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Home My WebLink About064-620-020RAY-&-'Zw--BA-KER, 64-62-20 T 5915 Fern 61e'nri W"ay,-MAgal'ia' Contr: David Neilsen Permit#624774B,P,E(4few private garage & storage) 64-62-20 �JAM g-pKE-R, WIIL.TL.TAM�—.., 5915 Fern Permit#1039-86B,P,E,m(Irie' sin le f wz >A0, OVO 8-87 B(Ist Ow c6UNTY OF BUTTE DEPARTMENT OF'PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-27-3r 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correcti�"f work is completed. If you have any question pertaining to this matter; or d additional explanation, please contact this office immediately. //3 W /� U /14) 6 /<� // 5-,$- d /,,,, /( 7a ('Jo 6 4 5 1 In CWAM11M 0 W."151 WIA PY4 WE 47 - Inspector Date COUNT� 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 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office orr ction of work is completed. If you have any question pertaining to this ct when cc '/ matter,7r need additional explanation, please contact this office immediately. /',� // ---f ,;- /--," co/ ;P-4- xp clr ZZ 4(w 4.14 -.elf Inspector Date— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-W51 7 County Center Drive, Or6ville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 RECTION NOTICE ED r= D I 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 M o ;�Zrial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 534A541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE & lo -�" q - k-� - 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 correcti�n ork is completed. If you have any question pertaining to this or matter-, aaddditional explanation, please contact this office immediately. r c, C.(-_ G, L( 62 E! A, v I F__'l j 5-- L�' —T , A - // �_ , A s�---(, - 44 M 2, 2- A itil- 0 fy�lle_?'\ Aj4- '�q' S O -A, C 0 )D Inspector-- __ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8911-2�5i 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION, NOTICE /03-7. - ks— 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 correctionc ork is completed. If you have any question pertaining to this matter, or n!pdadditional explanation, please contact this office immediately. d�—' q11 i-,� &,e, &C , 'V 0, 1�r Ck /Vek-e-'- " '- ck.c"— -S� L' P - 0S 6 . -� 5; t' + Ne14- 4.,:> lnspector—zQi:::�i� Date COUNTY, OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-�761 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE I 0 _;> 5; --- 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 c ' ompleted. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector— Date X-1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 correctXin of work is completed. It you have any question pertaining to this matter, or eed additional explanation, please contact this office immediately. ril ,, C' U dl, /A., < 1-7" /"/'.r r, It 5 I ns pec'V(I �-9)4L )1� I - & - �- Z' Date - 7 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 0 - 16 '? �- - 'P ,, 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- 0";�- g:j I /" V/ - 4'�' X C - r- /, , o - ;7�' 4LI.,' 7-2� -7. ' T -Z' ;:P - .j!;26 A-1-01 Inspecto Date -45-1 j e,, PERMIT NO. 1039-86B.P-E.M PERMIT EXPIRES - OWNER WILLIAM B4ER owner CONTR.---- ASSESSOR PARCEL 64-62-20 LOCATION .5915' Fern Glen -Way, Magalis /V, .0 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E OK 0 = Not OK - = Not Applicagle * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requ i rements-Setbacks- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requ irements-Setbacks- Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists�Decking-Bracing-Stgirs�Rails 4. Water; L ocat I on-Tes t- Easement Needed (Sketch)_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Seams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 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 #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compact i on -Structure Stability 3. Gas; MH Test- Dema nd-Va I ve-Connec tor 4. Electricity; MH Test-Crossovers-Breakers-Clearancei 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GF1 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test-Regulator�Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc I osures- Pane lboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card 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 :d� 0, No� ,t,16�01< Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFL-et§ (P Itn-s) OK except 1;a- Date FRAMING_(C4mflnued) Z,,255-��g requirements:,.Sej4oas-Eat� rty Line Firewall & Openings f -Of (a�g., Main; SoiIs-S1�EIeqJCw<.- /4" P Ftg. Depth 44 -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits F4g G"a�.� Gse" I "Pq_Q"4* -Headroom-R ise-Run-Landing-F ire Protection 4.Xhg., Porches & Decks,,,$oils-Steel- Ftg. Depth Roof Overhang- Attic Vents -Rafter Outriggers J-11.4emwalls, Main;.SpK-BIoc4&wK_W6ap"d- 12128elteals *Mrpen--Slo� -S&.--;Mr76-Mesh-Drip S�reed-Fdn. Vents-Underfir. Access 04_0�� -SM.W.V.: Fall T196U way C/6 --fewer Test 5r.- Glazing Area -Glass Protection -Skylights -Plastic ar Walls; Nailing -Bolts A -C 9 ipe; Size -:Anchors %eZZ�� /?-�f AJ 4,,I,-Zrl,' 6,k Owater Pipe; Test-Anchors-Regulator-Sq&w--Ms-t CLUUI'ectric; underground ,,-4&�s & Ducts; ClearanFg,,�aterial-Support-Ins. A 00irders-Si I Is-POEFq-gn;Mt.-Joists�!��rippies Card-B!C,2C/ Date Card -BI Date Card -BI Datey_-/,7/,jf46 Card -BI Date Card -BI Date Card -BI Date Card -BI DaT,;T_J?(, Card -BI Date Date FRAL _,(Plank.:��K except #'s Card -81 (fT DatEf- Zqr jpj�, Card -BI Date Date PLUVBING (Permit) OK excepLJP�s ,.Z-,I!E (T2:rdQfW:�Poor & SidelighLP.Petecrh:m-Oln"�gs _§E,,,�_Getector ia/ ater Ht.; Vent- A5pdss4J;:iT1d6f%Aon Air 0a eeior- ln,��,,@ Flo tion V gjA4eelon r T W.V.; T!1��Anchors-Nail Protection a�� JAt!:��ooT, Exiting Pan; Test, First Floor -Tub Access AWJ.- U _&Zath Fixtures & Tub Access Test.Tub & Shower, 2tr&f4uor-i-� Access OK-Elee,'Trim & Subl5anel; Breaker Sizes -Labels e; Size-& Anchors 6,Le"S.1airs & Rails 6 Uv-E�utlets at Wood Panel; Int. & Ext. Card BI Date Card -BI Date Appliance; Grnd.-Air Gap -Cooking Clearance 6rd-Bl Dat;q_F;�;,.,fi,6 Card -BI Date 494-'V-lec. Outlets & Receptacles at Kit. Counter Date ELEQTRICAL (Permit) OK except #'s t, IW -Fixture & Transformer Clearance -Ins. Protection — - -71� (Mb:5TNtA#<r.; 'r-06frn-ecto Ab- FIM -111017h. Iliatectlon - ale-E-jee- Receptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors -Stapled 791��Ib, Elec. & Mech. Equip. Listed for Location 2,0,-�'R_oR(ex installed Close to Edge of Studs & C.J. P etec. (aloPtquip. Ground e0wlt--up w/Mech. Fasteners�� 26.-�ppliance Circuits in Kitchen & Conductor Size 4�_, �sion-Foaw-Looked in Attic EJXa_-L, 73w1'(;_uqLa,9s1Ts& Deck Construct i on-l"ast-evps Z Z, . Subfeed Wire Size ICZ, / ga. Cu -ii;_- �ang.Z —,r c _-/ 6 / ga. Cu or AI-Ovewt'"r--r--T-ve--G4_or_AI, Insulated Neutra -L:�s El No 28. Servi-ca-Mi-ser Conductors & GZe-_�M� TnDsconnect 7&.-'F_dn. Vents & Crawl Hole Dqpr-Drainage & Wood -Earth Clearance Looked under Floor -�'�es 7 wing instld.: Drive 0 Yes Yes 9:1 Nn, Planters 0Yes n�� I s T 2a--gAuip. Clearances: Pane Is-Motors-Mech. Equip. -C 7; -I teet eq;r,6_ B_ -1. & let Card B -I Card B -I I—oth es Closet Light- Date Card -BI Date DatT,",,T Z Card -BI Date 71il Above Roof; PK.-AppLL-mige-Fd*KClearaAGcte-arngs. 9Q-"_Exte[.Lor Elec. Trim; G.F.I. Receptacle-Uni.:�� 84--lenjiW—throughout House &Pr�a§,�.Rrotection Date MECHANICAL (Permit) OK except #'s orrections from Pre ��s Inspection%/A _2* �-Meter&,Mag !f ged;-fhm-E 31. A.C. Ducts: Insulation & Support V st above Insulation in & Overflow: Size & Grade---- Access-Comb. Air -Return Air Vent -115V outlet Platform if Furnace in Attic ..... . Card -B I Date Card -BI Date Card -BI Date _&a_r _d B_ I Date �t��r & Sewer Connected-C/04v<rade-IH�-�l ar' Energy Compliance Certificate -Other Certificates Card -BI Card -BI vCard-BI Date rate Card -BI Date 4X I - -- �Z Card -BI Date )atez_- 9%,f Date FRWfijG(Plans) OK except #'s Comm-ents.at Final: �Prop�rlvlat_ _�g' erial & Anchors 3P"' W,141s: S�ud.�-Nailing, Spacing & Bracing -Plates -Sound 3&�-'�'Baring Walls o-ye-r-G-irde-rs -&-Floo-r-Nailing r."., 39� Draft Stop in Walls (rat proof) (57�F.,e Stops: Furred Ceilings -Stairs -Chases -Tub ��de am -Size & Bearing s-Post Caps-Anchors-Connec tars,_ --,- Ing. Joist-Rftr. Ties-P6riin<��.-Truss-Shthng.-Rfng-- %oP- ireplace Ties or Type 4,<ue-Firepiace Throat 4&;ic Access: Size & Romex �r-o-te-c—ti-o-n--D-raf-t-S-1-op--In—s. Baffles '1Ptdrm. Windows or -Exiting Doors -Sill Hgt. & Dimensions %77-13-ara-977'ire Protection Fram i : n g o (NOTE: An entry mus I be made each time you visit jobs ite) C/w'v Owner: 114. Permit No./039- , -�/ 7—) ENERGY C-ERT'.IF ICAT ION I Ilk I - In LOCATION A. P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL% - Material AiffXeo /,as& Thickness(in�hes) CEILING Batt or Blanket Type - .. Thickness (inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR,, ELEVATED Material i 0/. S Thickness-(inch4s), FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name &zLi ZC--,,6 Thermal Resistance(R Value)= to Brand Name 7-LLJ) Thermal Resistance(R Value) Brand Name I Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Cet,7;0,-� Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. 6, z). Id 'r -p .3 -7 J'r- FIRM /OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE'OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Bluilding 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. e -- 31,4- AL"e- , - ��a 3 73 J FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. V"C;4� �� L Id- -,F- 7 SIGNATURE OF GENEUL/CONTRACTOR/OWNER DATE THIS CERTIFICATE MUS� BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,.CAlifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0 - ASSE S P CEL MBER ��2 U2 - Zo IMN3 0 G BUILDING PERMIT OWNEIT. �,4—w'- ELIfPHONE SQ. FT. OCC. BUILDING VALUATION OWNER*S MATLING A19prs CONTRACTOR'S NAM� ITF-L-EPHONE A/ IR�< CONT®RIA'TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER " N Total Valuat on' $ Filing Fee $ 10.00 LENDER 'S MAILING ADDRESS Permit Fee $ q4�-.ty) ARCHITECT OR ENGINEER A1110 r LICENSE NO. I Plan Checking Fee $ Yo, En rgy Plan Checking Fee $ — ARCHITECT OR ENGINEER'S MAILING A DORESS Penalty $ BUILDING ADDRESS 7 Z SL 6E�W (,' lrKIAI�tle 4/ Permit fee $ PLUMBING PERMIT FilingFee 10.00 I A Each Trap e,,� 2.00 Solar or heat pump water heater 20.00 LOT NO. I UBOIVISION NAME Is )6ARCEL MA P I I? Lf,5 3�: Water piping 5.00 6"00 Each qas water heater 5.00 USE OF STRUCTURE SF2� �Duplex[] MobilehomeF� Other SPECIFY _�:vpn� Gas piping system 1 -j5-o&Ekst_�' 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Lj"'Ade i ti on El del0 utilities[] installationO OtherEl Describe work: I I Permit Fee $ r 161 00 Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. Business and Professions Code for this reason NEW CONST DWELLING I OR A.DNS. ACC.BLDG , 21/20sq It L9 FW CON5TR N "AULT"OUTLET . N-RESID. BRANCH CIRCU.TS1__ 2.50ea PO ER APPARATUS.&) (SINWGLE OUTLET CIR. Ex. OCCUP( OUTLETS OR FIXTURES 2A @ 50C 5 L030t FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EAJ 2.00 TemporarV service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 J I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. Ej 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. 34 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 shal I be deemed revoked. Contractor MECHANICA� �gRMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 1,00 Ventilation Permit Fee $ /11019 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, cypts a d ich may in any way accrue *d C c �cind ApeCises wh ounty in I e against s ue Ve ranting of this permit. X A =:4&,4 Date 4 Signature of Applicant 0�ner ContractorEl Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- . of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCC .1 U P E-3 0 Pr� V-SA7 I F�J PAR�J , X5 i This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC By PE/,AIT'EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D a t e F f. :Z Lpn Receipt No. ii,�— W HITE-O.P.W., YELLOW-ASSF330R. PINK -'INSPECTOR. GOLDENROD-APPL I CANT q7A V TO: Building De-partment FROM: Environ'mental Health SUBJECT: SANITATION CLEARANCE OWNER 11 LOCATION f AP # Plans approved for: Sewage Disposal Water Suppl�� Hold final for- Water Supply_ Final Clearance O.K. for: Water Supply—_ Clearance for 2 bedroom—mab44-e---home. Other Clearqpce for add,.i� �ion of �j --m -- — - ARIAN DATE �COUNTY OF BUTTE DEPARTMENfOF PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,-Q,fL'1IFi@RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Aa A.P.No. Proposed Building Use (Z Permit Fee Based Upon: C6mplete Contract Price- DPW Valuation Building Inspector 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./tri.plicate . . . . . . . . 4. Complete engineered plans and calcs . . . . . . . . . . 5. Plans with Energy Design Compliance Statement . . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ - 9. Letter pf signature authorization . . . . . . . . . . . -10. Sanitation approval from Health Dept. 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 ownerEL Mail to owner 0 15. Improvements may be required . . . . . . . . . . . . ._16. Mobilehome Installation Data. . . . . . . . . . . .. Pre-Inspec. request to 17,,. Pre-Inspebtion for Required- Building Inspector . Date) _z2Ck6. Record_ed_��,Vgf Am ri Itural Acknowledgment Statement . . . 3 PAM$ (Construction approval required prior to,occupancy) -'C7f 19��Other_DRI When you issue the permit, process as follows: Mai I to owner. Mail to contractor. Telephone and hold for pickup at off ice.. Deliver w/inspector. Other Date -/-J- 3 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: I U (Contractor, Designe/n, Owner) v�as advised of above required data by —Telephone By Plans checked by —\, Plans approved by, Other Copy—DPW Date Date Mail —Other Date I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "ownei-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I perso6ally plan to provide the major labor and materials for construction of the proposed property improvement (yes-o�) 2. 1 (have /h.-ensWt) IV—,d u T--- signed an application for a building permit for the proposed wor'r. 3. 1 have contracted with the followidg person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 1 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. 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: Pr6perty Owner _Vzj� Social,S ity Numb7e ' Date I -.?- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and .19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWtEDGENENT E.0 FOR RESIDENTIAL DEVELOPEENT RECOPRE BUT. IT Section 26-8.1 of the, Butte County Code requires this acknowledgement be recorded.pripr to issuance of a building permit. 86-r12953 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 �LEMQRM BEMER the'use of agric , ultural chemic ' als, including, but not limited to herbij508, cides, and fertilizers; and from the pursuit of agricultural operations including, but not limited, to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property' ' should be prepared to accept.such inconvenience or disconform from.normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel 1 as shown on that.certain Parcel Map recotded in the Office of the Recorder of the County of Butte., Stateof California., on August 20, 1981 in Book 83 of Parcel Maps,, at pages -85 and 86. Date: -4-4 / �Z 4 State of 0,011rQ09,v1A ) SS. County of - Rafte RICHARD FEUERSTEIN NOTARY PUBLIC-CALIFORNk Wft ODUrity MYCQMMbSiDnE*m4an.24.1989 'IN Present A.P. No. On this me, the NOT COMPARED WITH ORIGINAL DOCUMENT the 26d/y of A ell 19Ar�, before undersigned Notary Pubfic, personally appeared A/,, /hl�m RA ANa( Ze,iJIP -rA) V e I&Ab? Ll Personally known to . me. X1 Proved to me on the basis of satisfactory evidence. to be the person_Csl whose name subscribed to Lsj Ae e the within instrument and acknowledged that �,XeK executed the same for the purposes therein containdd. IN WITNESS . WHEREOF, I hereunto set my hand and official seal. .1�xy Public TOTAL POINTS 7able 3-1.- Slab Floor Points I - _T Tnc-ila- R -Value of Insu'lition tion Depth. -T---T Inches 0-2 3-4 5-6 1- 7+ 1 1 0 - 11, 1 -5 ! -5 1 -5 1 -5 1 12 - 15 1 -5 1 -3 1 -2 1 -1 1 16 - 19 1 -5 1 -2 1 -1 1 0 �. 20 + 1 -5 1 -1 1 0 1 +1 7/7/83 Table 3-2. Raised Z ONE 1,16 T_ T OWNER &11Z_,j,1,4A/ ORrIEZ POINTS PERMIT NO. ASSIGNED ACTrUAL I . SLAB - INSULATION -8 5 7 2. RAISED FLOOR - R-19 A. 13 18 3. CEILING - R-30. 0 (ij . I 4. WALL - R-19 06 0.41)1 5. NORTH GLAZING. - 2.4-3.6% 53 Z 6. EAST GLAZING - 2.5-3.6% 4.3k -7- 7. SOUTH GLAZING - 1.6-3.6% 5- ZS 0 S. WEST GLAZING - 2.9-3 . 6% 3. 75' .37-.66 9. SKYLIGHT - 0-1.3% -13 1 -10 10. SHADING (Exclude Overhang) 0 10-1-11-5 -17 1 EAST - .66 : -(o4 .83 up 0 SOUTH - .19-42 .4(0 �-16 14 WEST - .13-.36 - 13.1-14.5 -25 1 .SKYLIGHT - .37-.57 -16 T - 11. HORIZONTAL SOUTH OVERHANG 2' -23 1 -22 1 12. I-IOVABLE INSULATION - NONE 0 13. JNFILTRATION (Standard=O)(Tight=+12) '1VC- _n I 14. THERMAL MASS SF Claz I In Pts. !�)l 15. GAS FURNACE (SE) 71-76% 1 -18 1 -12 16. HEAT PUI[P (EER) 7.5-7.9% 0 -6 17. DUAL PACK (SE, SEEP) 8.0-8.3/71-76% 1 -23 '-22 .19-.42 0 WOOD STOVE Y45S f- -7 1 C-LGe- WATER -HEATER 0 -40 Sngl, I ATTIC /00 - % TrPGT '6T -T OTHER FA48 _(5) . . I 1 -18 1 TOTAL POINTS 7able 3-1.- Slab Floor Points I - _T Tnc-ila- R -Value of Insu'lition tion Depth. -T---T Inches 0-2 3-4 5-6 1- 7+ 1 1 0 - 11, 1 -5 ! -5 1 -5 1 -5 1 12 - 15 1 -5 1 -3 1 -2 1 -1 1 16 - 19 1 -5 1 -2 1 -1 1 0 �. 20 + 1 -5 1 -1 1 0 1 +1 7/7/83 Table 3-2. Raised floor Points T_ T R -Value of T_ Insulation Points below 3 __T -12 3 4 -8 5 7 -6 a 12 A. 13 18 T2 Floor 0 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points 19 -4 22 -2 30 0 38 +2 49 +4 Table 3-4a. Wall Insulation Points R-Yalue of Insulation Points 11 -7 19 0 24 +2 30 +3 Table 3-7. -----.-T- South -Facing Glazing Pt able 3-m shs� T T T_ up to 1.5 Glazing Type. , SC by Total I 1*6� N _34 Orien- Z of Sngl. I Dbl._7_Tr_p_j.7 -1 tation Floor (U - (u - (ij . I I Area 1-10) 0.65) 0.41)1 -6 1 -4 1poj'nts I I t M, 9 3 Intsl East I ng Coefficient Points I Floor Area 0 3 1 +1 1 +3 1 +6 1 11 s 0-3.1 up to 1.5 +2 1 , 0 0 1 4 6 1*6� N _34 -1 1 2 0 fr .58-82 -1 TrPlT 5: 1 +5 1 +3 -0 -20 Flo. T_ 5.3- 6.5 -6 1 -4 -3 1 1 o -.19 1 0 6.6- 7.7 -9 1 -6 -5 1 .20-.36 0 7.8- 8.9 -11 1 -8 -7 1 .37-.66 0 9-0-10-0 -13 1 -10 -9 .67-.82 0 10-1-11-5 -17 1 -13 -11 .83 up 0 11.6-13.0 -21 1 �-16 14 1 5.1- 5.6 1 -10 13.1-14.5 -25 1 -19 1 -16 T - +1 1 14.6-16.0 -23 1 -22 1 -19 1 South 0 I I 1 -15 I to Table 3-8. West-FacInR Claz I In Pts. !�)l 3.1 1 7.0-.7.6 1 -18 1 -12 -9 0 -.18 0 -6 Glazing Type 1 -23 '-22 .19-.42 0 Total 1 1 -12 -8 -7 1 -.43-.66 0 % of I Sngl, I Dbl, TrPGT '6T -T Floor I . . I 1 -18 1 -15 up u Ilorth-Facin,S Glazing Pt % %. . (U " I T Area 1 1.10) 1 0.65) 1 0.41)1 1-oints I-ainc I I I 3.2 1 to 6.4 up 6.3 I +1 1 +2 0 it 0 0 0 -2 -1 -2 -2 1 6.4 1 8.0 1 9.6 to to up 7.9 9.5 +2 +2 +3 0 0 0 0 -2 -r2 -3 -4 -4 -6 I - I West It 1.6 1012 6.4 11 S.0 to to I to I to to I up 6. 1,�5 1 3.1 1 6.3 7.9 1 3 ' 0-12 Glazing Type +1 1 +3 1 +6 1 11 s I 01ntSj Total o 0 0 0 0 1 4 6 46 +6 2 0 fr .58-82 -1 TrPlT up to 1.3 1 1.4- 2.2 1 +5 1 +3 1 +6 1 +4 1 +6 1 1 +5 Flo. USn!" UDbl I U 2.S- 2.8 1 0 1 +2 1 +3 Axea 0.66 0.42- 1 0.41 1 1 2.9- 3.6 1 -3 1 1 +1 1.10 0.65 down 1 1 3.7- 4.2 '5 1 -:5 1 4-2 1 0 0 1 0.1- 1.2 4 4 1 +4 V__ 4 4 +4 +4 1 _4___-__5 .3 -2 1 1.3- 2.3 1 +1 +2 +2 1 1 5.1- 5.6 1 -10 1 -6 1 -4 1 2.4- 3.6 1 -2 0 +1 1 1 5 7- 6.2 1 -13 1 -8 1 -6 1 3.7- 4.8 1 -4 -1 1 1 6:3- 6.9 1 -15 1 -lo -7 4.9- !�)l -3 1 1 7.0-.7.6 1 -18 1 -12 -9 6.2- 7.3 1 -9 -6 -5 1 1 7.7- 8.2 1 -23 '-22 1 -14 -11 7.4- 8.2 1 -12 -8 -7 1 1 8.3- 8.8 1 1 -16 -13 8.3- 9.7 1 -14 1 -10 -8 1 1 8.9- 9.5 1 -25 1 -18 1 -15 9-8-10.8 -17 -12 -lo 1 9.6-10.1 1 -27 1 -20 1 -16 10.9-12.0 -19 -14 -12 10-2-1l.; 1 -29 1 �-23 1 -17 12.1-13.2 -22 -16 -13 11-1-11.8 1 -35 1 -26 1 -21 13.3-14.5 -24 -18 -15 11.9-12.7 1 -38 1 -29 1 -24' 14.6-15.3 1 -27 -20- -17 12.8-13.5 1 -42 1 -32 1 -27 1 13.6-14.3 1 -46 1 -35 1 -29 1 14.4-15.2 1 -50 1 -33 1 -32 1 Table 3-9. SkyllEht Points Table 3-6. East -Facing Glazin Pt 'i r - T 7 T_ T I I - Glazing Type I Glazing Type Total I Total I -1, Z of T -s.g i, Db!, Tr!I,T 2 -of I Sngl. I Yb I Trpl,1 I Floor U - U U Floor (U 1 (11 - I (U - I I Area 0.66- 0.42- 0.41 Area 1.1;), 1 0.65).1 0.41)1 1 1.10 0.65 down 1po!nts 1points IpLintsi T- - 0 1 44 1 4 4 1 t4 up to 1.3 -1 0 a up to 1.3 1 +3 1 +4 1.4- 2.2 -3 -2 -1 1.1s- 2.4 +1 1 +2 1 +2 2.3- 2.8 -6 -4 -3 2.5- 3.6 -2 1 0 1 0 2.9- 3.6 -9 -6 -5 3.7- 4.6 1_ -5 1 . g�-12D -1 3.7- 4.2 -11 -8 -6 4.7- 5.6 -3 4.3- 5.0 -14 -10 -8 5.7- 6.7 -10 1 -6 -5 5.1- 5.6 -16 -12 -10 6.8- 7.7 -13 1 -8 -7 5.7- 6.2 -19 -14 -12 7-8- 8-7 1 -15 1 -10 -4 6.3- 6.9 -21 -16 -13 8.8- 9.7 1 -17 1 -12 1 -10- 1 1 7.0- 7.6 -24 -18 -15 9.8-11.2 1 -21 1 .-15 1 -13 7.7- 8.2 -26 -20 -17 11.3-12.7 -25 -18 .1 -15 8.3- 8.8 -28 -22 -19 12.8-14.0 -23 -21 1 -18 8-9- 9.5 -31 -24 -21 14.1-15.3 -32 -24 1 -20 9.6-10.1 -33 -26 -22 3.2 1 to 6.4 up 6.3 I +1 1 +2 0 it 0 0 0 -2 -1 -2 -2 1 6.4 1 8.0 1 9.6 to to up 7.9 9.5 +2 +2 +3 0 0 0 0 -2 -r2 -3 -4 -4 -6 I - I West It 1.6 1012 6.4 11 S.0 to to I to I to to I up 6. 1,�5 1 3.1 1 6.3 7.9 1 3 ' 0-12 1 0 1 +1 1 +3 1 +6 1 +7 .13-36 0 o 0 0 0 .37-.57 0 -1 -6 -7 .58-82 -1 -3 -12 -15 .83 up -2 -4 -8 -16 Skylight 1 .1 1 -8 1 1.6 1 3.2 1 4.0 to to to to t.-, .7 1.5 3.1 3.9 5.2 r__T_T_T___7- 012 1 0 1 +1 1 +3 1 +6 1 +7 .13-36 1 0 1 0 1 0 1 0 1 0 .37-57 1 0 1 -1 1 -3 1 -6 1 -- .58-82 1 -1 1 .-3 1 -6 1 -12 1 - .83 up 1 -2 1 -4 1 -8 1 -16 1 -20 1 1 1 1 1 Table 3-1t. Horizontal South Overhane Points I South Cl a z Ting;__7 Length Out Area, X of Floor I from Wall I it F -7 0-6.3 1 6.4 up I u - V-3 1 -Z 1 -4 0. 6 - 1.0 1 -2 1 -3 1.1 - 1.9 1 -1 -2 2.0 up 0 0 Table 3-12. Movable Insulation Points Moveable Insulation] Area, 2 of Floor points __7 0 0 1 5.6 11.5 +2 11.6 17.5 +4 17.6 23.3 +0 :123.6+ +8 Table 3-13. tnfiltyation Control FeAtvres Points I Coutrol Features Points T- I Standard 0 1 1.9 air changes per hr T- I Tight +12 0.6 air changes per hr Table 3-15. Gas Furnnce Vithour R I g o n efrigeration Conlin P I r Seasonal Efficiency Points (SE), 71 - 76 0 77 - 82 +2 83 - 88 +4 89 - 94 +6 95 up +8 Table 3-16.* Heat Pumo ?oints Energy Efficiency Points Ratio (EER) +6 7.5 - 7-9 +3 S.0 - ;.3 +6 8.4 - 8.7 +9 8.8 - 9.1 +12 9.2 - M +15 9.7 - 10.2 +L8 10,3 - 10.8 +21 10.9 - 11.5 +24 11.6 - 12.3 +27 12.4 - 13.2 +30 8 C D A Table 3-17. Cas Furnace With Refriveration Coollne Points !Refc1geraciod Gas Furnace I Cooling SE 171-117-i83-1sq--r-9-5-T I 76f 821 881 941 up I 1 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 4.8 9.2 1 *41 +61 4.614101+12 1 9.% 9.7 1 +61 +81+101-121+14 1 '9.8 10.3 1 +31 6-1101 +121 +141 +16 1 1 10.4 10.9 j+IGj+L2j+I-j+I61+18 I 1 11.0 11.6 1+1214141+161+181420 1 1 1 ! I I I 7/7/83 TABLE 3.14 (ADAPTED) MASS DUELLING AREA SQUARE FOOT ZONE 11 INTERJOR THERMAL MASS POINTS AREA 1.0.00 7 - 14 +2 1.500 +4 24 - 30 +6 2,000 +8 40 - 47 +10 2.500 4-12 56 - 63 +14 3.000 +18 72 up +20 3.500 Orly -40 4.000 0.9 S.000 20-29 30-39 SO. FT. -AS C 0 A 8 C D A 6 C 54 -1 A 8 C 0 A B C D, A 8 C- A 57- 6 C D A 6 c r I C ;� !-0 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 a 0 0 0 0 0 0 0 o 0 0 01 0, 0 3 !Do. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 n 0 .3 0 0 0 150 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 0 2 2 2 0 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 �2 2 2 2 2 2 2 2 2 2 2 2 t 250 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 ? 2 2 Z 2 2 2 2 2 309 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 .7 2 2 2 ? 7 2 2 2 2 2 2 Z 350 14 14 12 8 10 10 8 6 6 6 & 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2 2 400 '14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 6 4 2 4 4 4 2 4 4 4 2 1 4 2 2 4 1 2 50) 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 2 6 6 4 ". 4 4 4 2 4 : 4 603 22 20 IS 12 14 14 12 8 12 12 10 & 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 6 6 4 2 6 6 4 700 24 24 2 0 14 18 16 14 10 14 14 12 8 10 10 10 6 10 10 8 6 8 8 4 8 6. 6 4 h A 6 4 6 6 fi :1. Z30 26 24 22 16 70 16 16 10 14 14 12 a 12 10 10 6 10 10 a 6 to 1, : 4 ? 6 6 4 6 i 6 & -- �03 28 28 ?4 16 Z ' 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 a , 4 4 i a a 6 4 I , clo 30 �O 26 18 22 20 20 14 18 18 16 10 1 11 12 12 11. 1,1 12 10 0 a a 6 8 1 a 0 4 1 n a C 4 I.-,00 32 32 28 ZO 24 24 22 14 20 20 IS 10 I : I 6 1 4 4 4 2 2 12 I 0 1 a 10 6 In to S .3 e E 1 .200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 I 0 14 14 12 8 14 1 2 1 2 *12 12 10 6 1 " 1 0 S in to a 6 1,300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 IC 10 14 14 14 8 14 12 12 8 ;2 12 ;0 6 12 '0 10 G 10 10 t 6 I.,Oo 34 34 32 24 28 28 26 18 24 24 20 14 21 10 18 12 11 11 14 10 1: 12 8 4 1 4 2 1 a 2 12 1. G C. 13 1,3 E I.ivo 36 34 34 24 30 30 26 18 i4 24 22 14 22 20 IS 12 18 18 16 1 1 :4 & 14 8 14 14 12 !! I? I Z 10 (- ;? lz I -. 6 2.300 34 34 32 22 30 30 26 18 26 26 22 22 22 20 .10 :4 20 20 18 1 2 18 18 16 10 16 16 j4 r 14 14 12 1; 2.500 3 4 34 30 2 2 , 30 30 26 26 26 24 6 24 24 22 . I 4 Z2 2Z 13 !2 20 2 C, IS -- . is 1 I� : ,-. J-100 34 32 30 22 30 30 26 18 28 :6 24 16 24 ' 4 22 14 22 2 ' 20 14 3.500 32 32 30 20 30 30 i6 18 29 28 24 1 6 26 24 22 14 1 Z 4 .1.030 32 32 30 20 30 311 16 Is 2 b 24 It 25 2 �2 if 4.500 32 32 26 a 30 3 0 26 it ; 5.003 32__'T;' 2i �3 I-) G Y 6 In A ) I . 3's* Concrete Slab: HC�8.93; R-.29*. Factor -7.3 2. 3 3/4* Thick Common Brick: IIC-7.125: R-.13; Factor -7.3 21 1: Sh",C7ncrete Slab: HC -14. 106; R. .41 1; Factor;07r 8" a id Filled Block: HC -20.63; R-1.93; Fac 4.1 2. 8' Solid Filled Bloci With Both Sides Exposed To Conditioned Air. NOTE: Use all - square footage directly exposed to conditioned air for Thermal'.Mass Area: HC�10.164; R-.96�; Factor -6.1 D) I" Thick Concrete/71.1e: KC -2.55; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Restst,ince T- Space Heating Points Points for this measure will be comp!eted after the CEC has approved an Alt,�rnative Component Package for Resistance lleat. Table 3-18. Active Solar Spnee Heating with Gas Points 4et Solar Fraction (NSF). Z 0 - S 1 0 1 7 - 14 +2 15 - 23 +4 24 - 30 +6 31 - 39 +8 40 - 47 +10 48 - 55 4-12 56 - 63 +14 64 - 71 +18 72 up +20 able 3-20. Solar Water Heatinz With ras Backito Points wood stove #33 poin�s-(no back up) casablanca fan + I.point Multifamily (per unit points) System Type Points Floor Area Gas only 0 Net Solar Fraction (NSF). Z 0 per un�t. Re,itstance, BAckup Meptini; the Require - menti lit Part 2 0 17 it 2. Orly -40 0.9 10-19 20-29 30-39 0-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2X00 and up 0' +1 1 +2 +4 4.5 1 +6 +7 +9 All others (Pe build ng pnints) 8UO-899 0 +5 +10 +14 +19 +2 +19 90(�-999 0 +4 +9 +13 +17 +21 +26 +30 I,OCD--t-,199 0 +4 +7 +11 +15 4-19 +22 +26 1.2k,1.499 +3 +6 +9 +12 +15 418 +21 1 1,500-1,qgg 0 +1 +5 +7 1 +9 +1? +14 +16 2,1)00-2.999 0 42 +3 +5 -# 7 +8 +10 +11 3,000 -t;.d tio � , +1 1 +3 +4 +5 �7 +9 to Table 3-21. Other Water Heating P a. System Type Points Gas only 0 Beat PVmP 0 Solar with Electrte Re,itstance, BAckup Meptini; the Require - menti lit Part 2 0 17 Electric Rcststaocs Orly -40 FORM I RESIDENTIAL ENERGY PLAN-CHECK/INSPECTION SUMMARY �Ownei 'Alla-14" /34 le ee Climate Zone Permit No. 103,f-OC6 Fl000� Area 1290 SF .Compliance path: Package 0 A 0 B 0 C 2��int 6"stem. [3 Budget p6ther 415 /W MI14 R -VALUE- DESCRIPTION REQ'D - INSTALLED ITEMS (1) INSULATION: Roof/Ceiling 50 00 Wall 13 Slab Floor Perimeter Raised Floor (2) INFILTRATION: 13 (A A vapor barrier is required in climate zones, 1, 14 & 16. (B).All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight the above standard features plus: 13 (D) Continuous infiltration barrier (E) Electrical outlet plate gasket' 13 (F). -Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg :Ze6 00 /5.f± North 59-00 East M' South 3.2r West 44. eo 13 Skylights (B) Shading Shading Coefficient Description East South West 13 Skylights (C) South OverhanA Length of projection ft. Description 13 (D) Moveable insulation: Area ftz Description (E) Thermal mass E3 Type - Area Ft.2 HC= R= MC= Location 13 Type - Area Ft.7- HC=- R= MC= Location E3 Type - Area Ft.2 HC= R= MC= Location 13 Type - Area Ft.7 HC=. R= MC= Location 13 Type - Area Ft.2.HC= R= - MC= Location 13 Type - Area Ft.z HC= R= MC= Location 7/83 FORM I 13 (4) MASONRY AND FACTORY -BUILT. FIREPIACES 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. 11, 91 ,*1(5) HEATING.-VENTUATING, AIR CONDITIONING SYSTEM (A)'...Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump. (brand and model number) ACOP Btu/hr (heating capacityat 47'F) rl � Active Solar' f M model number orientation .,type (liquid or air) Collector brand and ft2 * solar fraction collector area collector collector tilt rated y -intercept rated slope . other I WOOD BIIRAIIAA� STOVE *1 (B) Cooling 13 Electric Air Conditioner describe) kDrana ana moaeL nUMDer) kseasonaL istx) Btu/hr k (cooling capacity 'at 95*F) E3 Electric Heat Pump EER Btu/hr (cooling capacity at 950F) 13 other (describe) 13 (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. 13 (D).AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. 13 (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas -fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DANPERS sh all be provided for all fan systems exhausting air to the outside. (G) DUCT CQ�STRUCTIQN & INSUIATION. 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 1.005 of the UMC, 1976 Edition. 7/83 2 k FORK I -4- (6) DOMESTIC WATER SYSTEMI, 13 -(A')� Gas Only Gallons (brand and model number)- (tank size) -Heat Pump y/Electric Backup (brand and model number) Gallons *2 (tank size) 13 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft -(backup heater type, brand and model number) (collector area) (collector orientati�n) (collector tilt) E3. Location of Solar Panels m/ Other 54 _Ac4 (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. St.eam,and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showe'rheads and faucets as outlined in the new appliance efficiency standards and. shall be certified to the Energy Commission. 7) LIGHTING (A) Lamps used. in luminaries for general lighting in kitchens and bakhrooms shall have an efficacy of not less than 25 lumeas per watt (usually florescent).' Submit documentation of sizing heating and cooling equipment by Manual'J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 0, elevation ',heating load BTU elevation factor' 1,00 x heating load maximum outlet capacity gas furnace BTU Cooling: Summer-- des-ign - tempe_rat*ur'e 0 co . oling . load _Btt *2 (USE ONLY AS A SIZING ' GUIDE, COOLING MAY BE INADEQUATE) Submit. T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. DESIGN COMPLIANCE STATEMENT: The above building'design meets the requirements of Title 24,,Part 2, Chapter 2-53 of the California Administration Code. 7/83 S 1IG N 2AT UeR E&O F 4B ILDI�G DkSIGNER OR APPLICANT 3 COUNTY OF BUTTE - Department of Public Works 7 County -Center Drive, Oroville, CA 95965 Phone: 9167538,7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is 'received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed prop.S�rty improvem t _(y�s or no) 2. 1 (have/have not) signed an application for a buildin g permit for the proposed work. - have contracted.with the following -n—on— (firm) to provide the proposed construction: Name Address Phone Contractors License- No. p an to provri6`eportions of this wor but I have hired the fo 16—wing person to coordinate, supervise, and p de the major work: 'Name Address City Phone Contractors License o.� will provide som f the w I ork.but I ve cnrtZracted (hired) the following persons to prowiee �the work indicated Name Address Phone Type of Work Signed: Property Owner Social Security Number Date :;z 1 11 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to.issue the permit. 4 �ZO41 Zo ont, -yo Y?i,, �yo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qalifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 64-62-20 ZONING ARMH3 V BUILDING PERMIT OWNER William Baker (415 TELEPHONE 685-2116 SQ.FT. OCC. BUILDING VALUATION ist Renewal OWNER's MAILING ADDRESS 3657 Montreal Circle, Concord, CA 94520 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation !$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee UF of Original) $ 147.50 ARCHITECT OR ENGINEER None E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5915 Fern Glenn Way Permit fee $ 57.50 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 a2alia Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF E?9 DuplexF� MobilehomeF� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 0.00ea I TYPE OF WORK New F Addition [I Remode I [:] Uti lities [I Installation[] Other Describe work: 1-,t- Rinnewal - #1039-86 I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMR OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and y license is in ful force and effect. L—T I License No. _ 2 7-3 Classificatior - 1� El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.fid OR ADDNS. ACC. BLDGS. �1/4sq it NEW CONSTR. MULTI-QUTLET NON-RESID, BRAN C. C,.,:U, TS) 2.50 ea POWER APPARATLIS.&) (SINGLE OUTLET CIR 20050C Ex. Occup(OUTLETS OR FIXTURES 5AL* 30C FIXED APPLISIS OR Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15-00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [_� The permit is for $100.00 (valuation) or less. E] 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 A 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 10.00 Heating Cooling — Hood 3.00 Ventilation _T Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep h [mless th County of Butte against all - liabilities, judgments, co,4, and ehAevseghiceh may in any way accrue co 16 If, again,V sard Coupty 1i coir7ld en e c , i ng of this permit. ot�7 g Jr, a X A,/-' -M4 115'::;4k J 5�d �a I e Y�4 Signature of Applicant 0 Contractor 0 Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sAries in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ 157.50 occup. � CONST,TYPFI I I FLOODJPARrFL.J P11 I No I ISSUE This permit is hereby issued under sions of the Butte County- Code and/or work indicated above for which -'D-j T PUBVLRKS "A' X CO, 44 44!4IP_ - ' A - If _1A - PERkTEXPIRES Date the applicable provi- resolutions to do fees have been paid. Date ffP Dail 5-8-RIg Receipt No.- WHITE-0.9b.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT C9 PERMIT NO. 624-184B. I? E PERMI T EXPIRES - OWNER RAY & ZEV BAKER A CONTR. David Neilsen, Orville ASSESSOR PAR 64-62-20 CEL LOCATION 5915 Fern Glenn Way, Magal ia /7 I emp. Power Pole Callec OFFICE�COPY Temp. Ele,' Address Called i GAS a Ve--� Me Y - )e ate Temp.Gas E Li C �'R�l C Date _D -Meter�By 0 Calledl'. _,4 JOB FINALED (Date) //I 4 Signature v WA -4 t-- OK 0 = Not OK - = Not Applicable MOBILEHOMES, MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Da te DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requ i rements-Setbac ks- Easements 2. Soils: Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-B�acing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas: Location -Test -Wrap: / /"L"ft./ /" Nat. or/ L"ft./ LPG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date card -131 Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requ irements-Setbacks- Easements Card -BI Date Date Card -81 Date POOLS (Plans) OK except #'s 1. Setbacks- Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test- Demand-Va I ve-Connec tor 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH T as t -C rossovers- Brea kers-C I eara nces 4. Etec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment-Heatet 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc losures-Panelboards- 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 -61 Date Card B -I Date Card -BI Date Card -131 Date Card -BI Date %/ = OK 0 = Not OK - = Not Applicable = Not Ready W, "I%, RESIDENTIAL (Si.ngle and Duplex) Date Ut�5��LOOR (Plans) OK except#'s Date FRIWMIT '(Continued) 1KZoning requirements -Setbacks -Easements 48.-?x<erty Line Firewall & Openings 2. Ftg.,, Main; Soils-SteeI-t4M-'M?ff_- Ftg. Depth 49'*- E�J�oors-One 3' -Check Garage -3rd story, � exits b,e�tg, Garage; Soi Is -Steel- Ftg. Depth 604�fjkrs; Width -Headroom -R ise-Run-Landi ng -F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- Ftg. Depth 51.:' ood on Roof Overhang -Attic Vents -Rafter Outriggers ____5. SteTvells, Main; Steel-Blockouts-Wrapped-Slab 52VSiding-Nailing-Veneer iuts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54, Glazing Area -Glass Protection -Skylights -Plastic 84,,Er.`W.V.: Fall -Fittings -Test -2 way C/b,-Sew6r-Te%,-) 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples / Card -BI n )K'-Date%4,!�7,o�r Card -BI Date Card -BI Date Card -BI Date �4 Card -BI Date Card -BI Date Card -B lAk��'Date lo4 Card -BI Date :il Date FIN 56o.�� ! �(Plans) OK except #'s Ext. S -Door & Sidelight Protection -Landings _,teps Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s �moke_petector 14. - ater Ht.: Vent- Access -Combustion Air 58._.Pdrn-ace; ��s-Clearance-Comb. Air -Connector - In_Ga*eg'6-, Above Floor-Ducts-Mech. Protection eWater Pipe; Test & Anchors -Nail Protection ,11 igs & Anchors -Nail Protection 59BedLowYrExiting 17. Shower Pan; Test, First Floor -Tub Access �q ixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 61. ZErecXI-im & Subpanel; Breaker Sizes -Labels 69 & Rails bj. M �Por�stove; Clearances -Hearth 64. 4et-ftl-c. Outlets at Wood Panel; Int. & Ext. Card -81 Date Card -BI Date -Off. �tt. ix�-Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6157-Ere-c.Outlets & Receptacles at Kit. Counter Date LE C� 1��Al_ 'Permit) OK except #'s L -&?.--,&araue-Fre-Uo-o-r,-S'wi-ng- Land i ng -C loser 69. uct in arage- mper - n - b. Air-Connector-P.R.V.- In gp.; Above Floor-Mech, Protection _ 'x'ur. & T 202 F ransformer Clearance -Ins. Protpnflon 21. Elec. Receptacles Spacing- L ightg��Pcz nllnoor?�> 221-05i`zej�oxes & No. of Conductors -Stapled 70.k1,!rjj>e,�Iec. & Mach. Equip. Listed for Location 71. *-Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Installed Close to Edge of Studs & C.J. ,,x 24�5_quip. Ground made up w/Mech. Fasteners -Bond Gas & Water ?2--Tn-su lat_!pn- Foam- Looked in Attic 0 Yes 73. Zorfd Rails & Deck Construct ion -Post Caps VS. 2 Appliance Circuits in Kitchen & Conductor-Si-ze 7F-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor LJ Yes 2N Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or At 27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or At, sulated Neutral OYes ONo 75. Following instid.: Drive __[��Yes Cj'No; Walks 0 Yes -f:I-No; Planters D Yes ONo 28. Se\vice-Riser Conductors & Ground -Main Disconnect 76_-&toeee-,-8f-ewn-F inish 29.:��qu �.Cl.a�ra.ces: Pane Is-Motors-Mech. Equip. 77-A.u. Unit; bisconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Cloth6s Closet Light -Shower Light ��Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. WaT-p .EpWell; Disconnect, Electrical, Plumbing a_rdB-I� C Card -61 Date -12 � Card B -I Date Card -BI Date 80.d�,'I5xtqLLor--EIec. Trim; G.F.I. Receptacle-Undergroun 81. Ite-n I i La -Jien throughout House 82. Afa_ss..�tection Date MECHANIC,t (Perrrtit)' OK except #'s 83. Ci?rrections from Previous Inspections 84. G s Test -Meters Tagged; Gas -Electric 31. A.C. Ducts, Insulation & Support 85. W�ter & Sewer Connected -C/0 to Grade -HD Approval -3?.. Vent kan; Exhaust above Insulation Conden\ate Drain & Overilow; Size & Grade 86. Etergy Compliance Certificate -Other Certificates 34._Furnace Vent; Access -Comb. Air -Return Air Vent -115V outlet .--35.-Attic Acd�ss & Platform if -Furnace in Attic 44Z Card -W Cardf6l Je�gate f (,, 4�f 1 �atard-B I Date Date If 6':ZCard-BI Date Card -BI Ca rd- Date Card -BI Date Date Card -BI Card -BI Card -RI Date Date FRAMING(Plans) OK exce Comments at Final: 36. Si Its; Proper Material _37�,�,W_aj III s;-tud,s-Nai I ing, Spacing & Bracing-Plates-S.ound 38. B W 11 ver Girders & Floor Nailing �Zing __a s o__ raf-St p in Walls (rat proof) .0 �� - 40.-'r-irg-Stops; Furred Ceiiings-Stairs-Chases-Tub 41 e r & Bea -Size & Bearing m 42. an rs-Post Caps-Anchors-Connec-tors 43.�;ng. Joist-Afir. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfng. rTils' or 'Type A F lue-F ireplace Throat 4_5��ize & Rom ex Protect i on-Dra It Stop -Ins. Baffles 4C,.�._ �Tnd..so`rExiling Doors -Sill HgI. & Dimensions 47. C Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTT9� DEPARTMENT OF VUBLIG& WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violation's of Couniy 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,lo this matter, or need additional explanation, 'please contact this'office immediately. COUNTY OF BUTTE DEPARTMEN"F PLI�BLIC 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 i US 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. It you have'any q'uestion pertaining to this matter, or need additional explanation, please contact this office immediately. ; ca Baker-' Asst. Vice President NORWEST PACIFIC MORTGAGE, INC. 1465 Enea Circle, Bldg. E, Suite goo Concord, CA 94520 (415) 798-7800 AFAF COUNTY OF BUTTE - DEPARTMENT OF PUB LIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANDPERMIT PERMIT NO. ASSESSO PARCEL NUMBER 41 4 Q --Q I_Tj G BUILDING PERMIT 0 ��J eAJ '2 �&Ke r H NE SQ. FT. OCC. BUILDING VALUATIOV OW��R'S M I AD ESS r 0_�j r,2(IM C-0 dq 9 q4_)_V CO,�SACTOR r�IUI'ANAV T IPA I.Q e0,A11 4Q3 I --L-LFFHONE 22 zo CO RACT Is h1A S 1� G _"rDRES F 0 V— _D Fireplace __ktr UNK CONST CTION LENDER 7 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 4(% Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,59/-,5 Gn I a,*hP WmA4 PLUMBING PERMIT FilingFee 10.00 I Each Trap 41 2.00 J-_) Solar Water Heater 20.00 n] 1 e-� Water piping 5.00 -:5 IDC2 LOT NO. 1 SUBDIVISION NAME 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUGTJURE SF[:] DuplexF� MobilehomeF-1 Otherri"I ea CID d SPECIFY Building sewer 5.00 Mobile Home I S I G I W-1 1 110.00ea TYPE OF WORK New g��Addition 0 Remode I El Utilities El InstaliationEl Other El Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /0,6 0 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. NS. ( CWELL�=."&j OR ADD ACC, B 21/2 0sq ft :�2, 0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions- C license is in effect. �op fL,11- License No. jnd my Classification ,Aorce Td Z2 — 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, 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_(MUANTC1OUTRET NO N.RES'D, BR H C CU ITS) 2.50 ea NEW.CONSTR. POWER APPARATUS &') NON RESID. (SINGLE OUTLET CIR. 20@50C Ex. Occup(OUTLETS OR FIXTURES IDAL@300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 5.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): EJ TDA?,permit is for $100.00 (valuation) or less. Eq,,,f 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-Inlure. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor — 1 certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereb.y authorize representatives of the Countyot Butte to entir upon the above-ment oned property for inspection purposes. I Ty o I I also agr to sa , indemnif ;Nn keep harmless the County of Butte against ts c s all li:abi ies, ju rnents, co and expenses which may in any way accrue . Ji co s c of t gr t s :aglailnst. aid C ty in conse nce of the granting of this permit. X Date 3 S ture o/ppli cant Owner El Contractor [�J�Aqent 1-1 A 0 `�SHA erm t re I, d for excavations over 5'0" deep and demolition or construct - yiu, ion of stru r s ories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GRO up I TqE OF CONST. P A;X L ;V H Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date3--/7— 9 L) PEOIT EXPIRES Date— `�� ::Z - 0 - e,577 Receipt NoJ:_S t%7 -7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT h, L e CW 71- 44,/-4�, /Z,3,TS.,O sc 4344-7 Xlf-r-;O-w-ez-