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Home My WebLink About064-340-02564-34-25 DON & BECKY BARNES 14165 Elmira Circle Dr, lot , PP, Mag, Contr: Solar Design Homes 3�13�g ermit#3186-84B,P,E,M(new single family' 064-34-0-0'2.5 92=005 BARNES, DONALD CONTR OWNER 14165 -EL M I RA CIRCLE., 'MAGAL I A 'CONV 'CARP -ORT, TO .GARAGE,,-,---� �? 064-34-0-025 " BARNES , DONALD *93-359,: 14,165 ELMIRA CR ,- MAGALIA Jilin rST RENEWA 064-3-40-025 94=0373E BARNES,- DONALD 14165 EL MIR9_CIRCLE �MAGALIA, ELE FOR GARAGE .064-340-025.- :,94-0374B .-BARNES.,, DONALD 14165 EI .MIRA' CIRCL` , ' MAGALIA 2DN RENEWAL :BP#92-0.053. 064-340=025 PERMIT#95-02100 BARNES, Donald 14165 E1 Mira Circle, Magalia' 3'rd Renewal of BP#92-0053— 064-340-025 04-1911 BARNES, DONALD. 14165 ELMIRA CIR, MAGALIA. Cont: GOELZ BROS ROOFING REROOF/SF a / r o I i:.;� 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.buhecounty.net\dds PERMIT NO. BP041911 LICENSED CONTRACTORS DECLARATION 1 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: 06/29/2004 APN • 064-340-025-000 ' the Business and Professions Code, and my license is in full force and effect. C- �i Q I 0Site License Class: LiceNumber: Address: 14165 ELMIRA CIR MAG D`I Date: Z4 Contractor. Map Index: Description: re -roof (20 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: BARNES DONALD L* ETAL to its issuance, also requires the applicant for such permit to file a KREMER DIANE S signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 14165 ELMIRA CIR 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA 95954-9409 she is exempt therefrom and the basis for the alleged exemption. Any 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 town Applicant: BARNES DONALD L* ETAL owner of property who builds or improves thereon, and who does 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 year of completion, the owner -builder will have the burden of 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 not apply to an owner of property who builds or improves thereon, Contractor-� GOELZ BROS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 14 LESLIE LANE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, .CA 95966 530-534-0797 Date: owner: License #: 805830 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 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. I have and will maintain workers' compensation insurance, as Engineer: 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: Total Square Ft: 0 S. F. #: Valuation: $0.00 1Policy I certify that in the performance of the work for which this.permit is Census Code: JJJJ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 6 ZF O Date: 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 s ed` for in Section 3706 of the Labor 's fees. code, interest, and attorney's fees CONSTRUCTION LENDING AGENCY is re y' s d nd r thea plicable provisions of the Butte County Coda an or Thpst I hereby affirm that there is a construction lending agency for the Res t do e r is fe h e been paid. /_performance of the work for which this permit is issued (Sec 3097 Civ.)(/(//JName: g& ByDate. PERMIT EXPIRES ON Address: 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 & 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 purpo se ( 1 Z `i ` 0-c Print Name: /T �� "t 1 Signature: Date: � IZ9 fD L( ❑ Owner 1tYContractor ❑ 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 REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name frnCS City or � I1' � irst ame o Address 6 S ( int t y CNC j City Q t Fax State. Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name Q e 'Z Oro;, dd r O Address %c� L City or � I1' � City O c II Stat Zip 5T�?6 Phone _S_3'-(-077 5 ? Fax E-mail Lic. # 583,0 Clas 1 C-� APPLICANT NAME ARCHITECT/ENGINEER Name City or � I1' � Address Zp 95ri 6 � City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name GPQ Z Address City or � I1' � Statevv Zp 95ri 6 � Phone �3 L( p 7 g Fax E-mail APPLICANT SIG URE For office use only: Zoning AP# ok 4/ Flood Zone I I SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. B60V / BIN # Descripti oorr Scomkof Work: Sq. Footage Z D 0,0 ❑ 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 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. e i/rvi'ed by: LOCATION AP# ok 4/ --,146 -6� 5— Property Address / y W S C- rte' C City /yrs �1 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 q / Address Descripti oorr Scomkof Work: Sq. Footage Z D 0,0 ❑ 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 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. e i/rvi'ed by: Amount: ��Bldg Vv SRA Receipt #: Sheriff SMIP OVER FOR SUBMITTAL REQUIREMENTS IL KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Total Ktv ti -1 U -U4 SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered_';plans (if requiredNith wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate; wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. f_ ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541: ", , OVER FOR BUILDING PERMIT APPLICATION Z KAFORMSOUILDING F0RMS\BIdgApp1SubRgmts.doc -Page 2 of 2 REV 6-16-04 064-340-025e BARNES DONALD 94=03.73E 141.65":EL'MIRA CIRCLE, MAGALI9 s ELE FOR GARAGE t Z y , 064-340-025e BARNES DONALD 94=03.73E 141.65":EL'MIRA CIRCLE, MAGALI9 s ELE FOR GARAGE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN 7 SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. " APPLICATION, AND' PERMIT ASSESSOR PARCEL NUMBER 064-340-025 ZONING BUILDING PERMIT OWNER DONALD BARNES TELEPHONE 87-1-3131 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i 14165 EL MIRA CIRCLE AiAGALIA 4 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14165 EL tiIRA CIRCLE MAGA IA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF] Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W T@20.00 TYPE OF WORK New ❑ Addition IJ Remodel ❑ Utilities fl Installation ❑ Other O Describe Work: ADD ELECTRIC TO GARAGE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOv oR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLOS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑I, athe owner, or my employees with wages as their sole compensation, will do work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 0 1.0`0 BAL. Ex. Occup. FILED REST . ORD.) ( OUTLETS RESID.) EA. ) ( 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a C�ggrrtificate of Consent to Self -insure. E)I hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 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 against said Coun yn A�quence of th gra?, g of this permit. y r X M4 0 Date cF- G� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 43. 00 HAZ• D. FEES IMP FLOOD CDF PARCEL PD HD ISSt This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /J DDIRECTORI OFPUBLICWORKS By i��/ �/ ' _ ` %� Date 2/i Flyy PERMIT EXPIRES ON :2/) 6_1f .51 /Date! ReceiptND.153837 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California..95965 - Telephone (916) 5 8-754h O3 ERMIT NO. APPLICATION: AND PERMIT L� ASSESSOR PARCEL NUMBER 064-340-025 ZONING UILDI G PERMIT OWNfR DONALD BARNES TELEPHONE SQ. FT. OCC. BUILDING VALUATION .873-3131 OWNER'S MAILING ADDRESS 14165 EL MIRA CIRCLE MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 14165 EL MIRA I L PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF )C1 Duplex ❑ Mobilehome ❑ Other SPEC IFV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 9 Installation ElOther ❑ Describework: ADD ELECTRIC TO GARAGE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ► 23.00 200A OR LESS Main Service ( 200A TO 1000A ► 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADONIS. ( 8 ACC. BLDS. ► 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I,a the owner, or my employees with wages as their sole compensation, will do Work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ► @7.50 POWER APPARATUS ► 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ► BA20 @ 1.000 Ex. Occup' ( FIXED APPS. OR S.00 OWUTLETS IRESID.) EA. ► Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Ce�rtificate of Consent to Self -insure. 91 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities 'udgments, costs, and expenses which may in any way accrue against said Coun In nsequence f thK grarffg of this permit. X ��j/[) Date z Signature of Applicant - ❑ Owner ❑ Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.0 HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD I ISV This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ��/'�/ Date PERMIT EXPIRES ON , 60 f kl (Date) work ry 6 7 ReceiptNo. 153837 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V/ COUNTYOF BUTTE - DEPARTMENTOF QEVELOgWNT SERVICEnE(9�1 ILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLIEt, ,ACIFORNIA 95965 - TELEPHO)538-7,541 PERMIT APPLICATION DATA SHEET OWNER A fZ nl C_ S owl � � A. P. No. neo i/- 3 Uy -0 2..r Proposed Building Use C A 2 a C, Building Inspector C-, r, Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY ✓ 1. 2. 3, 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. -:........................................ Plot plans, 3/4 sets, signed'�by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form.` ............. ................ .................. . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 y r flood) by California Engineer ................... Sanitation and plot plan app�val Health Department . ............ City of Chico plumbing permit. .........0 .............. . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development.about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). ... Pre -Inspection reque�s Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . ..... 0 ........ Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner )............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... Mobilehome utility clearance . ..................:...................... . Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ................ Plan check list . ................................ .................. . When you issue the permit, process as follows: X_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation - Acreage Applicant Date A14 7-.,, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Deoartmegt of. Public Works �7 County Center Drive, proville, CA 95965 Phone: 916-538_7341 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) i 2. I.(have/have not) signed an application for a building permit for the proposed work. I. I have contracted with the. following person (firm) to provide the proposed construction: Name" Address City Phone Contractors License No. �+. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No. 5. I will provide some of the work but"I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prope Socia 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 toour office before we are per- mitted. to er-mitted.to issue the permit. RE~SIDENTIAL -�- T Jr �r�64-3.4-0-025 BARNES, DONALD -- I CONTR : OWNER MAGAL I A 14165 EL MI_RA CIRCLE, TO GAR.AGE__ - CONV CARPORT I - Ile �a .k i6 kl; j y a . i:i - f� ;�, 1„ _ •rte 1 a 1 JOB FINALED (Date) `— Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except tf'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: / P'L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except tt'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 MISCELLANEOUS Date DEC COVERS, CARPORTS, GARAGES, I Plans)OK except #'s oning'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. rports; Windows -Doors EI ric rmg; Sils nchors- tuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh X of; Shthg-Roofing Ext.; Steps -Doors andings Date and B-1 e3 ej Date Card B-1 C-.,j- DateLi Card B-1 G[,- Date Card B-1 Date POOLS (Plans) OK except tf'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-GF1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 d=OK ' O = Not OK =Not Applicable 4 RESIDENTIAL"-(; =Not Ready , Date UNDERFLOOR (Plans) OK except h's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except h's -16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------- ---------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access --------- --------- ------------------- 21. Gas Pipe: Size & Anchors Date - - - Card B_1 - Date Card B-1 ----------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- --------- --------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---- ----- ------------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ----------- - -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------ -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------- - -'------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size 1 ga. Cu or At ----------- - --------------------------------- 29. Range Circ ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------------------------------------------------------------------ --------------- 31. --------------- 31. Equip_ Clearances Panel s-Motors_Mech_ Equip_ - ------------ 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------- ------ -------------------- 33. Smoke Detector -------------------------------- ------------------------------------------------- Date Card B-1 Date Card -6: 1 -------------- ------------------ ----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support -------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------- -------------------------------.------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------ - - ----- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------ ----------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic -------------- ----------------------------•-------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - ------------------------------------------------------------ - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------- 41, Bearing Walls over Girders & Floor Nailing ---------------.- - --- --------------------------------------------------------- ------------- 42. Draft Stop in Walls (rat proof) ----------- ----------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------ -55. Siding -Nailing Veneer --------- -- _ _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic --------------- -- _ _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - --------------------- Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection -------------------------------- 64. Bedroom Exiling --------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at'Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer --------- ------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------ -Yes--[] ---------- 8L Stucco-, Brown -Finish -- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing ---------------------------------------- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ---------------------------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - -- -- - ----------------------------------- 87. Glass Protection ------ .._ - - -- --- -- - --------------------------------------- 88. Corrections from Previous Inspections ------ --------------- ----------------------------------------- 89. Gas Test -Meters Tagged, Gas -Electric --------------------------------------------------- 90.__Water & Sewer Connected -C/O to Grade -HD Approval 91, Energy Compliance Certificate -Other Certificates --------------------------------------------- --- -- 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —025 ZONING BUILDIN ERMIT OWNER DONALD BARNES TELEPHONE 873-3181 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14165 EL MIRA CIRCLE MAGALIA, CA 95954 CONTRACTOR'S NAME ` OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14165 EL MIRA CIRCLE MAGALIA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ❑ Utilities ❑ Installation ❑ Other Describework: 3RD RENEWAL OF BP#92-0053 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OND RENEWAL BP#94-0374) Main Service ( 200V OR LESS OR LESS ) 23.00 Main Service ( 200A TO i00oA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) 3.50 FT.SO. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended o ' r offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPS. OR ( OWUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 eclare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and -expenses which may in any way accrue against said C�n consequence of the ranting of this permit. X Date Si nature of Applicant - Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 5"0" de p nd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $XXXX 53. 7 HAZ. I D. FEEJ IMP I FLOOD I COF PARCEL I PD HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated aaqkfor&feh e been PERMIT EXPIRES ON 2/16/96 (Date/ provisions to do work paid. ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE uiY oroeP�� Department of Development Services eu��ow� Building " FES � 8-1895 _ - Oroville: 7 County Center Dr., Oroville CA 95965 Ph- 916-53&7541. Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 pl 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. 1 have contracted with the following person (firm) to provide the'proposed construction - Name Address City Phone Contractor's 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 Contractor's License No. 5. :1 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 u _er 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 permitted to issue the permit. COUNTY OF BUTTE 1~ DEPARTMENT OF PUBLIC`iNORKS -. 196 Memorial Way, Chico — Phone: 891. 2751 7 County Center Drive, Oroville - Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 0 WE IT". 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.Ark is completed. If•you;have any question pertaining to this. m9tter, or need additional explanation,- please contact this office immediately. I Date Inspector 1�1� m APR 19 '01 08:36 PGL BLDG. PROD, SAC. =3 P.2i3 ¢�1 APA.K-rr%7 C6rflficate of Conformance "Certificate No 9.248 —91. THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark ofAmerican Wood Systems (AVMS) were man-ufactured In accordance with the specifications indicated below. .` ANSI Standard A190.1Z198 , forStructu�ra.l.. CAlued,Laminated, Timber.. _ Job Name _ PGL BLDG PRODUCTS SACRAMENTO, CA Job Location ` Customer's Order No. __ 01-29972 Date 2-25-93 ' Mtgr's Order No. 7495-0 LOADED END JO.zNTS Signature ..— Title QUALITY CONTROL Company ROS90RO LUMBER CO, Address SPRINGFIELD, OREGON pate— 5-2-93 .+ 1 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with'adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. • woaa'� ' ►4 z ..a......, MP" \W SEAL : y Michael R. O'Halloran (e, % r Executives Vice President ; AMERICAN WOOD SYSTEMS -A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION 4 APR 19 '0108 .... ...:. ,............... _. .. .. ;,:?-`;.;�•�f�'�.awt, r, PGL BLDG PROD SAC %f:E•?FJ`'•r •�s:" X `+ ,.r..'tiQwl. •4eldj��. . �Y f ROSBORO LUMBER COMPAN P.O. Box 20 -.Springfield, OR 97477 • PHONE; (503) 746.8411 • PAX: (503) 726-8919 f 99m) (,;1.. B L1)t. P'rola.Jc"rM•T'G • 4)I! ! C) 1) 4", i.,,.. '„ii"I�•'�'l •;:dCS;C?KX':)K�>'%Y.1t��i<h:%Q+�i•;?,<%i;>r?;M%i<KiMkiKl{<>ftSk,i',?;{;KY,(i}:Yt'�fsi'„CYr=�<1i;Yrtirr:?i<I,<:�::lC%I�%{<�i<ii<'J(�!?;•�t}ti`�,•t.:%at <' . .I:1'TVt:i:1. r�(r: 1,)dd'I:.dci .;r.+��i�',J''�✓�_� �.��.� �> •t: f' ,. �) - 'v$ �:>�) J. -r.:�t?� � � �t�? .n.t.. ,^••'--+awrarwk=r � 51 -sip V'.i.rc TRUCK ROWL01. Y7tlltlttilfitltlittitYilttttlittttitttitiltittiti/>>!3littllttttltit11:11I 1111tt11111101.0 ttltt -ORD SHP ?ROT. SPC ST MARK i `'OTY. OTY M DTH DEPTH FEET IN FRACT -ECT CIE GR CM. 5-310 12' •12 03-118 110-1/2 60 02 �• D V4 2404F ' 5-312 12 U 03-I13 7 12 60 02 ` I DVt 2400E 5-313 4 4 03-1/8 X 13-1/2 60 02 i D V4 240OF $-512 12 4 05-1/8 X 12 60 02' ;' D V4 2400F. i S-513 8 8 05-1/8 X 13-112 60 02 i D ra 2404E S-612 3 3 06-3/4 X 12 .60 02 , p V4 240OF i 5-615 &r 3 0673/4 X 15 60 02 •,I' D V4, 240OF 5-616H 3 3 06-3/4 X 16-1/2 50 00 I D V4 240OF . . 5-621 1 1• -06-3/4-t2V-11` sb4 2` :. :..... ..,..� :. _ .I p 44 i2400F l(�512R 8 8 05-1/8 X 12 44 02 I D- V4 240OF tlitttttttttttttt�tittt•ttltttlllltittittittltttttttttttitiltfttt;itttttttttitttlttlttitttYtttitttti TOTAL SHIPPED FOOTABE ; AMER AW OM.900MENTf INv'OICE TERMS AND WhOn10N8 • PWase Sopport a# h•lol t dedlltns with original h•ipM bift 1 Aafoat•ftt rvlar to appy on ofalma or 9mc.K testy A manufaotum CUSTOMER'S ORDER 18 SUBJEt^yT = ftl. 000 aocgIMM wN be assessed a aarviw &&W of 1%% per mnnt (18% per annum)_ TO ALL OF THE TERMS AND c Caatgnter sprats to Indamnlfy Roabom t urnbm Company tar an mpo nes Inoorrad in connection CONDITIONS STATED HEREIN. With to oouettion of W"W" dw hereunder. Inatumrp au ova goats and attorney's teas 40eurrad at "'trio W.* and on tory appeal. $161140m..cmWwnN"grdr wW tooa•ptaee M Cella C4w1y,:Cupp►. "WolAd 11tt3a wwoncim In leans be rarod' bmka n Me seri rr tMe..wr ....1 .. wn..........w... J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 7941 PERMIT NO. APPLICAMN AND PERMIT ASSESSOR PARCEL NUMBER 064-340-025 ZONING BUILDING PERMIT OWNER DONALD BARNES TELEPHONE 873-3181 SO. FT. OCC. BUILDING VALUATION 2 ND RENEWAL OWNER'S MAILING ADDRESS 14165 EL MIRA CIRCLE MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee i $ ARCHITECT OR ENGINEER uc ENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14165 EL MIRA CIRCLE MAGALIA PERMIT FEE $ 53.75 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF X1 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describework: 2ND RENEWAL/92-0053 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 200A OR LESS '13.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( & ACC. BLDS. ) SD 3.50 FT,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do ^a work, and the structure is not intended or offered for sale. (Sec 7044) �( I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 BAL. @'.50 Ex. Occup' FIXED APPWS. OR ( OUTLETS IRESID.I EA. ) 5.00Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a rtlficate of Consent to Self -insure. (210 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 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 against said Cou consequence of the anting of this permit. X y�j1 p� Date 2. Signature of Applicant - 1:1Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53.75 HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been PUBLIC WORKS t By 1�w��4.v�' PERMIT EXPIRES ON etel provisions to do work paid. DateDIRECTO�RO/F /��✓ (p %J -61 ReceiptNo. 153837 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B I DING DIVISION .. 7COUNTY CENTER DRIVE -OROVILLE,CALIFO NIA95965-TELEPHONE (96)'S,8-7541 PERMIT APPLICATION DATA SHEET OWNER J34 2nl 9-9 L^tA c. 1. A. P. No. Proposed Building Use (r y\ (( [�C. OL- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY b� 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signedby preparer of plans . ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form. I ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. .................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......".... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Preanspedion req eat Pre -inspection for required._ to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... . 24. Recorded copy of Agricultural Acknowledgement Statement .................... 25. Letter of signature authorization . ............................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... - 28. Mobilehome utility clearance . ............... ...:....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage ApplicanttqA Z ate / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ' C Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works x COU,]TY.OF BUTTE - Deoartment of Public Works TCounty Center DriO�2; � 0`soville, CA - 95965 Phone: 916-538-7541 OWNER -BUILDER' VERIFICATION Attention Property Owner: N 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 andaterials for construction of _Inthe proposed property improvement (yes or no) 2. . I..(have/have not) 4+fq a signed an application for a building permit for the proposed work. 3.. Z have contracted with the following person (firm) to provide the proposed construction: Name' Address - 1City Phone Contractors License No. 4. I plan to provide portions of this work, but.1 have hired the following person, to coordinate, supervise, and provide the major work: Name Address City Phone Co.ntractors 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 toour office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oro4ille,"California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 064-340-025 ZONING . BUILDING PERMIT* OWNER DONALD BARNES73-3181 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14165 ELMIRA CIR., MA IA A 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 33.75 ARCHITECT OR ENGINEERLICENSE NONE 77 NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 48.75 PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEM Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S G Wfil TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other[; Describe work: 1ST RENEWALOF PFRMTT #92-.OS3 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR SS 200AORLESS 18.50 Main service 200A TO 1 OOOA) 37.50 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) El i, 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 OCCUPM 3.64 sq.ft. OR ADDNS. ACC. BLDGS.NEW CONSTR. ULTI.OUT LE NORESID BRANCH CIRC ITS @ 5.00 N - T POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 9 760 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) I 3.00 Temporary service 15.00 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 FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agai s aid County in ns ence of the granting of this perm* . X Date k -a-, Signature of Applicant — Owner ' Contractor E]AgentW/ An OSHA permit is required for excavations over 5'0" 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 48.75 HAz 1 DFEES I IMP FLOOD COF I PARCEL I PD I HD I ISSUE This permit is hereby issue under the applicable provi- sions of the BC n -t Code and/or resolutions to do %b woA�nd>icqddeep o�ie / I �T OF PUBLIC WORKS BY r which fees have been paid. / DateL,�47 P EXPIRES Date 7— Receipt No. 129740 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMLa OF�PUBL.IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-E, CALWORNIA 95965 - TELEPHONE (916) 538-75J4 PERMIT APPLICATION DATA SHEETe-ft ___----- OWNER 1 A. T 3 i Proposed Building Use 2 - Building Inspector Date At time of emit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - DATE RECEIVED 4Y 1. All items have been submitted . ........................................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet`signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ ........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........... ............. . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Bussing Ins requ� p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded.copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance ...................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: ' Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel CreationG C� Acreage Applicant 64 Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ' Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,-Orov"ille, CA 95965 OWNER -BUILDER VERIFICATION .Phone: 916-538-7541 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 aterials 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 'h'ired-the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but •I have contracted (hired) the.following persons to provide the work indicated: Name Address Phone Type of Work Signed: _ Property Owner : Social Security Number Z Date Ie 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 mustbe completed and returned to our office before we are per- mitted to issue the permit. y�T ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 3 /'=? 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT n /I ASSESSOR PAL UMBER ��+-3�+-25 ZONING RT 1 BUILDING PERMIT OWNER DONALD BARNES T873Hs11 S0. FT. OCC. BUILDING VALUATION 120 M 2,160 OWNER'S MAILING ADDRESS 14165 EL MIRA CR. MAGALIA 95954 480 CONV. 3,840 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation js 6 000 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 67.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 33.75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14165 EL MIRA CR MAGALIA 95954 Permit fee $ 116.25 PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 103 SUBDIVISION NAME P.P. UNIT 4 PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E Duplex❑ MobilehomeFj Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: CONVERT CARPORT TO GARAGE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200A TO tooOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. ,License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING O 3.6(Zsq.ft. OR ADDNS. ACC. BLDGS. NEW CON5TR ULT(.OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring "15.00 g 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 FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state .that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judments, costs, and expenses which may in any way accrue a ai�aidCdunt_in ons uence of the rantin of this per it. XQ� g -Fate Z— 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 heigh Mobile Home Installation Fee S Energy Inspection Fee $ occ co YPE TOTAL FEES ��Z HAz DFEES _.n"— IMP FL CDF PARCEL PD ISSUE �' This permit is hereby issued under the applicable provi- sions of the Butte Coun Code and/or resolutions to do work indic d a ov f which fees have been paid. I O OF PUBLIC WORKS By r Date �4(0!p, — r PRANVEXPIRES Date dd Receipt No. �r WNITE-D.P.W., •ELLO W-ASSC930R, PI K -IN 9PECTOR, t.OLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVkLE, CAL*ORNIA,2'9f55.,- T5J_EPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' 'a Permit No. ey " %3OWNER GA .No. Proposed Building Use Building Inspector Date At tim of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED f; 1. All items have been submitted . ................. 4 .....i. ........... 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 andrsupporting 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. ...................................... eesof$ _.�,oy4�t- ........................ 1. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of _ (see City .for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) i 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 o, Mail to owner 0) ..... �- 24. Recorded copy of Agricultural Acknowledgment Statement ......... I 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup atoffice. Deliver w/inspector. Copy of ! .az-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone--mail -, by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll_counter by date / Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy–DPW TO euildinc Department �cv FaoM:A Environmental Health SUBJECT: Sanitation Clearance r !��• OwnerLocation AP# Sewage Disposal `' 'Rater Supply Plan Approved for: - , r Water Supply Hold final for: ^incl clearance O.R. for: Water Supply clearance for bedroom mobile home. Other 0 NOTE ** - Date Sanita 'E45 . COUNTY OF BUTTE - Department o -f Public Works 7 County Center Drive,.Oroville, CA 95965. OWNER -BUILDER VERIFICATION Attention Property -Owner:. Phone: 916-538-7541 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 at rials 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 owing 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,-supervi , and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secur'ty N mber �?�— i Date. 2_ NOTE: This.Owner-Builder.Verification.is sent to you as required by Sections 19831 and 19832 -of the California Health arid.Safety Code. This..verification must.be completed and returned to our office before we,are•per- witted to issue the permit. s A U I DONALD BARNES 14165 EL MIRA CIRCLE MAGALIA,:CA 95954 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE-'OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 JANUARY 19,,1995 RE: Building Permit # 94-0374 Expiration Date: 2/16/95 A. P.'. # 064-340-025 With reference to the - above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X ] Permit work started, but not completed. Permit may be renewed for.1/2 the original building permit fee (plus a $20.00'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 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we 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 copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the. work' -has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions -concerning this .matter, please contact the OROVILLE off ice. Thank you for your -prompt attention concerning this matter. ACV: ahb i�ttachments Yours very truly, Michfael C.1 Vieira, C.B.O. Manager, Building Inspection Chico Office - 1469 Humboldt Rd/891-2751' Paradise office - 747 E1liott,Rd/872-6307 j ? : PERMIT NO. 3186-84B P,E,M PERMIT EXPIRES �O JI/a5 N- DON & BECKY BANS' i:. OWNER o e tea. CONTR. Solar Design Homes ASSESSOR PARCEL 64-34-25 LOCATION _ 14165' Elmira Circle, Magalia ;,, Y �4. 7" Temp. Power Pole i `fit Temp. Elec. Service Called PG&E\ Temp. Gas Service tl9 t 7" Temp. Power Pole ,rl Called PG&E Temp. Elec. Service Called PG&E\ Temp. Gas Service Called PG&E -\ -e cn/ c� JOB FINALED (Date) Signature �� W✓S prJ t 7" Owner: Don .& Becky Barnes Permit No.__zz . 11 t ENERGY C E R IJI F( CAT ION 14165 Elmira Circle, Magalia, CA 64-34-25 LOCATION A. P. No:. DESCRIPTION OF INSULATION i ROOF Myterial N/A Brand Name ' Thickness(inches) Thermal'Resistance (R Value) EXTERIOR WALL Material Fiberglas Batts Thickness(inches) 3-0/6" CEILING Batt or Blanket Type Fiberglass Thickness(inches) 10" Loose Fill Type InsulSafe II Minimum Thickness(Inches) 11' Area' covered(ft.2) 920 STAIRWALL= Material Fiberglas Batts Thickness(inches) 93g" FLOOR, SLAB Material N/A Thickness(inches) Width(inches)__ FOUNDATION WALL Brand Name CertainTPPd Thermal Resistance(R Value) R -11/R-19 Brand Name CertainTe .d Thermal Resistance(R Value) R_3n Brand Name CertainTeed Number of Bags 28 Wtper bag -25 lb. "Thermal Resistance(R Value) R -3O - Brand Name rprtainToPd Thermal Resistance(R -Value) R-11 Brand Name - -Thermal Resistance(R Value) Material N/A Brand Name Thickness(inches) 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. Hawkins Insulation Co., Inc. FIRM NAME/OWNER SIGP E F INSTAL TION APPLICATOR #378407 * I STATE CONTRACTOR'S LICENSE NO. 1/30/85. DATE ,. I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE C NTRACT}OR'S LICENSH NO. SIGNATURE OF QE. CONTRACTOR/OWNER —MATE 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 _ PF -1-1 J = OK 0 Not OK Not Applicable �E = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE FLOOR Plans OK except #'s Date F AMING Continued lw'zoning requirements -Setbacks -E ments Property Line Firewall & Openings ,,ort—g., Main; Soils-Steel-Elec rnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage=3rd story, 2 exits g., Garage; Soils -Steel- / /" Ftg. Depth 0 Fairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg._Pjopth PI ood on Roof Overhang-Attic.Vents-Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-SI " iding-Nailing-Veneer temwalls, Garage; Steel-Blockouts-Wrapped-SI 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ers-Fireplace Ftg.-Steel J 54. Glazing Area -Glass Protection -Skylights -Plastic .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -S rvice TV 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -I s. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ) q Card -BI Date Card -BI Date y=A le Card -B( Date Card -BI Date Card -BI ` /. A51 F Date Card -BI Date Card -BI Date Card -BI Date Date A tans) OK except #'s Card -BI Date I I Card -BI Date Date PLUMBING (Permit) OK except #'s E t. Steps -Door & Sidelight Protection La g 7 moke Detector 14. Water Ht.; Ve ", ccess-Combustion Air 58. Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting ater Pip An' rs-Nail Protection D.W.V, ttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access t0. .F.I. &Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. E c. Trim & Subpanel; Breaker Sizes -Labels 't9-9as-Pipe';'Size & Anchors .-, Stairs & Rails 6 Fi eplace or Stove; Clearances -Hearth r flael-Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 5 it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date • Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'sA-.C- A7 'Garage Fire Door; Swing -Landing -Closer uct in Garage -Damper. 20, Fixture & Transformer Clearance�ltis. Protectiong•I% r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection 21 ec. Receptacles Spacing s &Switches at Doors ize Boxes & No. of Conductors -Stapled .Plb., Elec. & Mech. Equip. Listed for Location Rgmex Installed Closeto_Ed_ a Studs & C.J. lec,-Receptacles in Garage; (G.F.I.)-Romex Protec. Equip. Ground ma!Ce up ch. asteners-Bond Gas & Water 7 sulation-Fo _coked in Attic ffres 2 Appliance Circuits in Kitchen & Conductor Size 73%/G d Rails Dec onstruction-Post Caps X28 "3abfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ' Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance L oked un0er Floor ❑ Yes ange Circ., / ga. Cu'or AI -Oven Circ. / / ga. Cu or Al, emulated Neutral ❑Yes El 5 ollowing instld.: D, ;ro es ❑ No; Walks •- es E] No; Planters ❑Yes 4cJ-No Service -Riser Conductors & Ground -Main Disconnect Ecco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. A. . Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 7 efits Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ell; Disconnect ect ' Plumbing E_ G terior Elec. Trim; F eceptacle-Underground Card B -I Date 9 Card -BI Date entiIj1iothroughout House Card B -I Date Card -BI Date lass Prontection Date ME HANICAL (Perm) OK except #'s -83__C, cfions from Previous Inspections Gas st-Meters Tagged; Gas -Electric A.C. Du nsulation & Support ater ewer Connected -C/O to Grade -HD Approval 32.. Vent Fan; Exhaust above Insulation 6 r y Compliance ertificate-Other Certificates ondensate Drain & Overflow; Size & Grade V 14 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date W Card -BI Date Card -B Date zj Card -BI Date Card -B Date and -BI Date Card -BI Date 7 ' Card -BI Date e Card -B d ate Card -BI Date Date F A ING Plans) OK except #'s Com 71 11 nts at Final: Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing Dr "Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4/ Header & Beam -Size & Bearing a ers-Post Caps -Anchors -Connectors 44. Cing. Joist-Rftr. Ties -P lin-Roof Brac. T s Shthnq.-Rfn_g_. Fireplace Ties or Ty A Flue -Fireplace Throat 45. I) is Access; Size & Romex'Protection-Draft Stop -Ins. Baffles 41 Stll Hgt. & Dimensions ¢?.Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobs ite) J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'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/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 10 M COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2 51 7 County Center Drive, Oroville — Phone: 5a4-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER "i 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. i J f-=-" Z t., - jT'4 i& �y P; .eLr e9J/v <5 L,-�tiUiN G .47- �k1j>Jl, G 6-LAat A lJ .4 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 -;�>/ g-(_ �� 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 )natter, or need additional explanation, please contact this office immediately. OW 47 A4 r4 J w) 07C; 71-IERC /-5 �t f -C7 4161V T A) Inspecto—' Date rs COUNTY OF BUTTE r 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 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. —40 0 a /,�t.2 m2 uJ .s I GU k1/�irlfrJG�/�- -O lbG =Z _2 Inspector .t (y riVb28i" Date COUNTY OF BUTTE - DEPARTMENT OF PtUBLIC WORKS 7 County Center Drive - Oroville, California 9.-65 - Telephone 916/534-4541 APPLICATION •AND PERMIT PERMIT NO. , ASSESSOR PARCEL N MBER ZONI BUILDING PERMIT owNE�O��6—; , n ' I�� TEL87ZE DyE SQ. FT. OCC. BUILDING V ATION OWNER'S MAI LI G ADDRESS CONTRACTOR'S NAME�Q/,Q V co o Q d `j - [s 4Y6 0 CONTRACTOR'S MAILING ADDRESS I cat Fireplace �� Y CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LEND R'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUILDpD ESS - // !/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 &o LOOT NO.SUBDIVISION NAME i P, PARCEL MA Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFNZ�{ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ,S G W 10.00e TYPE OF WORK Newt/ Addition❑ Remodel❑ Utilities❑ Installation❑ Other E] Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100°0 AMP ORV OR SLESS 10.00 Main Service EA. ADD'L 100 AMP 2:50 NE W OR ADDNST ( ACC`BLDGS.CONS. DWELING C UP 21/20SQ ft CONTRACTORS LICENSE LAW I declar der 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR UL 11 -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20@50c Ex. Occup(o X OR FIXTURES SAL@30Q IED A PLISIS Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ —0511 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less.'7— UR/7have 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. F1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 616V 410-1061 — Cooling Hood 3.00 F};� 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 aid Count i co/asequence of the granting of this permit X Date O t Signature of Applicant — Owner ❑ Contractor DrAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ P / a✓�i TOTAL PERMIT FEE $ p occuP. GROUPTr �^ 3 CONST. -!qPARCEL PD D ISSvE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BV PE T EXPIRES Date the applicable toprovi resolutions to do do fees have been paid. WORKS Datel�'Z37 Receipt No. ZL 0 —:5/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORINA' 95965 - TELEPHONE: 916/534-4541 jV.-s PERMIT APPLICATION DATA SHEET J� % �2 Permit No. OWNER P®/U � 66;12 7 6A-PVEE79 A. P. No. /9 Cf Z' 5 - Proposed Building Use —1-IS511IFl- Permit Fee Based Upon: Complete Contract Price DPW Valuation Oth 2G1�ter.�'>A (Explain) Building Inspector -"U - Date /•o "!� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. d 8. Fees of $ . . . . . . . .` 9. Letter of signature authorization. . . . . . . . e i p Sanitation approval from 7 rT,P_A-�N_51iiE: Health Dept. 0 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. . . . . . . . , 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Dote) 8. Other� c°aAll>� 6 61_21 z W /411i� / 126, 5 �— When you issue the permit, process as follows: Mai;Q1Vj r. Mail to contractor." Telephone%�% and hold for pickup at off'ree.Deliver w/inspector. Other �— Applicant /%/l. �.1�///� Date /d /'1it1�`S I s Copy of plans sent Health Dept., Fire Dept., Other Date _ During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desig e , Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date C71' Other: Copy—DPW To: Building Department =3. From: Environmental Health Subject: Sanitation Clearance If ' . I '�/ &Z�662 Owner Location AP Plans approved for: Sewage Disposal _ Water Supply Mold final for: Water Supply Final Clearance O.K. for: Water Supply. Clearance for bedroomhome. Other C1 arance for dltion of No e4 J/1 41A I i�✓ l - = S nitarian to ,. it .. �� w --�•no^.•v� :.;io-�Y�rv�-orr�.r.i rrz-,�e:sn� .. _ _ _ P. st1011Fr��1r13°;' OCT 18 N • CLf i�K • 'rti;�i,;�,I4R - LR S4-3931•�EE Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8:1 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 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 occa- sionally generate dust,\smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and r residents within said zo�s and on adjacent property should be prepared to accept such' inconvenience or discomfort from normal, necessary farm operations. All that real property\situate in the County of Butte, State of California, s described as follows: Lot 103, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 4", which Map was recorded in the office of the Recorder of the County of Butte, State of California, October 1, 1970 in Book 35 of Maps, at p�ges 97, 98, 99, 100 and 101. EXCEPTING THEREFROM all minerals, oil, gas, asphaltuiii and other hydrocarbon sub- stances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of,said land. Date: 17 PROPERTY OWNERS: ; DONALD L. BARNES BECKY MOE BARNES ' State of CALIF. ) ' On this the _1� day ofa`t`i , 19,1,�, BUTTE ) SS. before me, the undersigned Notary Public, personally County of ) appeared DONALD L. BARNES AND BECKY MOB BARNES who proved to me on the basis of satisfactory evidence XXMXUD=to be the persons) . whose name(s) ,,, subscribed to the within instrument and acknowledged that they executed the'same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. � Notar Public Present A.P. NO. 64-34-025 END Or')OCUMENI • _ .. �;� '`rr•'r' i— .. :fie, r }, 'ar au!^9's,� •,�;•. },y N?' - c ..n-•�•y...-.-._..�i. OFFICIAL $TIAL KATHY DANCE ;,. NOTARY PUBLIC • CALIFORNIA' MY COMM'S;ION PRINCIPAL OFFICE IN BUTTE COUNTY EXP7Lf OCTOBER $, 1983 who proved to me on the basis of satisfactory evidence XXMXUD=to be the persons) . whose name(s) ,,, subscribed to the within instrument and acknowledged that they executed the'same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. � Notar Public Present A.P. NO. 64-34-025 END Or')OCUMENI • _ .. �;� '`rr•'r' i— .. :fie, r }, 'ar au!^9's,� •,�;•. },y N?' - c ..n-•�•y...-.-._..�i. RESIDENTIAL PLAN CHECKING . GU IDE (S.F., DUPLEX, & MIS C: ONLY) OWNERi KN ES • - Bldg. Perm}• t # 31 fi�o �A A. P. # - � • ZS A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404).' Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407).• - iT. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater; -heating & cooling equipment, other electrical or -gas equipment,'and plumbing fixtures. L8-' Garage firewall, door site, and clo§er'(Sec. 503(d)(0). 1 - 3'0" exterior exit door (Sec. 3303d); Fireplace location. Smoke detectors'(Sec. 1413). D: STRUCTURAL DETAILS Foundation -plan complete enough to construct building. Floor construction details complete enough to construct building. -3: Elevations and wall construction details complete enough, -to construct building. �+! Roof construction details•complete enough to construct building. �5- Fireplace -construction details and calcs if over one=story in height. fid 'Sufficient data and details to satisfy energy insulation requirements•(State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. 1 Stairway details (Sec. 3305).• ,2r.'o Guardrail details, (Sec. 1716). Brick'or stone veneer (Chapter 30).* i� Exterior plaster - weep screeds ,(Sec. 4706 & 4708). -� Proper roof pitch for roof covering (Chapter, 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. --3:' Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting "walls and posts, etc: Two (2) exits on three --story dwellings,(Sec. 3302). i Is FOR M RESIDENTIIAL ENERGY PLAN CHECK/INSPECTION SUMMARY a Owner DO P-4ESClimate Zone If Permit No. Floor Area �ilq Compliance path: _Package ❑ A ❑ B ❑ C *"t System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ ' D INSTALLED •ITEMS (1) INSULATION: Roof/Ceiling 0.00 Wall 11.06 -00 FWPX A?- 14,60; VMS 1110 ,❑ Slab Floor Perimeter ❑ Raised Floor 7/83 (E) Thermal mass Type Gpr►iG. 1 tj O MC= ?•3 Lo ationATW Type C60C. &WO MC= 7.3 Location 15 T14 Type CoNC. woo - Area_9 O Ft. MC= 7.3 L6cation KITGNEN Type FSItIGr— - Area Ft. MC= �•sj Location I t1Z I 1 1.L LV,, WI Type - Area Ft. MC= Location Type - Area Ft. MC= Location' Area AS Ft.2 HC=g•q3 R= -2 - Are Ft.2 HC= 5-413 R= ?q HC= HC= R= .(2) INFILTRATION- ❑ (A) A vapor barrier is required in climate zones,'l, 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 1'74. S3 14.22.x. p North 23.50 1 • q ❑ _� East 50.00 4.24 x 13 South 0.00 0.00 ' .❑ West I01.33 8-" k ❑ Skylights 0.00 0.00 (B) Shading • Shading Coefficient Description @� East . $$ ❑ South ®, West (o DUAN. N(, -i. RITE t.1.GR. SµkPES ❑ Skylights 16 (C) South Overhang .Length of projection IS ft. Description SAYE ❑ (D) Moveable insulation: Area ft Description 7/83 (E) Thermal mass Type Gpr►iG. 1 tj O MC= ?•3 Lo ationATW Type C60C. &WO MC= 7.3 Location 15 T14 Type CoNC. woo - Area_9 O Ft. MC= 7.3 L6cation KITGNEN Type FSItIGr— - Area Ft. MC= �•sj Location I t1Z I 1 1.L LV,, WI Type - Area Ft. MC= Location Type - Area Ft. MC= Location' Area AS Ft.2 HC=g•q3 R= -2 - Are Ft.2 HC= 5-413 R= ?q HC= HC= R= 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 Q �. Heat Pump. (brand and model number) ACOP So Opo Btu/hr (heating capacity at 47°F) ❑ Active Solar •• `type (liquid or air) Collector brand and ft2 model number solar.fraction collector area collector orientationcollector tilt rated y -intercept rated sIODe, CLJ 1 1 F3 71 o - (describe)' - *1 (B) Cooling ) Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95"F)' Electric Heat Pump mcGGe: q, EER 301 �r%C% • Btu/hr (cooling capacity at 95°F). ' ❑ Other, (describe) (C) A TWO-STAGE THERMOSTAT, which•controls._the supplementary heat 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) ppliances. (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 , • ,, a I 4 *1 Submit documentation of'sizing heating and cooling equipment by Manual J, sizing chart's (form #4) or other approved methods, section'2-5352(g), and fill out the following: F Heating: Winter design temperature °, elevation z o O62 ', heating load ;21,(- BTU ei ation factor x heatting„load = maximum outlet capacity gas furnace ® BTU Cooling: Summer design temperature °, cooling load % % y00 BTU :2 Submit T•.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels.• ® DESIGN COMPLIANCE STATEMENT: The above building design meets_the requirements of Title 24, Part 2,'Chapter 2-53 of the California Administration Code. 7/83SIGNA OF IB�IUMG DESIGNER OR APPLICANT 3 (6jDOMESTIC-WATER .SYSTEM ❑' (A) Gas Only Gallons (.brand, and model number) (tank size) Q. Heat Pump w/Electric Backup (brandand model number) Gallons (tank size) (2 Active' Solar (collector brandy and model number) (rated y -intercept)] (rated slope) (solar fraction) �fQ 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). [gam '(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 Q� (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 chart's (form #4) or other approved methods, section'2-5352(g), and fill out the following: F Heating: Winter design temperature °, elevation z o O62 ', heating load ;21,(- BTU ei ation factor x heatting„load = maximum outlet capacity gas furnace ® BTU Cooling: Summer design temperature °, cooling load % % y00 BTU :2 Submit T•.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels.• ® DESIGN COMPLIANCE STATEMENT: The above building design meets_the requirements of Title 24, Part 2,'Chapter 2-53 of the California Administration Code. 7/83SIGNA OF IB�IUMG DESIGNER OR APPLICANT 3 POINTS Tcble J• -aa. Oeiiang arauiscion tatlon OWNER 1P/ f/ Points 1 3.2 1 I PERMIT N6. ASSIGNED ACTUAL • ( 6.3 I 0 -.19 i A -Value of Iasulation I Points I 1. SLAB - INSULATION NONE m I I I 1 .83 up I 0 1/-1/ I -2 1 South 1 0 1 3.2 16.4 1 8.0 19.6 2. P.AISED FLOOR - R-19 I 19 I -4, I FE 3. CEILING - R-30.30 1 22 i -2 I Jj0e- W.444.5 R-// I 49 1 +2 I 4. WALL - R-19- i�n7-. I .1 11.6 1 3.2 16.4 18.0 U- I I to I to 1 to I to I up 5. NORTH GLAZING - 2.4-3.6t A�1_�n 1.5 i 3.1 i 6.3 i 7.9 I I (( ♦ V � i 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I -7 6. EAST GLAZING LJ(2.5-3.6% 1 -1 I -3 I -6 I -12 1 -15 .83 up I -2 I -4 I -8 I -16 1 -•70 I I I I I 7. SOUTH GLAZING 1.6-3.6% -f3 Table 3-4a. Wall Insulation Pointe R -Value Insulation Points B. WEST GLAZING - 2.9-3.6% -� `�� - ♦1� of 11 i .13-.36 9. SKYLIGHT - 0-1.3% e .37-.57 1 0 1 -1 I -3 I -6 I _ 10. SHADING ,(Exclude Overhang)1 19 1 24 i t 0� EAST .67-.82 1$-� 1 30 I i +2 I +3 SOUTH - .19-.42 r -_ -5 1 Points I 3.7- 4.2 WEST - 13-.36 _� table 3-5. North-Facin Glazing Pta .SKYLIGHT - .37-.57 - ^- I Glazing T Type I 11. HORIZONTAL SOUTH OVERHANG 2' = I Total I 1 I of Sngl, Dbl, I Trpl, 12. 11OVABLE INSULATION - NONE�' I Frear 1 U - I Az ea i 0.66 I U - I U - I 10.62- i 0.41 I 13. INFILTRATION (Stand =0)(Tight= 12) L�T�� ( 1 0 11+4 1 0.1- 1.2 1 +4I I o4 4 I d+4 1 I +4 i 14. THERMAL MASS SF .�' I 1.3- 2.3 I +1 I +2 I I 6.3- 6.9 I 2.4- 3.6 i -2 1 -0 1 +1 15. GAS FURNACE (SE) 71-76% - 1 3.7- 4.8 I -4 1 -2 I -1 1 T 16. ?TEAT PU!(P (EER) 7.5-7.9% �o(e�-IG 4.9- 6.1 -7 1 I I 6.2- 7.3 I -9 I -4 I -6 -3 1 I I -5 I -20 ( 7.4- 8.2 -12 I I I -8 1 I -78.3- 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% I 9.7 I -14 I -10 I -8 i 13. 607 11IN1r, (HONE) o i 9.8-10.8 I -17 I I -12 I -10 1 ACTIVE SOLAR 10.9-12.0 I -19 ( 12.1-13.2 I -22 I -14 I -16 1 -12 i I -13 19. ZONALLY CONTROLLED ELECTRIC � ( 13.3-14.5 I -24 I -18 I -15 I 1 14.6-15.3 I -27 1 -20 1 -17 1 20. SOLAR WITH GAS BACKUP (HW) 21. OTHER - NO ELECTRIC (HW) ova ao �S7o ✓� -r-� a �z Table 3-6. East -Facing Glazing Pts. ITEMS SHO1dN ZERO POINTS 1 ' Glazing Type 1 - f Total I I �� O Z of I Sngl, Trp-,7aDle 3-1. Slab Floor Pointa Table 3-2. Raised Ploo'r Psi ta� V))11 floor I (U - I (11 (U - I (U -T �T T' I Area ( 1.10) 1 0.65).1 0.41)1 I ln�ula- I R -Value of Insv-stion I I R -Value of otsl SI points I o•l<n I Insulation oiats 4 1ttun 1 Depth, I up to 1.3 1 +3 I +4 I +4 I I Inches 10-2 1 3-4 15-6 I 7+I I 1.-2.4 I +1 I +2 I +2 I 1 I I I I 1 bolo 3 1 -12 I I 2.5- 3.6 1 -2 II 0 1 I 3- 4 1 -8 I I 3.7- 4.6 I -51 -1 1 0- lL I -5 I -5 I -5 1 -5 I 1�5 - 7 I -6 I I 4.7- 5. - -41 -3 I i 12 - 15 ( -5 I -3 I -2 I -1 1 /'I 8 - 12 1 -i' 1 I 5.7- 6.7 1 -10 I -6 1 -S 1 116 - 19 I -5 i -2 I -1 ( 0 i/ 1 13 - 18 1 +2 I I 6.8- 7.7 1 -13 I -8 1 -7 I 20 + I -5 I -1 1 0 0 1 I 7.8- 8.7 I -15 1 -10 1 -8 I 8.8- 9.1 1 -17 I -12 1 -10 1 I 9.8-11.2 1 -21 1 .-1S 1 -13 I / 111.3-12.7 1 -25 I -18 i -15 I 7/7/83 O V 112.8-14.0 I -23-21 I -18 I 14.1-13.3 -32 -i -24 -20 i i So._th-tec! Glazing Type !ng Ft o Table 3-10. Shadinq Coefficient Points I I sr h.. I Total I I I of I Sngl, I Dbl, Trpl, Floor 1 (U - I (U - I (U - I Area 1 1.10) 10.65) 1 0.41)1 looints leeint. lenlnrcl 1 0 I +3 1� I. 3 1 I up to 1.5 I +2 1 2 1 +2 I ( 1.6- 3.6 1 -1 1 0 I 0 1 i 3.7- 5.2 I -4 1 -2 I -2 1 I 5.3- 6.5 1 -6 I -4 1 -3 I 1 6.6- 7.7 1 -9 1 -6 1 -5 1 1 7.8- 8.9 1 -11 i -8 t -7 I I 9.0-10.0 1 -13 1 -10 .1 -9 I 1 10.1-11.5 I -17 i -13 1 -11 I 111.6-13.0 I -21 1 =16 I -14 I 113.1-14.5 I -25 I -19 I -16 1 i 14.6-16.0 1 -28 I -22 1 -19 1 Table 3-8. West -Facing Clazin Pts. 1 1 . Glazing Type I I Total I I 1 Z of I Sngl, I Dbl, I Trpl, I Floor I (U - I (U - 1 (U - I I Area 11.10) 10.65) 10.41)1 I IPoints !points I ointsl 0 •6 +6 +6 1 up to 1.3 I +5 I +6 1 +6 1 I 1.4- 2.2 1 +3 I +4 I +5 I 1 2.1- 2.8 1 0 1 +2 1 +3 I I 2.9- 3.6 I -3 1 0 1 +1 I I 3.7- 4.2 1 -5 1 -2 1 0 1 I 4.3- 5.0 1 -8 I -4 I -2 1 I 5.1- 5.6 1 -10 1 -6 I -4 I 5.7- 6.2 I -13 I -8 1 -6 I I 6.3- 6.9 1 -15 I -10 i -7 1 I 7.0- 7.6 I -18 I -12 1 -9 1 I 7.7- 8.2 1 -20 I• -14 I -11 I 1 8.3- 8.8 -22 1 -13 I 8.9- 9-T-1 -25 -TS 1 -15 1 9.6-10.1 1 -27 I '-20 I -16 I 110.2-11.0 I -29 I -23 I -17 I 111.1-11.8 I -35 1 -26 I -21 1 111.9-12.7 I -33 i -29 I -24' I 112.8-13.5 I -42 1 -32 1 -21 1 13.6-16.3 I -46 1 -35 1 -29 I i 14.4-15.2 1 -50 I -33 1 -32 I I Orten- I Z Floor Area tatlon I t zest1 1 3.2 1 I 1 0-3.1 to 1 6.4 up • ( 6.3 I 0 -.19 I 0 ( +1 I +2 I .20-.36 1 0 1 0 1 -1 I .37-.66 I 0 I 0 I 0 I .67-.82 I 0 I ��. I -1 1 .83 up I 0 1/-1/ I -2 1 South 1 0 1 3.2 16.4 1 8.0 19.6 I I to I to I' to I to I up I Total 13.1 16.3 17.9 19.5 I 0 -.18 1 0 1 +1 1 +2 I +2 I +3 I .19-.42 1 0 1 0 1 0 1 0 I 0 I.43--66 1 0 1 -1 I -2 1 T2 -3 I .67 up ' ,I 10 I -2 1 -4 I -4 I -6 West I .1 11.6 1 3.2 16.4 18.0 U- I I to I to 1 to I to I up I I I I 1.5 i 3.1 i 6.3 i 7.9 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 i 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I -7 .58-.82 1 -1 I -3 I -6 I -12 1 -15 .83 up I -2 I -4 I -8 I -16 1 -•70 I I I I I Skylight i .1 I .8 11.6 13.2 14.1) 1 to I to I to ( to I to I up to 1.3 I.7 1.5 1 3.1 1 3.9 15.2 0-•12 1 0 1 +1 1 +3 I +6 1 +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I .58-.82 I -1 I -3 I -6 I -12 1 -, .83 up I -2 1 -4 I -8 I -16 I -20 I I I I I Table 3-11. Horizontal South • Overhane. Points Table 3-9. Skylloht Points I South Glazing I Length Out I Area, Z of Floor I I I Glazing Type I I from Wall 1 I I Total I I I ft r I Z of Sngl, I Dbl, I Trpl, 1 0-6.3 i 614 up I I Floor I U- I U- I U- I I I I I I Area 10.66- 10.42- 10.41 I 0- 0.5 1 -2 I 11.10 10.65 i down I 1 0.6 - 1.0 1 -2 I -3 I 1 1.1 - 1.9 1 -1 I -2 I I up to 1.3 I -1 1 0 I 0 1 1 2.0 up I 0 1 0 1 I 1.4- 2.2 I -3 I -2 I -1 I I I I I ( 2.3- 2.8 I -6 1 -4 I -3 1 Table 3-12. Movable Insulation 1 2.9- 3.6 I -9 1 -6 I -5 1 Points I 3.7- 4.2 ( -11 1 -8 1 -6 1 I 4.3- 5.0 I -14 i' -10 1 -8 1 I Moveable Insulation] I 1 $.1- 5.6 1 -16 I -12 I -10 I ( Area, Z of Floor I Points 1 1 5.7- 6.2 1 -19 1 -14 i -12 1 I I 1 I 6.3- 6.9 I -21 1 -16 1 -13 1 1 7.0- 7.6 1 -24 1 -18 1 -15 I 1 0- 5.5 I 0 1 i 7.7- 8.2 i -26 i -20 ( -17 I 1 5.6 - 11.5 1 +2 1 1 8.3- 8.8 I -28 I -22 I -19 1 I 11.6 - 17.5 1 +4 I 1 8.9- 9.5 1 -31 1 -24 1 -21 1 1 17.6 - 23.3 1 +6 I 9.6-10.1 i -33 i -26 i -22 j i )23.6+ i +8 OWNER 1), 13,+A IFJ THEUTAL MASS TAKEOFF SHEET � ! PERMIT N0. The mass: 'Materials which have the ability to.store heat (typical types are masonry, brick and ceramic tile). Thermal mass cannot'be insulated from the interior "of the building. (If covered by car- pet, cabinets, or,enclosed in closets the mass is considered insulated). Thermal mass floors must have -an exposed and textured surface or design so that carpeting wil not occur.. (Covering of vinyl or asphalt the and `linoleum is permitted). TYPE THICKNESS LOCATION 'DIMENSIONS, A"A &V t, i !(z. _:z- - Entry Floor _ ' x yam° S .FT. it rr r Bath #1 Floor - !!!:!=X -- 2 SQ.FT. Bath #2 Floor •' ' x, ° n SQ.FT. Bath #3 Kitchen Floor Floor ' ' x ° x ' _ SQ.FT. - _ - — a 919 SQ.FT. _ .. Floor ' x ' n SQ.FT. Floor x ' SQ. FT. - Fireplace ° x ' a 3Q.FT. ` Fireplace x ' m SQ.FT. Bath,#1 Counters ' xSQ.FT. Bath #2 Counters ' x ° a FT' SQ.FT'-. Bath #3 Counters x ' _ SQ.FT. Kitchen Counters '`x ' m SQ.FT. Wall Shield •. ' x _ —_SQ.FT. Walls ' x ' SQ.FT. Walls x ° __SQ.FT. Walls ' x ' = SQ.FT. �T t1C�Y�/ Ul��GFsI ' x ' Q SQ . x ° o X a SQ.FT. If compliance method. proposed is other than the point system (where then mase point charts are available), use calculation methods on reverse of this form to show th rural mass compliance. 7/83 j . GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) (a) �_ x (b) x = (c) x (d) x = (e) x _ Total North Glazing = (SQ.FT.)' (a+b-tc+d+e ) TOTAL NORTH TOTAL BLDG LAZING ' FLOOR AREA /2 : // 7!Z. -_ x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR NORTH GLAZING 100 /. % 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) (a) � x _ (b) x = (c) x = (d) x (e) x = ' Total South Glazing $ (SQ.FT.) (a+b+c+d+e) TOTAL SOUTH TOTAL BLDG CONVERSION TOTAL LAZING FLOOR AREA FACTOR SOUTH GLAZING x 100 = -- % SQ'.FT. SQ.FT. 3-9 Skylights �- QUANTITY Si AREA (SQ.FT.) (a) x = (b) x = (c) x Total Skylights (SQ.FT.) (a+b+c) TOTAL KYLIGHT TOTAL BLDG LAZING FLOOR AREA SQA WNER ERMIT NO. /83 SQ.FT. 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) �_x_c(� �=a: (b) _ x 40 74"" i (c) (d) x = (e) x Total East Glazing = _ (SQ.FT.)' (a+b+c+d+e) TOTAL EAST TOTAL BLDG GLAZING FLOOR AREA #QFT. x SQ.pT. CONVERSION TOTAL % FACTOR EAST GLAZING 100 Aift % 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a)_x (b) T x cd> �x (e) x = Total West Glazing = //Z (SQ.FT.) (a+b+c+d+e) TOTAL WEST TOTAL BLDG GLAZING FLOOR AREA 1/T_ X. SQ. SQ.FT. CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING x 100 = % CONVERSION TOTAL 70 FACTOR WEST GLAZING 100 = 2 % VIOLATION CHECK LIST ' A. P. # Address Owner Owner's Address Owner'.s Phone No.- Supervisoral DistvTct Tenant's Name Phone No. _ %Type of Violation in Detail with Code Section. Priority No.. _ r Specific Plot Plan with C/V Noted _yes no Penalties Required• 1st. Notice Sent' -2nd. Notice Sent ate Date Comments and/or Determination r i L' Y Disposition r For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) 79 lU 11 12 _ 13 lA 15 �I�lI(li� Il�i�i�ll ii!{Illli (i�llilll ilf�li�fi,ll II1�l{ilii iilililu Illllili��lflliili illi![iii III � I , . _, , Milli �IIl�illl !illl;Iiii lill�!'lii�lill IlIL I�