HomeMy WebLinkAbout064-220-029ISI
t
W _ '..64-22-29 OCD l
SHAWN E LGREN
4767 ,Vassar `"iKagal'iPErm_ µ2�"".�. --
it#1990-88B P y Q�
o ,M. new � gle .family)
_d64a22L29
PErmi^ .�89B(l' .'��'
st renewal/1990-188)
22'29 _, ," , - y
n h� • "_ ,-� Y 92 1419B, P����"'"+
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N . LLGREN , •,Y. Shawn ; �+ ..;;'
14767 '.Vassar Ct Maga na• `
• install' bath
}•l il_=garage. r� .. �G...V>.4• . .I r �
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PERMIT NO.
00
y! PERMIT EXPIRES
OWNER SUAWN
0 G t�
CONTR.
Owner
ASSESSOR PARCEL
64-22-29
LOCATION
14767 Vassar Ct,Magalia
Y
' fY
.. d FF AA.,
o rF CAIZtiigG I r-,
• a. .. iJl'�c..
. y.
r
a
Temp. Power Pole
Called;.PG&E •
% 4
T Elec. Service
;. Called �,Llr
9f (7�f // X/J /'L/
• PG &E
Oi✓
IF
b,)% Q— 9
�
- Temp. Gas Service
n
I Called PG&E
"JOB FINALED (Date)`.
Signature
S
=OK
o = NotRESIDENTIAL (Single a*d Duplex)
- =Not Applicable '
_• Not Ready ' I %,
2►,y.
Date , UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued)
.1!Zoning-Setbacks;-Easements-Flood-Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/1•Z, /" Ftg. Depth
X. Ftg., Garage; Soils -Steel-/ (Z /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5'Stemwalls, Main; Steel-Blockouts-Wrapped
.6.-Stemwalls, Garage; Steel- Bloc kouts-Wrapped
7. Slab; Steel -Wrapped
8. P' rs-Fireplace Ftg.-Steel
Vb.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. G Pipe; Size -Anchors
1 Water Pipe; Test -Anchors -Regulator -Ser Test
12AElectric; Underground
1 s; earance-Matena - upprt-Ins.
1 - - nchor Bolts-Joiss- en s- les
15-1rjsalaiinn
IlVtTAINVIG I J&Ut Footlnl'G '- All, STUA,
Card -B1 GG Date -,7P__6-B1 Date �Z-6.�
Card -B1 DateE&L_ZFCard-B1 Date
Date PLUMBING (Perm!OK a cept #'s
1 ater Ht. V t -Ac s -Co tion Air
Mater Pi 4&Afrthors- it Pr
.W.V.; T -Ftt ors- ail P c'
s
Shower, nd ub Access
as Pipe; Size & Anchors
Card -B1 Da �f�/_y �jCard-B1 Date
Card -81 Date -a .j})Card-B1 Date
Date ELECTRICAL (Permit) OK except #'s
xture & Transformer Clearance-Iwe.-RrateeHen
3 ec. Receptacles Spacing -Lights & Switches at Doors
2A -Site Boxes & No. of Conductors -Stapled
. gxRex Installed Close to Edge of Studs & C.J.
wf_qui . Ground made up w/ ech. Fasteners -Bon 86tMTR' r_
A li ircuts ' itc Conductor Size/G.F.I.
28. Subs feed Wire Size / a/ ga. Cu or¢DA.C, WiFe Size-�-�Qa.
ange Circ. u or I -Oven Circ. / / ga. Cu or Al.
Ins ed Neutral !/ No
s & Gr - Mai nzDiscenrect
quip. Clearances Panels-Motors-Mech. Equip.
t -Shower LigU"Pa-Linht
Card -81 Date Card -B1 Date
Card -B1 &G Date $-2q,16Card-B1 Date
Date MECHANICAL (Permit) OK except #'s
34-A-C7`D-uM`srnwIation & Support
x aust above insulation
3 .7 on e -F- a rain & Overflow; Size & Grade
3 ;Vent-,-Access-Comb. Air -Return Air Vent -115 outlet
3 ._ c ccess & Platform if Furnace in Attic
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FRAM+NG (Plans) OK except #'s
39,`Sj11s_Proper Material & Anchors
4,0�WOs Studs -Nailing, Spacing & Bracing-Plates-SuOd
it)earin,g Walls over Girders & Floor Nailing
aft §top in Walls (rat proof)
Fi Stops; Fund-Ge4i4gs it s
Header & Beam -Size & Bearing
43�rriangers-rosi craps-Ancnors-uonne
Ing. -Rftr. Tie rlin-Ro rac.-
r Windows or Exiting Doors -Sill Hgt. & Dimensions
5 arage Fire Protection Framing
5 s
xt. Doors -One 3' -Check Garage-3QI-�-exits
t irs; ft&K-Hea m-Ri -Rod- Lxnding- Fir rot ctio
od on Boer Overhang-Atti nts-Raf utriggers'
0. iding-loAtin g
5 cess
lazing Area -Glass Protect ion-Sky4@4ts-P4t94 •
58. Ghe&F-Wa4&-ftaiti�o Its
sy�akon-Wafts
hMi I t ratr6n-W , s-Wr ws-�
Card -B1 DatSg,//� Card -81 ('9 Date
Card -B1 Date$-C-A.�Mard-B1 Date
Date 42TME22NOK except #'s
g.Ext. Ste Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1,-64-. Bedroom Exiting
0,66'G.F.I. & Bath Fixtures & Tub Access -Spa
1_.68. Elec. Trim & Subpanel; Breaker Sizes -Labels
187 -Stairs & Rails
/)68. Fireplace or Stove; Clearances -Hearth
A.65' Elec. Outlets at Wood Panel; Int. & Ext.
tWT Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
Planters o Yes
-ErStacco; Srown-Finish
�A9 A!' � -it- Disconnect, Electrical, Plumbing
,43 -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
$*r'water Weil; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
d8� Ventilation throughout House
AY Glass Protection
Corrections from Previous Inpections
Gas Test -Meters Tagged; Gas -Electric
A ".ater & Sewer Connected -C/O to Grade -HD Approval
energy Compliance Certificate -Other Certificates
1'�i 9x �RFYIN T �CPsWI� WN -LL,
Card -81 ate rd -B1 Date
Card -81 Dat - and -B1 Date
Card -81 Date Card -B1 Date
Comments at Final:
-s- - e_ rrllr FeIL Cerz r 1N1W4G w L(,
e cp, w t r s r, ti: w o 8 cooksr-
(NOTE: An entry must be made each time you visit job site)
=-OK
0 = Not OK _
' = Not Readyable MOBILE HOMES !,
3
.
MISCELLANEOUS ..
Date MOBILE HOME UTILITIES (Plans) OK except #'s
Date'
D_ ECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131 Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131 Date Card -61 Date
11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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 -Panel boards -Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
O
Owner �h Q.t..l�°';� ' Permit No.
ENERGY 'CERTIFICATION -
LOCATION A.P I
DESCRIPTION OF INSULATION
ROOF
MATERIAL, BRAND NAME •-..,w,�.A A j
THICKNESS THERMAL
EXTERIOR WALL
MATERIAL Fiberglass. BRAND NAME . Certainteed '
THICKNESS THERMAL RESISTANCE (R VALUE) s
' CEILING
BATT OR BLANKET TYPE BRAND NAME Certainteed
THICKNESS THERMAL RESISTANCE (R VALUE)
LOOSE FILL TYPE INS BRAND NAME. Certainteed
04
THICKNESS_ % Z THERMAL.YESTSTA CE VALUE)p
FLOOR, ELEVATED
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS' THERMAL RESISTANCE
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS. THERMAL RESISTANCE R VALUE)
WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS' 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. -
SHASTA INSULATION
equirements.
SHASTAINSULATION #530235
FII E ER STATE CONTRACTOR"S LICENSE NO.
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 thie quality prescribed or are specifically
approved by the State of California:.
------ -- -----------
FI _-_-- -- -=--------------==-----------
R�I�jVAME/OWNER�L�S, NT) 3`f7�TE�QCON�R'C�OR'.'��LICENSE NO.
--rLL_-J _-____________
SIGNATURE OF GENERAL MOR/OWNER DA E
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
_.. x.war-"^'-v-�r'�;,�c,i•�^fi,.;, !K_y.Y�""r�h�.r� 4-�`"�"•
�-" 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
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
matter, or need additional explanation, please contact this office immediately.
?�� &2,-j i4l :;I"- - a
a 17 11
.Date v / �� Inspector —��
s
0
' COUNTY OF BUTTE -
DEPARTMENT OF PUBLIC -WORKS
196 Memorial Way,. Chico — Phone:' 891-275'1
T Co.'nty,Center Drive, Orovi l+e — Phone: 538-7541 - —
. ,
747 Elliott Road', Paradise- Phone 872-6307. G�C'
CORRECTION NOTICE
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
matter, or need additional explanation, please contact this office immediately. '
R+
ir• �
J
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��/�7iQ� �/Js•� G7� J / � � / �s .SJ/7�r
Inspector s . Date_$ ��
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541 7
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 correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I
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.
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P
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Inspect
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; Ca,?fbrdia 95965 - Telephone: 916/538-'
7541
— - -ter
APPLICATION AND PERMIT
ASSES�O 7,7 ARCa�ER
— Ev
ZO N
BUILDING ERMIT
WNER
LI.G
T It LE Ho E
o� n
SO. FT. O BUILDING VALUATION
W-
OWNER :SMAILING ADDRESS
CONTRACTOR'S NAME
C
TELEPHONE
•rX.�
t�JJ
CONTRACTOR'S MAILING ADDRESS
Fireplace \
CO STR CTION LENDER
CM
UNKNOWN
Total Valuation $
•
Fi11ng Fee
10.00
LENDER'S MAILING ADDRESS _
Permit Fee
$ ffp
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
g
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS • -
ELS ��AL IO
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PA ��C77EL MAP
Water piping
5.00 .O U
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 -
Building sewer
5.00
Mobile Home I S J,G J.W
0.00 ea
TYPE OF WORK j
New SA Addition ❑ Remodel ❑ Utilities ❑ installation[] Other E]%
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORS00V OR LESS
10.00
JIM
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3. of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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. DWELLJN ,
OR ADDNS. ACC. -L-9130) /2(%SQft
NEW CONSTR U I.OUTLET 2,50 ea
N ON.RESI0 BRANCH CIRC TO
POWER APPARATUS e\
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES 20950*
eAL990
FIXED APPLNS• OR
Ex. Occup. OUTLETS (RESIO.) EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
5E -�n
Contractor
WORKMEN'S COMPENSATION INSURANCE -
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. k,
I shall not employ any person in any manner sb�as to become subject
to the W. C. laws of California. W t.
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
FiIirig Fee 10.00
Heating
Cooling
I -6b
Hood
3.00
Ventilation
3 -
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
agairot aid County in sequ a of the granting of this pe mit.
X Date
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 3 stories in h fight.
Mobile Home Installation Fee $
Energy Inspection Fee $41
TOTAL PERMIT FEE $ �3
ZCUP.1
C0VT.TTPa
v
Sc o
F D
PARceL PD ND Is
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for. which
C A O UBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 2 –
1220 V n /
Receipt No. o� — fv�L3
WHITE-D.P.W.. YELLOW-A3eE336R PINK -INSPECTOR, OLDENROD-APPLICANT
-'s - v a♦a.r• . .. , y.=:rr�—..�x� � t t � .^..V •ry^r4,..�,.y ..a+: .'.a'nmti .v.r..�, .'1,,. .',y" y�"ii"�r n 7
COUNTY OF,BUTTE - DEPR�MENT'OFPI4�LI_C.`ORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE -C410 LEC 'IFRRN�1W95985- TELEPHONE: 916/538-7541 /
$�
PERMIT, APPL' ICA.TIOWDATA SHEET
•y- � tj Permit No.
.
"Inn _�
OWNER t/ t �C� ��� r�''r AP No. �O`7- - c
Proposed Building Used Building Inspector Date �Pa
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . .
2. Plot plans in duplicate./triDlicate. signed by DreDarer of Dlans. .
3.
4.
5.
J'
.
7
8.
9.
10.
12.
13.
14.
—15.
16.
-17. 17.
1.8.
19.
20.
21.
22.
Complete plans in duplicate. /triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Pians with Energy Design Compliance Statement. . . . . .
��-School District "Fees Paid" Stamp on Floor Plan.
Statement of/In erS forr Non -Heated and AC Buildings.
Fees of $ 6 [ , , , , , , ,
Letter of signature authorization. . . . . . . . . . .
Sanitation approval from Health Dept.
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance.
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner El Mailfto owner ❑.)
Improvements may be required.
Mobilehome Installation Data. . . . . . .
Pre -Inspection for" ' Pre-Inspec. request to
Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement. -2--',l 57—V�
Driveway Permit. 5�,yo 9,S5;56�
Plot plan approval from city of
Engineered trusses in duplicate (required prior to plan check). �•
(Date)
ms's
n
w�
Whee you issue the permit, process as follows: / Mail=ter, Mil to contractor.
7Telephone and hold for pickup ao-ice, Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
Contractor, designer, owner, was advised of above required data by_phone---jnall—counter
by
date
Contractor, designer, owner, was advised of above required data by_phone_mall_countg*
byf
date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
TO,. Building Department
-1 M
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
--5'11r�/ /lcsLL/l/
OWNER
Plans approved for:
Hold final for:
LOCATION-'
OCATION' � p� #
AP Sewage Disposal Water Supply
Water Supply
Final Clearance O.K. for: Water Supply
Clearance for 3 bedroom mai home. Other
Clearance for addition of (D/(D / ��Y ,/Ie,�T%T1
z -A
TARIAN DATE
o
COUNTY OF BUTTE - Departmie�pt, of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541'
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has-been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.. -
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) v Q_ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name k 1 I p
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but.I have hired the following person
to coordin te, supervise, and provide the major work:
Name N 1 �A-
Address City
Phone Contractors License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Names Address . Phone Type of Work
Signed:
Property.Owner
Social Sec r itv Number
Date
r
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to�ou.r office before we are -per-
mitted to issue the permit.
' is e S • � } e p�y / r � i !' i�
� kyjt ' ;s ' L 'Y �• - :ice �:t. � X� ::W L h �ie � r "' _;: e � F
BUTTE .COUNTY SCHOOLS 'DEVELOPMENT'FEE"CERTIFICATION FORM
.. (One Form' -per' 'Building)
A.P. Number�p4- �a a�� Building Department No.
School District Pcuraal(Z-0 - City Q County Jurisdiction
Property Owner <� vl '�49 re. V)
Project .Location/Address S SII
Subdivision Lot Number
Residential Development: ;:r„� • a j
Sq : Footage_ (0
#.of Living MHI Addition .(Group R)
-..� Units
Commercial/Industrial:. �"� Sq. Footage
New Addition fIncluding Exterior
" Roofed Areas)
l B ilding\be rtment Represjjentative lbat6
p School District certifies that
(Applic nt, Namq) JPhone Number)
*( Street A dre.s s),-..
-
PAL q, q�54
(G4 ty) (State). (Zip Code)
-has complied with the requirements of Resolution //No..
by the ,p yment of $ '�- o'-�'" representing ! `J� square feet.
' C
S ool District Re resentative Da e
PAID BY CHECK NO. � REMARKS
BANK NO /� - p,/b �p �o ►
PAID BY CASH
white -applicant „yellow -building department,.pink-school district
SCHOOL . FEE
COUNTY OF BUTTE - DVPAR-TMENT OF PUBLIC WORKS PERMIT NO. /
7 County Center Drive- *v,44e, Cal4focnia 95965 - Telephone: 916/538-7541
APPLICATION AND, PERMIT
ASSESSOR PARCEL NUMBER
64-22-29
ZONING�
RTIBUILDING
PERMIT
OWNER
Shawn Mellgren
41EPHOE
„010
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
14767 Vassar Ct, Magalia, CA 95954
CONTRACTOR'S NAME -
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee iori gi nal nf
$.-204.50
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14767 Vassar Ct.
Permit tee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Magalia
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
RIt�� USE OF STRUCTURE
SF El Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: 1 et- Renewal _ #1 99n--8$ j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the BUsIneSS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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.I 1
AC ) h¢sgft
New
CONiSTR.LTB OUTLET
NON.RESID .BRANCH CIRCUITS) 2.50 ea
/ POWER APPARATUS O
(SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS.OR FIXTURES 200801
200030
FIXED APPLES, OR
EX. OCCUp. OUTLETS (RESID,) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby 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
again id County tinTc 1eq1ce of the granting of this per it.
X Date
Signature of Applicant,— Own-IVContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demoliti or construct-
ion of structures over 3 stories in height. /
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST.TYP!
SCHOOL
I FLOOD
PARCE
Pa
ND
IS9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
PE T EXPIRES Date �Q(
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date I ��
/By
Receipt No. �b % ——�1
WHITE -D.'. W.. TlLLO W-092 L9S0 PINK-IN9P lCTO R, GOLDlNROD-A LICANT
'COUNTY 'OF .BUTTE. Department, of Public Works
7 County Center Drive, 0ioville., CA 95965 Phone: 916-538-7541',
OWNER-BUILDER.VERIFICATION
Attention Property Owner:
An 'owner-builder",building permit has been applied .for in your name and bearing
your signature..
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and.issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of E
the propoged property improvement .(yes or no)_.
2.. I (have/have not) V\(AUQ_, signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed,
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hir.ed.the following person
to coordinat supervise, and provide the major work:
Name
Address , 1 City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office befe we ar�j p r-
mitted to issue the permit. �`l a �� ✓' ��9 �° �l
Return to DPW AGRICULTURAL STA'TEMENT-OF - ACKNOWLEDGEMENT
FOR RESIDENTIAL -DEVELOPI;ENT
SecCi.on 26-Zi.1 of the Butte County .Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has esLabl .i shed ;1gr i cii I
Lural zones which have as a priority use for productive agricultural purposes, ;incl i-vsidvw r;
within sa i.d zones and on adjacent property should be prepared to accept such i numnvc-u i ens e
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of Cal.i..fornki, described
follows:
L.c� 12-1 a s s6U. f,2 co, -{ Xat c edM� rj 1rV\0.;-)'
�,1 it _ , 1
�c pedis •�;r r- l �{ t " � �v� ff i � + �eC
. s }� � � � � �,,. � rr �I a t� cr ti� o c
�I
6u\j
be c,4C + yvl&S , a � I IC -9 c5 37, 361 3(-l/ qcl
Date:
PROPERTY OWNERS:
State of <fe4) On this the /y day of , 19_,a, before me,
) SS. the undersigned Notary Public, personally appeared
County of 4AU#e,) `,,# _ A
ElPersonally known to me. Proved 'to me on the basis
���■■■■��■��■■■■■■■■■■■■■d of satisfactory evidence.
to be the person(s) whose name(s) /S
■
SANDRA LEE SEAMAf�
® uiscribed to the within instrument and acknowledged that.
O # NOTARYP�UctWC-C�IFORNIAexicuted the same for the purposes therein contained. IN WITNVtiS
■ My Commission y
• clreIJAN.IS.1;�►H■REOF I hereunto set m hand and official. seal..
I®�■■■■�■��■®oma■■■■■a■■�■■�
Present A.P. No. T—a�
t -V L
,i4A-. •
v✓
66-023365
,86-023368
66p-023366; '
r
88-023368 R e c F 6 e
5.00
Cash
5.00
t
F�
Recorded
"
Official Records
n
County of
•
Butte
Candace J. Grubbs
Recorder
-
11 59am '19 -Jul -88 f
BG 1
�--'
r
r s
�
r a
.7
3 ,
— g Au-Nc S �a y lZ
3
A II
I
J08: 14186
THIS DWG. PREPARED
FROM
TOP CHORD 2X6 FIR -LARCH
*2, EXCEPT AS SHOWN
TC
30T CHORD 2X4 Fiat-LAWCH
P'1
WEBS 2X4 FIR-6ARCH
STANDARD
BC
:T1 -2X4 FIR -LARCH #1
SIA
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
(U)
REQUIREMENTS OF 1-C.B.O. RESEARCH REPORT *2949.
ALL PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND
ALL
PAN
TOP TO 3OTTOM, EXCEPT WHEN
LOCATED EY CIRCLE OR 'DIMENSION.
114
SEE DRAWING 130 FOR -PLATE
LOCATIONS ON TYPICAL JOINTS.-
SHO
TOP
(NOTE: PLATES ARE DESIGNED
I '
WITH A DURATION FACTOR OF 0.92.
PUR
j (a) Refer to drawing 3,027,999
for gabl.: rill details and required
bracing.
i
(b) This area of truss designed to support 24" top chord
outlookers.
24" O.H. !, 12-G-0 'L-12-2-8
33-0-0 over supports as shown
,1 R-11B3It Y- 3.0".-
:PLgTE TYPE --ALPINE SEON--196486 FURNISH R CDPY.OF THIS DESIGN TO E
5 O O O C= fI,PINE tNGENEERFD PA'SXCTS, 11�. TR=ES REWIRE
: �IhiPORT NT## WU NOT BE RESPONS' i£ FOR RNr ORNING IN IEFIR(M IAD, I
(9: A�ATRUSS
0-YIATIDII FROM T!£SE- SPECIFICRTIQIG EMI TNT DEVIATION FRLMt CRDCD6.SEE W -W, EORRCING I
flQ THIS DSICN ISR RM FAILURE TO BUILD THE TRUSS IN CONFORMME COMEiTIM AND RL.CO tNDRTIDNS-
YITHTIE 'OU LITT MNTROL WfAft" BT IPI. ALPINE CONNECTORS TF{IS DESIGN FUR FWITIOIAL Sf
OQ p ARE R%FJ CTLM FRQM 2D L;fMJt'E, GALVANIZED STEEL MESS $ENT BRACING RMREHEMS. 0&1
4p OTMVI_SE Wh% rMING REWIIL^IENTS OF ASTM 8446 CRFYE R. SHOUN, TLP CMRD %ALL QE LRTe
APPLY L%7rl c'T:TORS TC BOTH FAL:"" AT ME JOINT AM LOCATE FS MITH PROPERLY ATTRCHEn PLTYIMO SIiiITFiIIIF'ROSOTCWFnR714 YLTIFl �PLICRBLE WESS TPRONISIORS RSTTSIFImYM RIGID DM OLS36NC£IDLOII
�4 C O 0 MDS AND -TPI EMT). DESIGN VM FIAT` RETAROLNT TREF
---TP: — TRUSS PLATE INSTITUTE WS - AfiT R -k DES.MN'SPECIFICATION FOR WOOD CONSTF
n � +
a
♦,
1F �
E
� _
�
�:
�
`
�t
.� +- � � � �
� � .. � � �
� '
t � .
- --
f` .'
� _
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�
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5
ul
•
•
�
COUNTY OF BUTTE - DE
7 County Center Drive - Oroeille.
APPLICAI
.33ES;OP/ RARC ECHLM.6 E^ ;
W
ITMENT QF PUBLIC WORKS PE IT NO.
)rnla 05965 - Telephone: 916/538-7541
AND PERMIT UUU
BUILDING PERMIT
SO. -FT, OCA. BUILDING VALUATION
!=
Fireplace 1 '
I
STR CTION LENDER
COM
E
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee 10.00
Permit Fee ;
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
fi /
Permit fee ;
PLUMBING PERMIT FllingFee 10.00
Each Trap - 2,00
Solar or heat pump water heater 20.00
LOT NO.
Z2/
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each pas water heater or vent 5,00
USE OF STRUCTURE
SFJ� Duplex'[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home I S I G I Wpit)-00 Pa
Newt Addition Remodel❑ Utilities Installation �Otfier
Describe work: '
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as .their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
171 1 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 becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
I certify that 1 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 Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t aid County lin_pppsequy a of the granting of this 4 pe it.
IT"Date
Signature of Applicant — Owner9U Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0%�eep and demolition or construct-
ion of structures over 3 stories in height. /
Receipt No. . J
WRIT[-O.P.W., TELLOW-A3eESSOR PINK -INSPECTOR. OLDENROD-APPLICANT
Contractor
ELECTRICAL PERMIT
Filing Fee .10.00.
Main service 100 AMP V OR ORSLESS
10.00
Main service EA. ADD'L 100
2.50
NEW CONST. (DWELLIN�f
ADDNS. \ AGC. BLDrG ;P�)
1A0sgn 1.�7(" c iOR
�7S �-/
APPARATUS 6
Ex. OCcup(OUTLETS OR FIXTURES 204501
OALa 30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESIO.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ v� /
Contractor r
MECHANICAL PERMIT Filing Fee 10.00
Heating i, i, 1 I I / I 11
Cooling ttlrt� 11,
Hood 3.00
Ventilation ( 3.
Penult Fee ;
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP. C0N3T.TTP[ SCNOOL IrL000 PARCEL PD ND ISlU[
�..s +
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY
PERMIT EXPIRES Date
Date
RESIDENTIAL ENERGY -PLAN CHECK/INSPECTION SUMMARY FORM
Owner
(D) Moveable
tLL 6
RE IR Climate Zone Permit No.. -I
Floor Area
,
=
Compliance
path:
_
Package ❑ A ❑ B ❑ C ❑'Point System []Budget (Other 4 � IIv 3
MIN
❑
R -VALUE DESCRIPTION
REQ'D
Ft.2
HC=
INSTALLED
ITEMS
(1)
INSULATION:
Roof/Ceiling 3v
❑
Type
Wall ,9
Ft. -HC=
❑
R=
Slab Floor Perimeter
MC=
Location
Raised Floor_
(2)
INFILTRATION•
❑
Ft.2
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
R=
MC=
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
❑
Type
labeled.
Ft.Z
HC=
R=
(C) All swinging doors and windows leading to unconditioned areas
MC=
Location
shall be fully weatherstripped.
❑
Tight - the above standard features plus:
❑
Ft.
(D) Continuous infiltration barrier
R=
❑
MC=
(E) Electrical outlet plate gasket
• ❑
(F) Air-to-air heat exchanger
❑
Type
(3)
GLAZING:
Ft.Z
HC=
R=
(A) Location
MC=
Location
Area Glazing %Floor Area Single Double Triple
j
Total Bldg 'ji 3C) $ X
[�
North
East
South 0 Z• (� X
West (94-
o
Skylights 0-
Skylights
(B) Shading
Shading
Coefficient Description
East UtAL_ C7L-,47-1Iiy
South . it
West �
Skylights -�
(C) South Overhang
Length of projection ft. Description 9:4 ✓b:;'-
❑
(D) Moveable
insulation:
Area
ftZ Description
,
(E) Thermal
mass
❑
Type
- Area
Ft.2
HC=
R=
MC=
Location
❑
Type
- Area
Ft. -HC=
R=
MC=
Location
❑
Type
- Area
Ft.2
HC=
R=
MC=
Location
❑
Type
- Area
Ft.Z
HC=
R=
MC=
Location
❑
Type
- Area
Ft.
HC=
R=
MC=
Location
❑
Type
- Area
Ft.Z
HC=
R=
MC=
Location
7/83
FORM
frj1ji// (4) MASONRY AND FACTORY- BUlLT•FIRE PLACES shall be equipped with tight
fitting closeable metal or -glass doors covering the entire opening
of the firebox; a combusion•air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING. VENTILATING, AIR CONDITIONING SYSTEM
(A)= -Heating
❑ Central Gas Furnace %
.(brand and model number) SE
Btu/hr /
(heating capacity) 7�
[� 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
34
*1
rated slope
Other /,!%OOD S -TD V IF
(describe)
(B) Cooling
Electric Kir Conditioner
(brand and model number)
Btu/hr
79
(seasonal EER)
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(C)
(describe)
A TWO-STAGE THERMOSTAT, which controls the heat
supplementary on
its second stage, shall be required for heat pumps.
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas. -fired fan type wall furnaces and
gas cooking appliances.
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
11
air to the outside.
(G)
DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
FORK 1
(6) DOMESTIC WATER SYSTEM ' _ . ,
-(A) Gas Only Gallons
_/iPrj (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).
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
[� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature 'Z* °, elevation i 2000 ', heating loadZ:7-1/,,]. BTU
elevation factor x heating load = maximum outlet capacity gas furnace
2740 k BTU
Cooling: Summer design temperature °, cooling--Zoad--70BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to'document sizing of'
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OF iieIL33ING BE§IGNER OR APPLICANT
3
.���ZONE
1POINTS !
14 ,7a 7
PERMIT NO. ASSIGNED ACTUAL
-n 1. SLAB - INSULATION %. 'ov, f"' -
V/ 2. RAISED FLOOR - R-19
3. CEILING - R-30• 0
4. WALL - R-19�
Z
5. NORTH GLAZING �� 2,4-3.6%
6. EAST GLAZING .5-3.67,,��
7 SOUTH GLAZING 1 6-3 67 7 -,Ll O
dA9045;X4 r- ����i
in nsulatlon Table 3-
Table 3-3a.
Ceti g
WEST GLAZING 2.9-3.6%_�
7.
South -Facing Clazing Pte
Points
38
9.
SKYLIGHT - 0-1.3%
I
10.
SHADING (Exclude Overhan
I +4 I
I
I Glazing �3Pe 1
I R -Value of Insulation
I Points I
�Q
SOUTH `i ' - .19-,42 /!
WEST% �+� 36
I• Total
I I
I
I I
I -5 I
I 2 of
I Sngl, Det, I Tr -if
11.
HORIZONTAL SOUTH OVERHANG 2' G
y
I Floor
1 (U - ( (U - I (U - j
( 19
1 -4 • I
INFILTRATION (Standard=0)(Tight=+12)
I Area
1 1.10) 10.65) 1 0.41)1
I 22
1 -2 1
.
15.
I
1 oints I oints I ointsl
B.
WEST GLAZING 2.9-3.6%_�
_v
.I Floor Area
r+3
38
9.
SKYLIGHT - 0-1.3%
1 +2 I + (
10.
SHADING (Exclude Overhan
I +4 I
I l.6- 3.6
EAST - �o" .66
0 1
-1 I
�Q
SOUTH `i ' - .19-,42 /!
WEST% �+� 36
I 3.7•• 5.2
I -4 I 1
.13-.
1 -6
I -5 I
.SKYLIGHT - .37-.57
1 -6 I -4 1
11.
HORIZONTAL SOUTH OVERHANG 2' G
y
,12. •
MOVABLE INSULATION - ."HONE
-5 I
-13.
INFILTRATION (Standard=0)(Tight=+12)
I 7.8- 8.9
14:
THERMAL MASS O SF
-16 1
.
15.
r
GAS FURNACE (SE) 11-767.
I -13 1 -10 ,I
• 16:
SEAT PUITP (EER) 7.5-7.9%
17.
'DUAL PACK (SE, SEER) g•0-8,)/71-76%
G
6/
ZO
-ll I
WOOD STOVE Ix'G
1 +3
1 11.6-13.0
WATER •:SEATER +-
O
R -Value of Insulation I Pointe (
ATTIC %
( -25 1 -19 1
-16 I
OTHER •,
I I
30
I 0 I
o
.I Floor Area
r+3
38
1 +2 I
1 up to 1.5
1 +2 I + (
+2 I
49
I +4 I
I l.6- 3.6
I -1 I
0 1
-1 I
I I
I 3.7•• 5.2
I -4 I 1
-2 1
1 -6
I -5 I
I 5.3- 6.5
1 -6 I -4 1
-3 I
1 8.3- 9.7 1 -14 I
-10 I
1 6.6- 7.7
1 -9 1 -6 1
-5 I
-10 1
110.9-12.0 I -19 1
I 7.8- 8.9
I -I1 i -8 I
-7
-16 1
-13-
13
I 9.0-10.0
I -13 1 -10 ,I
-9 I
ble 3-4a. Wall
Insulation Pointe
110.t-11.5
1 -l7 ( -13 I
-ll I
I up to 1.3
1 +3
1 11.6-13.0
I -21 1 -16 1
-14 I
R -Value of Insulation I Pointe (
113.1-14.5
( -25 1 -19 1
-16 I
1
I I
114.6-16.0
I
I -28 1 -22 1
I
-19
ll
I -7 1
1 -2
1 -5
1 -B
1 -10 1
1 -13
-15 1
-1.7 1
I I
I
19
I 0 I
Table 3-8.
We.,F.Cinq Clazin
Pts.
I
111.3-12.7
7/7/83 112.8-14.0
9.8-11.2 1
1
1
14.1-15.3
-21 1
-25 1
-23 1
-32
.-15 I
-18 I
-21 I
-24 1
-13 1
-15 1
-18 1
-20 1
30
+3
1
1 Glazing Type
1
T.hl. 1-5. Nnr.h-r,.r... ct..r.. D..
T____F - I
I I Glazing Type I
I Total I I
2 of ST. Dbl, Trpl,
I Floor I W- l u- l U- I
I Axes 10.66 10.42- 1 0.41 I
I 11.10 1 0.65 i dove
-1.2 ++4
a+4
.I Floor Area
I 0.1 i
1
( +4
1 1.3- 2.3 I +1
1 +2
I +2 i
1 2.4- 3.6 i _z+1
6.3
I
I 3.7- 4.8 I -4
I_
-1 I
I 4.9- 6.1 ( -7
I -4
I -3 I
1 6.2- 7.3 1 -9
1 -6
I -5 I
I 7.4- 8.2 I -12
I -8 I
-7 I
1 8.3- 9.7 1 -14 I
-10 I
-8 i
1 9.8-10.8 1 -17 (
-12 1
-10 1
110.9-12.0 I -19 1
-14 j
-12 I
112.1-13.2 1 -22 I
-16 1
-13-
13
13.3-14.5
13.3-14.5 I -24 I
-18 I
-15 I
14.6-15.3 i -27 I
-20 I
-l7 I
I Total I
I I of 1 Sngl, I Dbl, I Trpl,
Floor I (U - I (U - ( (U -
( Area 11.10) 1 0.65) 10.41)
I Iolnts 1 otnta I ointsl
I up to 1.3 1+ S I ++6 1 +6 1
I t.4- 2.2 1 +3 I +4 1 +5 1
1 2.)- 2.8 1 0 1 +21 +3 1
I 2.9- 3.6 1 -3 1 0 1 +1 I
1 3.7- 4.2 1 -5 I I I
I 4.3- 5.0 I -8 I 1 -22 �
I 5.1- 5.6 1 -10 I -6 I -S
1 5.7- 6.2 1 -13 I -8 1 -6 I
I 6.3- 6.9 I -15 I -10 I -7 I
I 7.0- 7.6 1 -18 I -12-9 I
I 7.7- 8.2 1 -23 I -14 1 -11 I
1 8.3- 8.8 1 -22 I -16 I -13 I
1 8.9- 9.5 1 -25 1 -18 I -15 I
I 9.6-10.1 1 -27 1 -20 1 -16 I
1 10.2-11.0 1 -29 1 -23 1 -17
( 11.1-11.8 I -35 1 -26 1 -21 I
111.9-12.7 I -38 1 -29 1 -24' I
1 12.8-13.5 I -42 1 -32 1 -27 I
13.6-14.3 i -46 1 -35 1 -29 I
114.4-15.2 I -50 1 -33 1 -32 I
I I I I I
T.M. 1 -In _ U,.al... r,,.rn., --
SC
__. -
SC by
I
I Orten-
.I Floor Area
Table 3-9.
Sk liaht Points
TOTAL POINTS = -"' �y
ble 3-6.
Pts.
1 0-3.1 I to 16.4 up
6.3
I
T-
fast-Facing-Clazing
T
I
I Glazing Type
I .37-.66
I
I Glazing Type
I
j Total
I I
-' -I
Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points
F T__ --T T•
Total
1 2 0l
I Floor
I Area
1
I
I
I 2 of
1 Floor
I Area
1
T Sng1.
I U-
1 0.66-
1 1.10
Dbl.
I U-
10.42-
1 0.65
?rpl,
I U- I
10.41 1
1 dove
I Sngl,
I (U -
1 1.10)
Dbl,
1 (U -
1 0.65),1
Trpl,
I (U -
0.41)1
1 in^•jls- I R -Value of Insulstion I I R -Value of ( I
1 thin I I i Insulation I Points I+
1 Depth, --T I I I
I
I snits
I oints
1 oint&I
1
I up to 1.3
1 1.4- 2.2
I -1
I -3
1 0
1 -2
1 0 1
I -1 I
I up to 1.3
1 +3
+ t
1 +4
+ ��
1 +4
1 inches 1 0-2 1 3-4 1 5-6 1 7+ I
1 1.4- 2.4
1 +1.
1 +2
1 +2
1
1 2.3- 2.8
1 -6
I -4
1 -3 i
I I I I I I 1 below 3 I -12 1
T_ 3 - 4 I -8 (
1 .0 - ll 1 -5 1 -5 ( -5 I -5 1 I 5 - 7 1 -6 I
I l2 - 15 I -5 I -3 I -2 I -1 1 I 8- 12 1 -4' I
116 - t9 1 -5 i -2 I -1 10 1 I 13 - 18 I T2 I
I' 20 + I -5 I•-1 1 0 1 +1 I I 19+ 1 0 I I
I I I I 1 1 I I I 1 1
1 2.5- 3.6
I 3.7- 4.6
I 4.7- 5.6
I 5.7- 6.7
I 6.8- 7.7
7.8- 8.7 1
8.8- 9.1 1
1 -2
1 -5
1 -B
1 -10 1
1 -13
-15 1
-1.7 1
1 0
1
4
-
1 -8 1
-10
-12
1 0
-1
-3 1
-5 1
-7 1
1 -8 1
I -10 1
1
(
1
1
1
1 2.9- 3.6
1 3.7- 4.2
1 4.3- 5.0 1
1 5.1- 5.6 1
5.7- 6.2 1
6.3- 6.9 1
7.0- 7.6 1
I -9
1 -11
-14
-16 1
-19 1
-21 1
-24 1
I -6
( -8-6
1 -10 1
-12 1
-14 1
-16 1
-19 1
I -5 I
I
-8 I
-10 I
-12 1
-13 I
-15 I
I
111.3-12.7
7/7/83 112.8-14.0
9.8-11.2 1
1
1
14.1-15.3
-21 1
-25 1
-23 1
-32
.-15 I
-18 I
-21 I
-24 1
-13 1
-15 1
-18 1
-20 1
1
1
1
1
7.7- 8.2 1
8.3- 8.8 1
8.9- 9.5 1
9.6-10.1 1
-26 1
-28 1
-31 1
-33 1
-20 I
-22 1
-24 1
-26 1
-17 I
-19 I
-21 I
-22
T.M. 1 -In _ U,.al... r,,.rn., --
SC
__. -
SC by
I
I Orten-
.I Floor Area
tation
I Cast
I I 3.2 1
I
1 0-3.1 I to 16.4 up
6.3
I
T-
1 0 -.19
I 0 1 +1 ( +2
I .20-.36
I 6 I 0 1 *1
I .37-.66
i 0 I 0 I 0
1 .67-.82
I 0 I 0 -1
.83 up
i 0 j -1 i -2
I South
1 0 1 3.2 16.4 1 8.0 1 9.
I
I to I to I to I to I ul
13.1 16.3 1 7.9 1 9.5 I
I 0--16
i 0( +1 1 +2 1�+2
I .19-.42
1 0 1 0 1 0 I. 0 1
I .43-.66
10 -1 I -2 I -2
I .67 up
.I
I -2 I -4 I -4 1-
West
1 .1 1 1:6 1 3.2 16.4 I S.
I to I to I to I to I vP
11.5 1 3.1 1 6.3 17.9 I
11 I I I
0-.12
1 0 1 +1 I +3 1 46 1+
.13-.36
I 0 1, 0 '1 0.1 0 1
.37-.57
I 01 1 1 1 -6 1
.58-.52
1 -1 1 -3 j�a6 -12 1 -1
.82 up
I -2 ( 4 I I -16 1 -2
I 1 I I e_
Skylight
i .1
1 .8 1 1.6 1 3.2 14.
1 to
1 to 1 to 1 to I t'
7
r___1"
1 1.5 13.1 1 3.9 15.
-T -F___1_
1 +1 I +3 1 +6 I+
0-.12
1 0
.13-.36
1 0
1 0 1 0 1 0 1
.37-.57
1 0 1
-1 I -3 1 -6 1
.58-.82
I -1 (
-3 I -6 I -12 I -.
.83 up
1 -2 1
I
-4 I -8 I -16 I -.
I I I
Table 3 -ll. Horizontal South
OVerhan0. Polnt!
South Clazing
I Length Out I Arca, 2 of Floor 1
1 from Wall I I
I it T
0-6.3 i 6.4 up
0 - 0.5 -2 --�
10.6 - 1.0 I -2 I -3 I
11.1 - 1.9 , I -1. I -2. I
I 2.0 up 1 0 1 0 I
I I I I
Table 3-12. Movable Insulation
Points
I Moveable Insulation]
I Area, S of Floor I Polnta I
I ( I
I o- 5.5 I 0 l
I 5.6 - it.$ I +2 I
1 11.6 - 17.5 I +4 I
I 17.6 - 23.5 I +6 1
X23.6+ 1 +8 I
Table 3-13. InVItintion Control
Fer[vtes Points
I Con:tol Features I Points
I Standard I 0 I
I 1 I
11.9 air changes per hr I
I Tight I +12 I
I I I
I .6 3IF changes per hr I I
I 1 1
Table 3-15. Cas Fur•%4ce 1:lthouc
Refrigeration Co31!n4 Points
I Seasonal Efficiency I
Points I
I (SE), t I
I
I 71 - 76 I
0 I
I 77 - 82 I
+2
I 83 - 88 I
+4
I 89 - 94 I
+6 I
93 up i
+8
I 3.0
- 8.3
Table 3-!6.
Peat Parvo
Points
r
I 7 - 14
I +2 I
Energy Elfic!eney
I Polnts I
I Patio
(EER)
I 1
I 7.5
- ?.9
1 +3 I
I 3.0
- 8.3
I +6 I
I 3.4 -
3.7
I +9 I
1 8.6 -
9.1
I +12 I
1 9.2 -
9.6
1 +13
I 9.7 -
10.2
I +18 I
I 10.1 -
10.9
I +21 I
1 10.9 -
11.5
I +24 I
1 11.6 -
12.3
I +27 I
I 12.4 -
I
13.2
I +30 I
I I
Table 3-17. Cas Furnace With
Relriveratton Cooling Points
;selrleeraclod Cas Furnace
I Cooling I SE
i- 1-1x31- -1x1- 9�
I 1761 821 891 941
I b.0- - 8.3 I I +21 +•41 +61 +8 1
I 8.4 - 8.7 1 +21 til +61 +91+10 1
I 9.S - 9.2 1411 +51 +614101+12 I
I 9.3 - '3.7 1 +51 +81+101+121+14 1
1 9.8 - 10.3 1 +a1001t1-1t141+16 I
1 !0.4 - 10.9 1NG:+t2i+1%1+161+1S I
1 11.0 - 11.4 I+21t141tI61(1S1t20 1
1i 1qt
ZONE 11
TAfIE 3.14 (ADAPTED) INTERJOR THERMAL MASS POINTS
MASS _ DWELLING ARFA SgUARE FOOT
AREA 1,000 1,500 2,000 2.S00 I 3,000 I 3,S00 4,000 4.560 5,000 i
sq. FT. A B C D A 8 C 0 A B C D� A B C 0 A B C 0 A 8 C 0 A 8 C 0 A: _ C O 9 B T-
S 0
S0 2 2 2 2 2 2 2 0 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a 0
too. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0 0 0 0 O I
ISO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2-t 2 0 t 2 2 O
200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
257 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
309 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 t 2 2 2 t 2 2 2 2 2. ? 2 2
)So 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 ? 2 2 2 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 1 2 4 4 2 2 a 4 1 2
Sol 18 18 16 10 12 12 10 6 10 '10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 4 4 2 a 4 4
600 22 20 18 12 14 14 12 8 It 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 6 6 4 2 1. 6 6 a 2
797 24 24 20 14 IB 16 14 10 14 14 12 0 10 10 10 6 10 10 B 6 8 6 6 4 8 6. 6 4 6 A 6 4, 6 6 6 2
230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 B 6 10 R B 4 ! 6 6 4 8 6 6 4 G 6 G 4 1
500 Z8 28 P4 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 0 6 0 8 '8 4 B 8 6 4 B 8 6 4 ,
1,0.0 30 l0 26 18 22 20 20 14 16 18 16 10 14 14 12 B 12 12 10 6 12 10 10 6 10 10 8 6 8 B 0 4 B t 4 i
I,;OU 32 3t. 28 10 24 24 22 14 20 20 IB 10 16 16 14 8 14 14 12 8 12 12 10 6 I
10 la 10 6 1:1 10 B ( tJ f f 1
1.200 74 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 B 14 12 12 8 1.12 12 10 E 10 10 8 6 In in 8 6
1,100 34 34 32 22 28 26 24 16 22 22 20 12 IB 18 It 10 14 14 14 8 14 l2 I2 8 12 12 10 6 12 t0 10 GI 10 :0 C o I
1,400 34 '34 32 24 28 28 26 18 2J 24 20 14 20 20 18 12 18 16 14 10 11 It 12 8 14 14 .12 8 11 12 ;G 11 In 10 13 b
I,ioo 36 34 34 24 30 70 26 18 21 24 22 14 22 20 18 12 Ig 18 16 10 16 16 14 6 14 14 12 8 I? 11 10 G1 12 12 1:.* o I
2.000 14 34 32 22 30 30 26 18 26 25 22 16 22 22 20 14 20 20 18 12 18 10 16 10 16 16 ii GI 14 14 12 ! !r
2.509 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22. 14 Z2 22 19 :Z 10 20 18 Ir Is 13 IG 'u,:
J.Coa 74 ]2 30 22 70 30 26 18 28 :6 24 16 24 24 22 14 22 27 20 141 :: lJ tt1'r.}
7.500 32 32 30 20 30 30 26 la 26 28 24 16 t6 24 27 14 if `a ;4
4.900 32 32 30 20 30 30 16 18 78 1B 24 IE :S 25 2: If �1
4,500 32 32 26 20 3U 3.) 26 it; ie .n
-S�oOJ � __-•----_-- 1i' -'t'_ Ii - 20 i- �,- -y- -6 la(i .
- - A) 1. 3'a Concrete Slab: HC•8.93; R-.29; Factor -7.3 _-
2. 3 3/4• Thick Common Brick: IIC-7.125; R-.13; Factor -7.3
C11. sy Concrete stab: HC•14.106: A•.4i8; Factor wood stove /j33 oints(no back u '
C 1. 8• Solid Filled Block: HC -20.63; 9.1.93; Faclor•6.I P P)
2. 8• Solid Filled Bloc. With Both sleet ExposeA To Conaitiened Air. Casablanca fan + 1 point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: IIC-10.164; R-.96;; Factor -6.1 '
0) 1• Thick Concrete/Tile: NC -2.55; R-.083; Factorr3.1 ;
Table 3-19. Zonally Controlled
Electric Resistance
Space Heatlnt Points '
I Points [or thin neaaur Table 3-211. Solar Hater Meeting With Cas BackupPoints ,
I be completed alter theCEC 1
I has approved an Altorastive I
I Component Package for Re3Istanct '1
I Beat. I
Table 3-15. Active Solar Space
11- Lino with Gan Pointe
T
I Net Sol3r Fraction
I
I Points 1
I I
I 0-6
I 0 1
I 7 - 14
I +2 I
I 15 - 23
I +4 I
I 24 - 10
I +6 I
I 31 - 39
I +8 I
I 40 - 47
I ; +10 I
I 46 - 55
I 4-12 I
I 56 - 63
I +14 I
I 64 - 71
I +18
I 72 up I
• +20 I
Multifamily (cr unitpoints)
Floor Area
Net Solar Fraction (NSF), Z
perunto,
lt2
I Cu Only (
0 I
Beat Pomp i
0
I So13c with Electric I
I
I Ne%fstance Backup I
I
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+S
_ +8
+11
+14
+16
+19
1,000-1,499
0
42
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+IO
2,C00 and up
0
+1
+2
+4
+5
1 +6
+7
+9
All others (pe building points)
-+34
euo-8.99
0
+5
+IU
+14
tt9
+24
+29
900-999
0
+4
+9
ti]
+17
+11
+26
+ail
1,000•-1,199
0
+4
•+7
til
+IS
4.19
+22
+26
1,20x,-1,499
0
+3
+6
+9
+12
+IS
+18
+21
1,500-1,999
0
+2
+5
+7
+9
+1:'
+14
+le
2,4)()0-2,999
0
+2
+3
+S
+7
+6
+lo
+11
3,060 ar.d 4)o
_0
+1
+3_
+4
+S
4.7_
+8
+10
(
Table 3-21. Other Water Peatlnq Pts.
T-- T 1'
I System Type I
I I
Points I
I
I Cu Only (
0 I
Beat Pomp i
0
I So13c with Electric I
I
I Ne%fstance Backup I
I
I Meeting the Require- I
I
I cents in Port 2 i
I I
0 I
I
I E11eErit Resistance I
I
I Only
I I
-40 I
I
COUNTY OF ,BUTTE ; DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
...DATE 9/29,/89
Carl Bruhns RE: Mellgren Retaining Wall
6390 Ponderosa Way
Magalia, CA 95954 A.P. # 64-22-29
With reference to the above subject:
/ Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or -check exemption statement.
Complete plans in , including plot plans.
Plot plans in
-Structural details in
Complete plans and calcs in by registered engineer -or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
OTHER _ SEF. ATTACHED LIST
Should you have any questions concerning the above, please contact John R. Hen -
11
of this office.
Yours very truly, -
JFG/aj
William Cheff
Director of Public Works
CF. Glander
hief Building Inspector
PLAN CHECKLIST-
1.
HECK.LIST
1. Revise minimum reinforcing shown to be per UBC 2614(d).
2. Revise overturning and sliding stability calc's.at surcharged walls such
that
SFOT > 1.5
SFS 1.0
3. Note drain rock required at perf. drain.
4. Note clearance for wall reinforcing per UBC 2607(h).
5. Note shear key depth.
6. Note limits of various reinforcing on plan or in schedule form.
J.R.H.
V � i
July 21, 1989
Shawn Mellgren RE: Building Permit No. 199888
14767 Vassar Ct. Expiration Date.7/21/89
Magalia, CA 95954 (AP. No. 64-22-29)
Dear'Mr. Mellgren:
With reference to the above subject, our records indicate that your Building
Permit expires on the above date. Building permits are valid for one-year
and should construction be started ,but not completed by the expiration date
of the`ilpermit, the permit shall be but
for a the original Building Permit
Fee (plus a $10.00 "Filing Fee"). The renewal permit .will extend the Building
Permit.'for.an.additional year from the original expiration date,
Should you not renew your permit within thirty days of the expiration date,
it cannot be renewed and all work must cease until a new , building permit is
issued.
If your construction is completed or should you Have any questions concerning.
this matter, please contact the 0roville office,
For your convenience, tire are enclosing a renewal application form and owner- ,
builder form to be completed and signed by you where -indicated and returned
to this office together with the fee shown. Please return all conies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours ve'ry truly ,
William Cheff
Director of Public Works
J.F. Glander
JFG:aam Chief Building -inspector,
Attachments: Permit Application
Owner -Builder InformstUon
0taner-Builder Verification
cc: Building Inspector - Oroville/538-7541
Chico - 196 Memorial Wap/891-2751 Paradise.- 745 Elliot Rd,/67 -6307
14
S%,::; rs-,--r7
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This set of plans and specifications MUST be
kept on the job at all times and it is unlawful tc
make any changes or alterations on same wifhou
/C written'perk5sion from the Department of Pui-
ItA Works. County of Butte.,
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Uniform Building, Plumbing & Mechanilow.d-
the National Electrical Code.
BUTTE COUNTY
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Good .Practices i
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Uniform Building, Plumbing & Mechanilow.d-
the National Electrical Code.
BUTTE COUNTY
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a 014- o L^� W/,
- Y^ q Complaint Date
C( Other Date
BUTTE COUNTY COMPLAINT FORM =
OWNER �<-�'/� w n/ /''l �� 9R ec✓ . A . P . L� - Z I 2
Address l Y / 6 / V45541 Cr RaGj*e- Zoning 1
Complaint Location/V/`<7 V,<% U1453,82 Cr M -VQ VL / Taken Bv•
VIOLATION TYPE [BUILDING HEALTH Q PLANNING OTHER
COMPLAINT: Q'v�� •
PERMIT HISTORY ON FILE a NONE L vAS FOLLOWS:
FIELD INFORMATION
TENANT: Name�„�,,/ �Pcd�r2�f.✓ Address7�/A S -S A a C r-
Description of Violation NoAJr-
OTHER COMMENTS:
Approx, Bldg./MH Size_
Approx. Bldg./MH Age
Under Construction.. Built By/For-�= Present Owner a Previous Owner Occupied
0 Has Power Q Has Gas Q Has Sanitation Facilities
Q Written Notice Given & Attached . Person Contacted .Sf�vil�✓ �y1�t,��✓
Describe Action Taken: No \/ 10 1, 4 T-),�i� A•T 1 H IS 7- Yh C
ACTION REC R DED: &O G14/ 06s15 -2v;
Information only, file 3`L
etter
Other
10 Day Letter
Hold for Days
BY: /1,v��{�,,.,,,� DATE 3-5-
PERMIT HISTORY ON FILE Q NONE Ea. AS FOLLOWS: U- geG./ '�c�
a 9e's- j'7
FIELD INFORMATION
TENANT: Name Address
Description of Violation
OTHER COMMENTS:.
Approx.. Bldg./MH Size Approx. Bldg./MH Age
.Under Construction Built By./For-�= Present Owner 0 Previous Owner Occupied'
0 Has Power a Has Gas Q' Has Sanitation Facilities,
Q Written Notice Given & Attached _ Person Contacted
Describe Action Taken:
ACTION RECOMMENDED:
Information only, file.
10 Day Letter
.Hold for Days .
DATE
q Complaint
Date
C( Other
Date
BUTTE COUNTY COMPLAINT FORM
OWNER
hh,�,,
S/yn'j'^j Ala a �l 9N ��./
/
A . P . #
Address
//76 76 7 V4 554a- Cr R,4
o-z-/'-�r
Zoning
Complaint
Location f VX7 U/1SS/82 Cr M
IeL
Taken By:
VIOLATION
TYPE [BUILDING Q HEALTH
Q PLANNING
[, OTHER
COMPLAINT:
PERMIT HISTORY ON FILE Q NONE Ea. AS FOLLOWS: U- geG./ '�c�
a 9e's- j'7
FIELD INFORMATION
TENANT: Name Address
Description of Violation
OTHER COMMENTS:.
Approx.. Bldg./MH Size Approx. Bldg./MH Age
.Under Construction Built By./For-�= Present Owner 0 Previous Owner Occupied'
0 Has Power a Has Gas Q' Has Sanitation Facilities,
Q Written Notice Given & Attached _ Person Contacted
Describe Action Taken:
ACTION RECOMMENDED:
Information only, file.
10 Day Letter
.Hold for Days .
DATE
■
W-
�A HAROLD. L..' W.ELBORN Ao
ARCHITECT .(916)•877-6071
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HARO LD. L.� W.EL_BOR N
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HAROLD- I.- WELBORN
A 0
ARCHITECT
' (916) 877-.6071
'COI�6�4-
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RESIDENTIAL --
64-22-'29 92-1419B,P
MELLGREN, Shawn
14767 Vassar Ct, Magalia
install bath in garage
7/a? 31?3
JOB FINALE
Signature
'J OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
& Duplex)
Dia te FRAMING (Continued)
4 angers -Post Caps -Anchors -Connectors
_Ging. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -----
5. Stemwalls, Main; Steel-Blockouts-Wrapped -----
6. Stemwalls, Garage; Steel-Blockouts-Wrapped sn r ^rage Fire Protection Framing
Property Line Firewall & Openings
5 xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
a enr Access; Size & Romex Protection -Draft Stop -Ins. Baffles
c _49.-Bdrm. Windows or Exitino Doors -Sill Hot. & Dimensions
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. P' rs-Fireplace Ftg.-Steel
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 Pioe: 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 (q/1" Card B-1 C.b-J Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
Htr.: Vent -Access -Combustion Air -Baffle
------------- ------------------------------
ater Pipe: Test & Anchor -Nail Protection
1 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 - - -- -
----------
---
-__________Card_B-1
Date
--------------------
Date- C Card B-1 Date Card -B-1
------ ------------------------------- -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
2,-,"F,' t re & Transformer Clearance -Ins. Protection
Receptacles Spacing -Lights -& Switches at Doors ----
-------------------------------------------------- ----
ize Boxes & No. of Conductors -Stapled
-----
- --------------------------------
--------
---------------------- ------
Romex Installed Close to Edge of Studs & C.J.
---- -------- ----p--------------------------------
ound made'u w/Meeh. Fastners-Bond Gas & Water
fiance Circuts in Kitchen & Conductor Size/GFI
------------ -------------------------------------------------------------
-2t-7S- -feed Wire Size ga. Cu or AI-A.C. Wire Size 1 ga.
------------------- -- AI------------------------------------------
-2�3-i�artJLrCirc. / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- -------------------------------------------------
0. Service -Riser
---------- Conductors &Ground -Main Disconnect
quip.-Clearances-Panels-Motors-Mech. Equip.
--------------------------------------------------------------- -- ----
'72=7othes Closet Light -Shower Light -Spa Light
-------------------------------------------------
-------------
------------------------------------ -
33. Smoke Detector
----------------------------- - -- -
--) - --- ----- -- --- Card--------------
---
Date -- - - ---Card B_1 6/5 ----Date-- --------- -------- Card B 1 --- -_
Date Card B-1 Date Card B-1
Date ME ANICAL (Permit) OK except #'s
4. A.C. Ducts Insulation & Support
----------------- -----------------------------
- Vent Fan Exhaust above insulation
-------------------------------- ------------------------------------------
�2&-.Condensate Drain & Overflow: Size & Grade
-37-F-urnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
------- ------- -------------------------------------------- - --- --
�A,Hic 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 #'s
39. its. Proper Material & Anchors
4 ails Studs -Nailing. Spacing & Bracing -Plates -Sound
;-;! acing Walls over Girders & Floor Nailing
-- - ---- - ------------------------------------
-------------------------
raft Stop in Walls (rat proof)
-05- rtre-Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------------ --------------------------------
44--T�ders & Beam -Size & Bearing
--6 . iirs; Width -Headroom -Rise -Run -Landing -Fire Protection
-------------------------- -
&4--p1_yw_ood on Roof Overhang -Attic Vents -Rafter Outriggers
Nailing Veneer
6. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
--------------------- ----
r5,`i`,. ,t'dZth-g Area -Glass Protection -Skylights -Plastic
Walls; Nailing -Bolts
- ---- - 5 _Insulation -Walls -Ceilings 01jr
60. Infiltration -Walls -Windows
Date Card B-1 $ Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL ans) OK except #'s
- 61. xt_ Steps -Door & Sidelight Protection -Landings
62.4kweke Detector
------- ------ ---------------
63..Fcfrace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth: Protection
---------------
------------- 64--tre-droom Exiting
6 I. & Bath Fixtures & Tub Access -Spa
------------ Q-L-Bec. Trim & Subpanel: Breaker Sizes & Labels
67. S irs & Rails
------------ ------ ------------ -
68L-ELc"lace or Stove: Clearances -Hearth
----------------------------------------- --
nn &ec. Outlets at Wood Panel: Int. & Ext.
----------------------------
7' i1iit.Fixt & Appliance: Grnd -Air Gap -Cooking Clearance
_ZLF1ae-Outlets & Receptacles at Kit Counter ---
7Z/Garage-Fire Door: Swing -Landing -Closer
----------------------
'7-7A.C. Duct in Garage -Damper
-----------------------------
---147'77h,. Htr.. Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
Ib.. Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
sulation -Foam-Looked in Attic ❑ Yes
............
--------- --------------------
----------
rd Rails &Deck Construction -Post Caps
_713rfCw. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
,_49 -following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
----------..._-------co Brown -Finish ------ ---
--
rtiC(? Unit: Disconnect. Electrical, Plumbing
-------------------------------------------------- -----
a�ts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-- - - - -- --- -- -------------------------------- ------
_44-,14e4ter Well: Disconnect, Electrical, Plumbing
--d5--Exterior Elec. Trim: G.F.I. Receptacle -Underground
/en - Throughout House
- ----
-t7-'Glass Protection
----------- ---------------------------
IVCorrections from Previous Inspections
--------------- ----------------------------------------
'--&J-fees Test -Meters Tagged: Gas -Electric
-�98.-Water & Sewer Connected -C/O to Grade -HD Approval
----------------------------------
- ----
t-�rgy Compliance Certificate -Other Certificates
----------- ------------- ----------------
Date rd B-1 (� - - Date - -- Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final
J=OK
O=Not OK
=N tReadyable 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
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
0
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-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 -Panel boards -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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
64-99-90
ZONING
BUILDING PERMIT _
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING VALU ION
CONT EST 1,000
OWNER'S MAILING ADDRESS
VASSAR CT MAGATIA
.95,9554
CONTRACTOR'S M
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 22.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ ,
Penalty
$
BUILDING ADDRESS
14767 VASSAR CT MAGALIA 95954
Permit fee
$
57.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
31 5.00 15.00
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 15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ® Utilities ❑ Installation❑ Other ❑
Describe work: INSTALL HATH IN SHOP PORTION OF GARAGE
Permit Fee
$ 52.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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
Main service 200A TO 1000A>
37.50
OCCUP.81
NEW CONST. DWELLING OR ADDNS. ACG. SLOGS. /
3.6Q sq.ft.
NEW CONSTR ULTI.OUTLET
NON•R ESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS e1
SINGLE OUTLET CIR.
/
EX. Occup( OUTLETS OR FIXTURES
20 76
FIXED APPLNS. OR
EX. DCCUp. OUTLETS (RESID.1 EA.�
I .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice o 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
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 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 CLs, judgments, costs, and expenses which may in any way accrue
ageCounty rn cMeque f the granting of this permit.
Date
Signature of Appli a t — 0 ner Co rector ❑ Agent ❑
An OSHA permit is required fxcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories -In. height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES 109.
HAz
OFEES
IMP
FLOOD
CDF
PARCEL
PD
HDA ISrSUE
This permit is hereby issued under the appliaabl'e rovi-
sions of the Butte County Code and/or resolutions to do
hich fees have been paid.
work indicat F0rFw",UBL11C
D WORKS
By Date 7 -2-5 -?Z -
PERMI XPIRES Date 7 — Z 3-rf�
Receipt Na r-0
t'VNITE-D.P.W., YELLOW -ASSESSOR. PINK-INSPE 601DENROD-APP1ICAN1
Appl.icant
Copy of !-laz-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 rior 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 �one�naiI—counter by�date 3
Contractor, designer, er, was advised of above required data by—phone —mai I—counter by date
Plans checked by Date Plans approved by �� �"t 6L-11 30 . �i Date l3 5Z
4Ay �
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT, e `
T� IC�WOI�KS
QF.,;P,.,�JBL" -BUILDING DIVISION
'
OfV1
7 COUNTY CENTER DRIVE - _ ROVILLE, CALIFORA 95965- TELEPHONE: 916/538-7541
PERMIT APL �T;ION DATA SHEET
/ 6 Permit No. q r�
OWNER
A. P. No.
Proposed Building Use 1414Llding Inspector Date
At time of permit application, I- was advised the following data must be submitted prior to permit processing and/or issuance:
1.
DATE RECEIVED APPROVED
All itemshave 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.
Statement of Intent for Non -Heated and AC Buildings ..............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions .................................................... .
10.
Fees of $
11.
Chico Urban Area fees paid .......................................
12.
Park fees paid ................... ..........I.......................
G
_School -District fees paid ..............
Sanitation approval from Health Department `7—"Z-Z-�Zoii
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.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
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 ❑) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25:
Letter of signature authorization ...................................
26:
27.
When
you issue the permit, process as follows: Mail to owner. Mail to contractor.
_Telephone and hold for pickup at0,, office. Deliver w/inspector.
Other X73 _00-610 _ FaAVd4w
Appl.icant
Copy of !-laz-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 rior 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 �one�naiI—counter by�date 3
Contractor, designer, er, was advised of above required data by—phone —mai I—counter by date
Plans checked by Date Plans approved by �� �"t 6L-11 30 . �i Date l3 5Z
4Ay �
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive;'Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or. no)'.
2. I (have/have not) signed an application for a building permit
for the -proposed work.
3
I -have -contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired .the --following' person ---
to coordinate,•supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
:ed - :r erty Owner
Social Security Number -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code: - - . '. -- • - .
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING- T
//
BUILDING PERMIT
OWNER
Wv /LO� ;TELEPHONE,
44 ✓
'
SO.FT.
. OCC. BUILDING VALUATION49
OWNERS DRE n
`-1 67 l� �
CONTRACTOR'S NAME
ViVLJ—
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
15.00
Permit Fee
Plan Checking Fee
$ Z 6
$ G• GJ
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
/ � � /) y `
BUILDING ADDRESS 417 7 (D
/ (5-
Permit fee
$ S 7, SZ)
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.001 S C)D
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 sewer15.00(
Mobile Home S G W
015.00
TYPE OF WORK
Newt Addition❑ Remodeljp�- Utilities❑p Installation E] Other ❑
Describework: /UST%1/ / �/✓>�' Bfffi1 �,t/
S oa &4-ezz�A/. aip ��}/y{(��r
—�
Permit Fee
$ JcZ •�
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 2000V E
A OR LESS
18.501
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 .Jo. Classification
LJ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this'reason
Main service 20rATO1000A,
37.50
NEW CONST. ( DWELLING oCCUP.N)
OR ADDNS. ACC. SLOGS.
3.60sq.ft.
NEW CONSTR ULT' -OUTLET
NON -R ESI 0,% BRANCH CIRC 'ITS
@ 5.00POWER
APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
AO 76d
EX. Occup. OUTFIXELETS (RESI D.)APLREA.�
I .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. IYirin g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
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
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — .OwnerElContractor ❑ Agent ❑
An OSHAwork
over 5'0" deep and demolition or construct-
permit is required for height.
ion of structures over 3 stories in ei ht.
h
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAZ
DFEES
IMP
FLOOD
CDF
PARCEL
PO HO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 11,5825
WNtiT C-O.P.W.. YELLOW- ASSr SSOR, PINK-IN3P EC TOR, GOLDENROD -APPLICANT
Buildinc Department
C
FROM: Environmental Health 1''`
SUBJECT: Sanitation Clearance
l g2G`7 MSSR C
=51-fPqu),J IV? r-�l,(� rI ILL AP#
Owner Location
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for _\,,a oo ile home. Other �AME20C)44
. NOTE * * *
Date
Santtarian
I
a
7g
lines and a setback
�qRt . ar'll-m the,, the.
e Cleat of x
aqulYn�rifi apt ,s
for, 4Z % eave
LLJ
SO
;this set of pla;ns and specifications MUST
keon the job at all tirwrs and it is unlawful jo
t 6 1 i
------ withotit--
make any changes or aft—Orationsion some
lift -written permisson from the Dcphrtment of Public
\A/.orks, County of Butte. o
IX 0
Ij 01
4P r
0
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444,
V)
f BUTTE COUN't Y
3UILDING DEPARTMENT CA
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NOTE'Ail Materials &.
Accordance With Recd riWorkmanship Shall Be in
With
}.
of a qurulity rr_scr:�n,.! cd Geod Prac;scr.s ,
e. l
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Rui`�'i'`y° ►�lU`i! �it�(� Mechanical Codes and
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61° IAM-LIAM-L c _l O CI V
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'Top rail to be 36 in. high with
Intermediate rails. to be not
pver(oIn• apart.
c �+ P
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SCK
eU7Eta� �� C'OUNTY
OEPARTMENI
Provide adeguaie bracing..,
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EXi :PLyINN
Pte. T
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(--HoNT ELEVAT IOtJ /4 =
BUTTE COUNTY
dUIL.DINO DEPARTM&N I
APPROVED
SO NFAMU
5-.04-0
V:
V-1 CA iz A
OTZ
APPROVED
Butte County
Environmental Health
U
Dat d)
Signature
?,
on t
re
Q,
CLI
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. � --�x -L 9
COUNTY OR BUTTE
BUILDING DEPT
J U L 1 1 1992