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064-270-005
64-27-05 ROBER ASCH 13941 Clu Ct, MagAliA ;ermit�l12-8.,,,--,_ E,.M(new—sin le—fardl` ) _ _ �.64-27-05 , YPerm OS-86B,E(odd'1 sn ftg/1312 ' r 064-270-005 05- 1787 TANKERSLEY, STAN & LES 13941 CLUSTER CT, MAGA AE e Cont: OWNER INSTALL ELEC WTR HTR d Q642Z0�005 _ _06-2194 �" TANKERSLEY, STAN 13941 CLUSTER CT, MAGALIA Cont: GREENE ROOFING RE ROOF BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds . PERMIT NO. BP062194 LICENSED CONTRACTORS 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 Issued Date: 09/13/2006 APN: 064-270-005-000 the Business and Professions Code, and my license is in full force and effect.' License Class: �— License Number: Gs Site Address: 13941 CLUSTER CT MAG Date: !// Contractor. Covr �r.soY, t- ,' Map Index: Description: RE -ROOF (26 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for. the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: TANKERSLEY, STAN & LESLIE to its issuance, also requires the applicant for such permit to file a 13941 CLUSTER CT signed statement that he or she is licensed pursuant to the provisions of MAGALIA CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any (530) 873-1268 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: FOUR SEASONS ROOFING Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, #11 COMMERCE COURT provided that such improvements are not intended or offered for SUITE #1 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-895-0418 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project'(Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:.FOURsEASONS ROOFING not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). #11 COMMERCE COURT ❑ I am Exempt under Article 3 of the Business and Professions Code SUITE #1 95928 530-895-0418 Date: Owner: . License #: 659073 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for r workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: .❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: `>�����t,� Total Square Ft: 0 S. F. Policy #: 1-17097 Z, Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any in any manner so as to / person subject to the workers' compensation laws of California, L)become J , 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. Date: % G� Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permits hereby issued and . the applicable provisions of the Butte County CodR ?nrVor I hereby affirm that there is a construction lending agency for the Res lu o to do w rk indica d Bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) q Name: BY Date: -�- PERMIT EXPIRES Cl d: ") ff, Address: ON: (Gll Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all coGnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form of,ocument of Butte County. I hereby authorize represe—ntaattives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: /66 Date: ❑ Owner 0 Contractor 0 Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name ,+a irst Name s Address 3 r CGr City G ( Q StateG city City " Go Phone _ I Z 6� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name ' ^- O Address 1A Address (( Cole"- b City0, . C v city City " Go Phone 1 �f StateG� Zips Phones Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address 1A Address City0, . C v City Phone 1 �f State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name, w Property Addre s Address 1A G City0, . C v State�� Zip Phone 1 �f Fax E-mail Subdivision Name PP CANT SIGNATURE X For offie6 use only: Zoning Property Addre s Flood Zone Cross treet SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # PROJECT LOCATION AP# Property Addre s [CityI C11_e`,6_ Cross treet WORKER'S COMPENSATION Policy Number G� ,, 69j(F % Z Carrier jam. 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 Page 1 of 2 Description or Scope of Work: -tenc- O ' o& Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: • Amount: `t'� Bldg SRA Receipt #: Sheriff V tfVIM -r l�1t7� SMTP Date: q - is- 06 yy�� / Other `P ! Q . Total REV 8-12-05 ;r . -, f, SUBMITTAL & PERMIT REQUIREMENTS the following drawings and specifications must be submitted to the Building Division in order to applif6r-I permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature, authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. ' REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �.. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 PERMIT NO. RESIDENTIAL r 064-270-005 05-1787 TANKERSLEY, STAN & LESLIE 13941 CLUSTER CT, MAGALIA . I Cont: OWNER y 1 INSTALL ELEC WTR HTR I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date)�� Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 536-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BPO51787 LICENSED CONTRACTORS 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 Issued Date: 07/07/2005 APN: 064-270-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 13941 CLUSTER CT MAG Date: contractor: Map Index: Description: install elec h2o htr, misc wiring OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Cade: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: TANKERSLEY, STAN AND LESLIE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13941 CLUSTER CT the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: TANKERSLEY, STAN AND LESLIE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 13941 CLUSTER CT year of completion, the owner -builder will have the burden of MAGALIA, CA proving that he or she did not build or improve for the purpose of 95954 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). Contractor: ❑ 1 am Exempt under Article 3 pl4h,p Business and P of sionACode Date: 2— ?_ wner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 v` 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' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Date: / Applicant: U(7 nsation coverage is WARNING: Failure to secure workers' codiinal unlawful, and shall subject an employer to c penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor , code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issued er the pli a provisions of the Bntte County Cods ?nrVor 1 hereby affirm that there is a construction lending agency for the performance of the wark for which this permit is issued (Sec 3097 Civ.) Resolutions t do wort�lndl ed above for iq�t Ps h rhe been paid. //► Name: BY % Datate: 7 r--. ,U PERMIT EXPIRES 7 Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, r handling and use of hazardous materials. ❑` Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with ..all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp ses.. Print Name:4(�'� Signature: �^TA Date: v )q owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor J=OK 0 =Not OK = Not Applicable . =Not Readyeady 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-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L W P 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-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Fry-Bracing 5. Alum. n.; Columns -Connections -Splice -Decal -Enclosures 6. C orts; Windows -Doors Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof•, Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date mss' Card B-1 LA_� 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, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Appfiable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Ai -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfiftration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfiftration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: \ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP051787 LICENSED CONTRACTORS 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 Issued Date: 07/07/2005 APN: 064-270-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 13941 CLUSTER CT MAG Date: Contractor. Map Index: Description: install elec h2o htr, misC wiring OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a TANKERSLEY, STAN AND LESLIE permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13941 CLUSTER CT the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: TANKERSLEY, STAN AND LESLIE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 13941 CLUSTER CT sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of MAGALIA, CA proving that he or she did not build or improve for the purpose of 95954 sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 gMhe Business and ofe sions Code 2— ?owner: Date: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 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' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Date: ,-22 I Applicant: ` l WARNING: Failure to secure workers' co ensation coverage is unlawful, and shall subject an employer to c(iinal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor ' code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issueder the plic a provisions of the Butte County Codp enrUor I hereby affirm that there is a construction lending agency for the Resolutions t do coo ndi ed above for i e been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: ey: r-- 7 ' — T� Date: PERMIT EXPIRES Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure ses. Print Name: S�&LA :::7� kn-r!3�!4 Signature: Date: 7 —0'5 •Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND,SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last . ame First a e Addr ss0T — CiI 04 � 11 \ Sta� A— Zi 1S9 Ph 7 , Fax E-mail APPLICANT NAME CONTRACTOR Name Address 01 � Address StV— City Pho V I State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address 01 � Address StV— City Pho V I State Zip Phone Map Book Fax E-mail Planner State License Number i APPLICANT NAME Name PropertyAddress r i39q� Cis Address 01 � Cit , StV— Zip, s� �I Pho V I Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning PropertyAddress r i39q� Cis Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION APIV((5L/_2_7050 � PropertyAddress r i39q� Cis City Cross Street WORKER'S COMPENSATION Policy Number 'Carrier 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: Sq. Fo tage C_C�.5 t,c1,.�s' ❑ Structure Built without Permits w! ��N El Proposed Change of Occupancy &71X (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 2-24-05 Received b : Amount: Bldg SRA' Receipt #: j I u Sheriff 31 SMIP Other Date: xo� Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. _�. __ _ :� ❑ - $ ' > 5.'nc�o2chment°Pe�mit"for`driveway From tfie Public Works Dept. (construction approval prior to occupancy). JD - 4 6.: Contractgr's�l cense:information, (Nummber;�,Name Style, Classification). ❑ �7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 E OA ���� ��✓st �-;.i. { PERMIT NO. 1312-86B,P,E,M a e `�� >® PERMIT EXPIRES i '> Address GASCf Meter By. at L ELECTRIC - Meter By. ate K4L1L6 1 C Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature .� , -KE Y, S 1 rY. OWNER ROBERT DASCH II, CONTR. Owner ASSESSOR PARCEL 64=27-05 j�. LOCATION 13941 Closter Ct, Magelis 11- ? 7 6 OAICE COY l f tI Address GAS Date Meter By ELEC C� Meter D C • h: ..' 1 b OFFICE COPY Address GASCf Meter By. at L ELECTRIC - Meter By. ate K4L1L6 1 C Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature .� , -KE Y, J = OK' 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS l Date MOBILEHOME UTILITIES (Plans) OK except k'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.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ - /•-Amp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -Bl - Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements •r f Card -BI Date Date Card -BI Date ` POOLS (Plans) OK except it'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` B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip.-Pool,Lghtg. Boxes -Enc losures- Pane lboards- 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 -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B-1 Date - Card -BI Date Card -BI Date Card -BI Date t i a J = OK 0 j( Not OK v Not Applicable = blot Ready RESIDENTIAL (Single and Duplex) Date UNDERF R Plans OK exceptk:.s Date FRAMING Continued t,f'ogjag requirements -Se s�Facewem4s 4?. -_Property Line Firewall & Openings Main; Soils I- - / " Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ;3e-'Ftg., Garage; s -Sleet- / /" Ftg. Depth airs; t -Headroom-Rise-Run-Landing-Fire Protection 4.Xhg., Porches & Decks; soils -el- / /" Ftg. Depth 54eTlywood on Roof verhang-Attic Vents -Rafter Outriggers malls, Main; i in g r _ mwalls, Garage; &1eel-8 uts-Wsapped- .&S; --Stucco esh-Drip Screed-Fdn. Vents-Underflr. Access -�,-P' -Firms-6Feel lazing Area -Glass Protection -Skylights -Plastic LUE.W.Y Fal Fit est w /O-Sewer Nailing-Bolts CA rs , Z Zj 1 ter Pipe; T -Anchorsulator rvice T FawRd s & D ts; arance- terial ��j7Wrd�erm,-,%ilTst'gn-c-h J s-V-Cripp+es-- Card -BI L, Date Card -BI Date 7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card;Bl Dat - - Card -BI Date Date FINAL ans) OK except N's Car Dat%Card-BI Date rVa Date MB (Permit) 0 xcept #'h- teps-Door & Sidelight Protection -Landings Smoke Detector Clearance -Comb. Air -Connector- or-Ducts-Mech. Protection 1 ater Ht.; -Ac -Coion Air mbu -& ter Pipe; Test nchors-Nail Pron Test-Fttncis & Anchors -N ro ower Pan; Test, First Floor -Tub Access edryom Exiting .F. Bath Fixtures &Tub Access`s ..14D Testj,ub & Shower, 2nd Floor -Tub Access a "rim & Subpanel; Breaker Sizes -Labels 0 �-INGk,as Pipe: Size & Anchors ta' & Rails irepjace-or Stove; Clearances -Hearth - Card-B-I�- ` Date `2� Card -BI Date �i/%� (p 6d --t7" Outlets at Wood Panel; Int. & Ext. Kit. Fi . & A Grnd.-A' ooki ante Card -BI ' E4) Date %L Card -BI Date 0utlets & Receptacles at Kit. Counter Date EL TRICAL Permit OK except q's arage Fire Door; Swing -Landing Fixture &Transformer Clearance -Ins. Protection r. tr.; V nt ea&pca-Combmdif-Con cto-Pcg,,j(�- ��" In Garage; Above-Mech. Pfeteettan f —�e7. EI_. Receptacles Spacing -Lights itches at Doors 2 ize Boxes & No. of Conductors t Romex Installed Close to Edge of Studs & C.J. -� 7 Plb., Elec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage; (GALA-rF(onQ�c. a ion-FeE[nr-Looked in Attic Yes quip. Ground made up w/Mech. Fastener o a & er u 7 its & Deck Construction -Post Caps Vents - 2 Appliance Circuits in Kitchen &Conductor Size .-26!Subfeed Wire Size _/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 2—a/�/nge Circ. ga or AI -Oven Circ. / ( V/ ga.(Sgbr Al, I ulated Neutral _,164 ]No ��ySyesrvice-RiseR6emf6ctors & Gr -_Main onnect 7�- -SCJ _"_____ PI -Equip. Clearances: Panels-Motors-Mech. Equip. Pr-. Fdnn & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor �- 75&,�ok ing instld.: Drive es ❑ No: Walks ❑ Yes C.A1et' Planters ❑Yes T7 -No 7 rown-Finish mit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B I Card B -I -Q9!i�'rothes Closet light -Shower Light _ - - Date Card -Bl— Date 7�� Date�W; ; l�Srd-BI Date 761—Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 tsconnec , Electrical, Plumbing xteri Trim; G.F.I. Receptacle-UAdergceuad en�on.throughout House I Protection Date MECHANICAL (Perm' cept q's _ rrection om Prev' us Inspections Oji as eter agge s EI �i. r & Sewer Connected -C/O to Grade -HD Approval �j�(,/ 7�2 _ Card -BI Card -BI .C. Ducts Insulati pport - - _ ",'vent Fan: Exhaust a ove nsu anon CVQ. __ - ____ ____ _ _____ -e3�ondensate Drain &_Overflow: Size & Grade �a4--Furnace-Vent: Access -Comb. Air -Return Air Vent_ -_11.5V outlet _iS-Attic Access & Platform if Furnace in Attic Date Card -BI _ _Date _ _ DatCard-BI Date �%/�!�/_�j� Ener p /� gy Compliance Certificate -Other Certificates - Card -BI Date/f.� Card -BI Date Card -BI / Date �g/, �G,Card-BI Date Card -BI Da et C! T_— Card -BI Date Date MI s) OK except Comments at Final: :-/_, / tWSills, Proper Material &%n _ _ - Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bea'' g Walls over Girders &FNailing" raft Stop in Walls (rat proof) 4 re Stops. Furred CeilingsStairsh ub �� l 'd _�Ca €� /W,/") - - - 17 Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 4 Ing. Joist-R,tr. Ties-Purlin - Roof Brac.ru Sh&r -RN4C - Fir place Ties or Type A Flue- ' eplac Throat uic Access: Size & Ro r -Draft Stop -Ins. Baffles Z;/' Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing _ - _- -- (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS sf 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 Inspector ✓ /"'�7 Date�� • l COUNTY OF BUTTE / ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 G e�P`5, �- 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 011111111-6 CORRECTION NOTICE /754// /-7/z -'1r )WNER 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 torr tion of work is completed. If you have any question pertaining to this matte or, need additional explanation, please contact this office immediately. Oli��v /: 1VC✓ 0� A/5: t 1 /1 y.< 4-I. �fl Inspector_ _ _ _ Date_ i! _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 2- 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 / Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE '17i -1— 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 corre ion of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. 4- 7 //G .1 /7 d CC,//WC' e s Inspector-- - �—!�1 Date_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. t 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 m tter, or need additional explanation, please contact this office immediately. IF. 1m �" "i - Inspector_,_ Da COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �+ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspector_.,.. Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Oroville — Phone: 53411541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 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. Inspector_ Date Owner: ,�(� Permit Na. E N E R G Y C E R T I F I C A T I O N LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material " Thickness(inches) CEILING Batt or Blanket Type Thickness(inches Loose Fill Type _ Minimum ThicknesWnc es Area covered(ft. FLOOR, ELEVA39� Material Thickne_yss(inch7s)_— FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) 1� Brand Name �i,Z22' � ��'�=p� Thermal Resistance(R Value)�_J q Brand Name Thermal lies. tance(R Value) Brand Name Number of Bags_,eftj� Wt. per bag e�Plb. Thermal Resistance(R Value) le- 3© Brand Name �'�` i-✓ / -� -i' Thermal Resistance(R Value)rj�'_-,,V Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in ,5��fot}nance with the State Qf-.t'afifornia Energy Requirements. s Insulation Co . \ Inc . #378407 STATE CONTRACTORS LICENSE NO. SIGMA' t_L OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the_ Building Department approved plans'and attachments have been installed as . required by the State. of California Energy Requirements. All equipment, devices and materials are of the qu:1lity prescribed or are specifically approved by the State of California. Fmin= SIG RE OF GENERAL CONTRACTOR OWNER �. t3�...02 -- STATE CONTRACTOR'� LICENSB NO. (Ov (o 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. ja"uary 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. " 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING &4/ -.>7- ©5— BUILDING PERMIT OWN i 9evr DA Se -S0. TELE ON FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS w1f064AC 7W)k) 1/6?)QS goo to o0 CONTRACTOR'S NAME TELEPHONE 0p 0 ' & L—fJ�/'✓/ O CONTRACTOR'S MAILING ADDRESS Fireplace 0 CONSTRUCTION LENDER UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Op ARCHITECT OR ENGINEER (pJ4•wV) LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap kJ 2,00 (� D Solar or heat pump water heater 20.00 LOT NO. SUBDIY SION NAME PARCEL M —4 Water piping 5,00 S.oc� Each qas water heater or vent 5.00 S.QO USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 C, 49 Building sewer 5.00 ,Qa Mobile Home is G W 0.00 ea TYPE OF WORK New Addition❑ Re o el❑ Utilities In to lati �] Other ❑ Describe work: �5 t� �� _ Permit Fee $ (ry, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 S AMP OR LESS 10.00 p, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Dc OR ADDNS. ACC, BLDGS. , 1�20sgft _-3Z NEW CONST". U TI-OUTL T 2.50 ea NON•RESID BRANCH CRC" I (POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 2AL0eLe30ao EX. Occup. OUTLETS P(RESID )FIXED APLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin g 15.00 Permit Fee $ b_ 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 `� I--'�—Eertificate 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 FiIingFee 10.00 Heating 14EA4- of „®p Cooling ( -OC Hood 3,00 ,da Ventilation Qp OC� p ermit Fee $ c�•Oa 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, judgme ts, co s and ex enses which may in any way accrue against my ' s q nce a granting of this permit. ignature of Applicant — Owner ❑ Contract Agenr ❑ ion of structures over 3 stories in height. n OSHA permit is required for excavations over '0" deep and demolition or Construct- Mobile Home installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE OCCUP. CONST.TYPC I FLoo ARCE PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date gq���J CCc Receipt No. l7 0 J SSS y S 7D WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECT GOLDENROD -AP LICANT `. , .. ,.a. ,•vim.Rr'�.;.,'t. "'r,""'= :.ry vs 7; ..A Irel COUNTY OF BUTTE - DEPARTMENT.-aO.E._PUBLIC WORKS - BUILDING,DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,eC'A.L'IFO`RNIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET rf . a�0_t Permit No. ��ll A. P. No. Permit Fee Based Upon: Complete Contract Price DPW Valuation er ( Iain) Building Inspector DateIca At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED All items.have been submitted. . 2., Plot plans in lica riplicate. 3. Complete plans' in duplicate/triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of IntentjArJN0Hated and AC Buildings. Fees' of $ 69Letter of signature authorizat' n. . . . . . . . .- Sanitation approval from r C S( -Health Dept. . .�33 11. Planning approval for (A) Use: (B) Parking: 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. . . . . . . . . . l Pre-Inspec. request to (Dote) Pre -Inspection for Required. Building Inspector Record -4 Prura! Acknowledgment Statement . . Other t onstruction approval required io. t occupanc, 1� Whe you issue the permit, process as follows: Mail o owner. ail to c ntra or. f_t Telephone and hold for pickup at rA office. Deliver w/inspector. Other Applicant Date[7 (a ' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data 4bbebmitted prior to permit issuance: (For required items"not checked above p li '1)0 If ircle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW TO: Building, Deqirt.wei-)t From: -"':nvironmentz*A. Subject itation Clcara'ce C -7 - Location Plan Approved for: Hold fined for: - - 6 - 6 ,?, -? ,f, Vil I w"Iter rmp, . )I.Y -.upply Final clearance. O.K. for: supply Clearance for T". -OT-"!; *-X..x. TO: Building Department FROM: Driveway Permit Section RE: Driveway Clearance owner location AP# Driveway permit �� Yp — number 1,97xl�"d " - - signature has been issued for the above property. date Li It'• ':, ,r This set of plans ana specificry+tons WST be kept on .the job a#all }irr+�c r, '• ; t is ,unlawful to make any chnn(WsIrw alterations on some wt+hout 180'written permission from the Denar+me^t of Public Works, County of Butte.; NOTE:—All Materials & Workmanship Shall Be to Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and 160' ` the National Electrical Code. A setback of 5 ft. from the 140, property lines and a setback of 50ft. from the road 10 centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. See Master Plan on life for Eiuildin-. Ions. k 0&40,7- E)ASC44. -120' ----------•----�---__�-- __--._._ . ��e• r ,a r � 100' ° s U Ila r 3 © �.t; f �4 80• $ 1 ��t•. N,r SF uoT of 60' 10 IF 40' . V �• – BUTI E COUNTY r BUILDINE.73 DEPARTMENT 20' AP 20' .40' , : 60' 80' 100' 120' 140' 161 R joi t. ;%I r 13A? moll ji il i :,V6�j ft Y I j IC".1, -D 17 V 0 1 c E FORM ' RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY r Owner�w ©Al2r p �/�'c$�'� Climate Zone Permit No. 13 Flood Area 3 M'•:.. Compliance path: Package ❑ A ❑ B ❑ C ® Po int_ System ❑ Budget M Other /�/�o� MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/CeilingO ® Wall Q r ❑ Slab Floor Perimeter ® Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ - (F) Air-to-air heat exchanger (3) GLAZING• (A) Location Area Glazing %Floor Area Single Double Triple ® Total Bldg ® North- East ® South ® West ❑ Skylights ---- -- (B) Shading Shading Coefficient Description Q East ® South _ West , 3 t -f_4 ' Sw&4�cS' ❑ Skylights ------- —M M (C) South Overhang Length of projection ft. Description ❑ (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. HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.z HC= R= MC= Location 7/83 E FORM 1 �. (4) MASONRY -AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a 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) . 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 Lt�Doi) 5Mc4U (describe) *1 (B) Cooling ❑. Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump .75 EER Btu/hr (cooling 'capacity at 95°F) ❑ Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on it,s 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 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 0 (6) DOMESTIC WATER SYSTEM (A) Gas Only FORK Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ® * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (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 T2O-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(g), and'fill out the following: Heating: Winter design temperature01 7 °, elevation 7,200 ', heating load o=ff• BTU elevation factor 1.02 x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (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 AdministratbDn Co C� 7/83 SIG ATl7RE OF BUILDING DESIGNER OR APPLICANT 3 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I I I I I 22 1 -2 i I .10 - I +A- I 49 i +4 Table 3-4a. Wall Insulation Points R -Value of Insulation I Points I =L 19 I 0 24 ! +2 30 I +3 Table 3-5. North-Facin Glazing Pts T - - -�'T I I Glazing Type ! I Total I I Z of ST , Dbl, irp1,1 I Floor I U- I u- i u- I I Azea 10.66 1 0.42- 1 0.41 1 I 11.10 1 0.65 1 dorm I o 1 a4 1 +4 1 +O 1 0.1- 1.2 1 +4 ! +4 ! +4 I 1 1.3- 2.3 1 +1 I Tr I +2 I 1 2.4- 3.6 1 -2 I 0 1 +1 I 1 3.7- 4.8 1 -4 ! -2 I -1 I 1 4.9- 6.1 1 -7 1 -4 I -3 I 1 6.2- 7.3 1 -9 1 -6 I -5 I 1 7.4- 8.2 1 -12 1 -8 1 -7 1 1 8.3- 9.7 1- -14 I -10 1 -8 I 9.8-10.8 1 -17 1 -12 I -10 I 1 10.9-12.0 1 -19 1 -14 I -12 I 112.1-13.2 1 -22 1 -16 I -13 1 ( 13.3-14.5 1- -24 1 -13 I -15 I ! 14.6-15.3 1 -27 1 -20 I -17 I I I I V I I f -t TOTAL POINTS = Table 3-6. East -Ficin eta:f�PcsT -able .3-1. Slab Floor Points I Tn=•ila- I R -VT alue of Insuls n I, I tiun I I I Derth, -� I Inches I 0-2 13- !.5-6 1 7+,j I I I I I I 0- 11 15 ZONE 11 I -5 1 12 - 1 -5 � OWNER 1CJD/T - O POINTS 16 - 9 I -5 PERMIT NO. I -1 ASSIGNED ACTUAL 1. SLAB - INSULATION I +1 I I i I .37-.66 ( Z -of - A VI Table 3-2. Raised Floor Points I Floor I (U - 1 (U - 1 2. RAISED FLOOR - R-19 y� I Area 3. CEILING - R-30 1 R -Value of 2 3o q&- 4. WALL - R-19 I Insulation Q I =2 5. NORTH GLAZING - 2.4-3.6a _lam_ +14 6. EAST GLAZING - 2.5-3.6! y.6 - 7► 7. SOUTH GLAZING - 1.6-3.6% I -12 t3 S. FTEST GLAZING - 2.9-3.6% GB a_ . I I 3.7- 4.6 9. SKYLIGHT - 0-1.37 I -6 I 1 4.7- 5.6 10. SHADING (Exclude Overhang) 1 8- 12 I -4' I I 5.7- 6.7 EAST - .66 . (s (p 15L i 1 6.8- 7.7 SOUTH - .19-.42 -1&- &-WEST I 0 I I 1.8- 8.7 WEST - 13-.36 ,34 -4to-_ I I 8.8- 9.1 .SKYLIGHT - .37-.57 �"- 11. HORIZONTAL SOUTH OVERHANG 2' of t 'C- 12. MOVABLE INSULATION - NONE -15 I 13'. INFILTRATION (Standard=0)(Tight=+12) I -23 I -21 I -18 .I 14. THERMAL MASS SF' I -32 1 -24 I -20 I 15-. GAS FURNACE (SE) 71-76% 16. HEAT PUI1P (EER) •.-7.5-7.9%- 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% �� V WOOD STOVE Gni S WATER :HEATER � ATTIC OTHER Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I I I I I 22 1 -2 i I .10 - I +A- I 49 i +4 Table 3-4a. Wall Insulation Points R -Value of Insulation I Points I =L 19 I 0 24 ! +2 30 I +3 Table 3-5. North-Facin Glazing Pts T - - -�'T I I Glazing Type ! I Total I I Z of ST , Dbl, irp1,1 I Floor I U- I u- i u- I I Azea 10.66 1 0.42- 1 0.41 1 I 11.10 1 0.65 1 dorm I o 1 a4 1 +4 1 +O 1 0.1- 1.2 1 +4 ! +4 ! +4 I 1 1.3- 2.3 1 +1 I Tr I +2 I 1 2.4- 3.6 1 -2 I 0 1 +1 I 1 3.7- 4.8 1 -4 ! -2 I -1 I 1 4.9- 6.1 1 -7 1 -4 I -3 I 1 6.2- 7.3 1 -9 1 -6 I -5 I 1 7.4- 8.2 1 -12 1 -8 1 -7 1 1 8.3- 9.7 1- -14 I -10 1 -8 I 9.8-10.8 1 -17 1 -12 I -10 I 1 10.9-12.0 1 -19 1 -14 I -12 I 112.1-13.2 1 -22 1 -16 I -13 1 ( 13.3-14.5 1- -24 1 -13 I -15 I ! 14.6-15.3 1 -27 1 -20 I -17 I I I I V I I f -t TOTAL POINTS = Table 3-6. East -Ficin eta:f�PcsT -able .3-1. Slab Floor Points I Tn=•ila- I R -VT alue of Insuls n I, I tiun I I I Derth, -� I Inches I 0-2 13- !.5-6 1 7+,j I I I I I I 0- 11 15 1 -5 1 -5 ' I -5 1 12 - 1 -5 I -3 I -2 I -1 1 16 - 9 I -5 I -2 I -1 10 1 0+ I -s I I -1 I I D I I +1 I I i 7/7/83 f Table 3-7. South -Facing Glazing Pts Table 3-10. Shading Coefficient Points T- I Glazing Type 1 I Total I ! I Z of I Sngl, I Dbl, Tr pi, I Floor I (U - I (u - I (U - I I Area 1 1.10) ! 0.65) 1 0.41)1 I I oints I dintsI ointsl 0 +s +3 +g I up -T -o 1.5 1 +2 I ;r I +2 I 1 1.6- 3.6 1 -1 I 0 I 0 1 1 3.7•- 5.2 1 -4 I -2 I -2 •I 1 5.3- 6.5 1 -6 I -4 I -3 i 1 6.6- 7.7 1 -9 I -6 1 -5 I I 7.8-_.L9 1 -11I& 1 -7 I 1 9.0-1 1 -13 I- 0 •! -9 I 110.1-11.5 1 -17 1 -13 i -11 I 111.6-13.0 1 -21 1 =16 I -14 I 113.1-14.5 1 -25 1 -19 I -16 I 114.6-16.0 I -23 1 -22 1 -19 I I I I I Table 3-8. West -Facing Clazin Pts. I I Glazing Type I I Total I Z of I Sngl, I Dbl, I Trpl,l I Floor I (U - I (u - I (u - I I Area 11.10) 10.65) 10.41)1 I I dints I dints I ointsI o +6 +6 +6 I up to 1.3 I +5 1 +6 I +6 1 I 1.4- 2.2 I +3 1 +4 ! +5 1 1 2.1- 2.8 I 0 1 +21 +3 1 1 2.9- 3.6 I -3 1 0 1 +1 i 1 3.7- 4.2 I -5 I -2 i 0 1 1 4.3- 5.0 I -8 I -4 I -2. ! I 5.1- 5.6 1 -10 I -6 ! -4 5.7- 6.2 I -13 I -8 I -6 I I 6.3- 6.9 1 -15 I -10 I -7 I I 7.0-'7.6 1 -18 1 -12 1 -9 I I 7.1- 8.2 1•-2J 1 -14 I -11 I I 8.3- 8.8 1 -22 1 -16 ( -13 I ( 8.9- 9.5 1 -25 I -18 I -15 I 9.6-13 1 1 -27 j 2 l -16 I 110:2-11.0 1 -29 I -23 1 -17 I 111.1-11.8 1 -35 I -26 1 -21 I 111.9-12.7 I -33 1 -29 1-24' I 112.8-13.5 I -42 I -32 1 -27 I i 13.5-14.3 I -46 I -35 I -29 I ( 14.4-15.2 I -50 I -33 I -32 I T --- I SC by I I Orten- ! : Floor Area tation I East I I 3.2�_ I Glazing Type I 6.3 Total I I .20-.36 1 0 I 0 I ♦1 I .37-.66 ( Z -of I Sngl, I Dbl, I Trpl, Table 3-2. Raised Floor Points I Floor I (U - 1 (U - 1 (U - I T I to I to. I' to I to I up I Area 1 1.10) 1 0.65).1 0.41)1 1 R -Value of I I P !nts!points I ointsl I Insulation I Points I I o I+ + •� I I I I up to 1.3 I +3 1 +4 1 +4 I .13-.36 I 0 1 0 10 1 0 1 o I 1.4- 2.4 I +1 1 +2 1 +2 1 ( below 3 I -12 I 1 2.5- 3.6 I -2 1 0 1 0 1 I 3- 4 I -8 I I 3.7- 4.6 I -5 1 - -2 I -1 I I 5- 7 I -6 I 1 4.7- 5.6 1 -8 1 --T i -3 I 1 8- 12 I -4' I I 5.7- 6.7 I -10 1 -6 I -5 I I 13 - 18 I T2 i 1 6.8- 7.7 I -13 1 -8 I -7 i I •19+ I 0 I I 1.8- 8.7 1 -15 1 -10 I -8 I i 1 I I 8.8- 9.1 I -1.7 1 -12 1 -10 I I 9.8-11.2 I -21 1 -15 1 -13 ! 1 11.3-12.7 i -25 1 -18 •1 -15 I 12.8-14.0 I -23 I -21 I -18 .I 14.1-15.3 I -32 1 -24 I -20 I Table 3-7. South -Facing Glazing Pts Table 3-10. Shading Coefficient Points T- I Glazing Type 1 I Total I ! I Z of I Sngl, I Dbl, Tr pi, I Floor I (U - I (u - I (U - I I Area 1 1.10) ! 0.65) 1 0.41)1 I I oints I dintsI ointsl 0 +s +3 +g I up -T -o 1.5 1 +2 I ;r I +2 I 1 1.6- 3.6 1 -1 I 0 I 0 1 1 3.7•- 5.2 1 -4 I -2 I -2 •I 1 5.3- 6.5 1 -6 I -4 I -3 i 1 6.6- 7.7 1 -9 I -6 1 -5 I I 7.8-_.L9 1 -11I& 1 -7 I 1 9.0-1 1 -13 I- 0 •! -9 I 110.1-11.5 1 -17 1 -13 i -11 I 111.6-13.0 1 -21 1 =16 I -14 I 113.1-14.5 1 -25 1 -19 I -16 I 114.6-16.0 I -23 1 -22 1 -19 I I I I I Table 3-8. West -Facing Clazin Pts. I I Glazing Type I I Total I Z of I Sngl, I Dbl, I Trpl,l I Floor I (U - I (u - I (u - I I Area 11.10) 10.65) 10.41)1 I I dints I dints I ointsI o +6 +6 +6 I up to 1.3 I +5 1 +6 I +6 1 I 1.4- 2.2 I +3 1 +4 ! +5 1 1 2.1- 2.8 I 0 1 +21 +3 1 1 2.9- 3.6 I -3 1 0 1 +1 i 1 3.7- 4.2 I -5 I -2 i 0 1 1 4.3- 5.0 I -8 I -4 I -2. ! I 5.1- 5.6 1 -10 I -6 ! -4 5.7- 6.2 I -13 I -8 I -6 I I 6.3- 6.9 1 -15 I -10 I -7 I I 7.0-'7.6 1 -18 1 -12 1 -9 I I 7.1- 8.2 1•-2J 1 -14 I -11 I I 8.3- 8.8 1 -22 1 -16 ( -13 I ( 8.9- 9.5 1 -25 I -18 I -15 I 9.6-13 1 1 -27 j 2 l -16 I 110:2-11.0 1 -29 I -23 1 -17 I 111.1-11.8 1 -35 I -26 1 -21 I 111.9-12.7 I -33 1 -29 1-24' I 112.8-13.5 I -42 I -32 1 -27 I i 13.5-14.3 I -46 I -35 I -29 I ( 14.4-15.2 I -50 I -33 I -32 I T --- I SC by I I Orten- ! : Floor Area tation I East I I 3.2�_ I 10-3.1 I to 16.4 up 6.3 ( 0 -.19 1 0 i +1 ( +2 I .20-.36 1 0 I 0 I ♦1 I .37-.66 1 0 1 0 I 0 I .67-.82 1 0 1 0 I -1 j .83 up i 0 i -1 i -2 I South ! 0 1 3.2 1 6.4 18.0 19.6 I I to I to. I' to I to I up 1 3.1 16.3 17.9 19.5 I I 0 -.18 1 0 I +1 I +2 1 +2 I +3 I .19-.42 I a-1 0 1 0 1 0 1 0 I .43-.66 10 I -1 I -2 I T2 -3 I .67 up ,I 1 0 1 -2 I -4 I -4 1 -6 West I .1 1 1.6 1 3.2 i 6.4 19.0 I to I to I to i to I up 11.5 13.1 16.3 1 7.9 I I I 1 I I 0-.12 I 0 1 +1 I +3 ! 46 I +7 .13-.36 I 0 1 0 10 1 0 1 o .37-.57 I 0 1 -1 1 -3 I -6 I -7 .58-.82 I -1 I -3 I -6 1 -12 I -15 .83 up I -2 I -4 ! -8 I -16 I -•70 Skylight i 1 .1I 8 11.6 13.2 0 Ito Ito Ito I Ito Is l 3 3.9 1 5.2 0-.12� 1 0 I +3 I +6 I +7 .13-.36 I 1 0 1 0 1 0 1 0 37-.57 0 1 -1 1 -3 I -6 I 52 1 -1 1.-3 1 -6 I -12 I -. 3 up 1 -2 I -4 I -8 I -16 1 -20 I I I i I ( I I I I Table 3-11. Horizontal South Overhand. Points Table 3-9. Skylipht Points I South Glazing T- TI Length Out I Area, Z of Floor I I Glazing Type I 1 from Wall ( ! I: Total I I I ft T -- Z of T Sngl, I Dbl, I Trpi, 1 1 0-6.3 I 6.4 up I ! Floor I U - I U- /I 0- I I I I I I Area 10.66- 1 0.42 10.41 ! 0 - 0.5 -2 - I 11.10 10. I down I 10.6 - 1.0 I -1 '1 -3 I 11.1 - 1.9 I -1 I -2 I I up to 1.3 III1I 0 0 I I .2.0 up I 0i 0 1.4- 2.2 -2 -1 2.3- 2.8-4 -3 1 Table 3-12. Movable Insulation 2.9- 3.6 -6 -5 1 Points 3.7- 4.2 -8 -6 1 4.3- 5.0-14/110 II 1 -8 1 1 Moveable Insulation'l I 5.1- 5.6 IIi s67I -161 i -12 1 -10 I I Area, Z of Floor I Points ;:/6/ -2t9 -14 I -12.3 -16 I -13 7.0 II '`••-.. . 7.6 I -24 1 -13 I -15 I I 0- 5.5 0 ! I 7- 8.2 I -26 1 -20 I -17 i I 5.6 - 11.5 I +2 I' I � 3- 8.8 1 -28 1 -22 I -19 I I 11.6 - 17 I +4 I.9- 9.5 I -31 1 -24 I -21 I I 17.6 3.5 I +6 1 9.6-10.1 I -33 1 -26 1 -22 I I _23.6+ I +8 ! f--�--- - -- J-- r i Table 3-13. Infiltration Control Fer.t_,res Points I Comtrol Features I Points 1 1-- I I I Standard 1 0 I ! I -1.9 air changes per hr I I I, T -- I Tight I +12 I I I I 1 0.6 air changes per hr I I I I I Table 3-15. Cas Furnace Without Refrigeration Ccol_r.q Points I Seasonal Efficiency I Points I I (5E), z I I 1,500 I 71 - 76 0 1 I 77 - 82 I +2 I I 83 - I +4 I I - 9. I +6 . 1 I 95 up I I I +8 1 I Table 3-16. Neat Pumo Potnts T 1,500 1 Energy Efficiency 2,000 I Points I I Ratio (EER) I I 1 - 7.9 I i S.0 I 9.0 - 8.3 I I I 8.4 - 8.7 I +9 I 1 8.8 - 9.1 I +12 I I 9.2 - 9.4 I +15 1 I 9.7 - 10.2 I +18 I I 1013 - 10.8 I +21 1 I 10.9 - 11.5 I +24 I I 51.6 - 12.3 I +27 I I 12.4 - I 13.2 I +30 1 I I Table 3-17. Cas Furnace With Re[�riverration Cooling Points I_ IRefrigeraclod Gas F nate I I Cooling I S I I1- 7 183- 89- 95 I 1 761 21 881 941 uo I 1 8.0 - 8.3 01 +21 +41 +61 +8 1 1 8.4 - e I +21 +41 +61 +31+10 1 I I.8 - .2 1 .41 +61 +81+101+12 1 I 9.' - 9.7 1 +61 +81+101+121+14 1 I 8 - 10.3 1 +31+•101+121+141+16 1 1 0.4 - 10.9 1+101+L2i+1:1+165+18 I 1 11.0 - 11.6 1+121+1<1+1614.181+20 I 7/7/83 TABLE 3-14 (ADAPTED) MASS DWELLING ARFA SQUARE FOOT ZONE 11 INTERIOR THERMAL MASS POINTS AREA 1,000 I 7 - 14 I +2 i 1,500 1 I 24 - 30 I 2,000 I 31 - I +8 I 2,500 : +10 I I 3,000 I 56 - 63 I +14 I 3,500 +18 i { 4,000 I 4,500 5_,000� 1 Sn. FT. 1 A B C D A 8 C D A 6 C 0 A B C D A B _C D A 8 C' 0 . A B C 0 A b C G :� B +6 +8 +10 +12 +14 1,500-1,999 0 +1 t3 +4 +6 +7 +8 +10 FO t 0 +l +2 1 +4 1 +5 +6 +7 +9 All others (per buil-di paints) 0 0 +5 +4 +10 +S +14 +13 +19� +17 +24 +il +29 � +34 +26 +30 1,000-•1,199 0 +4 E0 2 2 2 2 2 2 2 0 I 2 2 2 o 1,500-1.999 0 0 0 0 0 0 -; 0 0, 00 +2 +3 0 0 00 o c o c 0 0 G I 0 100. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 0 2 2 0 0 2 2 0 0 2 2 0 nl 0 0 0 0 150 6 6 6 4 t 4 1 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2" 2 2 2 2 2 0 2 ? 2 OI 2 2 2 0 1 200 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 2 250 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 I 2 2 2 2 I 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2' 2. 7 2 i 350 14'14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 1 4 2 7I 2 2 2 2 400 14 14 12 8 In 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2( 3 4 2 2 Sol 18 18 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 x 6 4 6 6 6 2 6 5 4 11 4 4 4 2 4 4 4 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 5 4 2 16 6 4 2' 700 24 24 20 14 18 16 1 I 10 14 14 12 9 10 10 10 6 10 10 8 6 8 8 4 4 8 6. 6 4 I 6 6 6 41 6 6 97 ! , 230 ?6 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 8 8 4 2 6 6 4 I 8 6 6 4I 6 5 v 500 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 Is B '8 4 8 B 5 4 i E B 6 t i I, oc'o 30 30 25 18 ?2 I 20 20 14 10 18 16 10 14 14 12 8 12 12 10 6 12 10 10 60 10 8 6 8 8 0 4 j n 8 E 4).,DU .1? 37. 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 114 14 12 8 12 12 l0 6 10 10 10 6 110 10 8 CI !J 2 f , 1 , 200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 8 1,12 12 10 6 10 1 0 8 6 110 10 8 6 1.100 34 34 32 22 28 26 24 16 22 22 20 12 18 19 lE 10 10 14 14 8 14 12 _12 12 8 12 12 lv 6 112 10 10 LI 10 :0 f. 6 1,400 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 I2 I? IG C. In 10 13 '. 1,500 136 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 ,16 14 8 14 14 12 9 17 12 10 /.I ;2 lZ 1; I u ! 2,000 34 34 72 22 JO 30 26 18 26 26 2T 16 22 22 20 14 20 Z0 18 12 18 18 16 10 1G lE i4 f,I 11 11 1_> E I 2,500 I 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 2?• 14 22 22 i3 :2 20 i 20 18 ! ! In It J.000 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 22 20 It .3 12 i 3,500 32 32 30 20 30 30 26 ld 2d 28 24 122 16 26 14 yt li i +4 ;4 1,0 X14 4.000 I 32 32 30 20 130 30 26 18 79 215 Z4 if :5 2b 21 1F 4,500 132 32 28 20 130 30 26 1C j ib n ?4 ;6 ; .5_00 _ - - ---- -- 1I32 L - 17 - 2i 20 j 13 . u 76 .1 A) 1. 3'1" Concrete Slab: HC*8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Common Brick: IIC=7.125; R-.13; Factor -1.3 8) 1. Sk" Concrete Slab: HC -14.106; P-.458; F4ctor-7.1 C) 1. S" Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 2. B` Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal,Hass Area: IIC=10.164; R -.96o; Factor -6.1 0) 1" Thick Concrete/Ti.le: HC -2.55; R-.083; Factor�-3.7 Table 3-19. Zonally Controlled Electric Rest5tance Space Heating Points I Points for this measure will I I be completed after the CEC I I has approved an Alternative 1 Component Package for Resistance 'I I neat. Table 3-19. Active Solar Spnee - Heatlne with Cas P ants Net Solar FractionI ants I (NSF), Z I I I 0-6 I 0 t I 7 - 14 I +2 i I 15 - 23 I +4 I I 24 - 30 I +6 i I 31 - I +8 I I 40 47 I : +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I I 64 - 71 I +18 i I 72 up I +20 I Table 3-20. Solar Hater Heatln7 With Can park:- pa4-t. tA.Cb wood stove /b33 -points'() Casablanca fan + 1 point Hultifamil (per unit oints) I Cas Only I 0 i I Beat P,rmp I I Floor Area 1 I Solar with Electric I I i Net Solar Fraction (NSF), Z I per untc, I I mencs In Part 2 I I I 0 i I I Elrccrtc Resistance I I or. i -40 1 fc2. 0.9 10-19 20•-29 30-39 r0- 50-59 60-69 70-79 , 600-799 0 +3 +7+14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +-2 + +6 +8 +10 +12 +14 1,500-1,999 0 +1 t3 +4 +6 +7 +8 +10 2 090 and up t 0 +l +2 1 +4 1 +5 +6 +7 +9 All others (per buil-di paints) 8U0-899 900-999 0 +5 +4 +10 +S +14 +13 +19� +17 +24 +il +29 � +34 +26 +30 1,000-•1,199 0 +4 •1.7 +11 +15 4.19 +22 +26 1,20r,-1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1.999 0 +2 +5 +7 1 +9 +12 +14 +t@ 2,000-2,9:9 +2 +3 +5 +7 +8� +10 +11 3,(Y,03,•0 O;.d tin0 -0 +1 +3 +3 +5 +7 +9 +10 Table 3-21. Other Water Hearing Pts. T-- I I I System Type I i I Points I I I Cas Only I 0 i I Beat P,rmp I I 0 1 I Solar with Electric I I i I Re+!stance Backup I I I Meeting the Require- I I I mencs In Part 2 I I I 0 i I I Elrccrtc Resistance I I or. i -40 1 '86-16745 :9ECORDEQ IN OFF ICIAL.RECORD � diF BUTTE COUNTY. CALIFORNIA -AT THE REQUEST OF OROVILLE TITLE CO. 1986 MAY 29 AN 10 05 ELEANOR KIECO'..- Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMMRK=RECORDER• FEE FOR RESIDENTIAL DEVELOPMENT 86-16745 Section 26-8.1 of the Butte County Code requires this acknowledgement be _recorded prior to issuance of a building permit. gage® 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 inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying', pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All.that real property situate in the County of Butte, State of California, described as follows: Lot 81, as shown on that vertain Map entitled, "PARADISE PINES UNIT 15", which Map was recorded in the office of the Recorder of the County of Butte, State of California on July 15, 1971 in Book 38 of Maps, at pages 42, 43 and 44. Date: PROPERTY OWNERS: State of CA ) - On this the 21st day of May , 1986 , before SS. me, the undersigned Notary Public, personally appeared County of .Butte ) Cheryl A. Dasch ----------------------------------------- i. /X/ Personally known to me. / / Proved to meron`the;Basis of satisfactory ev-°idence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that she, �- executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. o 5 Nota Public Present A.P. No. QVIVIAN H. CLEVELANDNOTARY PUBLIC-CALIFORNIAButte CountyMy Commission Expires March 22,1989ND OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �QD ` ASS S R PACE N�j�1BER S ZONI j BUILDING PERMIT OWNPR s TE� PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AI ING A DR SS 1 In CON ACTO 'S NAM TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONSTR CTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _ Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHIT CT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 16 Solar or heat pump water heater 0.00 2agal LOT NO. SUBDIVISION NAME ARCEL M P Water piping 5.00 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 S G W 0.00 ea TYPE OF WORK New ❑ Addition [ R de; U ' flies9—Installati ❑ Other ❑ Describe work: l� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service ADO'L 100 AMP 2.50 CONTRACTORS LICENSE.LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full orce and effect. License No.�b� Classification ❑ I, as the owner, or my employees with wages as t eir 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason //EA. oR ADDNST l OWE LI DGS.CC '/z¢sgit NEW CONSTR ULTI.OUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea (POWER /POWER APPARATUS &) / OUTLET CIR. Ex. Occup�OUTLETS OR FIXTURES 20®SOC SAL® 30 Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 15.00 g Permit Fee $ L Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement', should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee ' 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that .I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains Id 7QnWn consequence of the granting of this permit. X Date Signature of Applicant – Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IREC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ /� occUP. CONST.T7 I IFLOOOIPARCELI PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or d above for which PUB B waMitEXPIRES PDate the applicable provi- resolutions to do f have been paid. ORKS Date Z, -I Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTME 7 County Center Drive, Orov-. R.C. Dasch 28465 Whipporwill Circle Shingletown, CA 96088 With reference to the above subject: IXX Attached is: IC ;CORKS 6A 95965 PHONE: 916-534-4541 DATE August 11, 1986 RE: Permits #1312-86 & 1313-86 (Master Plan #26-82) A.P. # 64-53-22 6-64-27-05 X 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 acknowledgument statement. LXXX OTHER Please fill in licence information, workmans comp. insurnace and sign and date the two enclosed permits for 56 additional square feet for permits #1312-86 $k 1313-86. Should you have any questions.concerning the above, please contact this office. JFG/aj TJ Yours very truly, William Cheff Director of Public Works .F. Glander /Chief Building Inspector