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HomeMy WebLinkAbout064-170-00664-17-6 rdoin Schiffner ` finnell Ct., lot 14, Magalia 1 tr: Daryl Setty, Paradise r-jit #1 $�QjL)newfing1Amily,� 14540 Grinnell Ct,-06 Magalia ontr- Tredericks Const Permit#980-87B,E,M(addition/ F " 0641-17'=0-006 96-2.8'2,6 SCHIFFNER, .'FLORA, =CONTR : KBS` CONSTRUCTION ` 1454Q ;GRINNELL� CT: ,: ;MAGALIA 170- �ronnci-t.0+-.ryla a�,a John 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 14540 GRINNELL CT Owner: Permit NO: B08-2077 APN: 064-170-006 FARINA ROBERT J & DE, Issued Date: 10/10/2008 By TMP Permit type: MISCELLANEOUS 14540 GRINNELL COURT Subtype: Remodel MAGALIA, CA 95954 Expiration Date: 10/10/2009 Description: BATHROOM REMODEL 130 SQ.FT (530) 873-9090 Occupancy: Zoning: RT1 Contractor k Applicant: Square Footage: JOHN PETERS CONSTRUCTION JOHN PETERS CONSTRUCT] Building Garage Remdl/Addn 1834 SUNRISE LANE 1834 SUNRISE LANE 130 PARADISE, CA 95969 PARADISE, CA 95969 (530)518-0393 (530)518-0393 Other Porch/Patio Total 130 FEE INFORMATION DBMSC Remodel -Residential $392.43 Total Charged: $392.43 Fees Paid: $392.43 Balance Due: $0.00 Receipt No: B8816 LICENSED_ _CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License JOHN PETERS CONSTRUCTIO 820276 / / 05/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for�fft of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/10/2008 penalty [$500]; Please check one of the following: Con or's tgnature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 Labor ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 229-0034551 Exp. Date:05/01/2007 Contractor's License Law.). (This section nee not be comp eled if the permit is or one hun red ollars ($100) or less. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: aI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 10/10/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X10/10/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Slgnatuf Date WARN06: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am uthorized to I on the property owners behalf. 10/10/2008 CONSTRUCTION LENDING AGENCY - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) I. ❑ Owner 1:1 Contractor OR El Agent for Owner ZAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o i A FEE WILL BE REQUIRED AT TIME OF APPLICATION .�Website: www.buttecounty.net/dds � PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All pu related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Fara-no, First Name / Mailing Address/ 85710 ar-, ae%I aarl- City 0C. a�rA State �S-75, / ZiY15-7511 7 7 Phon,,,� i © D 7-3 Fax E-mail CONTRACTOR Name `1 AH-eIS ` COAStru 11-i d Address 11?3q .56,1,01:se t e- c_ City ��, / r SC— StateCe Zipq�51/ 7 Phone30 8 7 $ Faxs 3o 87,9 138 E-mail Phone Lic. # g %o 2_-71PClass Fax APPLICANT INFORMATION ARCHITECT/ENGINEER Name City A�w J` Address Zip7sy /8 City F� -30 87Z State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name ^J r i Address �g 3,y �6chr'rt5�'_ �. City A�w J` Stat e✓' Zip7sy /8 P�30 g � J 9 F� -30 87Z E-mail(P,j � h APPLICANT SIGNATURE X AQV PERMIT NO. JfjV �7 BIN # PROJECT LOCATION AP# 1 .� Property Address City Ci.f i WORKER'S COMPENSATION Policy Number '713 9,A Ln 0 Ca rri C04 ft D , r4 nce If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 1 l d D EU7 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use onl : Zoning FloodSRA I Yes I No Occ. i-Ty—pe Const. Aa PZI~ 0404tw 4�ew ConUsctors License # 820276 1834 Sunrise Lane, Paradise, California 95969 530.872-5784 fax: 530-872-1384 Fax Cover sheet To: k G. Z>D.S From • '� j P4-�C5 Attention q,� j�1 Date: Fax Number: 2 N O Total # pages including cover: Comments: Zoo/L000 XV3 GZ sl of/ol 80OZ zoo/zoo@ BUTTE COUNTY OCT 10 2008 DEVELOPMENT SERVICES XYJ 6z:61 WOW Booz a 4� y. 0 64— 17 —0,--;00 6, 6 n� . 96-282 'SCHIFFNER, FLORA CONTR: KB" CONSTRUCTION ar '14540 GRINNELL�CT. , MAGALIA. REROOF/SF :3 l9;`j'r; COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�ERM1T No. APPLICATION AND PERMIT z i- ASSSGEESSOR PARCEL NUMBER OV 4 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14.540 CSTRINNELL CT, MAGALIA 95954 CONTRACTOR'S NAME XB CONSTRUMON TELEPHONE 872-9006 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 14540 GRINNETI CT, MAGALIA PERMITFEE $ 61.0 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF G7 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ?�EROF ivO Describe Work: �COMP SF 30 S Q• — Mobile Home S I G I W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinci Fee 20:00 Main Service a OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i in full force and effect. License Class Lic. No. -) U 7_� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: !vA A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWERAPPARATUS (- SINGLEOUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 O 1.00 BAL .SO Ex. Occup. (OUTELETS (RES D.OEA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w'ih those provisions. X , Date._ 3 Signature of Applicant - ❑ bwner ❑ Contractor ❑ Agent ' An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ R3 i CONST. TYPE V1 TOTAL FEE $ 61 .O HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By { 4 1 - •�` - � PERMITEXPIRESON '' applicable provisions Resolutions to do work been paid. Date % 4 r- (Date) ReceiptNo. 205966 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFiEVEMPMENTSERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 4 - E MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-170-006 ZONING BUIL ING PERMIT OWNER FLORA SCHTEENER TELEPHONE SO. FT. OCC. BUILDING VALUATION SQ CCMP 1800 OWNERS MAILING ADDRESS 14540 GRINNELL CT, MAGALIA 95994 —0 CONTRACTOR'S NAME KB CONSTRUCTTON TELEPHONE 872-9006 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 14540 GRINNELL CT, N1AGALIA PERMITFEE $ 61.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other ❑ Describe Work: REROOF W/COMP SF 30 SQ. Mobile Home IS I GI W1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 ' Main Service / 000V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i i��n full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Vio I, as owner of the property, or my employees with wages as their sole compensation, 14 will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) so. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 EX. Occup. FIXEDAPPLN . FA R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w' h those provisions. X 'LM __ __ Date., 2�1Ao Si nature of App icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is occ R coNsr. TYPE VN TOTAL FEE $ HA2. I D. FEES IMP I FLOOD I COF PARCEL PO HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate above for which fees have _ -n� By Y PERMITEXPIRESON /9-a3 I applicable provisions Resolutions to do work been paid. Date 19 1,73 -9(o -9 - (Date) ReceiptNo. 906966 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovi,He; 'California 95965 - Telephone (916) 538-7541 APPLICAT 61NI—AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER^ // 0- OO ZONING BUILDING PERMIT owN R _ ... 7O�""ONE SO. FT. I OCC. BUILDING VALUATION U 0 OW EA MANNG ADDRESS � /' �. G i` 1 /� j✓ ` `� CQR5 NA NT Gw T"ate TElFA4ONE CONTRACTORS MADJNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADORESS Permit Fee S , 00 ARCHITECT OR ENGINEER LICENSE NO• Plan Checking Fee $ Energy Plan Checking Fee S ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ - PERMITFEE S ®(� PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBONISIONS NAME PARCEL MAP 1 Solar or heat pump water heater 23,00 I Water piping 15.00 USEOFSTRUCTURE SF ° Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 j Gas piping system 1 - 5 outlets 1S.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Pa41nY)�Q9/i� ' ST jO S9 Mobile Home I S I G1 W I @20.00 I PERMITFEE s Contractor I ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( eoov oR LEs ) xw oR LE s 23.00 Main Service ( 1oDA TO 100A ) NEW CONST.DWELLING CCUP. OR ADONS. ( 8 ACC. S. ) 45.00 SO. 3.5c FT. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i�force effect. ^ ClassLic. No. JQ Y Z 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 -certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X� ____ Date &eA -23 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. MULTI• TLET "o" R�1D ( �A"c" IRcurts ) @7.50 POWER PARATIIS (s SI OUTLET ) E Ex. Occup. ( our VOR FDRURFS �� ':bLicense Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA % 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee S Energy Inspection Fee s cc T..TYPE �.� �\ OTAL FEE $ HAZ. D. F'_, I ,MPI FLOOD I CDF I PARCEL I PO I NO I ssu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date rOerel Receipt No. WNITF.n n S •8.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I yid--�Z o-/ ��, ��v� , ✓��1� �� `� • .. PERMIT NO. 980-87B E"; K Z7 r% �£J��E�7 �/E ��Z��T PERMIT EXPIRES Tff OWNER GORDON SCHIFFNER .4 Y,;' r• y CONTR. Fredericks Const ; ASSESSOR PARCEL 64-17'06 LOCATION 14540 Grinnell Ct. Magalia a r ( -�1 t7 ` FCE COO' Y 'Address I GAS 4 Meter By Date ii ELECT I �/ 1 Meter B Da t� Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E St JOB FINALED (Date) Signature 1. t� i P 1AI I J = OK 0 -,.,Not OK •NotApplcable RESIDENTIAL (Single and Duplex) Ready liv Date UNDE OOR Pfl_ns) OK exce tb's Date FRAMING (Continued) JVZ9,ping requireme -S acks- ) c &--Ftg., Main; S ' s -S I- / /" Ftg. Depth - s - - on 4. tg. Porches & Decks; Soils -Ste - / /" Ftg. Depth Rafter Outriggers emwalls, Main; -Blo ts-WraPPri1-Slab S'-Naljjacf-Vr�ao� 811717T=810fteutSlab - -Fd ents-Under ccess X.15iers- I 56--ETazing Area-G+e..-Oc r r' Sv••''^4' �tic Test 5 - 44, tQ� 12 Rlennras& s; Cle nce-Ma rial- port -bust i -ncho -J i -V tomes Card -BI Dat Card -BI Date Card -BI Dat and -BI Date Card -BI Dat 7 Card -BI Date Card -BI Date Card -BI Date Date FINAL Plans OK except q's Card -BI Dat Card -BI Date - _ Date PLUMBING (Permit) OK a cept q's 5 - elight Protection -Landings W j f r 14. Water Ht.; Vent - A ass -Combustion Air 68. Furffgc-e-,,-V-enfs--Clearance-Comb. Air -Connector - In ge; Above Floor-Ducts-Mech. Protection 15: Water Pipe; Te5K& Anchors -Nail Protection 1, . D.W.V.;.Test Fttngs &Anchors -Nail Protection ming +17. Shower Pan; T first Floor -Tub Access tures & Tub Access 18. Test Tub & Shower, 21n Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -L s 19. Gas Pipe; Size & An/ors Pace - or o rth nce Card -BI Date Card -BI Date Card -BI Date Card -BI Date unter - Date ELECTRICAL Permit OK except N's 6 or, Sw1ng-t-jnMffT--CtaTer 6 per jqe�F ure & - o �L.� _ Elec eceptacles p Lights & SrL+ieheS at Doors _z Boxes & No. of onduclors-Sta WA-- - nce-Comb. Air-Connector-P.R.V.- Mi6ilatEquip. Listed for Location ec. '_ omex Installed Close o Edge of Studs & C.J. quip. Ground up w/Mech. Fasteners saes - ps ubfeed Wire Size /,� / ga. Grimm' AI-A.C. Wire Size / / ga. C� AI Vents & Cra r -oo� rainage & 7th Clearance Looked under Floor a r��� -.— 1 er tors & Grg_4_1 Main DtsCot71T�(" 7 Yes C3 No: Walks [I Yes ❑ No; m - R - - uip. Cie nces: Panels-Motors-Mech. Equip. -E o es et Lig hoover Lighter B-1 Date �7_7Card-BI Date Card B -I Dat7 Card -BI Date 7 .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 ee e to Opngs. ing xterior Elec. Trim; G.F.I. Re d jUroECard ghout House Date MEC NICAL (Permit) OK except n's -Z 89eCorrections from Previous Inspections 8� r r �r nn r TQ@_@a. iC A.C. Ducts: Insulation & Support --' -. -- 32. Vent Fan;Exhaust above Insulation _ __ _ 33. Condensate Drain & Overflow; Size & Grade _ g - to rade-HD Approval nergy Compliance Certificate -Other Certificates 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet (fes 35. Attic Access & Platform if Furnace in Attic - ---_ --- - -- Card -BI +i' Dat /�° _7 - YCard-61. Date - _Card Card. Date Card -81 Date Card -BI Dat , Card -BI Date -61 Dat Card BI Date Card -BI Date Card -BI Date Date FRAM! G(Plans) OK except q's Comments at Final: Sil Proper Material & Anchors__ _ Wa ls: Studs -Nailing, Spacing & Bracing -_Plates -Sound 391-,�.B- aaarrr.ing Walls over Girders & Floor Nailing� _ ..- 3� Stop in Walls (rat proo - -,- 4. FF' Stops: F — -- - ra58Sftr _ Header &Beam Q6A& Bearing -- 4 - Cing. JaiSr-Rft es -P n-Ro rac.-mass-S g. R ', - i _ze & omex P to [>�� p -Ins. Ba 4teS` drm. Windows or Exiting Doors -S611 HgL_&Tt9Rl"ensions 'i Go ei s R' o no l+nn Frami- � -- � - ---- - - --_ - - (NOTE:Anentrymust be made each time youvisit jobsite) 47 OK Not OK ' = Not Applicable MOBPLEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing S. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except b's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 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 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 corr tion of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office Immediately. n',� ix zw-7-jr r/ 5 T '''7 Inspector�� 91/L� `�/�.�/� Date j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE V 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 correct* f work is completed. If you have any question -pertaining to this¢ ' matter, o eed additional explanation, please contact this office immediately. Inspector��yl/%Date L — — J „B oef Inspector��yl/%Date L — — Owner: _ rr *1h .�i1 TT l�I{'r Permit No. ENERGY CERT IF ICAT ION 1y ----) L1b C Dur+ (_.QLI -1 DLo LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches;) EXTERIOR WALL Material % I t3ERr, 445 Thickness(inches) 3.5' Brand Name Thermal Resistance (R Value) f Brand Name C&T%4-/ND Thermal Resistance(R Value) ��11 CEILING Batt or Blanket Type Brand Name C"Mm., 7FED Thickness(inches) / p "' Thermal Resistance(R Value) '970 Loose Fill Type 'Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material F7`�6LRSf Thickness(inches) 'Brand Name_ C&-;ej— 11V 72!FaD Thermal Resistance(R Value)_ /_9—/p FLOOR, SLAB Material ,Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. rf_2�1k_ rizc_oez,,4 8 '50 ?_ 9 SRM NAME/WNER .,_� STATE CONTRACTOR'S LICENSE NO. G -x--07 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. r1zAV-%JC- Ls oz,, Y40 7-8 2 9 FI /OWNER Pleas rint) STATE CONTRACTOR'S LICENSE NO. G OF GX.NE RACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT �ERMJT�� ASSESS R PARCEL NUMBER ZONINQ�� BUILDING PERMIT OWN R / TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CON R OR NAMHID NE Cr CONT ACTTOR'S Al DDDR SS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ 00 Filing Fee $ 10.00, LENDER'S AI LING ADDRESS Permit Fee $ D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A CHI CT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDiv�ION NAME ✓J PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex[] Mobi lehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ReTgdel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Arld ✓/Xu f b/L 4!2 _ �L/OCf 2ee2 A4 XffG Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 S AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 Z. U CONTRACTORS LICENSE LAW 1 declare er 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 rce and effect. License No. qo-L$ z9 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 oa CONST. WELLING ADDNSP �) '/Zdsgft d NEWcoNSTR MUTI-OUTLE NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ( 51 EX. OCCUp\OUTLETS OR FIXTURES 911 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F�4 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 1 provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating olin Cog Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1 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 harmless the County of Butte against all liabilities, judgmene sts,d e penses which may in any way accrueDagain ai oun in quenc he granting of this permit. X D to 7 .- 3 _ Z % i tura f App cant Owner Contractor ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ n ioD TOTAL PERMIT FEE $ `J OCCUP. 1� CONST. FLoO PARC PD ND Is u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date Receipt No. WHITE-D.P.W.. YELLOW-ASSC55o R, PINK -INSPECTOR, GOLDENROD -APPLICANT I i COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLE,(GALIFbArok'95965 - TELEPHONE: 916/534-4541 t PERMIT APPLICATION DATA SHEET ✓' Permit No. OWNER"�. P. No. Proposed, Building Use ' — li Building Inspector/' Date -14 At time of,,permit application, I was advised the following data must be submitted prior to permit processing andJor 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. Plans with Energy Design Compliance Statement!'' . 6. CUSD "Fees Paid'' Stamp on Floor Plan . , . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. - 8. Fees of $ ... , , , , 9. Letter of signature authorizati51`. . . 0. Sanitation approval from ,?,, . Health Dept.3%Z7—,i''71 11. Planning approval for (A) Use: (B) Parking:- arking: 12. 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif,) 14, Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), _15: Improvements may be required . . . . ... . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to Required, Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. . 19. Driveway Permit. 20. Plot plan approval from city of 21. 22• ,h) When olTssue the ermit, rocess as follows: Mail owner, Mail to contractor. r x ,... Telephone Z� / and hold for icku p p p .l,/t/ office, Deliver w/inspector. Other --7 O s 4 4 / Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW + Date — Flours: 10:00 a,m. - 3:00 p.m. C0: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LOCATION AP # Plans approved for: Sewage Disposal 1< Water Supply Hold final for: Water Supply Final Clearance O.K. for: i Water Supply Clearance for bedroom mobile home. Other Clearance for addition of NotA* r -z? F"7 ARIAN, DATE ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. NAME Q��../ SGii JOB ADDRESS TYPE OF WORK PACKAGE "" (Additions) FORM 7 SQUARE FOOTAGE Existing Residence New Addition Z((p New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZYR1 ONE 16 INSTALLED APPLIES TO NEW AREA CEILING R-30 3 11WALL R-11 R- NE FLOOR R-11, R - SLAB R- 7 R GLAZING >65 .65 SHADING w SOUTH. -,-OPTIMUM OVERHANG or .36 S.C, WEST - .36 S.C. LOOSE FILL INSULATION (Density) %INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT _.._._*MAXIMUM GLAZING 16% OF AREA PLUS, REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup , (brand and model number) Gallons (tank size) . ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTL' elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirement Title 24, Part 2, Chapter 2-53 of the Califo�ia Administration Code. 17-80B,P,E,M PERMIT NO. . PERMIT EXPIRES Gordon Schiffner OWNER VYl 0 i0 // CONTR. Daryl Setty, Paradise 64-17-6 LOCATION (A.P. ) �V Q CIA �'`WDO � 35 Grinnell Ct., lot 14, PP#14, Mqplia } v i Temp. Powe POI 21-1 Called -PG&E 2 if'�O Temp. Elec. Serv. Called PG&E �7— •47 Temp Gas Serv. Called PG&E ,B INALED (Date) (Signat e) Setback Forms Main Bldg. Footings Stemwal I 'Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Reinf. Stucco Brown Finish Interior Lail =- Door Closer Water Piping WOB16EM01 Water Piping { i. r, 5 COUNTY OF BUTTE —DEPARTMENT OF•PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont,d) I , PLUMBING Firewall ILI Ib %-A. Parapets Restroom Finish Windows Sidin/I Loll will -I Roof Sheathing 1775 W Roofing 'U ((o m� Fdn. Vents Garage Vents 11insulayon Prov. for ph s ca y handicapped Conformance of ex. structure , . i , _—' - I Final Z monsom� _11110 IES --••------- I -------Elec. Service Sewer . CATION - - - - - ------ Support Drainage Soil Piping'! /af3 Ne 1st Floor 2nd Floor 3rd Floor To out u - Water Pi in Sewer Fixtures Water Htr. Heaters Appliances 14.• Gas Piping & Test Temp. Gas Sanitation Final /0 ho c,&, Fixtures Motors Water Htr. Subpanels Grd. Fault ProW Service / �CQ Temp. iiele 7 Permanent Final I )- Elec. Pedestal Gas Piping Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS r - 0J ( "tal'� Tau &AA cin, g.�. /1/3 C A.CC (NOTE- An entry must be made on this form each time you visit the job site.) FIREPLACE Footing 3 j-�l I? C Thr4-�-Fin7 `,^n FIRE SPRINKLERS Test Final / MECHANICAL _ Heating Cooling Ducts 1r W7 _—' - I Final Z monsom� _11110 IES --••------- I -------Elec. Service Sewer . CATION - - - - - ------ Support Drainage Soil Piping'! /af3 Ne 1st Floor 2nd Floor 3rd Floor To out u - Water Pi in Sewer Fixtures Water Htr. Heaters Appliances 14.• Gas Piping & Test Temp. Gas Sanitation Final /0 ho c,&, Fixtures Motors Water Htr. Subpanels Grd. Fault ProW Service / �CQ Temp. iiele 7 Permanent Final I )- Elec. Pedestal Gas Piping Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS r - 0J ( "tal'� Tau &AA cin, g.�. /1/3 C A.CC (NOTE- An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA•ADIIINISTRATIVE CODE, TITLE YS, STATE OF CALIFORNIA. IN -THE BUILDING LOCATED AT: - 35 Grinnell- Maga l;a Street LotNumber Caty EXTERIOR MALLS Manufacturer CT Thlckness/Type 3:1111 R Value 11 CEILINGS beam Batts: Manufacturer J M Thickness R Value 3 n Blown: Manufacturer CT Thickness 10" No. Bags, 2 3 Nt./Sag_4 SQ. Ft. Covered 1 3 2 (1 R Value 30 FLOORS Manufacturer_ CT Thickness/Type 3 ,11 R Value 1 1 Specified Interior Walls Manufactyrer CT Thickness/Type 3 ;��` R Value 1 1 FOUNDATION - Manufacturer Thickness/Type A Value . F GENERAL CONTRACTOR LICENSE NUMBER BY TITLE DATE INSULAT•1 ONTRACTO T I ONLICENSE NUMBER 212461 BY / _ TITLE Vice Pres.' DATE 9-4—RO M E C H A N I C A L Check List ❑ Permit ❑ Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch. receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: •(1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air:• (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. l ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure'relief valves. (5) Class 2 refrigerant. 5/79 P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* ❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. (6) Dissimilar metals. (7) Service regulator installed or not required.* ® Gas:' (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out D.W.V.: (1) Size. (2) Vent.Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13).Vents - turns, horiz., runs, loop, wet, etc. ❑� (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2) Location. (3).PR Valvb Drain. ❑ F inal 7 D.W.V.: (1) Connected to sewer'system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas (1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 n RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION.COMPLIANCE CERTIFICATE THIS IS TO CERTIFY'THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT IS Grinnel_1, Magalia (location) BUILDING PERMIT NO. A.P. NO. �THE FOLLOWING HAVE BEEN'INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not'applicable) INSULATION: Slab Edge GLAZING: Single Glazed PI- Fdn. Walls Special (Insulated) Floors - R11 CERT. & LABELED WDS. ' Walls R11 & SLIDING DRS. Ceiling/Roof R30 WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS y. Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPPLIANCES APPROVED WATER HEATER I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NLCH.OLSON INSULATION INC. (pl ase print) Signature. of .. - Insulation_Applicator. ._. General Contractor/Owner Name Signature of General Contractor/Owner , State Contractors License No. e print) � " Date / tate Contractors. icense No.� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPART 'MENT OF PUBLIC WORKS 7 County Cent. r•Drkve - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / 1000 ;7 -,PO authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. 6 Xli� Date /-2 _Ipd Signotf Permitee or Agent / Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Qetie County Code and/or resolutions to do work indicated a/bode f r which fees have been paid. 74 _A)440011 OFIPUBLIC WORKS Date � . Q J0 /-10 •-Rl BUILDING Owner SO. FT. OCC. BUILDING VALUATION( Mailing Address Telephone No. Lir — bz� Contractor C.P, —19vn Mailing Address—� Fireplace O Total Valuation Telephone No. Permit Fee . AO Building AddressC.' Plan Checking Fee&/or Penalty oc7 Permit Fee C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 17, e� Each Trap X80 I(jp L� Repair drainage or vent piping 1.50 A. P. No. �p ... 7-- �J� •Z � annin Hing &Pg Water piping O.50 a -p Each gas water heater or vent 1.50 s .! S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parca royal Plans Approval Lawn sprinkler system 2.00 NEW t4 ADDITION ❑ UTILITIES [:3—OTHER ❑ Permit Fee $ a $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Qp Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONS. I DW OR ADDNST %AC , CCUP.'I 22sgft' ,7!0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y .JE NEW RESID. BRANCH CIR T NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS a NON.RESID. (SINGLE OUTLET CIA. Ex. Occup(OUTLETS OR FIXTIIRES) 5 L@j EFIXED APPLNS. OR x. Occu 2.00 p• OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. VDD y( y ,� Classification Misc. Wiring 6.25 � ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ IV u$121- ZJ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEE PERMIT FILING FEE $3.00 Heating v Cooling,� Ventilation +2.00 Hood Permit Fee $ Qat $ 1 certify that I have read this application and state that the.above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. 6 Xli� Date /-2 _Ipd Signotf Permitee or Agent / Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Qetie County Code and/or resolutions to do work indicated a/bode f r which fees have been paid. 74 _A)440011 OFIPUBLIC WORKS Date � . Q J0 /-10 •-Rl d R 7