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HomeMy WebLinkAbout064-620-040064-620-040 PERMIT#96-0763 JOHNSON, Raymond,-, 5875 Paschal Way,-Magalia Complet?-BP#91-0646 064-620-040_ #98-1866 JOHNSON, RAY,& ASTRA 5875`PASCHAL WAY, MA ALIA -DON CARR /I t GARAGE/SHOP r 0 64-62-40 IMICK_-------------- 5875 Paschal Way, Magalia Contr: James Ryan, Newcastle Permit#1798-87B,P,E,M(new single family) F 64-62-40 RAY & ASTRA JOHNSON 5875 Paschal Way, Magalia Contr: Solar Design Homes Permit#4033-88B,P,E,M(new single family 64=62-40 ContR: Solar Design Homes PErmit#171-90B(lst renewal/4033-88) 64-62-40 Permi 646-91B (.comple e/4033-88) _ -- 6-51-42 Permit#288-91B - (complete work tar -ted under 566-88) z 64e-62-40 92=614 JOHNSON, Raymond & As a 5875 Paschal Way, Magali —(lst-r_enewal_of. BP#646-91_) --- 064-62-0-040 93-675 P JOHNSON, RAYMOND & ASTRA 5875 PASCHAL, MAGALIA COMPLETE/91-646 064-620-040?,. "' - '94-0999B' `\ JOHNSON, RAYMOND ; 5875 PASCHAL WAY', MAGALIA +•, ;,. - Q 1 i `COMPLETE BP#91-646• - • � a� `064=620=040 "_ -PERMI 495=0696 JOHNSON 'Raymond, `5875.Paschel Way, 'Maga is `Add' 1 Val, ; f6e BP#94- 9 064=620-040 ,r ERMIT#9u-i40�5" JOHNSON, Raymon &' Astra" 5875 -Paschal.' y'Magalia'4� Complete BP# =0646 - r .. r r • �}.;, + `�-moi. ;yam COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ` CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Ir 14 Date 3 7 Inspector K 1"7 s p l REV 10/Z r CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sen \ t Called PG8 ,JOB FINALED Signature hr064-620-040 #98-1866 ! RESIDENTh JOHNSON, RAY & ASTR 5875 PASCHAL WAY, GALIA DON CARR , �✓ GARAGE/SHOP �� / PERMIT NO.Xg, ,PERMIT EXPIRE �✓ ` "� OWNER 'CONTR. ASSESSOR PARCEL LOCATION r CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sen \ t Called PG8 ,JOB FINALED Signature V=OK - 0 = Not OK Not `=Not Readyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size-Spacing-Mardage Line 3. Gas; MH Test-Demand-Valoe-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. Tie Downs -Type -Installation Can. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 12. BraW Wall Panels (A -e-" ICc Date Card B-1 Da Q Card B - Date Card B-1 AeO Date Card B Date POOLS(Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 lis.,../ ✓ = OK O = No' OK,� - = Not App, cable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Fig. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-MaterialSupport-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date 46. Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rffr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. PLUMBING (Permit) OK except #'s 48. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ELECTRICAL (Permit) OK except #'s 58. 23. Fixture & Transformer Clearance -Ins. Protection 59. 24. Elec. Receptacles Spacing -lights & Switches at Doors 60. Brace Interior / Exterior Wall Panels 25. Size B2kes & No. of Conductors Stapled Insulation -Walls -Ceilings 26. Romex I stalled Close to Edge of Studs & C.J. Infiltration -Walls -Windows 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Card B-1 Date Card B-1 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No FINAL (Plans) OK except #'s 31. Service -Riser Conductors & Ground -Main Disconect Ext Steps -Door & Sidelight Protection -Landings 32. Equip. Clearances Panels -Motors -Meth. Epuip. Smoke Detector 33. Clothes Closet Light -Shower Light -Spa Light Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 34. Smoke Detector Bedroom Exiting 67. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Fireplace or Stove, Clearance -Hearth 35. A.C. Ducts Insulation & Support Elec. Outlets at Wood Panel, Int. & Ext. 36. Vent Fan, Exhaust above insulation Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 37. Condensate Drain & Overflow, Size & Grade Elec. Outlets & Recepticales at Kit. Counter 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Garage Fire Door; Swing -Landing -Closure 39. Attic Access & Platform if Furnace in Attic A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 80. FRAMING (Plans) OK except #k 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties orType A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Class Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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 Driv6 'Or$ville, California 95165 • Telephone (530) 538-7541 ,1zg� O. (Rev. 12/9 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-620-040 ZOAIRI'll73 ``� BUILDINGPERMIT OWNER JOHNSON, RAY & ASTRA TELEPHONE SO. FT. OCC. BUILDING VALUATION 7 1,3680 . OWNER'S MAILING ADDRESS 5875 PASCHALL WAY MAGALIA CONTRACTOR'S NAME DON CARR TELEPHONE 877-6094 CONTRACTORS MAILING ADDRESS ' 1301 BENNETT RD. PARADISE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fllin Fee $ 20.00 Permit Fee $153.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 99.45 BUILDINGADDRESS 5875 PASCHALL WAY Energy Plan Checking Fee $ MAGALIA $ - PERMIT FEE $ 272.45 LOT NO. SUBDNIS IONS NAME PARC E P PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE GARAGE SHOP SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 37 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license ISI full force and effect. �� ���� License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. 26.60 No RES ST MULTI -OUTLET 97,50 OWERLE APPARATUTLETUS 8 PSINGOCIR. Ex. Occu oLmEr OR FDcruREs 20 � , 00 BAL o ,50 Ex. Occup. ounFrs 2.16.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 46.60 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Hormance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensa.on insurance gamer and policy number are: Carrier fJ,10 _ Policy Number 6 - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor s' compensation provisions of section 3700 of the Labor Code, I shall f Ith comply with those provisions. X �i'L Date q /� ,�P/ Signa ure of Appli6int - ❑ wner 11Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction L of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee 14 Energy Inspection ee $ occ V CONST. TY v TOTAL FEE $ 3 9.05 HAZ. .— D. IMP ROOD CD pqq pp HD JASUF, Ivy This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have -� By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. o Date T r I (oat.) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ils E.H. USE ONLY Plot Plan Attached GS yU �" Floor Plan Attached Sent to B.D. i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance IZA eta -5z7s. I�a�c�e� In/y (,y4 -Gro - v4o Owner Location AP# Plan Approved • for: Sewage Disposal Water Supply: Public Private Well Clearance for ftg.Othe �� iacf2ed GetretAe. w� c�nrr�®�.. c�(u+�6ir s Hold final for: Final clearance O.K. for: NOTE: ,s4g� CHs Environmental Health Specialist 13-V-90 Date ✓ . COUNTY OF BUTTE- DEPARTM T OF DEVELOPMENT SERVICES -BUILDING DIVI I N ' 7,COUNTY CENTER DRI'i/E'='OR'OVILLE, CALI)+O '65:-TELEPHONE(916)539-7541 . : PERMIT APPLICATION DATA SHEET ya OWNER: 9.2 IfSrR J 0*4J.P.11 ASSESSOR PARCEL /'�/. NUMBER: 0 7 V 2 0 .. o Proposed Build' g Use: S ?? 15emA::> G Building Inspector: Date: V1 `% 8 At time of permit application, I As advised the following data must be submitted prior to permit Orocesiing and/or issuance: Date Received By ❑ 1. All items have been submitted. ----------------------------------------------------------------------- 7-------------- `' 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- �( ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5 `Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------- 07. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ N, /2.Califorill'i actured Home data and installation instructions including Tie Down Specifications .------------------ ,.�of $ ------------------------------------------------------------------------------------- ct fees as shown on the attached schedule .------------------------------- ---- -- - - - Department of Forestry plan approval/fees.-------------^d-�-------- �Z=-a - a ❑ 13. Flood `elevation certificate. ------------------------------- --------------------------------------------------------- Sanitation and plot plan approval Cfl/foHealth Department. ------------------------------------------- `II� 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 111.9. Encroachment Permit for driveway (construction approval prior to occupancy). E120. Pre -inspection Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------- ------------- Workers' Compensation carrier and policy number.------��'�- — ---- 4'''-�Z_z*/__- 1:123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------- = --- =---------------- 1124. Letter of signature authorization. ------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. --------------------------------- 027. Manufactured Home utility clearance. -------------------------- 8. ------------------------ 8. Existing violations and/or expired permits. -------------------- 9. 0433 A, ❑Gr �tyDeed, Q M.H. Title, ❑ Check to H.C.D $ 30. Other: (/ When you issue the permit, process as follows ❑ Mail to owner to contractor. (Date) p/ GG r , . ❑Telephone and hold for pickup at ce. ❑ Deliver with inspector. Applicant: �/t—Date: �9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 0 er: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: J' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by �` Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by -13 phone, ❑ mail, ❑ Building Division counter, by Date: Contractor; designer, owner, was advised of the,above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: - ,c,::.;";Plans approved by: Date: 6 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. . " `:Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Or'oville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 4 D — an 7 zowV4AHb, BUILDING PERMIT OWNER _ SO I TELEPHONE SO. FT. OC(;. BUILDING VALUATION O OWN � AD S ^ 411 / f�j� (\J" 11.+1 C/'"4 I� CONTRACTOR'S NAME TELEPHONE 10 © e4g ^ w CONTRACTORS MAIUNO AD. 30l &,., re -- CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 6Z c7 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �7 -9 7; Energy Plan Checking Fee $ � PERMIT FEE $ - LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7:00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sP�y Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heate r vent 15.00 TYPE OF WORK New 0' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping syst_ 5 outlets 15.00 Building ser 15.00 Mobile oma S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service 2�0. OR Lss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain,workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 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. Main Service 200A TO 46.00 NEW CONST. DWELLING OCCUP. SO EL CU OR ADONS. ( & ACC. BLDS. 3.5¢sQ. T. NEOSIIDD MULTI.OUTL.Er @7,50 POWER APVAMTUS 8 SWGLE OUTLET CIR. EX. Occup. CUTLET OR FDCTUREs 13A. @ I.w FIX Ex. Occup. GunE% Pg=*.DeA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ b MECHANICAL PERMIT Fling Fee 20.00 Heating i Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ ocC ;CONST.TYPE qce— TOTAL FEE $ c 1 / - D. PEs IMP I FLOOD I COF PARCEL PO I HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 137 -YS ?'•ISS LL01`/J S T R U �C TU R A L C A L -------------------- C U L AT I I ---------- 0 N S F FOR: D E T A C H E D G A R A G.E / S T O R A G E R A Y & A S T R A� J 0 H N S 0 N 5875 PASCHAL 'WAY MAGALIA, CA 95954 DONALD W. CARR - GENERAL, CONTRACTOR 1 3.0 1 B E N N E T R 0 A D PARADISE, C 95969 F L T E N G I N,'E E R I N G 5, 7 9 0' C L, A' R K R 0 A D P'A R A D I.S E, C A .9 5 9 6 9 ( 5 3 0) 8 7.2 0 2 5 4 4�C�i V`.A�j�¢�M�R'YXtj � �'s1 � t�.�'��•'�1k�i'��,). n'�� I� e7'�'-p• €.i r a. i - i tY . 7 "� 7'�"�c � ` i�.ME.t F Si.�k'."T.;T 'b �. 1 - . d r� .1• • c a� a s •� `I t ��� �"' ;L rid 4- .. (' J. r. C �� , ` i iY -.•y. Tl' FIN Shy i, �•� L t � s y�off, two ?ate Yi �' •`� �'� T ., &r *j , •t r, a - `` - 1. �,j. y < err Fa .mak �� �� `• i••i��, i,- � X 'tri - e : '� y t�.. •' ,. fei.; Wimm# • �y � ; s 1M . .r yts f X.;I �F�rj�� �YA t� • t3,�iK�+�•?7.c{; ar "'4�j/'r* 4 4`'3R _h +i • 4 `... ,,�^yy�c ��•AS]:iii� 2._:a�ir� r4.F.+I.�i�e�>��uN.a1l'v�:4hl• ..._ k .. '-.-a:St.�.•.' ��'. C i lr LT EUVGWEI RM3 CIVIL • STRUCTURAL (916) 872-0254 FAX (916) 872.9331 5790 CLARK ROAD, PARADISE. CALIFORNIA 95969 fWMECT: STRUCTURAL CALCULAT50NO BY: '. /yT DATE: 714900 00 SHEET No: / OFF Z CHECKED W. DATE: JOB W. l W SUBJECT: DFi�C,�ED �ES/OG l�/rr�.�FC� F T c- s�8<f�T of T �s� c•�-��s �s r�E .� v�r�.c ..1� ,rJ /-Z-=> s3Y TttG' 5e—o,:F.vT7ze^- E 2'74 mac GL = 30 /X�9� — /,e.,2 g fd� ev S. 3 3 VT 2 qO2 ,0e3 V Z-) 00", r' F LT EMCa0MEEMNO CML • STRUCTURAL (916) 872.0254 FAX (916( 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 ? MECT: STRUCTURAL CALCULAMONS W. . fes% DATE: / ,/F/ Vp SHEET N0. 2 OF—Z CHECKED BY: DATE: JOB No. vp% 3 SUBJECT: I e- l}l12 G 2.Z.s76ZZ� ADL �� �c �'� -� , Oft x Z = , '�91D77/ vw (/sE'. �ot>t/>�-7r%TTO.c�rj-L CofJs.�U�77a,c� ��i�2 'rte T-,r,�ov�.�ovr �xc�t�r � C'%r,��if--�E- �ao� /�•t� fiv�� , .�7v� � i u eO n LAND OF NATURAL WEALTH AND BEAUTY • � - .,rte -Date; iAugust `28, 1998 Permit Applicant: Ray & Astra Johnson 5875 Paschall Way Magalia, CA 95954 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Permit Number: 98-1866 Assessor Parcel #: 064-620-040 Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton cc: Don Carr 1301 Bennett Road Paradise, CA 95969 Date: August 28, 1998 Permit Applicant: Ray & Astra Johnson. Permit Number: 98-1866 5875 Paschall Way Assessor Parcel #: 64-62-40 Magalia, CA 95954 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide engineering for lateral design for the garage door side of the building. You also need interior bracing when the building exceeds ,34 feet in length. Have the engineer's requirements put on the plans and have him/her stamp and sign the plans. ; If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Linda Sexton COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE T� �► s ��r G 3- 6 T OWNER PERMIT NO.; A routine inspection indicates that the following violations of Butte County Ordinances exist at - the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. F. •k c>_2 ar,'\ r �a ComPL4 rE Date lj - - Ll Inspector REV 11/91 — - rFa COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER lmko� qm /- 5-z' :RMIT 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. Dn 3J Jc- C / / of fi le r5 o __/ `.10'-V-l0o/J1C^rc<% OUr1-roL� .ice Date ) `/— /1 Inspector \ COUNTY OF BUTTE k' DEPARTMENT OF PUBLIC WORKS I 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE .'V-5"> J ) 7 l ER 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. ,0494A DR^Deti�� o�.+..teti Yo JILre-1-"7r ro c a %ie, 9 7 "O:t s We t Llia�c_ !o l„eJ r 0(VC-INS,oecr�*-j SNoLIJI-45 DiL We- �.,J�J�l� l G 4"� / ii✓�9C._ T6c v �O } ®o s /kx� J-, t-0 Fe Date I �- I / J' Inspector �N✓V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` f 196 Memorial Way, Chico —.Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ToNr./ So -,I '40 3V'_"33 OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. RQAcryi IL e5 -fz-i„ ss Z 3 Qa 4�1 Inspector .&- W,�w. Date 'C, -5- 8 g COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307' CORRECTION NOTICE )WNER PERMIT NO. 'r} 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. /: Y 4�1 o MluIVA�� !r •7. L� ti Inspector A -M— Date r, — -7 — a 07 ;. .. .... -. .....� ,.�....-,v.... -.. ._�..-.-..-.,� _ �.-, �: .a e'o..- �.�. rte+►-..-....s.,-a .'+--,r:- K :.++..ter *..-..: COUNTY OF BUTTE rr DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE` -7014A)5o�r 9033-8g OWNER PERMIT NO. �# A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (C M\5514G r'v�t.3 T2u,sS MISSI�jCi T'f2L'SS r,TAIL St;,PrlortT- c Rt�G1z M A-%oyri- L(v\NG Roa/1N- 0 2k4 &(.0C14('lG or G.g9L t2ksrs 7' o" No w 1A r (Y\!5 T- `i' Q N o T I -j s r t rt ,� = 1�e c) V t 13 rr_ Al i R ACC ets S (2 a 0.t 2 AA—UeW"., r`•Y ra Inspector. /J n J—N Date �� 8 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico.- Phone: 891-2751 7 County Center Drive, Orovi Ile - Phone: 538-7541 747 Elliott Road, Paradise- Phone: 872.-6307 CORRECTION NOTICE 01k.sso;� q-� � A 8 OWNER 'PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �- �9,�1(L MA, rioAlAc. r-ra AL MG,r(I.2 Ori SAtV\rr PA2Crtt:c Fol W 2- Zos) aL , \kQQV--tn(' C) r- wr k- 'k _2>- �ov`�b S�t(Zg\( 5- "Odt> S6To •NAS cr2 A .:J Inspector /Jae -rte Date s --?1 -S COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS : 196 Memorial Way, Chico,— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Nrj SO 4a 3 3- Bo) OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 1- K Vi OT oN Inspector A %..— Date 3-30- R q Inspector N nom+— -A Date 3-2— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 r • CORRECTION NOTICE sad Q033- g8 '• OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office >` when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. wr1-1401AfaaFF� Z- Ncy-� (a( N(L'I Q) Cc ov yu" T ('-VQ-r SEcti2l-t_ :. A,V'p feo Inspector N nom+— -A Date 3-2— ti R` � ..�� �.-rT r. -{r r. -+l wSi��.I��_PT'• •'T�`,'LQ" "�i:�Y Yw.• rC i COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS 7f •196 Memorial Way, Chico Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 • CORRECTION NOTICE OWNEF, PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - Inspector Date _r _ J�Ha,ISo R4771 J0 53— W) 96.114406 70.3 PERMIT NO. {� PERMIT EXPIRESr �l Z y OWNER RAY & ASTRA TJQHNWQ , CONTR. Solar Design ASSESSOR PARCEL 64-62-40 !`-LOCATION 5875 Paschal Way, Magalia f t OFFICE COPY it Address a 8 IS Pr SC 4Ac 7�rr.►��zl1RY ��cl GAS Meter By Date t.. ELECTRIC n Meter By /air✓' Date 3_21 ' � �t. .5-2q•9�_ \►J PaR•+rlkn� d��,y _ /�=� N° r/L&— # C11 Temp. PoWe' PPole f .• Called PG&E i f. Temp. Elec. Service Called PG&E n Temp. Gas Service Called PG&E r 1 /"ZJOB FINALED (Date) 1 Signature _l = OK 0 = Not OK 40 'Not Applicable Not Ready MOBILE HOMESXr MISCELLANEOUS Date MOBILE HOME UTILITIES. (Plans),DK except #'s Date DECKS, COVERS,CARPORTS,GARAG ES, (Plans)OK excepf*s l...Zoning-Requirement6-Si§tbacks-Easements.�,,-- 1. Zoning. Requirements -Setbacks -Easements . . �j"f"2.:S6g;!Spd6IiI'MH Support= V]�J ZIP- r1; ;"2. Footings; De , Spacihg�C66nedtors-Ste _Sd(ls-vSize p 3 006ks,�01fddrvand/or joists-DeckirgBraciK'Stairs-Rails-g '-4. Wat6r', Location -Test -Easement Needed (Sketch)- -4. Wood Awn' .;'-';Postt--'B6eiffis-Rftrs.=Cohhec.="- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors J. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -1311 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 1 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -Ell Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector- 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3.. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GF1 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel board s- Ins. to Main in Conduit Card -131 Date Card -131 Date -Card-B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date ,1. = OK o = NotAp RESIDENTIAL (Single and Duplex) - =Not Applicable ., = Not Ready Date' UNDJERFLOOR (PI OK exert #,'s L J DIC Date FRAMING (Continued) N oning-SetD el s;-Eas ents-Fl0od-SloFhe g.!Hangers-Post Caps -Anchors -Connectors ' M�jn oilel-Eled%ta nd.-//L/" Fig. De Garage; S ' s -Steer /,Z/" Ftg. Depth Porches & Decks; Soils -Ste I-/ /"Fig. Del w&<Main; S1eef-_BI outs-WFepf3ed watt Garaqe; -Blogkeats:VkagTV5d $rP' s- ' - eel . D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 'P�q,nums & Ducts; Clearance- Material-Su pprt-Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card-Be1p Dates/&a Card-131Date Card -B1 C Date?_,_!At1 9 Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchors -Nail Protection . D.W.V.; Test-Fttngs & Anchors -Nail Protection hower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21 -&es -Ripe; Size & Anchors Card -131 C, -G-- Date Sj36fBC Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23!Elec. Receptacles Spacing -Lights & Switches at Doors 24! Size Boxes & No. of Conductors -Stapled 2VRomex Installed Close to Edge of Studs & C.J. �B quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 36. Subfeed Wire Size 2/ ga or AI-A.C. Wire Size / /ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. /;Id7 ga. Qu or Al. Insulated Neutral 'e No 30.1,8ervice-Riser Conductors & Ground -Main Disconnect 3T Equip. Clearances Panels-Motors-Mech. Equip. W -Clothes Closet Light -Shower Light -Spa Light 38' Smoke Detector Card -B1 G6 Date s-3PT!9C,Card-B1 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s KA.C. Ducts Insulation & Support W.. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 GG DateS,-5o,%q Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s WSills, Proper Material & Anchors 40�Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4�" Bearing Walls over Girders & Floor Nailing 42'Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing M Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47 -Fireplace Ties or Type A Flue -Fireplace Throat Clearance 08 -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 9. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions "Garage Fire Protection Framing roperty Line Firewall & Openings 51" -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53.'9tatrs; Width -Headroom -Rise -Run -Landing -Fire Protection *I -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56.-Ording-Nailing Veneer J VoArL /56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ikR�N W Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 ('G Dates so.8y Card -131 Date Card -131 CQ Date'7 _IA -93 Card -B1 Date Date FINAL s) OK except #'s x to -Door &Sidelight Protection -Landings 6 . moke Detector / 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64�Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trup & Subpanel; Breaker Sizes Is 67. St & Rails fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 7 t. Fixt. Appliance; Grnd. -Air Gap -Cooking Clearance 7 EI utlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 73. Act in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air -Connector- .R.V.- In Garage bove Floor-Mech. Protection 7 PI ec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)- mex Protec. uIation-Foam-Looked in Attic 0 Yes 7VGuard Rails & Deck Construction -Post Caps 79!Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80,orollowing instld.; Drive ❑ Yes o; Walks ❑ Yes- No; Planters ❑ Yes a�o 81. Stucco; Brown=Finish I.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 8 xterior Elec. Trim; G.F.I. Receptacle -Underground ag'Ventilation throughout House 8. 7 lass Protection Corrections from Previous Inpections -Electric 98' -Water & Sewer Connected -C/O to Grade -HD Approval Ok Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 _ Date CJ J Card -B1 Date Card -131 ,/Q %° r Card -B1 Date Card -B1 teCard-81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) Owner: SOLAR DESIGN Permit No. E N L 5875 Paschel Magalia lc G Y C E R T• I F I C A T I,►O N -� LOCATION A.P. No. 1, DESCRIPTION'OF INSULATION ROOF Mat Brand e ss(inches) TW, 1'Resistance (R Value) EXTERIOR Wi LL • . Material ,Fiberglass Brand Name Certainteed Thickness(inches) niennal Resistance(R Value)_lg CEILING Batt,or Blanket ypc unTT¢ Brand Name Certainteed Thickness( inches) 1.n11. Thermal Resistance(R Value) 30 Loose Fill Type. FibP,-glass _ Brand Name Certainteed Minimum Thickness(Inches) 11" Number of Bags Wt. per bag lb. Area coyered(ft.2) 'Thermal Resistance(R Value) 30 FLOOR,, ELEVATED Material Fiberglass Brand Name Certainteed Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material .. Brand Name Thickness(inches) _'Thermal Resistance(R Value) I hereby certify that the aboveinsula tion 'was installed' in the above. building in conformance with the State of California Ener' y+ Requirements. Shas Insulate # 530235 FIRM lE/OW%T.R <; STATE CONTRACTOR'S LICENSE NO. 7 SIGMTURE OF INS ALLVrION A PI L 'I't DATE I hereby certify elle ah ow insulation and 111 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 Cl►e State of California. ISP`/YvowV) J �JpFtNSeiy .-.. FIRM HAMIOWNER (Please print) STATE CONTRACTOR.'S.LICENSE NO. SIGNATURE 616 GENET RACTO1t OWNER DATE THIS CERTIFICATE MUST BE ON FILEITH WTHE BUILDING E#4.M= SDR TO TINAL _ : - : 7- • _ INSPECTION APPROVAL AND A COPY SHALL 51 PMED $ITHIN THE BUILDW: � �: - O� . -w - 7 -4 --PW 74VO&- milt COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. V, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive • Oroville, California 95965 •="Telephone (530) 538- 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBER 64-62-40 ZONING BUILDING PERMIT OWNER ' RAYMOND ASTRA JOHNSON TELEPHONE 873-4526 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5875 PASCHAL WAY MAGALIA est cost 1000.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 55875) PASCHAL WAY Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ 45.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R7 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: PERMIT TO COMPLETE REPLACES 96-763 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".A ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ­ ❑ I, as owner of the property, army employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. & ACC. BUDS. 3.5Q FT. T. NON -RID. MULTI -OUTLET 97,50 OWER APUS 8 PSINGLE OunETPARATCIR. .00 EX. Occup. OUTLET OR FIXTURES BAA- @ I.50 Ex. Occup. DFlxurrs RM o.1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) --t'❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Nh'comply with ose provisions. ® X Date T 6JXWS gnat a of Ap ca Owner ❑Contractor ❑ Ag t An OSHA permi Is quired for excavations over 5'0" deep a d demolition or construction of structures o 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 45.00 FEES IMP I FLOOD I CDF PARCEL 1 PD HD ISSUE 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. By Date PERMIT EXPIRES ON ReceiptNo. 237161 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c:o COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, ,California 95965 -„Telephone (916) 538-7 PERMIT APPLICATION AND PERMIT ASSESSORPARCELNUMBER 064 620-040 ZONING BUILDING PERMIT OWNER C' RAYMOND TELEPHONE G 873-4526 SO. FT. OCC. BUILDING VALUATION EST 500 OWNERS MAILING ADDRESS 55875 PASCHAL WAY, MAGATIA CONTRACTOR'S NAME � R TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 5875 PASCHAL WAY, MAOALIA PERMITFEE $ 35.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SFS❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00;. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: COMPLETE 91-646 Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service aOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OC OR ADONS. ( 8 ACC. BLDS.CUP. SO. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .a0 Ex. Occup. (oFT�s PLNS. On RR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers” compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 112/1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' N compensation laws of California, and agree that if I should become subject to the wor ers' compensation provisions of section 3700 of the Labor Code, I shall f ith omply wi o provisions. X _ Date �� -- Signature of Applic t ❑Owner ❑ Contractor ❑ Ag t An OSHA permit is a ,red for excavations over 5'0" deep and demolition or construction of structures over tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. rvPE TOTAL FEE $ 35.0 HAZ I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE 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. y� BY D/ate PERMITEXPIRESON y - 4.) Receipt No. ® WHITE-D.D.S. ED. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT Coe COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUIL/5-75141 IVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) PERMIT NO. APPLICATIONAND PERMIT (O 1 ASSESSOR PARCEL NUMBER 064-620-040 ZONING ARMH3 B LDING PERMIT OWNER RAYMOND JOHNSON TELEPHONE SO, FT, 0,6C. BUILDING VALUATION OWNER'S MAILING ADDRESS 5875'PASCHEL WAY MAGALIA 95954 500 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 5875 PASCHEL WAY AMGALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RP 91 —646 94 ()QC) � II Mobile Home I S I GI W 1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service e00V OR LESS ( 200A OR LESS 23.00 Main Service ( 200A To I000A 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class I No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law dor the following reason: ' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR So. OR ADDNS. 8 ACC. BLDS. 3.50 FT. NEW CONST. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. () 20 @ I.50 OUTLET OR FIXTURES aAL so EX. Occup. OUTLEEOTS (FESID.)EA � � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �fof one hundred dollars ($100) or less.) U" I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the work s' compensation provisions of section 3700 of the Labor Code, I shall fo Ith omply w!!Lithth,9se provisions. X -- Date — ` - --- Signature ofApplic t Owner ❑Contractor ❑Agent An OSHA permit is ired for excavations over 5'0" deep and demolition or construction of structures over trorries in hheight.BY Mobile Home Installation Fee Is Energy -Inspection Fee Is occ CONST. TYPE FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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.- Z,,6 ate PERMITEXPIRESON (Date) Receipt No. / s 7 WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT 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. T. I personally plan to provide the major ba or and materials for construction of the proposed property improvement: YES[4 NO[ ]. 2. I HAVE[ ✓f 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: 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. 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: •-11f _ DATE: NOTE: This ownir-Builder Verification is required by Section 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. OVER O.B.-1 Dear Property Owner: ;, + -A. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-builder`you are the responsible party of record on such a permit. Building permits are not required to' be signed by:property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sine rel Michail C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville,,,California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. ASSESSOR PARCEL NUMBER / b y,a l� z; 2 J BUILDING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S mAruNG kDRESS/4- CONTRACTOR'S NAME ) �% TELEPHONE ! ^ / CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIQIOWN Total Valuation Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUIL-DINGADDRESS X9.75— 1 -VS C17V h/ PERMITFEE $ 3 S" PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISX)N'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF ZDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �j ,// �/ q• � / "� `� 9y ' ` Mobile Home SG W 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20.00 ' Main Service EOOV OR LESS zooA OR LESS ) 23.00 Main Service. ( zooA TO Io00A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.EX. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, 'end the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BUDS. ) so. 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 S ( POWER NGLE APOPARATUS ) 8 SO, Occup. ( OUTLET OR FIXTURES) 20 @ I.00 BAL Q .SO Ex. Occup. FIXEDAPPLN . OR / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation _ PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued,.I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy, Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP FLOOD COF PARCEL I PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .IV/ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-620-040 ZONING BUILDING PERMIT OWNER RAYMOND JOHNSON TELEPHONE 873-4526 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5975 PASCHAL WAY, MAGALIA FST 2,000, CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 45-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5875 PASCHAL WAY, MAGALIA PERMIT FEE $ 5.00 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 8X 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 Y Describework: C01-TLETE WORK STARTED UNDER PERMIT #646-91 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ""OR"ss ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) . 3.50 S�O. 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, as the owner, 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) 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 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 RAL. @ 1.50 Ex. Occup.FIXEO APPWS.) E ( OUTLETS IRESID.) EA. ) 5.00 Temporary 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. �j 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 S 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 Cou�consequ of the granting of this permit. {� X Date A pp,L. a,)9-,34 Signature Applicant Owner O 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 coNsr. TYPE TOTAL FEE $ 65.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSU 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. ,-DIRECTOR OF PUBLIC WORKS By / Dae 9 PERMIT EXPIRES ON /Date 153883 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M 71 11 COUNT-YOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION -'' :r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9596 ,=TELEPHONE (916) 538-7541 T' PERMIT APPLICATION DATASHEET OWNER A j (y) e),ot, d la n! s c,,,j '� A. P. No. n Proposed Building Use S . t` , iAts t, (�/e- Building Inspector (sC-f Date 4-1,? Y 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. 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 . ...................... A. 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 P -a" e.. . ' d°" re°"� required. .. to Buil ."g l"spector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ` 22. Certificate of Workmans Compensation Insurance . .......................... M'`--- 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 Applicant Date �P` Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Die 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 permiffor 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 Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 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 plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) E s 2. I (have/have not) 4A C 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 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. .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 Ownerpcz,�-_O�_ Social Security Number Date !� P2« /,al /1317q - 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 -. DEPARTMEN VOF DEVELOPMEN V SERVICES - 7 County Center Drive' Oroville, California 95965 -Telel)1101W (9 1 (3) 538 APPLICATION AND PEBMUT IT 11 I'Al F NO. gq— .0 lg?--.-. 0yo 70t IfIG BUILDING, PF1101 tfll()14r so. FT. OCC. BUILDING VALUA*I ION nWNr n 0 - 8 7-3 F -5,V )00_011 OWNER'S MAILING ADDRESS 75 r4 5�a I CON I FIAT: IOn'S NAP -11 Fireplace Total Valuation CON inAC I OR'S MAILING ADDRESS CONSTRUCTION I.ENotn UNKNOWN -- ---- Filing Fee $ 20.00 LF NOW'S MAILING ADDRESS Permit Fee S IV 57 AnCIIITIC I OR ENGMEm ITCFNSr. NO. Plan Checking Fee Energy Plan Checking Fee Penalty AII(ARVICt on mc.irot n'S MAII.ING AIIOTIrqS PERMll` FEE oo PURGING AODRESS r 7-5- CA 5s �AL PLUMBING PERMIT Filing Fee 7.00 23.00 20.00 5 Each Trap Solar or heat pump water heater --Solar—or ------- (VI A Water piping Each gas water heater or vent Gas piping system I - 5 outlets 15.00 15.00 15.00 I SURDIVISION'S NAME PARCEL MAT, USE OF STRUCTURE Building sewer 15.00 SF Duplex 0 Mobilehorne 0 Other I . . Mobile Ho ..e S1 G W I @20.00 SPtCIFY . PERMIT FEE --------- TYPE OF WORK New 0 Addition D Remodel D Utilities D Installation 0 Other" ________ Contra– ctor Describe Work:- enn, I y- TO . ELECTRICAL PERMIT Filing Fee 20.00 '7 00WU It Main Service 200A On LFSS 23.00 Main Service 700A 10 IOOOA NEW CONST. UWrLLING OCCUP. on A OTLNs. & ACC.BLOS. 46.00 @7.50 5 v A el- EI,vVi T-14 q6- NI1WCONSI. MULTI OUTI.T:I .NON . IIESIO . BIIANCIICIIICUITS CONTRACTORS LICENSE LAW Tow A APPARA [US I declare under penalty of perjury (check one) C) I am a licensed under provisions of Chapter 9, Division 3 of the Business and 8, SING Ex. Occup. OUIL(IOIII1XIUII1S 21) @ 1.00 — ----- Professions Code and my license is in full force and effect. Ex. Occup. UILETS (11r.SID.!_EA.____ 5.00 License No. Classification C)1, as the owner, or my employees with wages as their sole compensation, will do Temporary Service23.00 the work, and the structure is not intended or offered for sale. (Sec 7044) Mobile Home Facilities 20.00 Ll 1, as the owner, ain exclusively contracting with licensed contractors. (Sec 7044) Misc. Wiring 23.00 U I am exempt under Sec. Business and Professions Code forthis reason PERMIT FEE WORKER'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 20.00 0 This permit is for $ 100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Heating Building Division a Certificate of Workmen's Compensation Insurance or a Cooling Certificate of Consent to Self -insure. C1 I shall not employ any person in any manner so as to become subject to the Worker's Hood 6.50 Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Ventilation Worker's Compensation provisions of the Labor Code, you must forthwith comply with PERMIT FEE such provisions or this permit will be revoked. Contractor I certify that I have read this application and State that the above information is correct. Mobile Home Installation Fee---_ I agree to comply to all Butte County Ordinances and California State Laws relating to Energy Inspection Fee building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 06C IrONS I. IRT. TOTAL FEE ()o I also agree to save, indemnify and keep harmless the County of Butte against all II ­ Az. J'n. rr.r.s imr 1 1`10011 1 COT: rAnCIEL I M No Issue liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. This permit is hereby issued under the applicable provisions X Date of the Butte County Code and/or Resolutions to do work Signature of Applicant - D Owner Q Contractor Q Agent indicated above for which fees have been paid. An OSHA permit is required for excavations over 5"0" deep and demolition or DIRECTOR OF PUBLIC WORKS construction of structures over 3 stories in height. By_ Date Receipt No. tj3883 PERMIT EXPIRES ON WHITE-D.D.S.-9.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Da TO COUNTY OF BUTTE - DEPARTMENT OFPUBLIC; PERMIT NO. 7 County Center Drive - Oroville;'California 95965 - Telephone: 9 / 8- 541. �� s APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-62-0-040 ZONING _ BUILDING PERMIT OWNER RAYMOND & A JOHNSON TELEPHONE 873-4626 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5875 aschal Wa Maoalia 95954 EST CONTRACT Al. TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 500 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 155.00 Permit Fee $ 15.0 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 31 5.001 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCELMAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEkXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit to complete bath 646-91 Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI.37.50 NEW CONST. / DWELLING OCCUP.&3.64 sq.ft. OR ADDNS. 1 ACG. BLDGS. // ) NEWCONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or. a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 liabili es, judgments, costs, and expenses which may in any way accrue against i Count n o equence of the granting of this permit. X Date 3-1-7—(?3 $ignature of Applicant — er CDnrrccror ❑ Agent ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 60.00 HAz OFEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. 00ECTOR OF�l1BLIC WORKS By"-� Das PE IT IBES Date r 129761 Receipt No__A . WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT T ���rfti�7 .qs�. 1M i�-- ,r .�,.�:"• ,� r Y s?';: 'F+,-., s'._ L -i._ f . i COUNTYOF BUTTE -DEPARTMENT OF, DEUFLOPMENTSERVI� -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95%6� --TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER z C ' ,T `JAJ11y5,d,41 - P. No. 6:9 6y 6? - y0 Proposed Building Use A�/�IWI7 GUW,I0a wilding Inspector Date �. �At time of p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY t 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 preparerjof plans . ..................... . .4. Engineered plans;and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form, ........:../ '........................... . 6. Energy DesignCompliance and supporting documentation . .................. 7. Statement of Intent for" Non -Heated -and A/C Buildings . ...................... 8. Engineere& russ details,and layo`utln duplicate (required prior to plan check). .... 9. Mobilehome data and -manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ r ........................................ . 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). . . '•Freanspection reque� 20. 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.. I ............. 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 / 7 Acreage Applicant 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 inot checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phoria _ 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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 6111) 6471— 6.12 _ �� ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION D OWNER'S MAILING AD RE S CONTRACTORjAME TELEPHONE CONTRACTOR'S M�AIIILLII`NGG, ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ A-1 6)d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD:$i7J Permit lee z- PLUMBING PERMIT Filing Fee 15.00 Each Trap 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition ❑ _ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:�t2/i�l/' %� Go/yi�LE7`� _ Permit Fee S" Q' &I-000 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare Lnder 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 1:)r sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 11 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP\ 3.64 sq.lt. OR ADDNS. / ACC. BLDGS. NEW CONSTR U TI.OUTLET —NON.RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 464 FIXED APLN5.O Ex. OCCUp. OUTLETS I_RESID IRE A.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare ander penalty of perjury (check one): ❑ —he 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. ❑ shall not employ any person in any manner so as to become subject 'o the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify :hat 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 ag-ee to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this perm I. X Date Signature of Applicant — Owner❑ Contractor [:]Agent An OSHA ion of structuresover3gstories oin height.lons over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST TYPE TOTAL FEES . - (� - 61 HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE 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 Date PERMIT EXPIRES Date `26176 / Receipt No. WHITE-O.P.W.. YELLOW-ASSF330R• PINK -INSPECTOR, GOLDENROD -APPLICANT N ✓L COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit. will be issued until this versification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) hes- 2. et 2. .I (have/have not) 1'/Au e -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: Naive Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5'. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name -Address -. Phone Type of Work Signed: Property Owner Social Security. Number Date -1 7 - 93 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. r Inter-Departme.M. Memorandum TO: Neil McCabe, County Counsel FROM:. J.F.'Glander, Department of Public Works SUBJECT: Paradise School District Declaration DATE: July 28, 1989 t Dear Mr. McCabe: I am returning the declaration to you for final preparation as we discussed. Paragraphs 3 and 4 should be combined per my penciled marks. Paragraphs S, 6, 7 and 8 should be deleted.- The eleted.The Department fil'Is out the top portion of the School Fee form and the appli- cant takes the form to the School District. The School District determines the fees, and after the receipt of the fees fills out the bottom portion of the form and returns 1 copy to us. The above process was followed on A.P. #s 64-21-14, 64-62-40 and 66-09-10. (See copies of the school form attached.) Should you have any questions concerning.this matter, please contact this office. - Yours very truly, William Cheff Director of Public Works • Ot�glna! aignaA �a Z F. 66esdw J.F. Glander JFG:daj Chief Building Inspector C C : each I)e BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number /�+�� /' ���/ Building Department No. City Q County Jurisdiction SchoolDistrict Property Owner Project Location/Address v Subdivision Residential'Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: - Building Depar Sq. Footage New Addition (Including Exterior Roofed Areas) 7- tet ... t Representative District Id No. -! Date l ' Q School District certifies that ke(Applicant Name,-), r (Phone Number) (Street Address) �J e.h t i (Zip Code) (City) (State) has complied -with the requirements of Resolution No. i / cJ <' '=' square feet. by the payment of $ � /�, / .�^ representing :: q ;Date School District Representative MARKS PAID BY CHECK NO. � = RE C.�/- J n BANK NO / O PAID BY CASH white -applicant, yellow -building department,pink-school district SCHOOL . FEE (5/88) BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (.One Form per Building) A.P. Number Building Department No. School District City Q County [� Jurisdiction Property Owner- � !) ^ Project Location/Address • S� '•`.- ,, •, �' Subdivision Lot Number Residential Development: Sq. Footage of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District/Id No.. • -�0'/�'-4•/7 !1-11 School District certifies that (Applicant4,Name)-� (Phone Number) (Street Address) Q ,:�fzz a---, ty) State (Zip Code) has complied with the requirements of Resolution No. � GF by he payment of $ representing square feet. School District Representative D'atEY PAID BY CHECK NO. / / BANK NO PAID BY CASH REMARKS:' white -applicant, yellow -building department, pink -school district SCHOOL. FEE (5/88) BUTTE COUNTY -SCHOOLS DEVELOPMENT FEE -CERTIFICATION FORM (One Form per Building) A.P.'Number Building Department No. School District City 0 County =Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: # of Living MHI Sq. Footage Units Addition (Group R) • Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department"Representative Date District Id No. (Applicant Na (Street Address) to— (City) .School District certifies that 7-7 - (Phone Nnmho-r-1-_ �: a (State has complied with the requirements of Resolution No. by the payment of $ representing square feet. School District Representative Date PAID- BY CHECK NO. REMARKS:* BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL .FEE (5/88)' 40 OFFICE. OF COUNTY COUNSEL COUNTY'OF BUTTE eOUTTF 25 COUNTY CENTER DRIVE / OROVILLE. CALIFORNIA 95965-3380 / (916) 538-7621 / FAX (916) 538-7120 "• o 0 o ; Scotch' 7664 "Post -it" Routing -Request Pad ° e °u"A ROUTING - REQUEST SUSAN ROFF MINASIAN Please COUNTY COUNSEL ❑ READ To X21 qtr ❑ HANDLE July 31, 1989 ❑ APPROVE and ❑ FORWARD ❑ RETURN Marsh, Marsh, Volpe & Molin Attn: Cheryl L. Dussault ❑ KEEP OR DISCARD P. O. BOX 3590 ❑ REVIEW WITH ME ✓/� ��`j� �y� Chico, California 95927-3590 pateFro c c - Re: Stephens, et al., v. Paradise Unified School District (School Developer Fee Litigation) Dear Mrs. Dussault:, J. F. Glander, Chief Building Inspector with the Butte County Department of Public Works, has now reviewed with me the draft Declaration in Support of Summary Judgment which you forwarded with your letter of July 10, 1989. The procedure followed in determining square footage of a residential structure and then calculating the school fees is somewhat different from the language of your draft. Accordingly, the.Declaration should be amended as follows: 1) Delete the last portion of paragraph 3. commencing after the comma in the last line on page 1 and continuing through the end of the sentence and then proceed directly to the language in paragraph 4 of your draft. This will combine your former paragraphs 3 and 4. 2) Delete paragraphs 5, 6, and 7. 3) Insert a new paragraph 4 to read as follows: The Department fills out the top portion of the Butte County Schools Development Fee Certification Form and gives said form to the applicant, who takes it to the affected school district. The school district then determines the amount of the school fees to be charged and collects the fees from the applicant. Upon receipt of the fees, the .-school district fills out the bottom portion of the Butte County Schools Development Certification Form and returns one copy of said form to the Department: '-4) Revise the text of paragraph 8 (now paragraph 5) to read as follows: The above procedure was followed by the Department in connection with the applications for Building Permits on AP 64-21-14, 64-62-40, and 66-09-10, and copies of the Butte County Schools. Development Fee Certification Form completed as to these parcels are attached hereto as Exhibits A, B, and C, respectively. Please correct the Declaration in accordance with the above and re -submit 'it to me for signature by Mr. Glander. Copies of Exhibits A, B, and C referred to above are enclosed. Do not hesitate to call me if you have any questions.regarding the above. Very truly yours, ' SUSAN ROFF MINASIAN Butte County Counsel B Y Neil H. McCabe - Chief Deputy County Counsel NM/s9 cc: J. F.Glander (w/o enclosures) ROUTE . SLIP STATE OFCALIFORNIA _ DATE STD. FORM 118 (REV. 7.72) A osa c. To: rm FROM: r, PHONE FOR ACTION AS INDICATED REPLY—MY SIGNATURE SIGNATURE 0 NOTE AND FORWARD REPLY—COPY TO ME AP ROVAL O NOTE AND FILE PLEASE SUMMARIZE ACTION O NOTE AND RETURN O PLEASE INVESTIGATE COMMENTS O PLEASE PHONE ME FORWARDED PER REQUEST INFORMATION C3 PLEASE SEE ME REMARKS: S L�l1�r@ r-04�, ' /,Ira �Ay'TiOayME'.��5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 V APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 64-62-40 ZONING ARMH3 `4 BUILDING PERMIT OWNER Johnson TEt'&PHONE 873-4526 SO, FT. OCC. BUILDING VALUATIO . est. , OWNER'S AILING ADDRESS 1119 Glenwood Dr. Millbrae CA 94030 CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 32.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 5875 Paschal Way Maaalia Permit fee $ 42.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFq Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other N Describe work: Permit to complete work started under permit#4033-88 Permit Fee $ Contractor . ELECTRICAL PERMIT Filing Fee 10.00, 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 TRACTORS LICENSE LAW I declare under pendIty 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 thip reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. , /20sgft NNEW ON.RESID R. BRANCH MULTI-OUTLET 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20030t eAL03o Ex. Occup. our OUTLETS PR (RESID IEA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ RKMEN'S COMPENSATION INSURANCE I declare un a ea ty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Aid County in consequence of the granting of this permit. X -^— Date Mn2eH 44-119f Signature of Applicant — Owner R Contractor ElAgent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 4 E 2. 5 0 HAz. cuA• PARK SCHL FLD PAR PD ) H4 I.5 This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been .paid. DI R OA AA F P C WORKS B Date / PERMIT EXPIRES Date //in Receipt No. �u 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J v. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.U'toville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner.: An""owner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit #will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed,property improvement (yes or no) Na 2. I (have/have not)'" Hvs 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 UNkNowEu Or Tq,s Time, Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . 11 Phone Type of Work Signed : Property Owner Social Security Number Date MArac14 41 IS9/ 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. oip* 6 `( 6 z 0 March 1, 1993 Raymond &.Ast'ra.Johnson RE: Building Permit #92-614 (1st Renewal 1119 Glenwood Dr. Expiration Date 3/8/93 of New Home) Millbrae, CA 94030 A.P. # 064-620-040 Dear Mr. & Mrs. Johnson: With reference. to the above subject, our records indicate that your building pewit expires on the above date and your permit falls into the category marked below: I Permit work started, but not completed. Permit may be renewed for z the original building permit fee (plus a $15.00 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. LvJ 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 Paradise _ office. Thank you for your prompt attention concerning this matter. Yours very•truly, JFG:hla /' J.F. Glander cc: Building Inspector Manager, Building Inspection Attachments: FI'Renewal Application Owner -Builder Information [Owner -Builder Verification Chico - 1469 Humboldt Rd/891-2751 - Paradise - 745 Elliott Rd/872-6307 w &Uft t ~' LAN D OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION -� Y,.�,�=,;';v\•�«, �,• � . DEPARTMENT OF DEVELOPMENT SERVICES `' • :. ; ; [; } / CuI1N*ry CENTER DRIVE - OROVILLE, CALIFORNIA 95905.3391 e TELEPHONL: (918) 5387541 FAX: (91 8) 5313-2140 March 1, 1993 Raymond &.Ast'ra.Johnson RE: Building Permit #92-614 (1st Renewal 1119 Glenwood Dr. Expiration Date 3/8/93 of New Home) Millbrae, CA 94030 A.P. # 064-620-040 Dear Mr. & Mrs. Johnson: With reference. to the above subject, our records indicate that your building pewit expires on the above date and your permit falls into the category marked below: I Permit work started, but not completed. Permit may be renewed for z the original building permit fee (plus a $15.00 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. LvJ 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 Paradise _ office. Thank you for your prompt attention concerning this matter. Yours very•truly, JFG:hla /' J.F. Glander cc: Building Inspector Manager, Building Inspection Attachments: FI'Renewal Application Owner -Builder Information [Owner -Builder Verification Chico - 1469 Humboldt Rd/891-2751 - Paradise - 745 Elliott Rd/872-6307 W N COUNTY OF BUTTES DES;,NRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,`53B-7541 APPLICATION AND PERMIT PE IT NO. ASSESSOR PARCEL NUMBER 64-62-40 ZONING A11111113 BUILDING PERMIT OWNER D RAYMOND & AST_.A JOHNSON TELEPHONE 873-4526 S0. FT. OCC. BUILDING VALUA ION 161 RENEWAL OWNER'S MAILING ADDRESS 1119 GLIE71\NIOOD DR MILLBRA ' CA 94030 CONTRACTOR'S NAME O111INER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee 1 T,FI $ i ARCHITECT OR ENGINEER LICENSE NO. -99 Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5875 PASCHAL WAY �:AGALIA Permit tee $ 31.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF MX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities[] Installation❑ Other Describe work: IST ENIEWAL OF BP#646-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200AORLESS 18.50 Main service 200ATO1o00A1 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 ;Jo. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. l ACC. BLDGS. NEW CONSTR. ULTI-OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS & \SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS PIRESID IRE 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check oneU ® 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against alliabilities, judgments, costs, and expenses which may in any way accrue gains aid Count in c nsequence of the granting of this permit. Date 3-3 - 92 ,,ilnature of Applicant - wner s pp av Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height.R Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 31.25 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work ini:1918 abo for which fees have been paid. OF PUBLIC WORKS BY Date)"� PERMIT EXPIRES Date y Receipt No. _ I 9 V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I •COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. ' 1 .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) YEs 2. I (have/have not) J%gws signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide e propose constructi Name Address 2 2 City _ ter( Phone — Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and.provide the major work: Name _Address City Phone Contractors License No. 5.• I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: • Signed: Property Owner _ Social Security Number Date iti'1 i/Z 3 , 11717 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT . 7,7W PERMIT NUMBE .-�pa =/0 ZONING 1 1193 BUILDING PERMIT OWNER wh c V TELEPHONE SQ. FT. OCiCi. BUILDING VALUATION OWNER'S MAILING ADORES I LGAJ6( HIZt,&One CONTRACTOR'S NTELEPHONE SO ME sig 7 3-� CONTRACTOR'S MAILING ADDRESS CONSTRUCT ON LENDER UNKNOWN Total Valuation 1 $ LENDER'S MAILING ADDRESS Filing Fee ,$ 1000 Permit Fee $ "95 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking F a $ Energy Plan Checking ree $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ER -7S P451`ILLIL Permit tee ! ^ i p( PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Solar or heat pump water heater 120.00 LOT SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SI DuplexMobilehom Other XE]SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othpr5� Describe work: ! �7 D�NE&,)AL- OF 0Z T ` �� �i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10:00 CONTRACTORS LICENSE LAW nal I declare under pet of perjury (ch n� RPa)� ❑ 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 F]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 W reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.SIOR , �2¢sgft NEW CONSTR. MULTB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OccU 20®tiOQ 8AL9 30t p OUTLETS OR FIXTURES 1FIXED AP Ex. Occup. OUTLETS PLINIS (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury check onet— ❑ The permit is for $100.00 valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 a i aid C n in consequence of the granting, of this permit. X �� / Z_pj� Date ignature o 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 height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a5� CWS OCCu P. CONST.TYPEJ SCHOOL FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work in' ed above for which DIR;;� F PUBL y IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS ate Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N I� 7 County Center Drive- Oroville, Californip 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT - ASSESSOR PAR L UMB — _ /� !i(�„) ZO I G BUILDING PERMIT OWNER /� C//fi' TELEPHONE 0. SQ. FT. OCG`. BUI ING VALUAT ON OWNER'S MAIL G ADDRE S + U 419 CONTRACTOR• M P ONE I7' 0 CONTRACT04q-: AILING ADDR S Y3 Fireplacelei CONSTRUCTION LENDER UNKNOWN Total Valuation $ Flling Fee t 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. 1 Plan Checking Fee $ S. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 -60 Solar or heat pump wate ter Water piping 11 Each qas water heater or vent 20.00 40. 5.00 5.00 LOT O. SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other[] Describe work: Permit Fee $ (j Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 do Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code �a`nd my license is in full force and effect. License No. �a�O3y 1 Classification ��cDALO ❑ 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 OCCu ., OR ACDNS. ACC. BLOGS. �20sgft NEW CONSTR. TI.OUTLET NON.RESID BRANCH CIRCUIT s 2.50 ea /POWER APPARATUS e\ SINGLE OUTLET CIR. ( Ex. Occup\OUTLETS OR FIXTURES 20A50t 30 Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ' Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not .employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating (� Cooling (� Hood 3.00 () Ventilation oil (A 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 alt liabilities, judgments, costs, and expenses which may in any way accrue1/ against said County in consequence of the granting of this permit. X1R^� ate Signature of Applicant wner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep a emolition o c n t- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL P OMIT FEE $ , lb O P. CONST.T P[ JSLN�JFIA PA 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -'� �O '��1,�'� ipt No. +� �� r�e•D. rEL LO W-ASeCSSOR, PINK -INSPECTOR TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance i� �a d h 54' 75 _ /--:'4 S c/ia a 4,y- 01,2 - 'lye? owner location AP # Driveway permit /�m'!2 �/1� has been issued -for the above property. s i acture y .s ....�� date i. T0. .4, -'Buil ing Department -1 FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: Final Clearance O.K.. for: Clearance for bedroom Clearance for addition of No t e 4 ., SANITARIAN Irl/�-1171 1' ��/ 2-`E6/ LOCATION AQP # Sewage Disposal Water Supply Water Supply. Water Supply 0 ther /L-(-,'j- DATE (J DAT E te .- F OWNER r.1,,t� ..-ir i�-..kW;:>�i .� �sK�ih:i3'ri A�e"'�y",.�'$•,1.'��..�.rfF,^iti'n.�.a'r�l�,h$.'t:••,.:.-. ..y"7.'gi'��,._'`; -.€. ,�., :{, ` .� „ t COUNTY OF BUTTE -' DEPARTMENT.OF PUBLIC WORKS - BUILDINGDIVISION +� 7 COUNTY CENTER DRIVE - OROVILtLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r' PERMIT APPLICATION DATA SHEET Permit No. A. P. No. 1 � �n. --.?- V0 Uv Proposed Building Use 5 1,-- r. Bui lding jnspector Date 1-'2 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, 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. ined 7. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions..................................................... ,. 9. Fees of $ t 10. Chico Urban Area fees paid ........................... .. ..... . x , r/11. Park fees paid...... .... . c+ School District fees paid ...• et - Sanitation approval from Health epa m 'D%� . . 14. City of Chico plumbing, permit ...................................... 15. Plot plan and business license approval from City of - (see City for other requirements) 16;- Planning approval for (A) Use: (B) Parking: ~' 17. Improvements may be required. .t 18. Driveway permit (construction approval required prior to occupancy) ... �. l,.t -19. Pre -Inspection for required .... Pre-Inspec. request to Building Inspector (Date) . 20. 21. Contractor's license information (No., Name Style, Class)fication) ....... Certificate of Workmans Compensation Insurance.+,<..�a-k. 22. �3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ Recorded copy of Agricultural Acknowledgment Statement ............ 4. ' 26. Letter of signature a thorization ................. ................. . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date A The,following data must be submitted prior to permit is uanc (Circle w item of ec ed bov ). 1. -'Index permit for above items No. - ,'2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail_counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Plans approved by Date Sets of plans on hold in 1--:�_'Fi// e c�abinre�t AR bIVeK Copy—DPW �� e 62 Certificate of Compliance: Residential Climate Zone 11 ProjectTitie I '60EMPhr , Building Permit # Project Ad ess Chedced By/ ate Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Glass Area 41 North Condi ' Area Number of Stories East SASi ed FI Number of ,Units South [a amity Detached (SFD) [ ] Addition Alone West etadJQL • [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) (] Existing -Plus -Addition Tom BUILDING SHELL INSULATION Component Insulation LAcation/Comments Type R -Value (attic, to garage, typical, etc.) Shading Devices Area Glass Type Interior Exterior Overhang Framing Type North North ( ) East East— South ( ) South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SF. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) L 06 . .-Vs� Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) SDecial Feature(s) 1.14 0SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) ,ER -7 ,. -6 4 1 ucts In attic) -2 DI 7-10 0 0 0 410 ib +6 to 16 or �5 +5 +15 more 10 -8 -6 -4 -6 -5 .4 3 -4 3 •2 -2 -3 -2 -2 .1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 14 12 9 6 ive SEER uct Mclency) o17-10 4b -4b +6110 16or -6 +5 +15 more -21 -17 -13 .9 -9 -7 ,. -6 4 1 -4 3 -2 -2 0 0 0 o f 6 5 4 3 12 9 7 5 . 16 13 10 7 19 15 12 8 22 18 14 9 24 20 15 10 trot Adjustment 7 6 4 3 System Installed -4 -3 -2 -2 2 2 2 1 etached and Attached Unit Size (sQ 1 1200 1700 2200 2700 b to to or 1699 2199 2699 more 0 0 0 0 8 6 5 4 5 4 3 3 3 3 2 2 5 4 3 3 -24 -18 -15 -12 -1 -1 0 0 -12 -9 -7 -6 -16 -12 -10' -8 -12 -9 -7 -6 3 -2 -2 -2 5 4 3 2 2 1 1 1 -19 -14 -11 -9 5 4 3 3 -6 -5 -4 -3 17 (Individual units) 0 Unit Size (s 1700 23 700 1200 2.9 2200 to to b or 1199 1699 2199 more 0 0 0 0 7 5 4 3 5 3 2 2 21 23 25 '2.1 5 F 2 2 -23 -15 -11 -9 1 1 0 0 -12 -8 -6 -5 -13 -8 -6 -5 12 -4-- .-6 -5 -4 -3 .2 I .2 3 2 1 1 - 0 0 0 0 -15 -10 -8 -6 9 6 4 4 -4 -3 -2 -2 .Trre Z PASS 11.7.utMC•..2) Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. t TYPE 1 MASS (UIMC h 4.2. tee exposed slaUl 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East 1.. pet.a .1_bl c. South d. West e. Skylight 8. Shading (Shade Closed) 0% 5% to,/* 15% 20% 2S'% 30% 35% 40% 45Y. 50% 55% 60% 6614 70% 75% 80% 85% 9o% 95% 100% 105% 110Y. 115Y. 1207: 12S- 0-/. a 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 0 2.1 23 2.S 2.7 2.9 3.2 3.4 3.6 3.8 4 . 4.2 4.4 4.6 4.8 5. 5.2 5.3 5.1 toy., 0.2 0.4 0.6 0.8 1 1.2 14 1.6 1.9 21 23 25 '2.1 2.9 3.1 33 3.5 3.1 9.1 3.9 4 4.1 4.2 4.3 1.4 4.5 4.6 4.8 4.8 5 S. 15.2 5.4 56 20%: 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 14 24 27 •29 3.1 9.3 3.S 4.5 1.1 1.3 1 S 1.7 1.9 2.2 24 26 2. 8 38 3.2 3A 3.6 3.0 49 4.3 4.5 4.7 4.9 51 5.3. 5.5 5.7 59 4OY. 50% 0.7 0.9 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.9 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 6s Y 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 39 9.2 3.4 3.6 3.8 4 4.3 4.5 4.7 49 5.1 5.3 55 5.1 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.6 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 34 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 S 4 S.6 5,9 6.1 63 65 67 90y. 1.S 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 9 1SOOY. 17 1.9 21 2.3 25 28 39 3.2 3A 3.6 3.8 4 4.2 1t 4.6 4.9 5.1 S.3 5S S.7 S.9 6.1 6.3 65 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 7.1 1101/. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.3 5.4 5.5 5.7 5.7 5.9 5.9 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6 9 7 7.2 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.7 3.8 3.9 4.1 4.1 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.1 5.2 $.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 120% 2 2.3 2.3 2.5 25 2.7 2.8 29 3 3.1 3.2 3.3 3.4 3.5 3.6 3.8 4 4.2 4.4 4.6 49 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 125% 21 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ®/ N) 12. Cooling System Zonal Control? q9 N ) 13. Water Heating Or value [38 U -value 10.0301 or R•value [ 1 j U -value [0.0981 (� or R-value[191 U -value 10.0371 or R -value [01 F2 factor [0.771 Standard d ' blel U•value [0.651 Point Scores T 0 •� _ � +:2 % Total Glass (16) Sum 1-6 - % Glassal -- SC Eff. % Glass - W. / X = X =- X X = ._ 0- % Glass SC Eff. % Glass X X --- 7 - TYPE 1 MASS AREA�- COND. FLOOR AREA Interior tas/CFA TYPE 2 MASS AREA _ B ND. L OR AREA Sum 7- Exterior Wall Mass � ^ �� SE or HSPF Duct Efficiency [0.781 Effective SE or (0.77J� 6.61 �� _ HSPF [0.56J5.1 I �� t X 7 SE pVct clency [0.741 Effective SEER 17.031 Type [SG_Credit [none] Point Total. 1. Ceiling insutaaoa _. 7, Shading (Shade Open) - Number of stories Li -value R -value One Two Three R-0 -103 49 -3 R-19 -8 -4-1 .50 .40 less 0 -121 a -3s 0 -24 0 U -value 40 -90 37 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26. -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 -5 3 27 -52 -17 2. Wall Insulation -2 6 13 Single- Single - -15 -8 Family Family Multi - R -value Detached Attached Family R-0 -68 51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value y 22 -37 -9 0.80 -153 -114 -76 _ 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 -14- 10 0.00 24 18 12 5'. infiltration (Air LeaKage) Specification Points Standard 0 6. Glass Heat Loss Total _. 7, Shading (Shade Open) - M Li -value 16 Percent R -value One .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53' -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 y 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 .12 17 16 -20 0 4 9 13 17 15-17 -2 1 6 10 14 17 i 14. -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16_ 18 20 -8 -7 -5 -4 3. Raised Floor Insulation _. 7, Shading (Shade Open) - M Insulation in Floor 16 - - Effective Percent Glass R -value One Two Number of stories 14 (percent glass x SC) _ R -value One Two Three - - ---' - - R-0 -17 8 5 Effective ' 1 %Glass North East South West Skylight R-1 1 !--3 - -2 -1 -6 -23 R-19 0 0 0 1 18 .5 1 4 1 na R-30 ; 3 1 1 16 4 2 5 1 nor 2 1 -56 0.60 14 4 2 5 1 na ,_ ! U value -18 0.50 9 12 3 3 5 2 na .__._. - 0.60 -144 -70 -46 11 3 3 5 2 na . 0.50 : -120 •58 38 10 2 3 5 2 1 2 0.40 -95 -46 30 9 2 3 5 2- 2 31 5 2 2 0.30 0.20 -69 -43 -34 •21 -22 8 7 1 3 4 2 2 0.10 ' 0.08 -17 -11 -8 -6 _-14 -5 -4 6 1 3 4 2 5 1 2 4 2 3 3 --0.06 6 -3 .2 4 0 2 3 1 1 2 1 3 3 ! 0.04 0.02 -1 4 0 2 0 1 3 0 2 0 0 1 0 3 0.00 10 5 3 1 -1 -1 -1 -1 2 Single - Wall IE Family 0 -1 -2 -4 .2 0 Controlled Ventilation Crawlspace nae not allowed 0.00 POU 0 Number of stories 0.20 0.40 34 5 R -value One Two Three 6 - 4 0.80 1,00 R-0 -11 -7 -5 S. Shading (Shade Closed) 13 R-5 -4 -4 3 13 9 13 11. 1.80 R-11 -2 -2 .2 Effective Percent Glass R-19 -1 -2 -2 (percent glass x SC) 4. Slab Edge Insulation _. .48 - " - Number of Stories 16 -12 R -value One Two Three 14 • R-0 0 0 0 na R-5 8 5 2 37 R-7 8 6 3 -36 F2 factor na 10 -6 -23 0:90 -4 -3 -1 -5 0.80 -1 -1 0 8 0.70 2 2 1 -56 0.60 6 4 2 -18 0.50 9 6 3 -15 0.40 12 8 4 -9 Effective Glees North Esq South Welt -%Ahs 18 -14 .48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 -29 -40 37 na 11 -7 -26 -36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 D- na - not allowed 13 14 14 8.5 7 10 12 Water Interior Slab Floor Raised Floor Mass Stories Stories ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3. A 0 0 0.3 -7 -4 1-2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 - 3 1.1 -4 •1 1- 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Wall IE Family Family Multi Mass Detached Attached Family 0.00 POU 0 0 0 0.20 0.40 34 5 3 0.60 8 6 - 4 0.80 1,00 10 13 8 5 10 7 ; 1.20 13 12 8 1.40 1,60 12 10 13 9 13 11. 1.80 10 12 12 is 20 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Sum of 14 -25 _ or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 '+5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 0.80 6.88 7.33 3 3 8 7 3 2 2 1 6 5 4 3 0.85 0.90 7.79 8.25 13 11 17 15 10 8 7 5 13 11 9 1 0.95 8.71 _20 18 "' 15 13 11 8 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 .25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2. Water (assumes dl 1199 , Surr', -25 or -24 to -i SEER lest . -15 8.0 -14 -12 8.5 -9 -7 8.9 -5 -4 9.0 -4 -3 9.5 0 0 10.0 4 3 10.5 7 6 11.0 10 ' ; 9 -. 120 15 13 13.0 20 17 Effect -1 (SEER x dl HWR-18 Sum Effective -25 or -24 to SEER less -15 5.0 -30 -25 6.0 -12 -11. 6.6 -5 -4 7.00 0 8.0 - 9 8 9.0 16 14 10.0 22 19 11.0 26 23 12.0 30 26 13.0 33 29 -1 Zonal Coni j 10 8 No Cooling, - Stories Credit One -5 -4 Two + 3 3 Single -Family I'. Water 1199 , Heater Gedit or ! Type_ Type less.-' SG None 0 or Solar 12 HP HWR 8 WSB 5 _ POU 8 SE None -37 Solar -1 HWR-18 WSB.. -25 _ POU __-13 . n None -5 I Solar 7 POU 3 IE None _ -28 ?I Solar 8 POU -1 Mu IU Water - Heater Credit Type Type SG N or Solar HP. HWR 9 WSB 9 POU 9 $E None -45 Solar 2 HWR -23 x WSB -25 .1k _ P_QU _23 IG ' None -8 Solar 6 POU 1_ IE None -30 Solar 18 POU -8 Mandatory Measures Checklist: Residential MF -1R NOTE: Lawrise residential buildings subject to the Standards must contain these meaauta regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for Ute mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures ' 62.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R -I l weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater Ow 2.0 pemJutch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exftlt ation Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and peeuuions caulked and sealed 02-5352(e): Special infiltration barrier installed to comply with 12-5351 mats CEC quality standards . 12.5352(d): Installation of Fireplaces I. Masonry and factory -built freplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas piW allowed. HVAC and Plumbing System Measures 62-5352(g) and 2-5303: Space conditioning equipment siring: -else h calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62.5314(c): Gas -turd space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heater, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return At recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12.5352(j): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. 62-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building fcatmw And performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article l of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner Name: Name; Tstk/Fum: Tttk/FUTF1: Address: Ate: Tekphone: Telephone Lic. ax: signature) (date) (signature) (dart) Documentation Author Enforcement Agency Name: Name: Tide/Firm Agawy; Address: Tekphono: RESIDENTIAL PLAN CHECKING GUIDE. 7/85 (S.F., DUPLEX &'MISC. ONLY) Bldg. Permit # X039 40 a OWNER i A. P. # GENERAL Zoning requirements: (sideyards 'and number of permitted living units). V luation. Plans signed by designer. , E-,ergy Design and Compliance. Ex ting violations on property. PLOT PLAN r; Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. rrading, fills, drainage. lood hazard. �Xspecial conditions on creation map or compliance document. FLOOR PLAN A Complete -to -scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). .-1Sk3fPights (Chapter 34 &_Sec. 5207) . _ M V.Required uman mppact' gl�ass';(Set—,5406) room sizes, ceiling heights (Sec. 1207). .F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall,.door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS ,Y.' Foundation plan complete enough:to construct building. Z-.' Floor construction details complete enough:to construct building. Elevations and wall construction details complete enough to construct building. of construction details complete enough to construct building. f� Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR IS ,I! Exposure I plywood on exposed locations and overhangs. ,Stairway details: landings, rise and run, head clearance, Guardrail details (Sec. 1711 & 3306(j)). -4-.' Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). Proper roof tch for roof covering (Chapter 32). Rafter ties or be ing ridge beam. y ' handrails (Sec. 3306). RESIDENTIAL PIAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) _/ Garage door or porch header sizes. &T Adequate bracing. 4-9— Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ZY�.wo exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). 1-3-' Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. .`Combustion air for fuel burning appliances. la:INoise requirements on duplexes. L.7 Adobe soils - special foundation design. 1.8, Retaining walls requiring design. 7_9.. ---'Unusual shape, size or split level house requiring lateral design. R 0 0 0 4 �J C -i t `The �P-1N microcom • uter ther • � �. • p mostat. for residential and commercial a • �I'ications. pp Compatible with both single --� • andtwo-s • eed heat • um • s, enerstat p p p ever: tat (916) 877-8881 "The Comfort People" Bob Mangrum President 7409 Skyway Paradise, CA 95969 Lic. # 343346 Air,, on loping a eat enerstat° Introduces a new conce t- in heating/cooling .. p. comfort and energy, -savings .. . n-•.�-..vurn. r enierstatT" System .2'. divides & controls your home. the way you- live .. . L System 2 provides the two zone solution to residential / light commercial zone control..","'` Wouldn't it be nice to build the home of your dreams without hay. . ing to worry about high energy costs for heating and cooling while being able to maintain comfortable temperatures In all areas of your home? The technology Is possible ... it is here today! Although lifestyles vary, a home is divided into two major areas: liv ing and sleeping. System 2 provides a two -zone solution to whole house comfort. It works with your home central heating I cooling system to efficiently and comfortably maintain the temperature In the occupied area of the home while automatically lowering 'the, 3. temperature In the unoccupied area. In many larger homes it can eliminate the need for multiple heating I cooling systems which can - save thousands of dollars in additional building, equipment, and,in• slallation costs. System 2 is the affordable solution to home comfort and energy' savings.. System 2 Logic Panel N C lEa ry 0 Vol Continuous sabungs, Enerstat HP -1 N the microcomputer heat pump thermostat Features ❑ Automatic switching from heat to cool ❑ Preferential Rate Control (PRC) minimizes overshoot and prevents room tempera- ture deviating from set -point under varying load condi- tions (zero droop) ❑ Easily set up to four heating and cooling temperatures for weekdays, Saturdays and Sundays ❑ Instant override; continuous or timed from one hour to thirty-one days ❑ 1.00% solid state; microcom- puter controlled ❑ Built-in short cycle pro- tection ❑ Weekencf programming on a 5-1-1 basis ❑ Digital display of room tem- perature, time, stage status indicators and operational mode symbols ❑ No heat anticipator required ❑ No accessories required ❑ Switch selected features: OF or °C, keyboard disable to prevent tampering, remote sensor. ❑ No additional wiring, re- places existing thermostats directly ❑ Conditional 1 year warranty ❑ Skip Feature - can skip up to 3 programs ❑ Continuous or cycled • Smart Fan (fan to auto dur- ing set-up/set-back) order WP-IN5F Developed and manufactured by Valera Electronics Inc. 5370 Canotek Road, Ottawa, Canada K1J 9E7 TX — 066-36589 FAX 613-745-2743 emergency heat output l� ❑ 2 free lights unassigned (can be used as status panel) ❑ Optional remote sensor 1 Point 1 z TleirmbLtbtt ;y t s ;1?ieferentid ` ppli c:bhtrotjf -{EnbiatetiEie`t7bnt11- rols''. ane naleticbdt'dydte iiunng t§covti to mJaimltebG ro'aot � < ✓ , tu,d di RS -K4 Remote Sensor holds a 10,000 ohm thermistor - 21/2" X 11/2" X 3/4" (60 x 40 X 20 mm) *Typical Energy Savings for U.S. and Canadian Cities % of savings will vary depending on equipment, insulation and type of building or space utilized. The chart indicates savings attributable to typical residential operations. Commercial applications can result in greater savings. savings for one 10'F setback daily, ll / savings for 10-F summer setup. N % savings for two 10'F setbacks daily. Selbacklsetup periods are B hours e i (7°C to 44°C) Dimensions: 61/2" x 33/4" x 1 t/z" (165 x 95 x 38 mm) Shipping weight: Approx. 11b. (0.5 Kg) U.S. Marketing Europe Valera Corporation Valera Europe B.V. Suite 103 Verlaat 9 Bridge and Port Authority Building 2435 XE Zevenhoven Ogdensburg, New York 13669 - Netherlands Los Angeles Southeast Asia Valera Corporation Australia Pty. Ltd. 37 Benwerrin Drive, Burwood East 3151 Victoria, Australia FAX 613-233-7585 8744-15M Printed in Canada J Specifications Voltage:t5 F r � , ° S 18-30 Va. c..r 0 , t l n . Current: 0.05-1.5 Amp continuous for each output with surges to 4 amps. Maximum 3a?np continuous total of all J outputs. Calgary Denver Boston Cincinnati New York Dallas Quebec City Des Moines . Chicagpo Kansas City Philadelphia Atlanta ' Moncton Battery: - Omaha Delroil Sall Lake City Pittsburg SI. Louis Seattle Columbus 9V Alkaline Toronto "ante. Vancouver Temperature range: Based On U.S. DoE and industry data. 44°F to 116°F (7°C to 44°C) Dimensions: 61/2" x 33/4" x 1 t/z" (165 x 95 x 38 mm) Shipping weight: Approx. 11b. (0.5 Kg) U.S. Marketing Europe Valera Corporation Valera Europe B.V. Suite 103 Verlaat 9 Bridge and Port Authority Building 2435 XE Zevenhoven Ogdensburg, New York 13669 - Netherlands Los Angeles Southeast Asia Valera Corporation Australia Pty. Ltd. 37 Benwerrin Drive, Burwood East 3151 Victoria, Australia FAX 613-233-7585 8744-15M Printed in Canada J enerstW SYSTEM 2 A RESIDENTIAL I LIGHT COMMERCIAL ZONE CONTROL SYSTEM PROVIDES A TWO ZONE SOLUTION HOW IT WORKS IN THE CASE OF A RESIDENTIAL APPLICATION SYSTEM 2 TAKES A SINGLE HEATING I COOLING UNIT AND CONTROLS IT IN SUCH A MANNER AS TO HEAT OR COOL ONLY THE OCCUPIED HALF OF THE HOME AT ANY GIVEN TIME. THIS IS ACCOMPLISHED BY THE PROPER PROGRAMMING OF THE THERMOSTATS AND POSITIONING OF BOTH LIVING AREA AND BEDROOM AREA ZONE DAMPERS TO CONTROL THE AMOUNT OF HEATING OR COOLING DELIVERED TO THAT AREA. FEATURES ❑ USES EITHER SOLID STATE PROGRAMMABLE OR STANDARD THERMOSTATS. ❑ SOLID STATE LOGIC PANEL ❑ LOGIC PANEL CAN BE USED WITH HEAT PUMPS, GAS, OIL OR ELECTRIC UNITS. ❑ WILL CONTROL ONE OR TWO STAGE HEAT I COOL SYSTEMS. ❑ AUTO OR MANUAL HEAT I COOL CHANGEOVER. ❑ ANTI SHORT CYCLE PROTECTION. ❑ TWO -WIRE FAILSAFE DAMPER MOTORS (SPRING RETURN OPEN). ❑ NO BYPASS DAMPER REQUIRED. ❑ PLUG IN TERMINAL STRIP (FOR FAST EASY SERVICE). ❑ LED (LIGHT) INDICATION ON ALL RELAYS. ❑ ALL SYSTEM OUTPUTS ARE FUSED. ❑ EASY TO INSTALL AND WIRE. ❑ ALL LOW VOLTAGE WIRING. RENEFIT4 ❑ SAVES ENERGY AND MONEY BY ALLOWING TEMPERATURE SETBACK IN THE UNOCCUPIED AREA WHILE MAINTAINING COMFORT IN THE OCCUPIED AREA. ❑ PROVIDES IMPROVED HOME COMFORT THROUGH THE USE OF INDIVIDUAL AREA THERMOSTATS. ❑ SAVES ENERGY AND MONEY IN COLD WEATHER BECAUSE THE EXPEN- SIVE ELECTRIC RESISTANCE HEAT WILL BE ON A MUCH SHORTER PERIOD OF TIME. (HEAT PUMP SYSTEMS ONLY) ❑ SAVES DOLLARS BY ELIMINATING THE NEED FOR TWO SEPARATE HEATING/ COOLING SYSTEMS. (ESPECIALLY ON SMALL COMMERCIAL BUILDINGS) ❑ QUICK PAYBACK ON YOUR INVESTMENT BECAUSE OF THE UNIQUE FEATURES OF SYSTEM 2. SPECIFICATIONS VOLTAGE REQUIREMENTS IBM VAC x 10% 1 DIMENSIONS 10" 031/A"O "A" 055435x45mm) OPERATING AMBIENT 32 TO 131'F SHIPPING WEIGHT APPROX. 6 La. (27 kg) TEMPERATURE RANGE (0 to 56'C) WARRANTY CONDITIONAL ONE YEAR . 24 VAC RETURN AIR FROM ZONES I DAMPER L MOTOR LOGIC �— IVINGAREA PANEL ZONE" S' SUPPLY AIR 1 NVAC(WIPMkIROM TO LIVING AREA I e ZONE.2 DAMPER L MOTOR SUPPLY AIR RETURN Ai0 BEDROOM AREA BEDROOM rii 20.1.2 STAT Manufactured by Valera Electronics Inc. 5370 Canotek Road, Ottawa, Canada K1J 8X7 TX - 053.4899 9� LIGHT@ A 1 SiF s ZONE #1 WI/AUX STAT ?is AUX WI EH W2 HP1 Y1 HP2 Y2 G s 0/B TI/NPI O R R X x ZONE #2 STAT AUX W1 EHW2 HP1 Y1 HP Y2 G G 0/e R R X X enerstaf SYSTEM 2 LOGIC PANEL SINGLE -STAGE / MULTI -STAGE 1.0 LIGHT@ 2O 1 11 3-0 WI/AUX H 4-0 FI so B -0 Wf/tN O -1 7.0 H 8.0 TI/NPI O T2/"P20 TIME DELAY OVERRIDE DO CONTACT 90 100 0o o s 1.0 O • c O 120 • D/O 130 E Ila)a 140 ; o 150 i 4 of J 160 O TIME DELAY OVERRIDE LIGHT (LED) COMPUTER WATCH DOD LIGHT (LEE NORMAL WHEN FLASHING d' J HEATING COOLING Qy UNIT 1 C W1 AUX. W2 EH Y1 HP1 r2 NP G G 0/0 R R — 3 AMP FUSE 24 VOLTS 4 0 V A T R A M S. (NOT SUPPLIED) 2601 ZONE #1 27 01 DAMPER 28 28 02-M ZONE 02 30 02 DAMPER SPECIFICATION GUIDEZONE CONTR FOR HVACUNR`SYSTEMS THE CONTRACTOR SHALL FURNISH AND INSTALL AN ENERSTAT SYSTEM 2 SOLID STATE ZONE CONTROL SYSTEM (OR EQUAL) TO CONTROL THE SINGLE ZONE PACKAGED AIR CONDITIONER. THE SYSTEM SHALL CONSIST OF: 1 ENERSTAT SYSTEM 2 LOGIC PANEL 2 ENERSTAT PROGRAMMABLE THERMOSTATS 2 ENERSTAT DAMPER I ACTUATOR ASSEMBLIES REQUIREMENTS: SOLID STATE LOGIC PANEL AUTOIMANUAL- HEAT/COOL CHANGEOVER TWO STAGE HEAT - TWO STAGE COOL CAPABILITY ANTI SHORT CYCLE PROTECTION LED INDICATION (LIGHTS) ON ALL RELAYS TERMINAL STRIPS MUST BE OF THE PLUG-IN TYPE FOR EASY SERVICING LOGIC PANEL MUST WORK WITH EITHER PROGRAMMABLE OR STAN- DARD THERMOSTATS TWO WIRE FAILSAFE DAMPER MOTORS IF OTHER THAN ENERSTAT SYSTEM 2 EQUIPMENT IS FURNISHED, IT MUST MEET SYSTEM 2'S BASIC SEQUENCE OF OPERATION. U.S. Marketing Europe Valera Corporation Valera Europe B.V. Suite 103 Verlaat 9 Bridge and Port Authority Building 2435 XE Zevenhoven Ogdensburg, New York 13669 Netherlands Southeast Asia Valera Corporation Australia Pty. Ltd. 37 Benwerrin Drive, Burwood East 3151 Victoria, Australia 8707-10M PRINTED IN CANADA Certificate of Compliance: Residential '` ' �' Climate Zone 11 S Project Title Pr Documentation Author Telephone Building Permit M Uecfed By / Daus Erdomanent Agency Use only BUILDING DATA I North Glass Area i0 Conditioned Floor Area 1.lumber of Stories (, j East } Slab/Raised Floor Number of .Units South j [ ] Single Family Detached (SFD)_ .. .... [ ] .Addition.Alone.... West [ ] Single Family Attached (SFA) [ ] Existing Budding Skylight O [ ] Multi -Family (MF) (] Existing -Plus -Addition Total S85 BUILDING SHELL INSULATION Component Insulation .. Location/Comments Type R -Value (attic, to &:raga typical. eta) Wall .............. :R .19 Wall ............. Roof ............. 14 Roof ............. _ ; . Floor ............. Floor ............. Slab Edge....-. GLAZING ___._ ..----- _ _. Shading Devices . Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation =--- (sf) (single, double) boiler blittd. etc.) (shadescreen, etc) (yea/no) (metal/wood) Norte (7L) `70 �y North ( ) - East Z Y� East South o South West West - Skylight....::. THERMAL MASS -` Type/Covering Area Thickness -_ - (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath etc.) HVAC SYSTEMS Type (furnace, air conditioner, heat pumv) Minimum Efficiency Duct Location- Duct (attic, etc.) R -Value Manufacturer / Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) ifem -17 43 -9 I SEER -7 -6 4 des ducts In attic) -2 Sum of 7-10 0 0 0 -1410 4 b +610 16 or d +5 +15 more -10 -8 3 -4 -6 -5 4 3 -4 3 -2 .2 3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 I5 j 7 6 4 3 11 9 7 5 14 12 9 6 irectlee SEER ;x duct eMdenc)) sum 0( 7-10 0 -1410 4b +8b 16or J a +$ +15 more -21 -17 43 -9 -9 -7 -6 4 i 4 3 -2 -2 0 0 0 0 6 5 +-4 3 12 9 7 5 16 13 10 7 19 15 12 8 ' 22 18 14 9 24 20 15 10 'ontrot Adjustment ' 7 6 4 3 9ng System Installed 0.8 11 -4 3 -2 I 2 2 2 2 2.7 1 'Detached and Attached — Unit Size (so 14 - 7 1200 1700 2200 2700 b to to or 1699 2199 2699 more 0 0.. 0 0 8 6 5 4 5 ' 4 3 3 3 3 2 2 5 4 3 3 -24 -18 -15 -12 -1 -1 0 0 -12 -9 .7 -6 . -16 .12 -10' -8 -_-12 -9 -7 -6 .3 -2 -2 -2 5 4 3 2 2 1 1 1 -19 -14 -11 -9 5 4 3 3 -6 -5 -4 -3 ; ltll(Individual units) 19 Unit Size (S 1.3 4.5 700 1200 1700 2200 b b b 0, 1199 1699 2194 more 0 0 0 0 7 5 4 3 5 3 2 2 4 3 2 2 5 3 2 2 -23 -15 -11 -9 1 1 0 0 -12 -8 3 '_5 -13 -8 -6 -5 =12 -8 3 -5 -4 -3 2 1 -2 3 2 1 1 0 0-_ 0 0 -15 -10 -8 -6 9 6 4 4 4 -3 .2 -2 % rr" I ,u ss Il. 1�VIK�1.7) Ie.rv.ew .Iwl f Interior Mass/CFA ,a TYPE I'PASS 10IIIC b 4.2, 1*% exposed slab) 0% 5% 10% 1S% 20% 25% 30% 35% 40% 45% 50% S5% 60% GA 10% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 1215- 0% 0 0.1 0.4 0.6 0.8 11 1.3 1.5 1.7 1.0 21 2.3 2S 2.7 2.9 32 14 3.6 3.8 4 4.2 4.4 ' 4.6 4.8 5 5 3 10% 0.2 0.4 0.6 0.0 1 1.2 1.4 1.8 1.9 21 23 25 27 2.9 11 13 SS 17 4 4.2 4.4 46 48 5 52 54 M 0.3 0.6 0.8 1 1.2 1.4 1.6 1.6 2 22 24 27 29 3.1 13 15 17 19 4.1 43 4.5 4.8 5 52 54 5 • 30% AS 0.1 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 5 3.2 IS 17 19 4.1 1.3 4.5 4.7 4.9 5.1 5.3 56 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 12 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 S.5 57 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S 27 3 32 14 3.6 11 4 42 4.4 4.6 4.1 S.1 5.3 5.5 5.7 5.9 6.1 55% &1 1.1 1.4 1.6 1.8 2 2.2 24 26 29 3 3.2 15 3.7 19 4.1 4.3 4.5 4.7 4.9 S.1 5.3 SO S 1 6 62 W% 1 12 1.4 1.1 1.9 V 23 25 27 29 11 13 3.5 3.1 4 4.2 1.4 4.6 4.8 5 52 5.4 6.6 5.9 61 5 3 65% 1.1 1.3 1.5 1.7 1.0 22 24 2.6 28 3 3.2 14 36 3.1 4 4.3 4.5 4.7 42 5.1 53 55 5.7 5.9 61 61 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 11 13 3.5 3.7 3.9 4.1 4.3 4.6 4.1 S 52 5.4 5.6 S8 6 62 64 IS% . 1.3 15 1.7 1.9 21 23 25 27 3 12 14 16 3.8 4 4.2 4.4 4.6 4.1 5.1 5.3 15 3.7 19 6.1 6.3 6.5 80% - 1.4 1.6 1.1 2 22 24 26 2.1 3 3.3 3.S 11 3.0 4.1 4.3 4.5 4.7 4.0 5.1 54 56 5.8 6 62 64 66 85%1.4 1.7 1.9' 2.1 23 2S 2.7 29 It 3.3 3.5 3.1 4 4.2 4.4 4.6 4.8 S 52 54 56 59 6.1 63 6S 67 - 90% 1.5 1.7 2 " 2.2 24 26 21 3 32 14 3.6 3.1 4.1 4.3 4.5 4.7 4.9 11 53 SS 17 5.9 62 64 66 68 95% - 1.6 1.1 2 22 2S 27 22 11 33 3.5 17 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 67 69 100% 1.7 11 21 2.3 25 21 3 12 3A 16 It 4 42 4.4 4.6 4.9 11 S.3 SS 5.7 3.1 &1 6.3 6.5 6.7 I 10S% 1.1 2 22 2.4 26 28 3 13 31 17 3.0 4.1 4.3 43 4.7 4.9 &1 S.4 SO 5.1 8 6.2 6.4 86 68 7 110% 1.9 It 23 2.5 27 29 11 13 3.6 3.8 4 42 4.4 4.6 4.8 S 5.2 5.1 a.7 5.9 [1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 21 3 3.2 3.4 3.6 S6 4.1 4.3 4.S 4.7 4.9 5.1 53 5.S 5.7 S.9 6.2 6.4 0.6 6.6 7 72 120% 2 23 2.5 17 29 11 13 IS 3.7 19 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 62 6.5 6.7 6.9 7.1 73 125% 21 2.3 2S 28 3 32 3A 16 3.8 4 4.2 " 4.6 4.9 5.1 5.3 5.$ S.7 5.9 &1 &3 &S &7 7 7.2 7.4 Point System Summary: Climate Zone 11.4 7..__ SCORE CARD Measures ---- -- -- Point Scores - 1. Ceiling Insulation - -or R -value (38J U -value [0.030) - 2. Wall Insulation _.'/G� or __.� R -value (11) _ _U -value [0.0981 _ 3. Raised Floor Insulation/ R 191 or '-" U -value -value 10.037] 14. ,Slab Edge Insulation or 6" .. - .. ._ ..... . ,...._........,_ R-yalt� [01 .2 f_c-t.ar, [0.771 �i S. -Infiltration .__, _._ Standard _0 6. Glass Heat Loss _ '. _ R 0� - �--->1 _ _. ___ _ _ ._.._._ _� •_ [double] �11-Value 10.651 % Total Glass 1161 Sum 1.6 7.. Shading (Shade Open) - a. North _. % Glass __ 2',_1�" _ _ _ _ _ SC _ __. _. X .)7 - Eff. % Glass - , 2a b. East - __ R. 7 - X- 7' c. South - - X d. West Cy.6 x _ ,3 _ e. Skylight X X 8. Shading (Shade Closed) % Glass SC - - Eff. % Glass a. North . S X -48 b. East �, X _22 C. South X _0 d. West x e. Skylight 5 x 9. Interior Thermal Mass TYPE 1 MASS AREA >d -• InteriI+/asr1CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA • _ Q� �j Ease r s ND. FLOUR AREA 11. Heating System �, �O x, �3 32 c Zonal Control?N) SE or HSPF Duct Efficiency [0.78] Effective SE or (0.7276.6] HSPF 10.564.15) 12. Cooling System 9,0 x 8110 . = 7 7He 7 4 Zonal Control? N) SEER 19.51 Duct Efiicien y [0.74] Effective SEER [7.03] z C.! 13. Water Heating Type-ISGI Credo [none}- �.f0 PointTofal: 1. Ceiling Insulation 2. Wall Insulation --144 Number of stories -46 R-vajue One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 - O.C8 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 -4 2 1 0.00 11 5 3 2. Wall Insulation --144 -70 -46 Single- Single - -58 38 Family Family MUI& R -value Detached Attached Family R-0 38 -51 -U R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 - U -value 0.04 -1 0 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 = 7 0.02 19 •14 10 0.00 24 18 12 12 8 4 3. Raised Floor Insulation 7 v- - --- . ' Insulation In Floor -- - ,, Number of stories 0 R -value :_. One ; Two Three R-0 ::,-17.5 1 ;:..5 " R-11 3 '-2 -1 i R-19 0 0 0 R30 3 1 1 U -value -- •-� 0.60 . --144 -70 -46 0.50 -120 -58 38 0.40 ' -95 -46 30 0.30 -69 34 -22 0.20 -43 --21 -14 0.10 -17 -0 -5 0.08 -11 3 -4 �-2 0.06 -6 -3 One 0.04 -1 0 0 ' 0.02 4 2 1 ' 0.00 10 5 3 Controlled Ventilation Crawtspace 5. Infiltration (Air Leakage) Spedfication Points Standard 0 6. Glass Heat Loss Total -69 Number of stories na R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3- R-11 -2 -2 =2 R-19 -1 „ -2 -2 4. Slab Edge Insulation -24 -10 4 Number of Stories --90 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 4 12 29 0.90 -4 3 -1 0.80 -1 -i 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Spedfication Points Standard 0 6. Glass Heat Loss Total -69 tot na -42 I.1 -value -55 Percent F- -- .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 --90 37 -26 -14 3 8 35 -75 -29. •19 -9 1 10 30 31 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 •18 -10 -2' 5 , 13 27 -52 - -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 r 25 -46 -14 -7 0 7 14- ' 24 " -43 -12 •5 1 8 14 , 23 -40 -11 •4 2 8 15 " 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 - 15 20 31 3 0 5 10 16 - 19 -29 -4 1 6 11 16 1 18 -26 3 2 7 12 16 f t 17 -23 -1 3 8 12 17 ; ' 16 -20 0 4 9 °. 13 17 15 -17- 1 6 10 14 17 14 -14 3 7 10 14 18 1 13 -12 4- 8 11 15- 18 12 -9 6 9 12 -15 -19 11 3 7 10 13 16 19 10 ' 3 9 11 14 17 19 ' 9 -1 10 13 15: 17 20 8 2 12 14 16 18 20 i- na = not allowed & Shading (Shade Closed) Efrective Pa c t Ctas (paeeot Slant x SC) Glatt Nor* 18 -14 16 -12 14 -10 12 -8 11. -7 10 -6 9 -5 8 -5 7 -4 6 3 5 -2 4 -1 3 0 2 1 1 1 0 2 r- ekwal East .$" Weft Sity6pht -48 -69 tot na -42 7. Shading (Shade'Open) -55 r F- -- EfTectJte %cent Clan na -29 40 (peretot glass x SC)� na Effective"" %Glass North East South "" West ' Skylight 18 5 .- 1 _ 4 1 na 16 4 . 2 5 1 na 14 4- 2 5 1 ` na ! 12 3 3 5 " 2 na " - 11 3 3- • 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2' 8' 2 3 5 2 2 7 1 3 4 2 2 6' 1 3 4 2 3' 5. 1 2 4 `' 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0- 1 0-' 3 1 -1 -1 • -1 ` . -1 2 i 0 -1 -2' -4 -2 0 na = not allowed & Shading (Shade Closed) Efrective Pa c t Ctas (paeeot Slant x SC) Glatt Nor* 18 -14 16 -12 14 -10 12 -8 11. -7 10 -6 9 -5 8 -5 7 -4 6 3 5 -2 4 -1 3 0 2 1 1 1 0 2 r- ekwal East .$" Weft Sity6pht -48 -69 tot na -42 -59 -55 na 35 -50 46 na -29 40 37 na -26 36 33 na -23 31 -29 -74 -20 -27 -25 -65 -17 -23 -21. -56 -14 -19 -18 -47 -11 -15 •14 38 -9 -11 -10 -30 3 -8 4 -23 •t -5 -4 -16 -1 -2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior Stab Floor Raised Floor Mass Stories Stories. /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 • -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.01. -1 2 4 5 6 7 25 0 3 5 -7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 . _ 9 10 10 ' 4.5 3 7 8 10v 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 c 6.5 6 9 10' 12 13 13 7.0 6 9 it• 13 13 14 , 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 '14 8.5 7 10 12 13 14 -15 10. Exterior Wall Thermal MassExterior ' Wall FFeln� Family ',,,Mid Masa Detached 4 Ar adW Famly . -- 0.00 0 0 .0 0.20 3 2 1 ' } 0.40 5 4 - 3 0.60 8 6, 4 ! 0.80 10 8 5 iy . - 1.00 13 10 7 . t..�. 1.20 13 12 8 ' 1.40 12 13 9 1.60 10 13 11- .t., 1.80 10 • ", 12;. 12 =' 200 10 11 13 f._. II 11. Heating System SE or RSP'F - 4 (amuses duets to sttl4 Sum of 14 ' - - --7--725 or -24 to -14 to -4 to +6 to 16 orr SE HSPF less -15 -5 +5• *-+15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3' 3 2 2 1. 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18---15 • • 13 11 8- -sum of 1a .,-' Effective -25 or -24 to -14 to •4 to +6 to 16 or SE HSPF less -15 3 +5 - +15 more 0.30 2.75 -73 34 -56 -47 38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4+ 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Si. (L= -25 or -24 SEER leaf -11 8.0 -14 8.5 -9 8.9 -5 9.0 4 9.5 0 ` 10.0 4 10.5 7 11.0 10 MO . 15 13.0 20 (SEE] Effective -2S or -24 SEER less -11 5.0 30 -21 6"0 -12 -1 6.6 . -5 -4 7.0 0 0 8.0 9 8 9"0- 16 14 10.0 22 1S 11.0 26 r 120 30 2E 13.0 33 2S Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrtse residential buildings subject to the Standards must contain them awasures regardless of the cont ?lance approach used. Items marked with an asternk (') may be superseded by more strintatt compliance nqu lute its listed on the Certificate of Compliance. When this checklist is incorporated inio the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures §2.5352(a): Minimtrn ceiling insulation R. 19 wcighted avenge. 42.5352(br Loose fill 6asutuion manufanwu's labeled R -Value. 42.5352(cx Minimum wall insulation in framed walls R.I I weighted average (does not apply b i exterior mass walls). 12.5352ft Slab edge insulation • water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 penWmh. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standard: Indicate type and forth. 42-5352(fk Vapor barrier mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltraion/EafJtratitm Controls + L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c- Doors and windows wcatherstripped; all joints and penetrations caulked and sakd 12.5352(y: Special infiltration barrier installed to comply with 12-5351 mmut CEC quality standards. 62-5352(d): Installation of Fueplsce 1. Masonry and factory -built fireplace have: a. Tight fitting, closeable metal or glass door b. Outside aur intake with damper and control c. Flus damper and control 2. No continuous bunting ger pilau allowed. HVAC and Plumbing System Measures i .. 12-5352(g) and 2.5303: Space conditioning equipment sizing: attach calculations. 12-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. 12.5316(ar Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b)r Exhaust systems have damper control. • c §2.5314 Gas-fired (). space hating equipment has intermittent ignition devices. } §2-5314: HVAC equipment, water heater, showerbeads and faucets certified by the CEC. i 12-5352(i)., Water heater insulation blanks (R-12 or grater) orcombined interiorkatcrior ^ 4 insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exccption I): Pipe insulation on steam and steam condensate return 4 recirculating 12-531R(d}. Swimming Pool Heating g -.p 1. System har a. Onloff switch on haw. b. Weatherproof instruction pL•ta on hearer: -• e. Plumbed to allow for solar. 2. 75 percent thermal cffncieney. 3. Pool cover. 4. Time clock. t 5. Directional water inlet y Lighting and Appliance Measures 1 42-5352(1): Lighting . 25 lu mcnsfwatt or greater for general lighting in kitchens and bathrooms. 62.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(x): Refrigerators, refrigerator -freezers, freezers and nuoreseent lamp ballasts certified j by the CEC. Indicate make and model number. DESIGNER ENEDRCEMENT v COMPLUNC'E STATEMENT This certificate of compliance lists the building features and performance specifidations needed to comply with Title 24. Chapter 2-53 and 71de 20. Chapter 2. Subchapter 4. Article i of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner Name: Name: rttjeJFtrm Titk/Frm: Address: ,dart::: Tekphoruc •Tckphonc lic. /: (signature) (date) (signature) (date) Documentatlon Author Enforcement Agency None: o G Name: Tideffiu Agawr Addn=: — Tek horc Air Conditioning and Heating LIC. NO. 343346 - Sdf A� -HEATING 8 AIR COND. INSTALLATION & SERVICE •HIGH EFFICIENCY HEAT PUMPS/SOLAR WATER HTG. •CUSTOM SHEET METAL MFGJFIRE PLACES 7409 Skyway . Paradise, California 95969 • (916) 877-8881 �4-�)-�D 03 3 - 10:11-'B� Va V1 Soh So !'J (C�et�6n� A vv Z ne (ax�ro� p' � P` 7 -,Or R.'s'r yT o,.0 i'',. a T tt i 1 �(" .d" •qd + F. Y^ .y fy 1 r > {'.�y�.)^'7.�. F1Y+"` \.iii-,17.W.L'..Ri '�IT 1'^.Y"fix"r ZW ' u �' It��'1k`�r� f:�iia`uffi v �j• '�^f �`" s�•. iS•��pd, s't '4�:2a�!1;- "h4TT%"'t���N'�'D, ' 'r+,cf t I T' iy,, %..BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one , Form per Building) .. A.P. Number jp 1po?--17ZD Building Department No. School District 00 %�� City Q County [Efr Jurisdiction Property Owner-&-I- 0 wner CvtI- U Project Location/Address Subdivision Lot Number r Residential 'Development:F7 � Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: D Sq. Footage New. Addition (Including Exterior Roofed Areas)' 1 Building'Depattment Representative Date Distr ct Id No. School District certifies=that a.� Fq� -A876 (Applic int ame)' (Phone Number) ,.....,(Street Address) a' (Cuty) (State)- (Zip Code) has complied with the requirements of.Resol'ution No. iFJ '1• ,by, he. nt of $ �6 representing square ,.feet. s School District Representative' Vat'.. PAID BY CHECK NO. REMARKS' -" BANK NO 9a ' / m 4o f' PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) Return't:o DPW ' iAGRICULTURAL 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. 89.._0.. 1., i. The property described herein is adjacent I , to land or included within an area zoned 89-000911 1 Ree Fee 5.00' ,.for agricultural purposes, and residents � ' Check 5.00 of this property may be subject to incon- Recorded ; veniences or discomfort* arising from the Official Records i use of agricultural chemicals, including, County of ; I but not limited to herbicides, pesticides, Butte Candace J. �{2 and fertilizers; and from the pursuit Grubbs Q i of agricultural operations including, Recorder but not limited to cultivation, plowing, �8:48am 10 -Jan -89 ; BG 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl:ishcd igriciiI Lural.- zones which have as a priority use for productive agricultural. purposes, rind resideio r; within said zones and on adjacent property should be prepared to accept such i numiveii i c•nrr r--or-disconfor.m from normal, necessary farm operations. All that real property situate in 'the -County 'of Butte, "Stat:e`of.-Calif orn-i'a; dc,.tic•rihc•+s;is i rn Parcel 4; -as-shown on Parcel--Map--of a -portion of 22, Township 23 North, Range 3 East, M.D.B.. & M. September 11, 1985 in Book 99 of Parcel Maps, at Butte County, California. Lot 7 in Section— * which Map was filed page 83, records of EXCEPTING THEREFROM all minerals, of every kind or character including t but specifically not limited to oil, gas and other hydrocarbon substances in and under said land without surface rights, as reserved in that certain deed from Edis Claire Graham formerly Edis Claire Wilson to James H. Ripley-, dated March 2, 1960 and recorded April 8, 19.60 n'Book 1'052' -of -Official' Records, at'page '582; records f -Butte County, Cal'iforni.a. Date: C / Wig$ - PRO P7 Y OWNERS; State of. )• On this the day of 19f, SS. the undersigned Notary Public, personally appeared County of before mei, El Personally known to me. 1.0 Proved to me on the basis of satisfactory evidence. OFFICIAL SEAL o be the person(s) whose name(s) R. S.WYM SEAL, ubscribed to the within instrument and acknowledged Lhat. _ �•� NOtarypubilc.Cailtomla xecuted the same for the purposes therein contained. LN W-1I;ti� SAN MATEO COUNTY HEREOF, I hereunto set my hand and official- seal.. My Comm. Exp. Oct. 4, 1992 Present A. P. No. (if 4- (Da 0(10 -U Notao, Pub c END CSE DOCUMENT ;,ego -at 0 cr) - - 0 co m. Z O D..� OW �i�•r�r�.�rt..w.a+a.c+raow�"`srcw�r� �.fA32.i�•d7i�70 fir; -„A%". finc4'.: YUb�t`� v610. YriA4,00 03TAI.4 �I „r! i rrC: /7�;� g7 PERMIT NO. PERMIT EXPIRES OWNER ' OMAR DIMICK CONTR. James Ryan; Newcastle ASSESSOR PARCEL 64762-40 LOCATION 5875 Paschal Way, Magalia MIT j w} i Temp. Power Pole Called PG&E , iTemp. Elec. Service t I s Called PG&E ` Temp. Gas Service Called PG&E i JOB FINALED (Date)' Signature = OK '0 =.,Not OK, - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date• MOBILE HOME UTILITIES. (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5..Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'l- ft. / /"Nat. or/ PV ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg=Roofing Card -B1 Date. Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards -Ins. to Main in Conduit Card -811 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval + 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready f Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Card -B1 Date Card -131 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -61 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl: Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -81 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rht proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californig 95965 - Telephone: 916/538-7541 fi-­APPLICATIQNi AND PERMIT "V;ry_ O. _ l 1,7 ASSE S R Pv RCS(/gyp_ UMB (r zo 1 G BUILDING PERMIT oW / 9 �E Ho SQ. FT, OC . BUILDING VALUATION OWE 'S MAILINfa A pCl Inc ILI rf C,0 0 1 . COTOR'S NAM TELE P O ra COS(J( p�TRA TC)i{U'S I IN1 %DDRfY�S11),e W place S CONSTRUCTION LENDER UNKNOW Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ A ITECT OR ENGIN R Q LICE�SF�jNQ� f �l/SU Plan Checking Fee $ 17577-7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR s , Aa se- CC Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N'O% `t" SUBDIVISION NAME CEL MAP 9' 83 Water piping 5.00 O Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK Newx Addition ❑ Remodel�,S- 11' ies [:1Installation ❑ Other ❑ Describe work:% _ Permit Fee $ U.ou Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 !0, 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 ❑ 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) Yom'\ 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 CONST,DWELLING OCC OR ADDNS. (ACC. BLDGS. II2CSQft NEW RESi.,MULTI-OUTLETNCHCIRC2.50 NON•R ESID BRANCH CIRC ITS ea (POWER APPARATUS e1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 2005041 SALO 30 FIXED P Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g '— Hood 3.00 VentilationQ Permit Fee 01 53 2.r $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue' agains said u ty in consequence of the granting of this perm/. X Date Sig ature of Applica Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or nstruct- ,ion of structures over 3 stories in h!e�ight. 11 Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P,CONST.TYPE e -it+ V Irl I I FARCS PD ND 590E This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which DIR CTOR OF PUBLIC �? In By PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date --x-,s Z� Receipt No. r'D' S� WHITt-D.P.W.. 7ELLOW-A90Ea OR. PINK -INSPECT GOLD ENROD-A LICANT i ✓.'1 cnC.dll Ci � � � � �2 °X 3' � . d - - C�a-H. fLira c.i�vGvuv c.S ,rO�%r4J i4 D(%Slw�- Pi,�svS Cp,.J��uL. s�do�viuc.._ .Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the above corrections and contact this office within ten (10) days of the"date of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions.concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Publicdarks JFG:dd cc: Building Inspector 3.V. Glander Chief Building Inspector �.- - :r.. -.- y �-,r�-. s.+.• _'1r . ..t r.: _�, 1 r.s+ rISION COUNTY OF' BUTTE - DEPARTMENT)41.OF .VBLIC WORKS - BUILDING DIi r 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 959'65 - TELEPHONE: 916/534-454'1 ' f: � ! Y rte' PERMIT APPL�CATIA DATA SHEET { Permit No. OWNER owe, A. P. o. (0- a Proposed Building Use 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 APPROVED 1. All items have been submitted. . . . . . . . . . . , f ' 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 4 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . t 7 Statement of tent for Non -Heated andBuilding . rX ,2 + 8 =ees of $ _ �. _ Letter of signature authorizati . .1 s. 10. Sanitation approval from ra 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 owner❑, Mail to owner ❑ ), _15. Improvements may be required./ . , . . , , , , , , , 16. Mobi lehome InstallationDat}a. (- l!t 1.7 Pre-Inspec. Pre -Inspection for RequiredBuilding Inspect/ ecorded copy of Agricultural Acknowledgment Statement. request to (Date) / �% _01v. %Driveway Permit. 0. Plot plan approval from city of Q i r -,t 22. When ou issue the permit rocess as follows: Mail to wner, Lr©office, Mail to contractor. Telephone 900_, 8 nd hold for pickup at Deliver w/inspector. Other f j Applicant Date G 8 1 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pr' to mit 'ssuance: (Circle new item not checked above).' 1. Index permit for above items No. 2. Additional -items required: f on esigner, owner, was advised of above required data by_phone_maiI—counter bye -date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date y Plans checked by Date Plans approved -by 0�ate Sets of plans on hold in File cabinet AP folder _ ,r —Flours: 10:00 a.m. - 3:00 P.M. Copy—DPW THE ORIGINAL L. I U. 13650 Bowman Road Auburn, California 95603 Bill King j Customer Service .fh61ve �O'S3i-s^8 Outside California 6) 823 -LOGS 1.800 -554 -LOGS TO.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE ' OWNER { 44 LOCATION Ap Plans approved for: Sewage Disposal ter Supply_ Hold final for: r Water Supply Final+Clearance O.K. for: Water Supply a Clearance for bedroom c` home. 'Other Clearance for addition of No t e4 an DATE 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. RECORDED BUTTE COUNTY OF'FICIA� RECORDS BY IM JUL -I PM 2: 12 The property described herein is adjacent to land or included CANDACE J.GRUBBS,,� within an area zoned for agricultural purposes, and residents of. this CLERK-RECORDERFEE_�2_ property may be subject to inconveniences or discomfort --arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,Pa m 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 a4 fcl ows: Date: �c� C lf % PROPERTY OWNERS: State.of California ) On this the 16th day of April , 19 37 , before ) SS. me, the undersigned Notary Public, personally appeared County of San Diego ) ****O.W. DIMICk AND L. GERALDINE DIMICK******************* po-sooeeeoeoeoeooe000eeeoeeeoee: t ,ti OFFICIAL SEAL /7/ Personally known to me. / Proved to me on the basis DOLLY J. POPOVICN of satisfactory evidence. Y NotaryPubllc-Calltornla o to be the person(s) whose names) a.re subscribed to p` Principal Office tri the insrumenanacknowledged tt d knowled ed that they Son t)i?jyo Courrte within <..,, My Comm. Exp. mar. 22, 1988 executed the same forothe purposes therein contained. `eo.OeoeOeOe,o.eeeee.e.ee.eeeo IN WITNESS'WHEREOF, I hereunto set my hand and official seal. Present A.P. No. JL t( --6,;Z --JyU 12 Notar- Public DOLLY J. POPOVICH ALM olIowta�.t,, c"� mid ont4� iii' s.ttrtr� il°0t��1t� ��� ���ttt ��� ����.�� 'fill �r�w�lttt�•� �x.g�����tr��, ���t:�tt�tW� ����'����� �t�w.�tih,rt •t�a��:t�t�:�a��tst��t� wr. x M:;ipw.vWramlKrtYMVa9'A+',:a+Y41..=u13Vr t NiW^:iM.,, '.u.v�/ � w �. �) - R' IIM,�M Y1 P Y: 4�) :) , ���:� �����,� ���c..t��.rat� apt a7 d �'c:t t" t ,p xt stat st r�+ t t tl t � Uk,s � i*! 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