HomeMy WebLinkAbout063-340-01463-34-14 34-79-90B,P,E,M
LEAVELL, Jim & Cindy
i r lue S 'r , hico
}
2853-91B,P,E
63-34-14
LEAVELL, Jim & Cindy I
Forest Ranch
(m�ndn)/'�/� e -
S Gni r¢
Z
- - - — 92-2231B -
63-34-14
LEAVELL, Jim
4747 Blueshirt Dr, Forest Ranch
contr: Craig Schroeder
open deck/mh
0
r
or "5
-063-346-014 PERMIT#94-161AG
BARTON; DONALD & RONDA
4747 BLUE SI3IRT DR., CHCIO
AG EXEMPT PERMIT -EQUIP & ANIMAL FEED
BUILDING DIVISION ~
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIC
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538
AGRICULTURAL BUILDING EXEMPTION PERMIT/
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure desiggod and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This str cture shall not be a place of human
habitation or a place of employment where agricultural products are processed . treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. 0&3— 34/0—
ZONING
OW ERPHONE
NO.
GL
- —122H 0
OWNER'S ADDS
r
LOCATION OF BUILDING
USE OF BUILDING
SIZE OF STRUCTURE o ��
� '
X � .� SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME —JZ STEEL k1--' CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
\
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ 1 L 00
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows: �✓ 3 f
7
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I wiy contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requireme is in effect at that time and before
occupancy.
Date < <' Signature of Owner
Permit Fee - $60.00 ' The above described AG Buildina is exemnt from a huildinn narmit
Receipt No. r704674
Manager Building Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FLOOp PAF3CEL P.D/ ROOFjAIG SSUP
Date 612 17 Z/
Sulo
00 2 6 oa9k
�,WSIDENTIAL
r r 63-34-14 92-2231B
LEAVELL, Jim
4747 Blueshirt Dr, Forest Ranch
contr: Craig Schroeder
open deck/mh
JOB FINALE
Signature
V=OK
O = Not OK
Not
= Not Readyabte MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s :
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card 8-1 Date Card B-1
Date
Card B-1 Date Card 8-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card 8-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date t, DECKS OV , CARPORTS, G GES, (Plans)OK except #'s
1. Zo&mifiztequirus-Set c asem s
2. Footings; S -Size-D -Spa -Connectors-Steel
3. Decks; Gri nd/or Joi ecking-Bracing-Stairs-Rails
4. Wood Awn.; Posts-Beams-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 , ep -Doors-Landings
Date Card B-1ya Date Card B-1
Date.� Card 8-1I/A _ Z - Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except k's
1. Zoning -Setbacks -Easements -Flood -Slope -
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Block outs -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 -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except P's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
---------------- -- ----------------------------
17. Water Pipe: Test & Anchor -Nail 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 Card B-1 Date Card B-1
----------------------- -------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except N's
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/Mech. Fastners-Bond Gas & Water
----------- -
2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------------------------------------
28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
--------------___----------------------------------- ---------------------------
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------- ---------------
----------------------------------
30 Service -Riser Conductors & Ground -Main Disconnect
------------- -
Equip_ Clearances Panels-Motors-Mech. Equip.
------------ -----------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
----------- - -------------------------------------------
--------------------
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card -B-1
-
---------------------------------------------------------------- -----------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ra's
34. A.C. Ducts Insulation & Support
----- -------------------------------7----------------------------------
35. Vent Fan: Exhaust above insulation
------ ----- ------ -- -------------------------------------------
36.
------------- -- ----------
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
-------------------------------------------------
-------------- ---------------------------- -------------------------- I
Card B-1 Date Card B-1
------------------------------------------ --------------------- ----- ----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
-------------- -------------------------------------------------------- ---------
40. Walls 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.
---------- 44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date . FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
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 -3rd 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 Card B-1 Date Card B-1
---------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. 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 -Air Gap -Cooking Clearance
------ ---------------------
7 1'
-. -- --------------71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
--------------------------------
73.
----------- ------------------73. A.C. Duct in Garage -Damper
---
---------------------- --------- ----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
--------- ----------------------
75. Plb.. Elec. & M_ech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7. 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.
82. A.C. Unit: Disconnect. Electrical, Plumbing
-------------------------------
83.
---------------------------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.
- ----------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
------ -------------------------------------------------
DCard B-1 Date Card B-1
--ate --------------------------------------------- --
Date Card B-1 Date Card B-1
----------------------------------- - -
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. _
ASSESSOR PARCEL NUMBER
063-340-014
ZONING
J
BUILDING PERMIT
OWNER
Leavell Jim
TELE E
S0. FT. OCC. BUILDING YALUATIq N
100 700.00
OWNER'S MAILING ADDRESS
4747 Blueshirt Dr., Forest Ranch 95942
CONTRACTOR'S NAME
Craig Schroeder
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 700.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 18.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
553.00
PLUMBING PERMIT
Filing Fee 15.00
Ranch
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 ❑ 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: 10 x 10 Deck (Uncovered)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare 'der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my
my license is in full forcer and effect.
License No. �`[ �^ Classification 1 S
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.tr\
OR ADONS. \ ACC. BLDGS. /
3.6asq.ft.
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURESF6L
20 @ 76
24
FIXED A❑
Ex. OCCUp. OUTLETS P(RESID )RE A.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00Misc.
Wiring
9
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
o Consent to Self -Insure.
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
FiIingFee 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.
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
again aid County in consequence of the granting of this permit.
X .l Date C — 29-
signature of Applicant - Owner❑ Contractor ❑ Agent Q—__
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. 116979
WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TYPE
I I TOTAL FEE $53.00
HAz DFEES IMP FLOOD cDF PARC PD HD SUE
.— �- � _
This permit is hereby issued under the applicable provi-
sions of the Butte Cou Cod and/or resolutions to do
`Mork indicated a _ ich fees have been paid.
DI 0 P LIC WORKS
BY ate
PE IT 99-PIAES ate
N!74 , i i _, � yi `'� E SL `a' . y : �.:t �- •
,,,,.COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLF_ CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PIr
OWNER I-, Oa
Proposed Building Use
PERMIT APPLICATION DATA SHEET
vZ-41 71. kvk
Building Inspector
X3 -3y (0 0/y(p
Date 4',,/
T
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
3. Flood elevation letter (100 year flo ) by California Engineer. .............
14. Sanitation and plot plan approva tQ Health Department . .............
15. City of Chico plumbing permit . .........................................
46
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 to Bu"igpe``'°" re for
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
Recorded copy of Agricultural Acknowledgement Statement . ..................
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. i
When you issue the p@rmit, process as follows: Mail to owr er. =Fall to contractor. -
Telephon Vffl and hold for pickup at e C. office. Deliver with inspector.
Other, f o c
Parcel Creation 10, or
Acreage Applicant Date
Copy of Haz-Mat form sent, Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date' By
The following data must be submitted prior
1. Index permit for above items No.
2. Additional items required:
issuance: (Circle new item not checked above).
Contractor designer, owner, was advised of above required data by _ phone - mail Counter by - Date
Com n��tbr Tdetign r' oWner wa`& a- sed of above required data by, phone _ mail Counter by _ Date
Plans checked 6y ' Date "XPIans approved by Dated/
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
/0
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home.
NOTE * * *
Water Supply
Water Supply
Other I D
Sanitarian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 918,'538.7541
APPLICATION AND PERMIT
A 58688 a NU
M:3 3 3 CF o of
N
BUILDING PERMIT
OWNEaV
/L0�2L ��
HON
S FT. OCC. BUILD
G VALUATION
OWNER'S,MAILING ADD ESO
' l / -t A!
CONTRACTOR'S NAME
/ �J
C&-a-t -S' `�/ /j. d -42-
TELEPHONE
CONTRACTOR'SIMAILING ADDRESS
L/d`63�'SY�
Fireplace
CONST�RR✓C/TI N LENDER
UNKNOWN
Total Valuation $
LENDER'S MANG ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
t
$ �0 0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDIN ADDRESS �A
Permit fee
$ Q
PLUMBING PERMIT
Filing Fee 15.00
_
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
#:7�.Oo
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomelN Other
TTTCCC SPECI FY
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 71 Add ition,(SJ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work. _� �b X l {�e Z t 4� v ,-eJ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 0V OR LESS
2000A OR LESS
18.50
Main service 200A TO 10o0A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
2--1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Codeand my license is in full force and effect.
License No. 13 ELI(, Classification C9 �- �^�'7'Pw_T [ J✓
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC. SLOGS. l
3.5C sq.ft.j
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
( POWER APPARATUS &
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
RAO @ 76FIXED
APLNS.d
Ex. OCCUp. OUTLETS (RESID.IRE
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. bYirin 9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
gy�__fhe 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.
�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
9
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agsaid ounty in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner[! Contractors' Agent
An OSHA over 5'0" deep and demolition or construct-
on of structures t over r 3gstories oin heigexcaht.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE$l �j
HAz
1 11 FEES
IMP
I FLOOD
I CDF
PARCEL
I PD
I HDI
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR
DIRECTOR OF PUBLIC
By
applicable provi-
resolutions to do
have been paid.
WORKS
Date
RerPint Nn
VALLEY HOMES
AL MITTELSTADT
Real Estate Broker/Mobile Home Dealer
SPRINGFIELD MANOR Bus. (916) 891-4981
2050 Springfield Dr. Res. (916) 895-8008 /.
Chico, CA 95928 FAX (916) 891-1784 (p
7z-,
192 ` y ZC G �S 17 GI D
I "� At� je"4�
A ROTS: 611 Materhds & WOW tiDsII 88Ia
.Accordance with Preattow and
of a � liw �2scr! r the Specified was
j thy, Un�"xn uilding, Plumbing & Mead
and eget is to Godes and the Natiomal Electrical Code.
M)ja set df PW'kept ofi the job at es tine on Sam- ut
rake
any changes or atter& int of
Sam-
Vora
ths�D
rit oB 1 —
�ork� .� _50� LEACH :-1ELn FREE S=rI3AGK LANE
Location of structures & `4' L o
APPROVED,
equipment shat{ be as stsown � 4- ', Butte County Environ*
merttal H@ofth
& clear of at{ easements.
• - "ELL ,APPROX. I- OCA fiVIN(
->ro�' SEPT
1001MIN. FRB/M WELL %
L LACH L r rJ E 5 CO 150' M S I
MoM WE -LL. f .�P?RoX• SZO�
I
Y7 q 7
Gmss;
w
� r
I _� • q 1 ��. Qc- j°e� OIC`
bSjpNTIAL
63-34-14 2853-91B,P,E� _r,
„ ...
LEAVELL Jim & Cindy
Batt Rd, Forest Ranch
(mh on fndn)
`Soots Muci
OFFICE COPY
L/ N 3 a Rd
{ Address G-
1 GAS 1
1 Meter By—t/--P— Date) -JO -71
ELECTRIC
Meter By Oil Date
;. -- - \- -- - -
JOB FINALE
Signature
Field Installed Z Bar
See Closure Detall 2x PLK',�• kAlLw To
2 (LK'�j• Nor�Q'v WH
� 1•lOt
2X6 P.T. rLoO)
SIIxBI�x I(o° H.G•�5• 4 Rebar Cont:
4�LXB° x 1611 H 4 Regor Vert.
Pe 48.0.C.
�.L
a . p.: . • 4 Rebar
co a #• , s Cont.
Ilk
12"
2X Blk'g.
2 X 4 Framing
For 14" X 6"
Vent
Z. _% OF CPQ•Y'
VENT DETAIL
FND. WALL ELEVATION PERIMETER -
M.T.s. TF /F 1)F7-f+1L5 sr10 yvnJ
HERt'GN
—__ --- RR a I4LrERNA-Trz to T`Ne
I�ER�rvIFTFo2 FNTJ AFr+4(LS
ExntrngExt.sieiag$K®W IV oN 9F-34
Flabr Joist. P_ C.E. p w �.
i0ATW 0S �7
Field Installed i Bar
s
1 Field Install Closure
StringoNo11 Motich 2a Blk'g
4"O.C. Edges. 2 x 6 P.T. Plate PACIFIC CONSULTING ENGINEERS
*4 Rebar Cant. 4010 EI Camino Ave. Suite A-2
Fill All Cells � ;1 1/7-4x lo`�a.e. � T2°o.o• Sacramento. Calif. 95811 Phone: 916-481-7378
With Grout *4 Rebar Vert. 4 48"o.c.
Job # 91--bo4 Date: 11 -18
CLOSURE DETAIL
tT.s. �L'f.. �o��l t7�.Tl oil 1�TaILS
Nov.25 '91 16:27 0000 VALLEY HOMES
3-3
Fi4ld Installed Z Bar
'See Closure Detall --
I xb x
TEL 916-891-1781
2X elk'a.
2 X 4 tramtpp
For 14" X 6
VMI
VENT DETAIL �
FND. WALL ELEVATION d PERIMETER
Hsletin0 Est. Siding —�
Field Installed E gar
Fl4141ns1atl Closwa
Sto Ma th EK .1,
Sid V, Noll w/od t
4"O.C. 6dass.
I�III All Cells
With Choat
Mar Jalst.
2s 91k'tl
2 a E P.T. 14010
44 Rebar CatYt.
1/2"Q x 10"A.0. ei T2"o.a.
*4 R•bor VerA o 48"o.¢•
CtOSURE DETAIL
.T.S.
4 Rebar Coit:
*4 Regor Vert.
8 48'0.C.
P.
2x F14A, RA11,09 gr1 to J,01 -5f 4/1" a 1Gltz
�bLKlil �a s Fy Nlat WON
Ex ays61tv or
ftioo�c)
,74 V�\N---N--- J
�4 Rebar
C ont.BU/LCOW
7y
_ _ 7y
TFIr D 6rA(L,43 S NO W/V ME91r oN
Jar IR Y-0 T7NG
Al�t�r'In�TIof2 F1tJJJ A+:�7�1...5
VOw" on) P_G pwu 0 9Hs4Z
7
F,-PTW PACIFIC CONSULTING ENGINEERS
4020 81 cimino Ave. Suite A•2
Sacramento. Calif. 95671 Phone: 916-482-1378
wol
Job. # % -Baq. pate: 11- 16 -91
1CL'(� rol)t1pj T10sj n5T,4,11r5 '
Field Installed Z ear
See Closure Detoll 2x qm w7 To
�N JDIy'r LwII
2� C sK'h- DoT �Qla w��l
01
' �xTEi1��0 OU'jslbf; 0�
2X6 P.T. foo )
9°Ke x lal� H-G•P• �4 Rebor Cont.-
; .4itKb1 x I6° H•L.r.�4 Re
gcr Vert.
P- 48.0.c.
01
4 Rebar
co
�.
Cont.
Q
�•
t2„
ESS1 }.
RIM Joist
2 X G Top ?lots 2X Blk'a- r•
`
lo" ro^
2 X 4 Fr rr l" �.� r.
For 14^X 8" Ex'a.
Vent a
r
"a Rahor
` qT� OF CQ\,\'O :`
`
VENT DETAIL
FND. WALL ELEVATION do PERIMETER
THE D f TA i C -S :s NO yv�V /yE�pL bN
i'�R�rv�kT�t2 F-iVTJ rJ P.►t'+4(! .S
Existing Ext- Sidi
Floor Joist 5 t-tF1 wd /V P_ C,�• pW tr q/-Jl
D�rrs q s i7 • �
Mold tnstalisd Z Bar
Field Instoll Closure
stop to Matce Exist.
Siding, Nall w/ed1
2x Bik'y
1M PACIFIC CONSULTING ENGINEERS'
4 O.C. Edpss.
r 2xAP.T.Plate ,
*4 Rebar Cowl.
4010 EI Camino Ave. Suite A-2
s=ill Ali Cslls
Pill A
1 1/0 x to"A.e. & 7z"a.�.
Sacramento Calif. 95821 Phone= 916-481-1378
r
1lfittt Graf
"
r4 Rsbar Vert a 48 0.0-
s
Job. # 91-6o
Date: 1.1 18 -9I
CLOSURE DETAIL
•. �
'T•5• 1�.LT- �O�JS..117�-�"IaSJ �Ta.ILS '.
J=OK
O = Not OK
= Not Readyable MOBILE -HOMES•
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /-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
Q-'Fo'otings; S+>e5Sqat1-1ng-Mar Line
.9-q Z
3. Ga - MHT emand-Valve-Connector
lectricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Wale MH Test -Regulator -Connector
7. Wa and Sewer Connected -C/O to Grade -HD Approval
&.011as and Electricity Tagged
zits; Insp.-Sketch
100. Qer . of Occupancy
Date \`_��,C`\
Card B-1 �rT Date/ -/p -q2- Card B-1 U I
DateCard B-1 (1 Date Card B-1
_�
6 = J 6,,� �
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, RAGES, (Plans)OK except #'s
1. Zoning Requirements -S acks-Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-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 -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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V= OR
O = Not OK
- = Not Applicable
' =Not Ready RESIDENTIAL (Single & Duplex) '
- "
Date UNDERFLOOR (Plans) OK except ti's -
Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -flood -Slope
2. Fla.. Main: Soils-Elec. Grnd.-/ /" Fla. Deoth ----'
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except ti's
16. Water Htr.. Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail 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 Card B-1 Date Card B-1
-------------------------- -------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
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/Mech. 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 At
------------- --------------- ---------------------------------------------------
29.
-----------------------------------------
29. Range Circ. / r 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-Mech. Equip.
-------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
-- -
- -------------------
33 Smoke Detector
------ -- ----
Date Card B-1 Date Card -B-1
------- --- ---- --- --- --------------------- - - --
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti'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---------- - - Card B-1 Date Card B-1
---- ----------------- --- -----
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39 Sils Proper Material & Anchors
. .-. --- ---------------------------------------- --
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
- - -
----------------------------------------------
41
----------------------------- --------------
41 Bearing Walls over Girders & Floor Nailing
_- . - - - - - --- -- --- - - --- -------- -----
42 Draft Stop in Walls (rat proof)
- - - ----- - -- - - -- ----------------------- --
43 Fire Stops, Furred Ceilings -Stairs -Chases -Tub
-------------------------------------------- 9 -------------- - -------
44 Headers & Beam -Size & Bearing
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection raft•Stop-Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. 8 Dimensions
________---50.-Garage Fire Protection Framing
51. Property Line Firewall & Openings
-------------------------
_ 52. Ext. Doors -One 3' -Check Garage -3rd 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-54yl ig hts- Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------------
---------------------------
Date Card B-1
-- ----------- ---- -------
Date Card B-1
Date _ Card B-1
Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
------------------------ -----
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air-Connec(T -
In Garage: Above Floor-Ducts-Mech. Protection
----------------------------------
64.- Bedroom Exiting
-----------------------------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------
------------
------------- -----------------
67. Stairs -&-Rai-Is----
or
Railsor Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
------------------------------------------ ---
70. Kit.Fixt. & Appliance: Grnd.-Air 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-Mech. Protection
75. Plb..-Elec.-&-Mech.-Equip. _Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-------------------------------- ------
7;. Insulation -Foam -Looked in Attic ❑ Yes
------------------- ------- ------------------- ----------
78. Guard Rails & Deck -Construct ion -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.
------- 89. Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade-HDApproval
------ - - - - - • - - - - ---- ------ ------------------
91 Energy Compliance Certificate -Other Certificates
----- ------------------------------
---------------------
Date Card B-1 Date Card B-1
----------------------------------------------- --------
--
Date Card B-1 Date Card B-1
-----
- -----------
Date Card B-1 Date Card B-1
Comments at Final:
M COUNTY OF BUTTE
DEPARTMENT OF.PUBLIC WORKS -
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
>
eiJ20A&P '9 �3 q,
OWNOWNEN 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.
. cit o CIA, KO -A-7-0
v s06 , c \ n
Date /� �3 �� Inspector(). R&a -
REV 11/91
Lt [v A- �1-'. a.aF-' �'M moi..' .Sa12'71
__ . #._: •��-- ;'—:u'..l.me
{ 1
COUNTY OF BUTTE
• . . DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico— Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
L-v-:_N\ject- ERz�3-9(
OWNER 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
7K, r
need additional explanation, please contact this office immediately.
./I�-- APP2d\/liS AL-tctNAT
I r,i21M qrr2 \t'e -a 1 t_
Date �' C� c'I Inspector
1 z. COUNTY OF BUTTE i
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 "
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
5-3-17/
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
matt or need additional explanation, please contact this office immediately.
4.
x 1 y ►�v�ra�.tiw;n, U 11.P w
-11--V rE) 32 "
Date/ %` 17/ Inspector L, puT.!/ —
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobilehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name �-
Serial number of V.I.N.
PERMIT N0.
Year of manufacture
f •� f
(Official Approving Installation) (Date)
- i 1
I
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT 04F PUBLIC WORKS
7 County Center Drive - Oroville, California 95985 - Telephone: 916/538-7541 25 -� �_: 3 =j � /
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER .
1 063-340-014
ZOWING
U
BUILDING PERMIT
V OWNER TELEPHONE
JIM & CINDY LEAVELL 893-1417
OWNER'S MAILING ADDRESS `
26 WRANGLER CT CHICO
So. FT. OCC. BUILDING VALUATION
S
CONTRACTOR'S NAME TELEPHONE
UNKNOWN
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
Total Valuation $
Filing Fee
Permit Fee
$ 10,00
$ 185.00
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
Energy Plan Checking Fee
Penalty
A$. 92.50
$
$
BUILDING ADDRESS _
MD 1—,Otvo_� �,� e -A.
permit fee
$ 287.50
PLUMBING PERMIT
Filing Fee 10.00
t �_/�U���„",
E
Each Trap
2.00
Solar or heat pump water heater
20.00
LO T8O.
SUBDIVISION NAME
�yL M
Water piping -
5.00 5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome;] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5.00
Mobile Home S I G I W 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other®
Describe work: MH PERM EOIINDATTON
Permit Fee
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 ;
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N)
OR ACDNS. ACC. BLDGS. /
, /:¢sgft
NEW . U
NONRESIO, BRANCH CIRCU ITS
2,50 ea
POWER APPARATUS a
SINGLE OUTLET CIR.
Ex. Occu
Occup(OUTLETS OR FIXTURES
SALO50t30
200030
Ex. Occup. OUED P
TLETS (RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
Permit Fee
$ 22
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
f 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
FiIingFee 10.00
Heating
Coolin g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and"keep harmless the County of Butte against
all liabilities, judgments, costs, and 'e enses which may in any way accrue
against Cou y in cons ue ice o e gr g of this perml d
X Gzi Date
Signature of App Ii ant - Owner Contractor ❑ Agent ❑
An OSHA permit is required fore cavat,ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Dcc
CONST TYPE
TOTAL FEE $
335.00
Az.
can PARK
.— _�
SCHL
FLD
cDF
�'
P R
I HD
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above f r which fees have been paid.
DIR. TO F P BL' WORKS
AJV
BY Date 041
PERMIT EXPIRES D
Receipt No. A7185 335-00
'W NI TE-D.P.W., YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CFWf4 DRIVE + OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 x�
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER iW C—e4 UdA. P. No. V 3 — 3 �/V '0/L�
Proposed Building Use 112'21L -Frei ilding Inspector Date 9—
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
-_.6_.Energy Design Compliance and supporting documentation .........
7. atetnent�� Intent f r, on -Heated and AC Buildings ..............
. girfeerc¢-1AF69edetai aM11AVo& i4duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
*142. Park fee paidIML D chool District fees paid ............. . Sanitation approval from /�1CG Health Department /J —�
15..',City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17' Planning approval for (A) Use: • (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW y ��
19. Driveway permit (construction approval required prior to occupancy)
Pre -Inspection for required Pre-inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑ Mail to owner ❑)
MIKAIV
244. Recorded copy of Agricultural Acknowledgment Statement e
Letter of signature authorization .......... G.. �1�e1}er• .�avm.�"�1.n8t
/Cp " "
you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 593 -L&Z and hold for pickup at (a i60 office. Deliver w/inspector.
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 submitted7=*7?z 'It iss ance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone—_nail—counter by .date
C�tractor, designer, owner, was advised of above required data by—phone —ma l�cotjdter by date
Plant checked
Copy—DPW
Date Plans approved by
r
of plans on hold in --Vile cabinet AP folder
Date
so Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
S.
I
;-� /L. Wil• i,.r.�l/
Location
APS
-- � Owner
Plan Approved for:
Hold final for:
^incl clearance O.R. for:
Sewaqe Disposal ✓ Water Supply
Water Supply
Clearance for bedroom mob -s -le home. Other
NOTE
xs*
Water Supply
9-10
Date
Sanitarian
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
Z ea ve !?7112 dl,,' A-irl Z�,
owner location
Driveway permit /,lam 2 /-J2J�% has
All
si ature
AP #
been issued for the above property.
date
AUG— 1 5—'� 1 F=FeI 'D h1 C:nLLUM F-1_I"D I NG
Community West
1 g tiJ
8-14--91 ;
Butte County Building Dept
117 County Center Drive
Orville, Ca. 95965 t
ATTN: Anne Br.addl
Rr: Jim & Cynthia Leavell
Batt and Wilder Road9
Chico, Ca. j
i
Dent- Anne,
We Community Fest :fortga;e have received loan approval for
the above mentioned borrowers.
The,condition on the loa is that the manufactured home be
placed on a permanent fouf ndation at the AP(i 063-34--0--014-0.
T
s
ANYQ UESTIONS PLIASF, CALL I
STNC►SRF?LY,
Debbie Crittenden
�xfAs,
8 Mistletoe Lane
Re . Ang, California 96002-0271 \
191.6) 221-1122 4'q;r
,<
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telepnone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCE ,IBI RR
(��
ZONING
BUILDING PERMIT
OWNER ''�^ p� / l
�J `� CINO L eA LJ�'�tb
TELEPHONE
3_ O/
S0. FT. I OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
ve ►,� le C • clry rs S
I
CONTRACTOR'S NAME
L)N NOV-J�J
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION L NOER/
%NUS`
VNKNOWN
Total Valuation S
Filing Fee
S 10.00
LENDER'S MAILING ADDRESS
Permit Fee 9
$ Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ A^
d
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 5/1 7r 01A Chrcv
Permit fee
$
C,5 L
PLUMBING PERMIT
Filing Fee 10.00
Eacn Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00 S
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Dupiex❑ MobilehomeXI Other
SPECIFY
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S 1 G W
0.00ea
TYPE OF WORK
Utilities J install tion, Other IN
New ❑ Addition ❑ RemodelPerm
Describe work: 2-0 Leri �O T l 'n
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee10.00
Main service 6001 DR LESS
100 AMP OR LESS
,�
Main service EA. ADD'L 100 AMP
410.00
2.50
CONTRACTORS LICENSE LAW�fn/�0
I declare under penalty of perjury (check one): //TT
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,
❑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)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
OR ADDNS. ACC. BLOCS. NEW CONST. ( DWELLING OCcuP.y\
/
, ��¢ Sq ft
NEW CONSTR ULTI.OuTLET
N ON.R_SIo BRANCH CIRCUITS
12.50 eat.
POWER APPARATUS &)
OUTLET CIR.
--SINGLE
Ex. OCCUO�OUTLETS OR FIXTURES
120@50t
eAL_ 30t
FIXED APNS.
Ex. OCCUD. OUTLETS P(RESID )REA.)
1 2.00
Temporary service
1 10.00
Mobile Home Facilities
1 15.00
Misc. Wiring
9
15.00
Permit Fee
Contractor
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for S100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XTh;s
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 33 stories height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
UA I PARK
yq� ! SCML FLD cDF PAR Po D.:Issu-
1 ! j i'
i !
permit is hereby issued urger
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
siin
Receipt No. 701 S'-33�
`
WTC•O.P.W., YELLOW-A]e C330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
�+ �'*'v''I�"7!1s` �'-�i`�40A"`-�:.i°.....:,f�sr•.rryy..�.asr:r7L�M�'i�'�'+�n-r..�a`�i;'��"""+�+rr�Wi'7'�'s'Y�,r�.:Fl`i'�r"vr9�' i.i"1;!�4'rr'•-:-•;r+«
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Buildingf)"
A. P. Number (' 3-_3go —,0 lel, ^Building Department No.
School District ' City Q County U
Property Owner , N,* M (_ t'
Project Location/Address
417y7
Subdivision Lot Number
Jurisdiction
Residential Development: /5741/
Sq. Footage ((
# of Living I Addition (Group R)
Units
Commercial/Industrial: a
New
a6e fuai -�
Building Department Representative
Sq. Footage '
Addition (Including Exterior
Roofed Areas)
'9 yIql
Date
(Floor Plans reviewed by School District Personnel)
District Id No.
o = School District certifies that
(Applican Name)` (Phone Number)
(Street Addres
(City) (State) (Zip pCode)
has complied with the requirements of Resolution No.
by the pa Ment of $ e -,C representing �5 square feet.
chool District Representative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS: 6&V4 N # C t�Iw/Kl�Cldlf/
tc o U cal. ) -, 1
white -applicant, yellow -building department,_ pink -school district
SCHOOL.FEE (8/88)
Community West Mortgage
8-14-91
Butte County Building Dept
#7 County Center Drive
Orville, Ca. 95965
ATTN: Anne Braddl
RE: Jim & Cynthia Leavell
Batt and Wilder Roads
Chico, Ca.
Dear Anne,
We Community West Mortgage have received loan approval for
the above mentioned borrowers.
The;-cb.ndition on the loan is that the manufactured home be
placed on a permanent foundation at the API/ -O53-34-0-014-0._
ANY QUESTIONS PLEASE CALL !
SINCERELY,
Debbie Crittenden
851 Mistletoe Lane
Redding, California 96002-0271
(916) 221-1122
M(xAfq
BpNMERS •4
s
1 sn
�F'4MEN��p R�
�<LIXIIIO\9\,
of
�9k
Nov.25 '91 16:37 0000 VALLEY HOMES TEL 916-891-178= P.
FWd Installed Z Bar
Sae Closure Wall 2x P1.01. PAILIm To
�ri ..rols'I' !•�/I(d a (b`b.c
gLK+6l oo r F94,17. WN'6N
�Z
X6 i? T.
8��><Sl�x I(o� H.G• 4 Aebar Cont:
Kb x j61l H -Ar, *4 Regor Vert.
e 48.0.0.
J ` I Wf.,.,.��)
:.L • o Rebar .-� we IE
Cont. UrVTY
0EpA
APpfjo A�Nr
VED
. ,.._fir., .�xT��►oj� �oUsJr��;rlo�1
G T-- GI-.-
0
2X 91k10.
2 x 4 rriif p
For 1411 x 6
10" 1O" Vent
*4 Rebar
VENT DETAIL
FND. WALL ELEVATION a PERIMETER
exletlnp rrxt. sldlnq
Field Installed II Bores
F1414 Indo!{ closure
Strip� to Match Exist.--
sid'e , Noll W/od 0
4"ac. sloe..
--
Fill all Coils
With Qrout
Floor Jotjgt.
zx 91k'0
Z x 6 P.T. Plots
44 Rebar Carm
112"4 >< to"as. • Tz"o.e-
*4 Rebor vert. O Wo.c.
C(,OSUR TAIL
,T.6.
7'P/r-- D )TA(t,.S s r/0 WA-) H6960A;
fYIRV- r4c�r t4p.MA�T� 'r0 7 G
A����TIe;:2 FiVJJ p�n4tGs
SHAWN aN P_Ues. pwG" 91-s�Z
ort 7s p s-� 7
r PACIFIC CONSULTING ENGINEERS
4020 fl amino Ave. suite A•s
$ns r�mento. Glif. 95521 Picone: 916-482-1318
r
Job. # 91-,60+- jDate. Il - 16 -1.91
1CL1� �D��1 Dp.TI o�.1 �Tp.1L�
:IT
' ORIGINAL DOW.MENT
AND WHEN RECORDED MAIL TO:
WK DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DR.
STREET
AcS OROVILLE, CA 95965
Cm,
STATE.
:d a
92-001807 92-001807' 92-001807
1
92-0,C)1 307 1 Tote! .00
f .
Recorded 1
Of f ic::
a), Rec::orde I
County of I
f3tl'_t c?
I 0anidat.= J. i�rubb3 I
R�ra:•de:� I
10: 531�m
15--Jun-32 I PUBL XX 1
SPACE ABOVE TRS LK FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document of the request of the locos agency indicated is in accordance with California Health and Safety Code Section .
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the 11nit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
JIMMY T. LEAVELL
REAL PROPERTY OWNER/LESSOR
26 WRANGLER COURT
MAILING ADDRESS
CHICO, BUTTE, CA 95928
CITY COUNTY STATE ZIP
4747 BLUE SHIRT DRIVE
INSTALLATION MAILING ADDRESS, IF DIFFERENT
FOREST RANCH, BUTTE, CA 95942
CITY COUNTY STATE ZIP
VALLEY HOMES
UNIT OWNER (If also property owner, write "SAME")
2050 SPRINGFIELD DR., #301
MAILING ADDRESS
CHICO, BUTTE, CA 95928
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DEPARTMENT
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
91-2B53 916 538-7541
BUILDI PE NO TELEPHONE NUMBER
1/10/92
SIG ATURE OF LOCAL AGENCY OFFICIAL DATE
VALLEY HOMES 92115
DEALER NAME (If not a dealer sale, write "NONE")
92115
DEALER LICENSE NO.
KAUFMAN AND BROAD 01/08/87 BILTMORE 476
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
KBCASNC87321452ABC 56 X 34 PFS 136687/88/89
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 063-340-014
PARCEL 8, AS SHOWN ON THAT CERTAIN PARCELMAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 29, 1978, IN BOOK 70 OF
MAPS, AT PAGE(S) 9 AND 10.
HCD FORM 433(A) 4/86
R1�ErT OF yC✓_
Cr
lift
0
44411V,TY Ot.``'�
Address or location of t�1 1 _ 4747 -BLUE. -SHIRT DRIVE, FOREST
Real Description of
Real Property > A.P. #063-340-014
NO. 91-2853
_ PARCEL 8, -AS, SHOWN ON THAT CERTAIN PARCEL -MAP, RECORDED IN THE 'OFFICE
OF THE -RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
DECEMBER 29, 1978, IN BOOK 70 OF MAPS, AT PAGE(S) 9 AND 10. -
A ER-Mobilehome/Manufactured Home 11 Commercial Coach has been affixed to -the
real property described above by installation on a foundation system pursuant to
Health and Safety Code Section 18551.
Owner's nome: JIMMY T. LEAVELL
Owner's address: 26 WRANGLER COURT, CHICO, CA 95928
INSIGNIA OR HUD NUMBER:
PFS 136687/88/89
MANU��CT. UR ..nui
(oma .00•o..a r..dla�on�
s+ca $1316 (7/e0)
Moo -a..... C...�.-a.�,..w.... w,.otr. ra..
SERIAL NUMBER OR V.I.N. KBCASNC87321452ABC
BROAD YEAR OF MANUFACTURE:
1/10/92
1987
(916) 538-7.541
fi:► =�14;t;t4jt
•. rd.. N..
Ewv. No 108065 MC
/O Lo -n No
WHEN RECORDED MAIL TO -
M. AND tots. LEAVELL
26 ler Court
Chioo, CA. 95924
90-00578
:
90--000678 i Roo Fee 1S.00
: DOC 23.10
Recorded : Total 36.10
Official Records t
County of
Butt • MIOVALLEY TITLE CO.
Candace J. Grubbs i
Recorder I
aso0am 5 -Jan -90 : CD a
1 SPACE AaoV. r«rS uwE •os nstonosRS USE
MAIL TAX STATEMENTS TO:23.10
OOnJII@fTARY TAANSf Ell TAX f
X_ C 'Wmad se ow orr.asraaen or "ka of an*" con•erec OR
_ C.nlol/..a on w w.r.u.w «•dw �.. �.«. « erwnnel�loi
sant as above '�"'""'� • •""• of �'a
The undersi.q. hereby declares
ere.... M Dili f er Ae011 eernw/wr� ry - %1nw psn.e
r
AM# 063-34-0-01" GRANT DEED WlPAD
.
FOR A VALUABLE CONSIDERATION. reoeA of •dliol is Ibmmtr sanowledg d.
RICeAM QRTIS AND PANDA L C. HIIi., AS TRUSTS OF THE CHEMEC 1111IQEY PENSION PLAN
Aereey GRA.VTfSI to
JD*ff T. LEAVELL AND CINDY LE#VELL, husband and wife, as joint Centants
TAe Irl popes V in the W= UninoorpOrated area in the
CounW of Butte . Sus of Cdifomis. dearibed as
1 1
STATE OF C/LLJPOIINM � � 222
t �
belles era
a sorry F%gidf: r mmid r
1
f e red JanuaiY 3. 1990
I
STATE Of GI.ROnMA Isa
COum OF I
a.levrer -no.-- to go lar
eweelGel to be Ma/awl
-ie-w •�elN�wa'/
M aeras
Ise an all bees of saf+OVF
e••wN ,Jere rl0rcrbd b Ore
1 ail — wehe wr e -mc~
Meg, ere. For dear norm b..il
l�
Richard Curtis, trustee
Randall C. Hill, trustee /
/.4i,
L LJ
-I-- /-, G 1//-.r w-M.rr ,-,11
MAIL TA< STATEMENTS AS DIRECTED AISOVE
I001 Idle]I
modpereon.er '
oeneeeA
Wicee�, W am for O.o.eO me ell an Or berg d Ow aM
1OFFICIALS=—
•ar•s+r.eriesorsereowr•no.neffmoab•weoreo"•As•rrr.•rresaeed•oerr+er. ell
•
a�en�eOrresie.lOOeeq Md1�r •ean\de00e•d alUd seed:
t
TT.d ba/dr fasio e
arld
MY a UISEBEER
ZL-6.1
BUTTE 03 -NN
j
�no�n b lwMrr EObe we s ell 0ereo.tY described In w d wfw
wy 01 OmG Ewa Jw M IM
_
t 1
•neO�Aed Ore MRen rr�MSMl tls a OsrM�M) IM.eE� eql sed
(C
and dery M arse and Ore seed prtr(rq duh emseperdged
M W.e p iiseeme of Bald dlmt diel MMOMWr eeoMre Ole
el
res end mr end rent ra.rw4en r all e»Neomn fuo.et
1
evloaa xrftrs ualaa s e.+rr+ seises
I
IMMSESSe hodwdcmhmwOWL
1
f e red JanuaiY 3. 1990
I
STATE Of GI.ROnMA Isa
COum OF I
a.levrer -no.-- to go lar
eweelGel to be Ma/awl
-ie-w •�elN�wa'/
M aeras
Ise an all bees of saf+OVF
e••wN ,Jere rl0rcrbd b Ore
1 ail — wehe wr e -mc~
Meg, ere. For dear norm b..il
l�
Richard Curtis, trustee
Randall C. Hill, trustee /
/.4i,
L LJ
-I-- /-, G 1//-.r w-M.rr ,-,11
MAIL TA< STATEMENTS AS DIRECTED AISOVE
I001 Idle]I
:...........:<.::::.....:... 9.0-00578
ORDER NO. 18U-108065-nc
' DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL Z•
PARCEL 8, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN TILE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE O!
CALIFORNIA, ON DECEMBER 29, 1978, IN BOOR 70 OF MAPS, AT PAGE(S)
9 AND 10.
' PARCEL IZ•
A 60 FOOT NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGREW
AND FOR PUBLIC UTILITIES AS SHOWN ON THAT CERTAIN PARCEL,
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON DECEMBER 29, 1978, IN BOOK 70 OF MAPS, &T
PAGE(S) 9 AND 10.
A SIXTY (60) FOOT WIDE NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC
UTILITY PURPOSES OVER A PORTION OF PARCELS 1 AND 2, AS SHOf.N ON
THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 21,
1979, IN BOOR 73 OF MAPS, AT PAGE(S) 22 THRU 25, BEING ALSO JL
PORTION OF SECTIONS 1, 2, 11 AND 12, TOWNSHIP 22 NORTH, RANGE 2
Y,,:; ::_. ;�• EAST, M.D.B. i M., SAID EASEMENT BEING OVER AND ALONG COURSES S
THROUGH 50 OF CANYON SHADOWS ROAD AS SAID ROAD IS DELINEATED AND
SAID COURSES ENUMERATED ON SAID HOWARD ISOM PARCEL MAP.
PABCI:L IV:
A SIXTY (60) FOOT WIDE NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC
UTILITY PURPOSES OVER A PORTION OF PARCELS 2 AND 6, AS SHOWN ON
THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 21,
1979, IN BOOK 73 OF MAPS, AT PAGE(S) 22 THRU 25, BEING ALSO
PORTION OF SECTIONS 11 AND 12, TOWNSHIP 22 NORTH, RANGE 2 EAST,
M.D.B. i M., AND LYING THIRTY (30) FEET ON EACH SIDE OF THE
FOLLOWING DESCRIBED CENTERLINE:
COMMENCING AT THE NORTHWESTERLY TER'%INUS OF A COURSE ALONG THE
BOUNDARY OF SAID PARCEL 2 SHOWN AS BEARING SOUTH 29 DEG. 26' 450
EAST AND HAVING A DISTANCE OF 1731.61 FEET ON SAID HOWARD ISOM
PARCEL MAP AND RUNNING THENCE NORTH 62 DEG. 33' 420 WEST A
DISTANCE OF 52.41 FEET TO A POINT IN COURSE NUMBER 48 IN TIM
CENTERLINE OF CANYON SHADOWS ROAD AS SHOWN ON SAID MAP.
CONTINUED
-�
90'-00578
ORDER NO. SU -108065 KC
PARCEL
IV- CONTINUED
THENCE SOUTH 27 DEG. 26' 180 WEST ALONG SAID CENTERLINE A
DISTANCE OF 109.04 FEET: THENCE CONTINUING ALONG SAID CENTERLINE
SOUTH 20 DEG. 22' 47■ WEST A DISTANCE OF 124.14
FEET AND SOUTH 29
DEG.
42' 230 WEST A DISTANCE OF 24.56 FEET TO
THE TRUE POINT OF
BEGINNING
FOR THE HEREIN DESCRIBED EASEKENT: THENCE LEAVING SAID
CENTERLINE OF CANYON SHADOWS ROAD AND RUNNING
THENCE AIANG THE
CENTERLINE OF SAID SIXTY (60) FOOT WIDE EASEKENT, BEING ALSO THE
CENTERLINE OF THAT CERTAIN ROAD HEREINAFTER REFERRED TO AS WILDERDkrVE
THE FOLLOWING THIRTYSEVEN (37) COURSES;
(1)
SOUTH 04 DEG. 11' 04- EAST
81.12 FEET
(2)
THROUGH A CENTRAL ANGLE OF 15 DEG. 00' 06-
(TANGENT RIGHT)
R-400.00 FEET
L-104.73 FEET
(3)
SOUTH 10 DEG. 49' 02- WEST
335.17 FEET
(4)
iMtOUGH A CENTRAL ANGLE OP 60 DEG. 00. 21-
(TANGENT LEFT)
•
R-200.00 FEET
L-209.46 FEET
(5)
SOUTH 49 DEG. 11' 19- EAST
22.01 FEET
(6)
THROUGH A CENTRAL ANGLE OF 28 DEG: 29. 48-
(TANGENT LEFT)
R-100.00 FEET
L-50.32 FEET
(7)
SOUTH 78 DEG. 01' 06- EAST
122.61 FEET
(8)
THROUGH A CENTRAL ANGLE OF 24 DEG. 03' 23 -.(TANGENT
LEFT)
R-200.00 FEE!
L-83.97 FEET
(9)
NORTH 77 DEG. 55' 31- EAST
243.96 FEET
(10)
THROUGH A CENTRAL ANGIZ OF 80 DEC. 05' 13-
(TANGENT RIGHT)
R-180.00 FEET
L-251.60 FEET
(11)
SOUTH 21 DEG. 59' 10- EAST
372.55 FEET
(12)
THROUGH A CENTRAL ANGLE OF 40 DEC. 17. 18-
(TANGENT RIGHT)
R-200.00 FEET
L-140.63 FEET
(13)
SOUTH 18 DEG. 18' 02- WEST
235.37 FEET
(14)
THROUGH A-ACENTRAL ANGLE OF 39 DEG. 11' 53-
(TANGENT LEFT)
R-300.00 FEET
L-205.24 FEET
(15)
SOUTH 20 DEC. 53' 51- EAST
217.49 FEET
CONTINUED
3
90-00578 f�
ORDER 110. BU -108065 !C
PARCEL Iy: CONTINUED
(16) THROUGH A CENTRAL ANGLE OF 04 DEG. 52. 11- (TANGENT RIGHT)
R-400.00 FEET L-34.00 FEET
TO A POINT ON THE MOST EASTERLY LINE COMMON TO PARCELS 2 AND 6 OF
SAID ISOM PARCEL MAP WHICH POINT BEARS NORTH 11 DEG. 00' 000 EAST
19.05 FEET FROM THE MOST SOUTHERLY CORNER COMMON TO SAID PARCELS
2 AND 6.
(17) THROUGH A CENTRAL ANGLE OF 37 DEG. 28. 224 (RIGHT)
R-400.00 FEET
L-261.61 FEET
CONTINUING ALONG SAID CURVE TO THE RIGHT THE TANGENT TO WHICH, AT
THIS
POINT, BEARS SOUTH 16 DEG. 01' 40- EAST.
(18)
SOUTH 21 DEG. 26. 42- HEST
294.89 FEET
(19)
TOUGH A CENTRAL ANGLE OF 131 DEG. 24.
00 -(TANGENT LEFT)
i
R-55.00 FEET
L-126.14 FEET
-
(20)
NORTH 70 DEG. 02. 42- EAST
274.60 FEET
(21)
THROUGH A CENTRAL ANGLE OF 55 DEC. 084
46- (TANGENT LEFT)
R-120.00 FEET
L-115.50 FEET
(22)
NORTH 14 DEG. 534 55- EAST
64.58 FEET
(23)
THROUGH A CENTRAL. ANGLE OF 79 DEG. 51'
46- (TANGENT RIGHT)
R-200.00 FEET
L-278.77 FEET
,^~
(24)
SOUTH 85 DEG. 14. 18- EAST
57.49 FEET
(25)
THROUGH A CENTRAL ANGLE OF 54 DEG. 50.
40- (TANGENT LEFT)
R-100.00 FEET
L•-95.72 FEET
(26)
NORTH 39 DEG. 55. 01- EAST
137.70 FEET
(27)
THROUGH A CENTRAL ANGLE OF 41 DEG. 21'
56- (TANGENT LEFT)
R-150.00 FEET
L-108.30 FEET
(28)
NORTH 01 DEG. 264 55- HEST
267.19 FEET
(29)
THROUGH A CENTRAL ANGLE OF 47 DEG. 204
18- (TANGENT RIGHT)
R-400.00 FEET
L-330.48 FEET
TO A
POINT OF COMPOUND CURVATURE THE TANGENT TO WHICH, AT THIS
POINT, BEARS NORTH 45 DEG. 53' 24" EAST.
(30)
THROUGH A CENTRAL ANGLE OF 57 DEG. 31.
37- (RIGHT)
R-150.00 FEET
Lr -150.61 FEET
CONTINUED
as on 'L .. :.I
90-00578
ORDER NO. HU -108065 AC
(31) SOUTH 76 DEG. 35' 00- EAST 491.33 FEET
(32) THROUGH A CENTRAL ANGLE OF 38 DEG. 58' 41- (TANGENT LEFT)
R-250.00 FEET L-170.07 FEET
(33) NORTH 64 DEG. 26' 190 EAST 107.27 FEET
(34) THROUGH A CENTRAL ANGLE OF 61 DEG. 45' 43- (TANGENT RIGST)
R-410.00 FEET L-441.96 FEET
(35) SOUTH 53 DEG. 474 58- EAST 115.80 FEET
(36) THROUGH A CENTRAL ANGLE OF 22 DEG. 19' 54- (TANGENT RIGHT)
R-350.00 FEET L-136.42 F88T
(37) SOUTH 31 DEG. 28. 04- EAST 80.39 FEET
TO A POINT ON THE MOST EASTERLY LINE OF SAID PARCEL 6 WHICH LINE
• IS ALSO THE MOST EASTERLY, WESTERLY LINE OF PARCEL 3, AS SHOWN ON
THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 11, 1978,
IN BOOK 63 OF MAPS, AT PAGE(S) 74, SAID POINT SEARS SOUTH 00 DDG.
58' 230 EAST 984.51 FEET FROM THE MOST NORTHEASTERLY CORNER OF
SAID PARCEL 6 BEING ALSO THE MOST NORTHERLY NORTHWESTERLY COQ
OF SAID PARCEL 3.
PEEL v:
AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET wrm
OVER A PORTION OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, .
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, IN HOOK 63 OF MAPS, AT PAGE(S) 74, SAID
PARCEL 3 BEING ALSO A PORTION OF SECTION 12, TOWNSHIP 22 NORTH,
RANGE 2 EAST, M.D.B. i M., SAID EASEMENT LYING 30 FEET ON EACH
SIDE OF THE CENTERLINE OF AN EXISTING ROAD DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE EASTERLY LINE OF SAID PARCEL 3, WHICH
POINT BEARS SOUTH 02 DEG. 10' 43- EAST, A DISTANCE OF 821.31 FEET
FROM THE NORTHEAST CORNER OF SAID PARCEL 3, SAID ROAD BEING SHOWN
AS "WILDER DRIVE- ON THAT CERTAIN MAP ENTITLED, -SIERRA FOOTHILLS
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER
30, 1980, IN BOOK 80 OF MAPS, AT PAGE(S) 10 AND 11, AND RUNNING
THENCE WESTERLY ALONG SAID EXISTING CENTERLINE, 1,650 FEET, MORE
OR LESS, TO THE MOST EASTERLY OF THE TWO WESTERLY LINES OF SAID
PARCEL 3, WHICH POINT BEARS SOUTH 00 DEG. 58' 23- EAST ALONG SAID
WESTERLY LINE, A DISTANCE OF 665 FEET, MORE OR LESS, FROM THE
MOST NORTHERLY NORTHWEST CORNER OF SAID PARCEL 3.
CONTINUED
�'I�► st,.. �,•v�O r,.�r. '�:;jr� t _ '••� ��•�_��a, '.:. .�_ �4 .^�.:1'�.1i�A�C` _ �.ex.�./��
90-00578
{
ORDER NO. BU -108065 NC
PARCEL VIz
AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF
LAND 30 FEET WIDE BEING A PORTION OF THE EASTERLY 30 FEET OF
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON JANUARY 11, 1978, IN BOOK 63 OF MAPS, AT PAGE(S)
74, SAID PARCEL 3 BEING A PORTION OF SECTION 12, TOWNSHIP 22
NORTH, RANGE 2 EAST, M.D.B. i H., SAID EASEMENT BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
rr�
BEGINNING AT THE MOST EASTERLY SOUTHEAST CORNER OF SAID PARCEL 3
AND RUNNING THENCE NORTH 02 DEG. 10' 43- WEST ALONG THE EASTERLY
LINE OF SAID PARCEL 3, SAID LINE BEING ALSO THE WESTERLY LINE OF
LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -SIERRA FOOTHILLS
SUBDIVISION--, WHICH MAP -WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER
30, 1980, IN BOOK 80 OF MAPS, AT PAGE(S) 10 AND 11, A DISTANCE OF
224.35 FEET TO THE CENTERLINE OF WILDER DRIVE, AS SAID ROAD IS
SHOWN ON SAID MAP OF SIERRA FOOTHILLS SUBDIVISION; THENCE SOUTH
84 DEG. 25' 280 WEST ALONG THE WESTERLY PROLONGATION OF SAID
CENTERLINE OF WILDER DRIVE, A DISTANCE OF 30.05 FEET= THENCE
SOUTH 02 DEG. 10, 43- EAST, PARALLEL TO AND 30 FEET DISTANT
WESTERLY OF THE EASTERLY LINE OF SAID PARCEL 3, A DISTANCE OF
233.72 FEET; THENCE SOUTH 42 DEG. 5811 081* EAST, A DISTANCE OF
3.^3 FEET TO THE SOUTHEASTERLY LING OF SAID PARCEL 3; THENCE
NORTH 62 DEC. 101 44' EAST ALONG SAID SOUTHEASTERLYLIKE, A
i
DISTANCE OF 31.08 PEST TO THE POINT OF BEGINNING.
rr�
STATE OF CALIFORNIA
ar'r�� DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT -'
"" : * _ DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION
476.6c (New 12/86) STATEMENT OF FACTS73-
/ Date 1Z , 19 ��11 ,,
I/We, �n V 2 �I the undersigned, hereby state:
SERIAL NO.(S)
7-3'Ar �.'A / y.r� � s'
MOBILEHOME DECAL NO.(S)
F5 3 e 487 A yiff1hilg:WW
MFR. TRADE NAME
+ Gr-on.o
The unit described above is located on private property which is owned by the registered owner
of the mobilehome.
I certify under penalty of perjury that the foregoing is true and correct.
Executed on -" �- at Vt t GJ (City), C (State)
Signature,
1/
Address '1-7 ti 7 ISl i -P f-11 i 1`-
,City ,State
1
92-001807 1 Total .00
APD WHEN RECORDED MAIL T0: I
Recorded I
Official Records I
tto�E DEPARTMENT OF PUBLIC WORKS County ofSTWT I
7 COUNTY CENTER DR. Butte I
Ao OROVILLE, CA 9.5965 Candace J. Grubbs I
(xrr,
Recorder 1
STATE, 10:53am 15 -Jan -92 I PUBL XX 1
and ZP
SPACE ABOVE THIS LIPS FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document of the request of the locai agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
JIMMY T. LEAVELL BUTTE COUNTY BUILDING DEPARTMENT
REAL PROPERTY OWNER/LESSOR
26 WRANGLER COURT
MAILING ADDRESS
CHICO, BUTTE, CA 95928
CITY COUNTY STATE ZIP
4747 BLUE SHIRT DRIVE
INSTALLATION MAILING ADDRESS, IF DIFFERENT
FOREST RANCH, BUTTE, CA 95942
CITY COUNTY STATE ZIP
VALLEY HOMES
UNIT OWNER (If also property owner, write "SAME")
2050 SPRINGFIELD DR., #301
MAILING ADDRESS
CHICO, BUTTE, CA 9.5928
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 9.5965
CITY COUNTY STATE ZIP
91-2-853 916 538-7541
BUILDI / o TELEPHONE NUMBER
1/10/92
91GITATURE OF LOCAL AGENCY OFFICIAL DATE
VALLEY HOMES 92115
DEALER NAME (If not a dealer sale, write "NONE")
92115
DEALER LICENSE NO.
KAUFMAN AND BROAD 01/08/87 BILTMORE 476
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
KBCASNC873214.52ABC 56 X 34 PFS 136687/88/89
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 063-340-0143
PARCEL 8, AS SHOWN ON THAT CERTAIN PARCELMAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 29, 1978, IN BOOK 70 OF
MAPS, AT PAGE(S) 9 AND 10.
HCD FORM 433(A) 4/86
ENC OF DOCUMENT
1/
EH1 OF hpGs
o I�
041* &NITY
0MUMITY Dt4�
e"d* of "Butte.
OROVILLE, CALIFORNIA _ -
GENERAL CLAIM
CLAIMANT: Cindy Leavell
ADDRESS: Lb Wrangl Pr Ct
CITY & STATE: Chico, CA 95928 IMPORTANT:
-
DATE OF CLAIM: February 6, 19SEE .INSTRUCTIONS91 ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GnnnS n>? vrovfrrc
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. Permit.#3479-9OB,P,E,M,
AP#63-34-14, Receipt #73912, dated 10/4/90.
Total Permit Fees Paid ----------------------------------- $271.50
Retain Partial Plan Checking Fees---------- 15.00
Tntnl Permit Peps REtainpd -------------------------------
TOTAL REFUND DUE-- --------------------------------------- $216.50
TOTAL
$216
50
' I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this 7-T/ de of �j ����Q v
.................................. Y — 19 at Calif. G'.. .....�........ C ..
Sign cure of Claimant
I, 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) fo he same.
Dated this 6th day of February. . .... 19.. 91., et ..Oro.v.ille..CeLLt.
................................................ ...... ...............................................................
e artment Head or Authorized De ry
Dept. 440-002 Exp.
Code ,,,,,,,0.0.2.................... Code 4210500 PAYABLE FROM Cons Permits FUND
............................................................................ ...........
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO.
INV. NO. INV. DATE
ENCUMB.
GROSS AMT.
-74, 17el 1� �-- - -�
X412 —,7X"
Ile
��i/�� Y%3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi4le; California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT
�NO.
ASSESSOR'PARCEL NUMBER
61-34-14
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
- 4 7
SQ. FT. OCC. BUILDING VALUATION
2,131 R 85 240.00
OWNER'S MAILING AD .ESS
26 12-. CHico 95928
528 M 7,392.00
CONTRACTOR'S AME
TELEPHONE
J
5
J 570 C ,700.00
CONTRACTOR'S MAILING ADDRESS
Fireplace I A 1,000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 99,332.00
Filing Fee $
10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 433.00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $ 216.50
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 674.50
PLUMBING PERMIT Filing Fee
10.00
Wilder & Blue Shirt Dr., CHico
Each Trap 15 2.00
30.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
173-10
Water piping 1 5.00
5,00
Each qas water heater or vent 1 5.00
5.00
USE OF STRUCTURE
SF X❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
5.00
Building sewer 1 5.00
5.00
Mobile Home IsFG W 10.00e
TYPE OF WORK
New o Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 Bedroom _
Permit Fee $ 60.00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP OR1 OR LESS1 10.00
10.00
Main service EA. AOD'L 100 AMP 1 2.50
2,50
CONTRACTORS LICENSE LAW
1 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
El 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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.tr\
OR ACDNS. ACC. BLDGS. I X 2'/22sgft 66.45
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON•RESID BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®502
SAL@30
Ex. Occup. OUTLETS P(RESID.IREA.) 1 2.00
Temporary service 1 1 10.00 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 98.95
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 DepartmentTual
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
o the W. C. laws of California.Ventilation
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating 1 16.00 6.00
Cooling 31 Ton 1 11.00 11.00
Hood 1 3.00 3.00
4 3.00 12.00
Permit Fee $ 42.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments cost and expenses which may in any way accrue
again aid Count c se nce of th granting of this perm)
X �y/ pa
Signature of A licant - Own !/X contractor ❑ Agent ❑
An OSHA permit is required for ex/caavvati�ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30.00
occ
CONST TYPE
TOTAL FEE $ 905.45
HAz
CLIAPARK
SCHL
FLD
PQ
HD
ISSUE
Th's permit is nereby issued under the applicable
sions of the Butte County Code and/or resolutions
work indicated above for which fees have
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
provi-
to do
been paid.
Receipt No. 73912 PC $271.50//
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARYME*N' T -OF •PUBLIC WORKS - BUILDING DIVISION
7 COLINTY.CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER t,7/ n/I �? 6, /MDN ` L - C—A CI
Proposed Building Use Building Inspector_
Permit No.
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
eStatement of Intent for Non -Heated and AC Buildings ..
ngineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
Zs
.
10. ees of (�?a..
11. Chico Urban Area fees paid .......................................
arkfee-s Paid. ...................................................
(/�� School District fees paid ..............
::10?4. Sanitation approval from </`'3SC C7 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18 Imnmvements may be required. Contact Land Development Section DPW
9. iveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .
ecorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ................................... y
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other ./l „ ,
Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date Bvi�y `
The following data must be submitted prior to permit issuance
1. Index permit for above items No. r, !J
2. Additional items required:
W
� / '%- f,uv� "nowt c_ heck�ed� e).
63C,M, Svl-
Contractor, design r�..,
s advised of above required data byb/phone�nail—counter by ddte 1��A'> O
Contractor, designe ,
sed of above required data by—phone —ma ll—counter by date
DN1_�. _/20Plans checked bye Plans approved by Date
Sets of plans on hold in
r1 Copy—DPW
File cabinet AP folder
r
TO Buildica - vartment
FROM: • Environmental Health
SUBJECT: Sanitation Clearance
p Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply ✓
Hold final for:
^incl clearance O.K. for:
Clearance for bedroom aaMRMe home. Other
NOTE * * *
Water Supply
Water Supply
Sanitars-sn Date
Certificate of Compliance: Residential Climate Zone 11
Pro ject T(lle
Building Permit N
Project Address
Checked By /Date
Documentation Author Telephone Enforcement Agency Use Only
Glass Area % Glass
'- BUILDING DATA North
".
Conditioned Floor Area Number of Stories East
Slab/Raised Floor Number of ,Units South
• [ ] Single Family Detached (SFD) [ ] Addition Alone West
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight
[ ] Multi -Family (MF) (] Existing -Plus -Addition Total
BUILDING SHELL INSULATION-
Component Insulation
Locaflon/Commenits
Tri R -Value
(attic, to garage. c2i>ral, etc.)
Wall..... ...
Wall.........
Roof ............. .
Roof ............. --
Floor ...:.........
Floor .............
:..
Slab Edge.....
GLAZING
Shading Devices
Gla: ing Area.
Glass Type Interior Exterior Overhang Framing Type
Orientation (sf)
(single. double) (yoller blind. etc.) (shadescreen, etc.) (yes/no) (metal/wood)
North ( )
North ( )
East ( )
East ( )
South
Sou th ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile, etc.)
(so (inches) Location/Description (kitchen. bath, etc.)
i
Mandatory Measures Checklist: Residential MF -IR
NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Ivens matted with an asterisk (•) may be superseded by more stringent compliance r quttemerus listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the festuea noted shall
be considered by all parties as binding minimum component performance speoGeations for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only.
DFSCR1P710N
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose rill insulation manufacttua's labeled R -value.
• §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does riot apply to
exterior mass walls). '
§2-5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor
transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified or installed mats 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/Exftltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit au
leakage.
b. Doors and windows certified.
c. Doors and windows weathersrripped: all joints and penetrations caulked and sealed
§2-5352(e): Special infdtration barrier installed tocomply with 62-5351 moetsCEC quality
standards.
§2-5352(d): Installation of Fimptaces
1. Masonry and factory -built fureplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside au intake with damper and control
e. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siting: attach calculations.
§2-5352(h) and 2-5315: Setback thermostat cn all applicable heating systems.
• §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2.5314(e): Gas-fired space heating equipment has intermittent ignition devices.
§2.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
I. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater:
C. Plumbed to al low for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2.5352(1): Lighting - 25 lumcns/watt or greater for general fighting in kitchens and bathrooms.
§2.5314(c): Gas ftred appliances equipped with intermittent ignition devices.
§2.5314(a): Refrigerators. refrigerator -freezers. Geezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
DESIGNER I ENFORCEMENT l
COMPLIANCE STATEMENT
This certificate of compliance lista ttr. building features and performance specifications needed to comply with
t Title 24. Chapter 2-53 and Title 20.'Mptrr2. Subchapter4. Article I of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the certificate to any subsequent purrltaser of the building.
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # i Designer Building Owner
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
! Name.: Name
Titk/Firrre: ritk/Fum:
Addren: Address:
Telephone: Tekphonc
Maximum Furnace Heating Output: Btuh N47
HOT WATER SYSTEMS
Tank Manufacturer/Model #
System Type (storage gas etc.) Capacity (or approved equal) Special Feature(s) (signature) (date) • ,(signature) (date)
i
Documentation Author Enforcement Agency
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Name: Name
.. TitWFtrm: Agency:
Address: Teko me
1. Ceiling Insulation
-4
3 -1
Number
of stories
-1 0
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
-39
-24
-10
_ 0.50
-176
-84
54
0.30
-102
-49
.-32
0.10
-26
-13
-8 1
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
-10
-2
5
13
2. Wall Insulation
-52
-17
-9
Single-
Single -
13
26
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
-4
2
8
15
_... 0:80 53
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
12
16
17
-23
9. Raised Floor Insulation
3
8
Insulation in Floor
17
16
-20
Number of stories
4
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
11
15
18
- . 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
-8
-5
0.08
-11
-6 ...'..-4
20
0.06
.6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled
Ventilation Crawlspace
5
•
Number of stories
_
-25 or -24 b -14 to -4 to
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
•i. Slab Edge Insulation
7.79
•
-
Number o(Stories
0.90
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
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)
Specification Points .
Standard 0
6. Glass Heat Lass
-14
-48
-69
Total
%Glass North
East
South
:West
U -value
18 5
Percent
4
1
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
.7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
37
-9
3
3
9
15
21
34
-7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1-
3
8
12
17
16
-20
0 '
4
9
13
17
,.--,:15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10.
3
9
11
14
17
19
9
-1
10
13 .1
15
17
20
8
2
12
14
16•
18
20
7..Shading (Shade Open)
Etfeetlre Percent Class
(Percent 61ast x SC)
Effective
-14
-48
-69
-64
%Glass North
East
South
:West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na-_
12 3
3
5
2
na -
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0.
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
na = not allowed
2
3
4
3
1B. Shading (Shade Closed)
Etfecdve Pes c t Glass
(Percent Qlain x SC)
Effectin -,
Glau North . East South West Sitftl
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
- -50
-46
na
12
-8
.29
40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
:-29
-74
9
.5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
.2
.1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na • not allowed
9. Interior Thermal Mass
or
R -value 138]
Interior
X
Slab Floor Raised Floor
Mass
-5
Stories Stories
(assumes ducts In title)
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
v .7_._
-10 12 13
14
15
10. Exterior Wall Thermal Mass
7
Exterior
Single- :.' Single -
23. 19 " 15
12
Wall
12.0
Family Family
MUN
14
Mass
13.0
Detached Attached
Fame
0.00
10
0 0
0
None
0.20
10
3 2
1
3
0.40
No
5 4
3
4
0.60
3
8 6
4
-10 '
0.80
-5
10 8
5
4.7
1.00
(Individual
13 10
7
Se
1.20
0.7
13 12
8'
1.3
1.40
1.7
12 13
9
1200
1.60
2200
10 13
11..
.
1.80
to
10 12
12
Type
200
less 1199
10 11
13
I:
11. Heating System
None
0.
0
0
SE or KSPF
0
or
Solar
14
(assumes ducts In attic)
. .
4
3
HP
Sum of 1-6
_
5
3
2
_
-25 or -24 b -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
60%
WSB
Effective SE or HSPF
-13
-8
(SE or HSPF x duct efficiency)
-5
2.3
Effective -25 or -24 to -14 to -4 to
+6 b 16 or
SE HSPF
less -15 -5 +5
+15 more
0.30
2.75
-73 -64 -56 -47
.38
.30
na
3.41
-45 -39 -34 -29
.24
.18
0.40
3.67
-34 -30 -26 -22
.18
-14
0.50
4.58
-10 -9 -8 -7
-5
-4
0.56
5.13
0 0 0 0
0
0
0.60
5.50
5 5 4 3
3
2
0.70
6.42
17 15 13 11
9
7
0.80
7.33
25 22 19 16
13
10
0.90
8.25
32 28 24 20
17
13
1.00
9.17
37 32- 28 24
19
15
2.9
3.1
Zonal Control Adjustment
3.5
System
Type
4.1
4.3
Resistance
10 9 7 6
4
3
Other
5.6
6 5 4 3
2
2
12. Cooling Systom
or
R -value 138]
U -value [0.030]
X
SEER
One
-5
-4
(assumes ducts In title)
-3
-2
-2
Sun of 7-10
3
. 3 :_
2
-25 or -24 to 04 b -4 b
+6 to
16 or
SEER
lest
-15 t -6 +5
+15
more
8.0
14
12 9 -10 .8
-6
-4
8.5
-9
-7 -6 -5
-4
3
�.
8.9
-5
4 ' -4 3
-2
-2
9.0
-4
3 3 -2
-2
-1
9.5
0
0 0 0
0
0
10.0
4
3 3 2
2
1
10.5
7
6 5 4
3
2
11.0
10
9 7 6
4
3
'-. 120
15
13 11 9
7
5
`13.0
20
17 ,� 14 12
_ 9
6 I
3
3
EReedve SEER
WSB
5
3
(SEER xduct efficiency)
2
2
3.8
Som of 7-10
8
5
Effective -25 or -24 to -1410 -410
+6 to
16 or
SEER
less
-15 , b +5
+15
more
5.0
-30
-25 -21 -17
43
-9
6.0
.12
-11. -9 -7
-6
-4
6.6
-5
-4 -4 3
.. -2
2
7.0
0
0 0 0
0
0
8.0
9
8 6 5
4
3
9.0
16
14 12 9
7
5
10.0
22
19 16 13
10
7
11.0
26
23. 19 " 15
12
8
12.0
30
26 22 18
14
9
13.0
33
29 24 20
15
10
'
Zonal Control Adjustment
None
-28
10
8 7 6
4
3
1.6
No
Cooling System Installed
5
- -Stories
or
R -value 138]
U -value [0.030]
X
or
One
-5
-4
-4
-3
-2
-2
Two +
3
. 3 :_
2
2
2
1
Single -Family )beached and
Attached
TYPE 1 MASS AREA __ $
COND. FLOOR AREA
Interior M.us/CFA
Unit
Size (sQ
Water
i i 39 112M.
1700
2200
2700
Heater
Credit
or 11
b
to
to
or
Type.
Type
less ;1699
35%
2199
2699
more
SG
None
0 '; t
0
0..
0
0
or
Solar
12 ''
8
6
5
4
HP
-HWR
8
5
4
3
3
21
WSB
5
3
3
2
2
3.8
POU
8
5
4
3
3
SE
None
37
-24
-18
-15
-12
1
Solar
-1
-1
-1
0
0
25
HWR
-18
-12
-9
-7
-6
4
WSB .
-25
-16
-12
-10
-8
5.4
POU
48 _
-12
-9
_7
-6
IG
None
15
-3
-2
-2
-2
29
Solar
7
5
•4
3
2
4.3
POU
3
2
1
1
1
IE
None
-28
-19
-14
.11
-9
1.6
Solar
8
5
4
3
3
3.2
POU
-10 '
-6
-5
-4
-3
4.7
Multi -Family
(Individual
5.3
units)
Se
• 40%
0.7
I
Unit Size (sQ
1.3
Water
1.7
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less 1199
1699
2199
more
SG
None
0.
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
4.6
WSB
9
4
3
2
2
6.1
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
.9
3.5
Solar
2
1
1
0
0
4.9
HWR
.23
-12
-8
3
-5
60%
WSB
-25
-13
-8
-6
-5
2.3
_PQU
_23
-12
-
3.3
-5
IG
None
-8
-4
_
-3
-,-6
-2
-2
5.2
Solar
6
3
2
1
1
1.1
POU
1 1
0.
0
0
0
IE
None
30
-15
-10
- -8
-6
4
Solar
18
9
6
4
4
55
POU
-8
-4
-3
-2
.2
Interior Mass/CFA
\ TT►6 !RATS
«•T`01d �
or
R -value 138]
U -value [0.030]
X
or
U -value [0.098]
=
� •
I TYSE'1 X)S5'(UIMC a 4.2, is: exposed slab)
i
R -value 1191
U -value [0.037]
or.
R -value (01
F2 factor [0.77]
Standard
=
.
DetW .l.bl
TYPE 1 MASS AREA __ $
COND. FLOOR AREA
Interior M.us/CFA
TYPE 2 MASS AREA %
Exterior Wall Mass
ND. LOOR AREA
X
=
SE or HSPF
0%
5%
10%
15%
20%
25%
30%
35%
40%
4S%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100% 105% 110Y. Its% 120% 125`
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.S
1.7
1.9
21
23
25
2.7
2.9
3.2
9.4
3.8
3.8
4
4.2
4.4
4.6
4.8
55.3
l0Y.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
25
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
-5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.1
0.9
1.1
1.4
1.6
1.6
2
22
24
20
28
3
3.2
3.S
3.1
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
Se
• 40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
28
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2.5
27
3
32
3.4
3.5
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.S
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
3.8
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.6
2
2.2
25
21
2.9
3.1
3.3
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
1.9
21
23
25
27
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.8
4.8
5.1
5.3
5.S
5.7
5.9
6.1
6.3
6.5
MY.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
63
6S
67
WY.."
1.5
1.7
2
2.2
24
26
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
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
100%
1.7
1.9
21
2.3
25
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
55
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
22
2.4
2.6
28
3
3.3
33
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
1101/.
1.9
21
2.3
2.5
2.7
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
S.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.S
2.7
2.9
3.1
3.3
3.S
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
S.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
21
2.3
25
2.8
3
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. `Slab Edge Insulation
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
Type [doublel U -value [0.65] % Total Glass [ 161
% Glass . SC Eff. % Glass
X =
X =
X =
X =
X =
% Glass
or
R -value 138]
U -value [0.030]
X
or
R -value (I I)
U -value [0.098]
=
or
R -value 1191
U -value [0.037]
or.
R -value (01
F2 factor [0.77]
Standard
=
Type [doublel U -value [0.65] % Total Glass [ 161
% Glass . SC Eff. % Glass
X =
X =
X =
X =
X =
% Glass
SC Eff. % Glass
X
=
X
=
X
=
X
X
=
TYPE 1 MASS AREA __ $
COND. FLOOR AREA
Interior M.us/CFA
TYPE 2 MASS AREA %
Exterior Wall Mass
ND. LOOR AREA
X
=
SE or HSPF
Duct Efficiency [0.78] Effective SE or
[0.72/6.6]
HSPF [0.56/5.15)
X
SEER [9.5]
Duct Efficiency [0.74] Effective SEER [7.03]
Type ISG] Credit [none]
Point Scores
C
Point Total:
Sum 1.6
Sum 7.10