160 Oppn 9.520.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNO WN Total Valuation $ 9.920--00 LENDER'S MAILING ADDRESS . Filing Fee $ 15,00 Permit Fee $ 97,90 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 419.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 161.25 #1 V; v; an Tana FArPQY RAn h PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition © Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Ones —Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare underenalt of perjury p y p I y (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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) 1, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A/ 37.50 NEW CONST. DWELLING OCCUPM OR AODNS. ACC. SLOGS. 3.50sq.ft. NEwCONSTR U I -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. I Ex. p OUTLETS OR FIXTURES 20 75 FIXED APPLNS. OR EX. DCCUp. OUTLETS IRESI 0.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Yirint-g -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate / of Consent to Self -Insure. l��i' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against al bilities judgments, cos , and expenses which may in any way accrue a id unty ' e nc of the 1 of this permit, ar l� x Date t- Signature of Applicant — Owner Contractor ❑ Agent ❑ tin OSHA over S'0" deep and demolition or construct- ion of structures tover 3gstoriesoin height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TY PE TOTAL FEE $ 161.25 HAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC DIRECTOR By EXPIRES Date applicable provi resolutions to do have been paid. WORKS DatePERMIT Receipt No. I NNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIV; 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 APPLICATION DATASHEET OWNER ;"RMIT Proposed Building Use �S FG/ A. P. No. Building Inspector Date v / / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance 1. All items have been submitted. 2. Plot plans, 3/4 sets, sighed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. C 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 1 es of $ ✓ 11. pact fees as shown on attached schedule. SSC/coo/ a/v/� California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Com— Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for 21. Contractor's license information. (No., Name Style, Classification) required. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to _� 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. etter of intent on building use.������� Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements complel and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. Plan check list. _� rwu iaaue Me ermit, process as follows: Telephone 3 ~ ' 5 and hold for pickup aMai��o�wner. Mail to contractor. Other office. Deliver with —_ - -"-• yr P%rr� 1t.#A.l IUN Applications for which a permit has not been issued, will expire by limitation one year after date of application action on an application after expiration, a new application, plans and fees will be required. inspector. In order to renew Refunds can only be made upon writtten request by thFEEe person er Rw o pNIDSe fee. The request must be ma de yer from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; hohweverr,, on issu d permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant T71N T a'ER6 17 -_ 47 1 a7a F9 kyl P.O. BOX 156 - #1 VIVIAN LANE FOREST RANCH, CALIFORNIA 95942 (916) 893-0754 December 8, 1992 LETTER OF INTENT ON BUILDING USE FOR MOBILE HOME This letter of intent is referencing: the 141.x 70' 1982 Skyline Hillcrest mobile home currently located on the property of A.P. No. 063-040-109. We hereby state the intentions to remove the above mobile home from property within the reasonable time period as allowed at completion of construction of a 2,054 sq. ft. home as noted on Permit Application dated 11/30/92. Existing cabanna on above property will be used as a guest room of 490 'sq. ft. pG Robert Carl Palmer ®��,�G41 �� -AAA CaM-41-)' LisA Jean ^lmer w, Date BUTTEI COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 'j Building Department No. A.P. Number V'T Q " Jurisdiction 0 City County LProperty Owner e Property Location/AddressZ— Subdivison > (Street Address) (City) (State) has complied with the requirements of Resolution No. # 5?/— representing _,,e 0 57" square feet. A School District Rep (t -none Numde ([Ip ' by payment of $ 7-22,10 Date Paid by Check Number Remarks: tg Bank Number 20 — 744 Paid by Cash If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) TO: Whom it may concern FROM: Ted Cleveland, Assessor SUBJ: Mobilehome DATE: July 23, 1992 1. Our records indicate: _j A mobilehome A travel trailer 1 on the property known as Assessor's Parcel #� _ 2. The appraisal record: had no indication of the size of the mcbilehome indicates that the mobilehome was _jL_x_-70_ 3. The first notations conc-erning the presence of the mobilehome/travel trailer show thaw it was cn the property on There is no record of when the mobilehome/travel trailer was placed on the property. We are unable to provide any other information relating to the presence/or lack of presence of a prior residence or this parcel. By: Deputy G.H. USI- ONLY TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M L(.f/l1,Am 1/� d2 -- 9 Owner Location AP# Plan Approved for: Sewa.-e Disposal Water Supply: Public Private Well Clearance for bedroom nye home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 .3-z.r--?3 Date d. rF COUNTYOF BUTTE - DEPARTMENTWWI OF`DEV, )P ENT/SERVICE -B DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 RMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use�3 F G/ 6 0 Building Inspector Date ( 2 At time of permit application, 1 was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. .25. 26. 27. 28. 29. 30. All items have been submitted. ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ . ............. . Impact fees as shown on attached schedule. oo/ q�u/y ..... _ .. , .. _— California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................ . Sanitation and plot plan approval 611(6c> b Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior,to occupancy). ...PreaAs�ecl10;re4dest Pre -inspection for required. . to Building lnspector(Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement. . . :-::- ............. 2 Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use. r 6r,. M.&L" e. tion, 45 ........... . . . . . . . Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits. ...... r.,% .....,...................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ) -1)75 and hold for pickup at Qcho office. Deliver with inspector. Other Parcel Creation Acreage Applicaint Date ///-46/'5-Z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permitanc � ' I new i not checked above 1. Index permit for above items No. / 02 7 — 2. Additional items required: Contractor esi e , ner, was advised of above required data by _ pho e _ mail Counter byA!�-Date' l02— L - Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ter by _ Date Plans checked by a Date./'— ✓ Plans approved by 10) Date. y Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 0 Ic COUNTY.OF BUTTE — DEPARTMENT * OF PUBLIC WORKS — BUILDING DIVISION 7CO Y CENTER RIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 �/ A. P. NO. 663 PROPOSED BUILDING USE DATE 43e Z— REC. # DATE REC 1. School Distric Fees�6 ( ' d at District Of fice) f Fees --{' _ ' d at Building Department) = Residential .......... X $ unit amt. Commercial(per sq.f t.) R =$ sa.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ A units amt. Commerical(per sq.ft.) X _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prio- zo issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and m terials for construction of the .proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. . 4. ,I plan to provide portions of this work, but I have hired the 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: 9_ � ) Property Owner Date Social Secur}t_,3Db� 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. OF BUTTE t ! BUILDING DIVISION . DEPARTMENT OF:DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville,.CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ga _y cgs OWNER PERMIT NO. A routinr ndicates that the following violations of Butte County Ordinances exist at the abov dressd should be corrected. Please notify this .office when correction of work ; is com ave any questions pertaining to this matter, or need additional explanation,.e e cffice immediately. !.� (3S a V_ cam-• � Q• Q Cj u �� _�► REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If ave any questions pertaining to this matter, or need additional explanation, please cont this office immediately. pCC zo 1/ /91 't x— Y !) a M C 0 /1/) . v V r � r Date Inspector REV 10/92 COUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE p 9�p-ILIl4yl OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, - please contact this office immediately. Date �?' 13- 9.3 Inspector REV 10192 Dare/ t 3/ 93 Inspector REV7 COUNTY OF BUTTE S� BUILDING DIVISION C DEPARTMENT OF DEVELOPMENT SERVICES 1469 Htunboldt Road, Chico, CA - (916) 891-2751. _ 7 County Center Drive, .Oroville, CAS (916) 538-7541 }V 747 Sliott Road, Paradise, CA -1916) 872-6307. CORRECTION NOTICE, CrAfNER ` 4 PERMIT NO. Abmgwctiim motes that the following violations of Butte County'Ordinances exist at . '. the aibose addre and should be corrected. Please notify this office when correction of work iix co=pieied ffyauhase any questions pertaining to this matter, or need additional explanation, please conan2 0& atfBoe immediately. , Dare/ t 3/ 93 Inspector REV7 C ' F COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE f IL a z - PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the and should be corrected. Please notify this office when correction of work is car ted- Hyou have any questions pertaining to this matter, or need additional explanation, P contacyUus office immediately. V',, -f -I" / �J KAJD(-*'n (17- S //M/ N \ Date REI/ 1 Inspec�t(orn —09 oz t/ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE '2-4/�/ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address should be corrected. Please notify this office when correction of work is completed. I u have any questions pertaining to this matter, or need additional explanation, please co ct this office immediately. Date / -�J� Inspector REV 10/92 Certificate of Compliance: Residential Climate Zone 11 Project Title Bab Bumins er N Chedced By / Due Enforoanmtt Agency Use Only BUILDING DATA Gta�s Area 96 Glass North Condi' ea e ` Number of StoriesEast Sla9kaised Number of Units _� - South O [ Sin a Family Detached ( [ I Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 3 R J BUII,DING SHELL INSULATION Component Insulation LocannrVCommerats Type R -Value (attic, to garage, gpirat, etaj, Shading Devices or Glazing Area Glass Type Interior . Exterior Overhang Framing Type North ( )_ t ccr North ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... 42_ THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchenu bath. etc.) HVAC SYSTEMS Minimum. Duct Type (ftiritsce, air -Efficiency Location Duce Output Manufacmmr / Model # conditioner, heat um) (SE. SEER.HSPF) (attic, etc.) R -Value tuh or approved al Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # �-� ' r ' ►�� System Type (storage gas. eta) Capacity (or approved equal) Special Features) _ P_ 4J :— SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) N Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise rcsidentW buildings subltu to the Standards muss cmWn these awsurea regardless of the compliance approach used Items marked with an asterisk(*) maybe supeacded by more strinieat eomphanc a mquwn u hand on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on Nis checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled It -Value. ' §2.5352(c): Minimum wall insulation in framed wilts R-11 weighted average (dors not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greeter than 03%. water vapor transmission rate no greater than 2.0 permlurch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Consols a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows watherstripped. all joints and penetrations caulked and staled. §2-5352(e): Special infiltration barrier installed to comply with 12-5351 mew CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous buming gas pilots allowed. HVAC and Plumbing System Measures 62-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback therinostat on all applicable heating systems. • 12-5316(x): Ducts constructed. installed and insulaied per Chapter 10. 1976 UMC. 62-5316(b): Exhaust systems have damper controls. 62.5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment. water heaters. showerheads and fauces certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorkaterior insulation (R-16 or greyer): fust S feet of pipes closest to Lank insulated (R-3 or gruter). 12.5312(Exception 1): Pipe insulation on steam and steam condensate retum & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12.5352(1): Lighting - 25 lumens/watt or greeter for general Lighting in kitchens an cl bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(1): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballast certified by the CEC. Indicate make and model number. COMPLIANCE STATE Uff This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapteir2. Subd>apter4. Article 1 of the California Administrative code. This certificate has been feigned by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: TAWUM Adders: Teli:phonc Lic. N: (signature) (date) Documentation Author Name: TttWFWM Address: Building Owner Nanta Enforcement Agency Name: Agcnc7- i. Ceiling Insulation -153 -114. Number of stories 0.50 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 •2 -1 -1 R-38 0 0 0 U -value 9 r 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 0.20 -43 -21 2. Wall Insulation 0.10 -17 Single- Single - 0.08 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 0.80 -153 -114. -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation S. Infiltration (Air Leakage) Soedfioamn Pointt Slander! 0 6. Glass Heat Loss Total Insulation In Floor 1 4 1 na . Number of stories 2 5 1 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -90 37 -26 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 4 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 _ 1 0.00 10 5 3 Controlled Ventilation Crawtspace 25 -46 Number of stories -7 R -value One Two Three R-0 -11 -7 -5 ' R-5 -4- -4 3 R-11 -2 -2 -2 R-19 --1 :: -2 -2 1. Slab Edge Insulation 3 9 �- Number of Stories 34 R -value One Two Three • R-0 0 0 0 R-5 8 5 2 R-7 8 6 .3 F2 factor 11 16 18 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Soedfioamn Pointt Slander! 0 6. Glass Heat Loss Total 5 1 4 1 na . U -value 2 5 1 Percent 14 4 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 leas 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 .58 -20 •12 -3 5 12 28 -55 -18 -10 -2 5 13 27 ' -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 •4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Pr:re4stI class (percent shm x SC) Effective %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3. 5 2 2 7 1 3 4 2 2. 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 ria = not allowed -30. 4 IB. Shading (Shade Closed) 5 -8 -7 Effective Pereent Glass 3 0 -4 (peroutt SIAM x SC) -4 %( Nw1h Eso Sash West Slgiptl 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 ria 12 -8 -29 -40 -37 na 11 .7 --26 -36 33 ria 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 .38 5 .2 -9 -11 -10 -30. 4 -1 5 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 .9 6.5 6 9 10 12 13 13 7.0 6 9 11 13 p 2 3 7.5 6 4 3 0 na - not allowed 10 11 13 14 14 8.5 7 9. Interior Thermal Mass SCORE CARD b. Interior Stab Floor Raised Floor Mass Stories Stories or ICFA One Two Three One Two Three 0.0 --8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 '10 11 11 5.0 4 7 9` 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 1.2 Exterior Single- Savle- (SEER xduct effldencJ) Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 -410 0.20 3 2 1 less 0.40. 5 4 3 +15 0.60 8 6 .4 -25 0.80 10 8 5 -9 1.00 13 10 7 -9 1.20 13 12 8 6.6 1.40 12 13 9 3 1.60 10 13 11. 0 1.80 10 12 12 0 200 10 11 13 8 11. Heating System 5 4 3 SE or HSPF 16 14 12 (assumes ducts In able) 7 5 Sum of 14 22 19 16 -25 or .2410 -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 -7 0.95 8.71 --_20 18_:" 15_. 13 11 8 8 Efrective SE or HSPF 6 (SE or HSPF x duct effidency) 3 Effective -25. or -24 to -14 b 410 4610 16 or SE HSPF less -45 -6 +5 AS more 0.30 275 -73 34 -56 -47 38 -30- na 3.41 -45 . -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22- -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0S6 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 5.3 System Type 2699 more SG Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst, m SCORE CARD b. East c. Measures d. SEER or Skylight 8. Shading (Shade Closed) (assume; ducts In attic) U -value [0.030] 2. Wall Insulation 4%T or c. &-n of 7.10 'r -value,[ I 1 ] U -value [0.098] 3. Raised Floor Insulation -25 or .24 to ►14 to .4 b 46 to 16 or SEER lest -15 ; .6 w5 +15 more 8.0 -14 -12 •10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 3 8.9 •5 -4 .4 3 -2 -2 9.0 -4 3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 . 9 6 0.6 0.6 Ef adve SEER 1.2 IA 1.6 (SEER xduct effldencJ) 2.3 2S 2.7 2.9 St. -.n of 7-10 3.3 3.S Effec(Ne•25 or ,24 to -141c -410 46 b 16 or SEER less 45 .6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 5 -4 6.6 -5 • -4 -4 3 -2 .2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 I 1ZO 30 26 22 18 14 . 9 13.0 33 29 24 20 15 10 4.5 Zonal Control Adjustment 4.9 5.1 5.3 10 8 7 6 4 3 1.3 No Cooling, System Installed 1.7 :-Stories 11 23 23 27 3 32 One -5 -4 -4 -3 -2 -2 Two + 3 3 .. 2 2 2 1 Single -Family I]etached and Attached 0.9 1.1 1.4 Unit Size iso 1.8 Water 2.2 ;199 126;' '1700 2200 2700 Heater Uedit . or -1 to to to or. Type Type less.11699 5.3 2199 2699 more SG None '0 0 0. 0 0 or Solar 12 8 6 5 4 _ HP -HWR 3.8 8 5 4 3 3 S WSB 5 3 3 2 2 65% POU 8 5 4 3 _ •3 _ SE None 37 -24 -18 -15 -12 3.8 Solar -1 -1 -1 0 0 5.3 -HWR -18 -12 -9 -7 -6 - 1.2 WSB._: -25 -16 -12 -10- -8 27 POU __All 3.1 __12 -9 -7_ -6 IG None . '-S 3 -2 -2 -2 5.6 Solar Z 5- -4 3 2 1.5 POU ..3__ 1.0 2 1 1 1 IE None -28 -19 .14 -11 -9 4.4 Solar 8 5 14 3 3 S.9 POU -10 S -5 -4 3 1.8 Multi -F=4 (Individual units) 22 24 26 2.8 Size[ sQ X0 3.3 9.S Water = 699 4.3 1200 .1700 4.7 2200 Hestar Orem or b to in or Type Type less 11.09_ 1699 2100 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 5.; 5 3 2 2 90y.' _9 WSB 9 4 3 2 2 2.6 POU 9 5 3 2 2 SE None .45 -23 -15 -11 -9 5.5 Soler 2 1 1 0 0 96% HWR .-23' -12 -8 5 '•5 2.9 WSB -25 -13 -8 5 -5 4.3 4.8 4.8 5 -6 5 IG None;. -8 Solari'I'S -4 3 ----3 2 -2 _ POU . ; 2 0_ 1 0 1 -66 E None : 30 -15 -10 -8 4 4.2 Solar-' 18 9 6 4 4 5.7 POU • 5 -4 -3 .2 -2 Interior Mass/CFA \ TTr6 I "SS SCORE CARD b. East c. Measures d. 1. Ceiling Insulation or Skylight 8. Shading (Shade Closed) -R- R -value [38] U -value [0.030] 2. Wall Insulation 4%T or c. South 'r -value,[ I 1 ] U -value [0.098] 3. Raised Floor Insulation R If or 9. Interior Thermal Mass 10. Exterior -Wall Mass R -value 19] U -value [0.037] 4. Slab Edge Insulation or l\.7.Y*IK•..l)Jcar"t*4 Slab) R -value (0) F2 factor [0.77] t TYPE I KASS WI1rC • 4.2. le: exposed slab) 0% 5% 10% 15% 20% 25% 30% 35% 40%.45% 50% 55% 6071. 6946 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.0 21 2.3 25 2.7 2.9 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.6 1 1.2 IA 1.6 1.9 Z1 2.3 2S 2.7 2.9 3.1 3.3 3.S IT 4 4.2 4.4 4.6 4.6 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 3.3 IS 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 so 40% 0.7 -0.9 1.1 1.3 1.5 1.7 1.9 Z2 24 26 2.6 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 SS 5.7 59 .50% 0.9 1.1 1.3 1.5 1.7 1.0 11 23 23 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 SA 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 21 23 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 S S.2 5.4 5.6 SA 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 42 5.1 5.3 S.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.0 21 2.3 2.5 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 S.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 22 24 26 2.8 3 3.3 9.S 11 3.0 4.1 4.3 4.5 4.7 4.0 5.1 54 S.6 S.8 6 6.2 64 66 65% 1.4 1.7 1.9 2.1 2.3 25 2.7. 2.9 3.1 3.3 3.S 3.0 4 4.2 4.4 4.6 4.6 5 5.2 94 5.0 5.; 6.1 6.5 65 i7 90y.' 1.5 1.7 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 66 96% 1.6 1.8 2 22 15 27 2.9 3.1 33 3.5 3.7 3A 4.1 4.3 4.8 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 to 21 2.3 25 28 3 3.2 3A 3.6 ae 4 4.2 4.4 4.6 4.9 5.1 S.3 SS 5.7 5.9 6.1 8.3 6.S 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.8 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 28 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 S.0 6.2 6.4 '8.6 6.6 7 7.2 120% 2 2.3 2.S 2.7 29 3.1 3.3 9.S 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 S.4 5.6 Se 6 6.2 6.S 6.7 6.9 7.1 73 12S% 2.1 2.3 2.5 2.8 3 3.2 3A 9.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD b. East c. Measures d. 1. Ceiling Insulation or Skylight 8. Shading (Shade Closed) -R- R -value [38] U -value [0.030] 2. Wall Insulation 4%T or c. South 'r -value,[ I 1 ] U -value [0.098] 3. Raised Floor Insulation R If or 9. Interior Thermal Mass 10. Exterior -Wall Mass R -value 19] U -value [0.037] 4. Slab Edge Insulation or R -value (0) F2 factor [0.77] 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.. North: b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Dv d � U•value 065 90 Total GLa: 16 Type [ [ • 1 [ 1 % Glass SC Eff. % Glass X %7 X = X = OVz X = Point Scores 0 0 D 7 Sum l-6 9'0 lass SC Eff. % GIass 3• X -�- S X O X, _ Y) X. n TYPE 1 MASS AREA Interior Nlss/CFA COND . FLOOR AREA TYPE 2 MASS AREA COND. MUM= -� Exterior WallMass .7a X -. SE or HSPF (0.7(2JJ6.61 O v/ Duct Ef riciency [0.78] Effective SE or HSPF 10.50.1 X _ 7(e � SEER [9.5] Duct Efficiency (0.74] Effective SEER [7.03] Type [SG] Credit [none] Sum -10 O Point Total. �� I �-L I "Y