Loading...
HomeMy WebLinkAbout064-630-0399 0 NZ 64-63- &' JACK DICK *041a god/o/77 ,N/S Nimshew Cemetary-, Nimshew der_mit-.012-76E(temp_e_ser. for. lot � man n.ance)� 4-63-3Z3im:qhe Jack Dick End of pr .r _'N.DfCeru er Rd. 4 i. Nimsh Rd., i shw Per 't 8-77B, , ,M(new s ng e fa ily) , NEW OWNER: DON & AIDA IL 64-6 A• ' 0; 1 588m--Bvg-le-L-n. , Magalia ,ql Cont: Illa (��� hermit 1385-89B(garage & stg) 64-63-031• Contr: Illa Permit#18, 2�B,P,E,M(conver rage &� storage to_i single family) ��'� Rl ContR: Illa 64-63-031 Permit#1828-89B,E(new garage) F —77 -t - -63, 61-91 Mr 64 -- — ILLA, Don &. T Q �• ,3 �� �$$ 2 Bugle A Exem tion permit_ - farm equip stg) 64 -63 -#TSI' 92-32 ILLA, Don & Aida �882_gu-g}e-Ln, Magalia Ag Exemption Permit `Tag equip s g - 64-63-039 ,.Permit#1365-90B, E.: (addition sf) 64-63-3!p71� 6_L0-990B1,(�P,E,M ILLA, Don����� 1588 -$ug -1 -e -Ln, Magalia -7 sf addition)__ 64-63-039 Permit 22 6-90B (renewal/1827-90) Permit#22,67-90B 64-63-03� '(renewal/1828-90 64-63-0341 PermitE2 8- Op„ 1 (deck for pool) , 3� 9� 064-630-04-` - - - - - - ;-92;"2,0 B _ ILLA, Don JVVG, Magalia add togarag& M X(2-I2W0 SC^N5� C "-30) i 7--V�ff � -,- o 00 a `www 1 -13 a 4 fl f � 1 0 NZ 64-63- &' JACK DICK *041a god/o/77 ,N/S Nimshew Cemetary-, Nimshew der_mit-.012-76E(temp_e_ser. for. lot � man n.ance)� 4-63-3Z3im:qhe Jack Dick End of pr .r _'N.DfCeru er Rd. 4 i. Nimsh Rd., i shw Per 't 8-77B, , ,M(new s ng e fa ily) , NEW OWNER: DON & AIDA IL 64-6 A• ' 0; 1 588m--Bvg-le-L-n. , Magalia ,ql Cont: Illa (��� hermit 1385-89B(garage & stg) 64-63-031• Contr: Illa Permit#18, 2�B,P,E,M(conver rage &� storage to_i single family) ��'� Rl ContR: Illa 64-63-031 Permit#1828-89B,E(new garage) F —77 -t - -63, 61-91 Mr 64 -- — ILLA, Don &. T Q �• ,3 �� �$$ 2 Bugle A Exem tion permit_ - farm equip stg) 64 -63 -#TSI' 92-32 ILLA, Don & Aida �882_gu-g}e-Ln, Magalia Ag Exemption Permit `Tag equip s g - 64-63-039 ,.Permit#1365-90B, E.: (addition sf) 64-63-3!p71� 6_L0-990B1,(�P,E,M ILLA, Don����� 1588 -$ug -1 -e -Ln, Magalia -7 sf addition)__ 64-63-039 Permit 22 6-90B (renewal/1827-90) Permit#22,67-90B 64-63-03� '(renewal/1828-90 64-63-0341 PermitE2 8- Op„ 1 (deck for pool) , 3� 9� 064-630-04-` - - - - - - ;-92;"2,0 B _ ILLA, Don JVVG, Magalia add togarag& M X(2-I2W0 SC^N5� C "-30) i 7--V�ff � -,- o 00 `www J OD u�p 4 1 a� © �i a 1 0 Don & Aida Illa P.O. Box 424 Mag.alia, CA 95954 Dear Mr. & Mrs. -I11a: 751 Coun Satte t ! LAND OF NATURAL W EA LTH AND BEAUTY LAND DEVELOPMENT DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7266 FAX: (916) 53&2140 August 31, 1992 RE: AP 64-63-35 ptn. Certificate of Compliance %LVW,-�. Enclosed please find the Certificate of Compliance which was issued by the Butte County Department of Development Services, Land Development Division and recorded on August 21, 1992 under Serial Number 92-037702 in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at 538-7266. Very truly yours, Ls,c-, Stuart Edell Manager Land Development Div. SE/kp Enclosure cc: Envi ronin-e_nt-aJ_Health Department Bui lding_De_p_artment n AFTER RECORDING RETURN TO: Development Services Dept. LAND DEVELOPMENT DIVISION 92-37702 92-0377021 Total 1 Recorded I Official Records I County of I Butte Candace J. Grubbs I Recorder I 9:04am 21 -Aug -92 I -COMB CERTIFICATE OF COMPLIANCE Issued to: Don & Aida Illa P.O. Box 424 Magalia, CA 95954 X This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 the Butte County Code. 1. Property location: 400'ft. south of Bugle Lanae, app rox 1200 f t . west of Humbug Road. Nimshew area. 2. Assessor's Parcel Number: AP 64-63-3.5 portion Description: All that certain real property located in the County of Butte, State of California, more particularly described -as follows: ' . SEE ATTACHED EXHIBIT "A" Issuance of this Certificate is conditional upon the- following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499.35 (b), to protect the public health and safety: NONE w County of Butte Development Review Comn_i4ttee 0EWWJE 3f queW 3 J n �v LIPPINC OTT SURVEYING 92-31102 GARY T. LIPPINCOTT L.S. 3634 1007 BILLE ROAD • P.O. BOX 671 • PARADISE, CA 95967 • (916) 877-4300 EXHIBIT "A" May 25, 1991 DESCRIPTION OF EAST PARCEL Being a portion of Section 15, Township 23. North, Range 3 East, M.D.M., and being a portion of Lot.6 as shown _on that certain Parcel Mip-for Thomas J.- Canterbury of the Hidden Hills Subdivision, which map was filed on June 27, 1975 in Book 52 of Parcel Maps at page 96 in the Office of the Recorder of Butte County, California, being more particularly described as follows: BEGINNING at' the Northeast corner of said Lot 6; thence following along the Easterly boundary line of said Lot 6, South 10 04' 52" West for 360.00 feet to the TRUE POINT OF BEGINNING for the parcel herein described; thence from said true point of beginning,, continuing along said Easterly boundary line of Lot 6, South 1° 04' 52" West for 467.00 feet; thence North 87° 49' 52" West, parallel with the Northerly boundary line -.of said Lot 6 for 467.00 feet; thence North 1° 04' 52" East, parallel with said Easterly boundary line of said Lot 6 for 467.00 feet to a point on a line located 360.00 feet Southerly of and parallel with said Northerly boundary line of Lot 6; thence following along said parallel line, South 870 49' 52" East for 467.00 feet to said true point of beginning. EXCEPTING THEREFROM all minerals and mineral rights. TOGErFIERR WITH/RESERVING THEREFRCM a non-exclusive easement for road and public utility purposes over a strip of land'60.00 feet in width lying 30.00 feet on each side of the following described centerline: BEGINNING at the Southwest corner of the above described parcel of land; thence following along the Westerly boundary line of said parcel, North 1° 04' 52" East for 62.07 feet to a point located on the centerline of a 60.00 foot non-exclusive easement for road and public utility purposes, said point being also to the TRUE POINT OF BFLMN�ING for the road centerline herein described; thence from said true point of beginning, South 69° 47' 13" East for 131.41 feet; thence South 490 43' 42" East for 117.61 feet; thence South 110 42' 25" East for 145.74 feet; thence South 860 33' 06" East for 87.28 feet to a point located on the centerline of the Nimshew Cemetery Road, as shown on said map; thence following along said road centerline, along the arc of a 170.00 -foot radius non -tangent curve concave to the Southeast, through a central angle of 19° 23.' 34" for an arc distance of 57.54 feet, the chord of which bears North 63° 55' 40" East, to the end of said curve; thence North 73° 37' 27" East for 85.09 feet to a point located on said Easterly boundary line of Lot 6, and being the end of the centerline herein described. The sidelines of the above described easement are to be lengthened or shortened to intersect the Easterly boundary line of said Lot 6 and the Westerly boundary line of said above described parcel. x:92-37702 EXHIBIT "A" TOGETHER WITH/RESERVING THERE RCM a non-exclusive easement for road and public utility purposes over the Easterly 60.00 feet of Lot 6 as shown on that certain Parcel Map for Thomas J. Canterbury of the Hidden Hills Subdivision, which map was filed on June 27, 1975 in Book 52 of Parcel Maps at page 96 in the Office of the Recorder of Butte County, California. TOG rrM WITH/RESERVI% THEREFRCM that certain 60.00 foot non-exclusive easement for road and public utility purposes as shown on that certain Parcel Map for Thomas J. Canterbury of the Hidden Hills Subdivision, which map was filed on June 27; 1975 in Book 52'of Parcel Maps at page 96 in the Office of the Recorder of Butte_ County,.California lying -along the Southerly boundary line of Lot 4 and 5 as shown on said Parcel Map to Humbug Road. iI • f• i i2 3 END OF.DOCUMIIVT END OF UA1E_. COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• RESIDENTIAL, 64-63-03 2568-90B I �I7LA Don & Aida !' 5882 Bugle Ln, Magalia (deck for pool) JOB FINALED (Date) Signature I. JOB FINALED (Date) Signature J=OK c O=Not OK Not ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ff's 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'L"tt. / /'Nat. or/ P'L"ft./ P'LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except tt's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date /,1DEPXSoC0VERS. CARPORTS, GARAGES, Plans OK except k's 0 oning Requirements -Setbacks -Easements ;lFoot' gs, Soils -Size -Depth -Spacing -Connectors -Steel 3 cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs: Coonectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date '-1- (. Card B-1 C>5'4 Date Card B-1 Date [-: - }r < Card B-1 l ; J Date Card B-1 Date POOLS (Plans) OK except It's 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 T V OK O = Not OK - = Not Applicable RESIDENTIAL (S . ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s • j 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped C.. _ 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel _ 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test i F Date Date ' I Date 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card B-1 Date Card B-1 Card B-1 Date Card B-1 PLUMBING (Permit) OK except #'s _ 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Date Date Card 871 Date Card B-1 Card B-1 Date Card B-1 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 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water {' 27. 2 Appliance Circuts in KitEhen & Conductor Size/GFI 28. Subfeed Wire Size / / I "Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 3 Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insu!ation-Walls-Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67.'Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CaLifornia 95965 - Telephone: 916/538-7541 APPLICATION.,ANCITERMIT ASSESSOR PARD --L NUMBER 64-63-036 ZONING ARMH3 BUILDING PERMIT OWNER DON & IDA ILLA TELEPHONE 873-0478 SQ.FT. OCC. BUILDING A TION OWNER'S MAILING ADDRESS P.O. Box 424 Ma alfa 9594 617 AaL CONTRACTOR'S NAME Illa TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $44-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.55 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5882 Bu le Lane Ma alfa Permit fee $ 76.79 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 SF KNX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: deck around above ground pool Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LE LESS10.00 CONTRACTORS LICENSE LAW I decla a under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Profes ns Code and my license is i9%#IJ fo ce and effect. !7 �'IO �°^� License No�� Classification 1 ❑ 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 Main service EA. ADD'L 100 AMP 2.50 GOCCUP.&\ oR AODNST C DWEACCLLING I 2'h¢sgft NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES p( 20050t SAL®30 FIXED EX. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 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 constructio d hereby authorize representatives of the County of Butte to enter upon the a v enti0ned property for inspection purposes. I also agree to sa em keep harmless the County of Butte against all liabilities udgments, and expenses which may in any way accrue against sai County in con of the granting of this permit. X a_r,. go Date Signature of Applicant — Owner ❑ ntractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep a emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 76.75 HAZ CUA —' PARK _ SCHL — FLO Pna, v/ PD Ho ISS E This permit is hereby issued under _ions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PERMI EXPIRES Date-- the applicable provi- resolutions to do have been paid. WORKS ate ,yp Receipt No. _ 70416 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT "�'1•'�+v"i'r'r-1.'8++!'ry"'.c""'r�.°'1F�hil�C"F't?' .ifr%w'� � ccr n ._- . 4 �^i' COUNTY OF BUTTE-DE.PAF&jMEf4Y'OF,PUBLIC WORKS - BUILDING DIVISION • • 7 COUNTY CENTER DRIVE=•&(vi- t9', CAljFC,RNIA 95965 - TELEP.HONE: 916/538-7541 ` PERMIT APPLIC Ti6N DATA SHEET-. 4 S Permit No. ! OWNER 0111-n TOL A. P. No. Proposed Building Use Building Inspector W Date 712590 F 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and -supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: to owner. Mail to contractor. _(--,' Telephone X7 L Q4? 8 and hold for pickup at Tice. Deliver w/inspector. Other 11 u Date) Applicant Date -,)^a Copy of Haz-Mat form sent Health Dept. - Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by Contractor, designer, owner, was advised of above required data by_phone_mall_cWnter ans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder ..date date Date TO Buildina Department FROM: Envi=onmAntal Health w. - SUBJECT: Sanitation Clearance -4�I owner cation AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply 7inal clearance O.R. for: Water Su ply Clearance for bedroom mobile home. Other 1 r - NOTE "** ;z Date Sanitarian COUNTY OF BUTTS , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov,ille, California 95965 - Telephone: 916/538-7541 APPLICATION 'AND PFRMIT PERMIT NO. ASSESSO� P RCEL NUMBER- 03 OWNED l✓YI fi �dCt ���Cc ZONING TELEPHONE 3 - BUILDING PERMIT " SO. FT. OCC. BUILDING VALUATION OWNER'S�LING ADDRESS CONTRAC OR'/SnWNN AN0.M E42 � L 9 9 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 5 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ E� ARCHITECT OR ENGINEER'S MAILING AOORESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Permit fee $ r /� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SU 001 VISION NAME PARCEL MAP Water piping 500 Each gas water heater or vent 5,00 USE OF STRUCTURE SF 56 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[]' Other (� Describe work: % ��(/Ij�/� (�f�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10:00 Main service 500V OR LESS I00 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 01 1 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) El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) - ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.tr OR AOONS. ACC. BLDGS. , h¢sgft NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 0@ et SAL 53 0 FIXED APLNS. OR Ex. Occup. OUTLETS (RPES1O., EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I—] -- 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 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, anc expenses which may in any way accrue against said County in consequence cf the granting of this permit. X Date Signature of Applicant – Owner ❑ Contractor ['I Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee S —] occ CONST TYPE TOTAL FEES HAz CUA PARK SCHL FLO PAR Po HD ISSUE Th's permit is nereoy Issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS . Date Receipt No. 764a WMITC-D.P.W., YELLOW-ASSCSSCP, P14[-I4SPtC-OP, GOLDEMACO-APeLiCANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMI NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL N0. Q ... � � ZONING iA &KA A;3) OWNE 1, -,' A i I L—L PHONE NOe)70 OWNER'S ADDRESS LOCATION OF BUILDING PA'PQ G USE OF BUILDING F/ I a VtA ek/ / ` SIZE OF STRUCTURE 3 X C1 2SQ. FT. ` X = TYPE OF CONSTRUCTION: WOOD FRAME_X_STEEL CONCRETE OTHER (Specify) TYPE OF SI DINGI OFC ERI' G � � i �6C�� FLOOR TYPE ESTIMATED COST OF CONSTRUCTION 1j $ 10 J ® ©Q AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:' �'""` O FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated ove and the proposed use conforms with the AG Building definition. If any change in use or occupancy of'the ilding is made, I will contact the Department of Public Works and will obtain any necessary permits, inspetion and approvals to Z comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. 80a6 7 Signature of Owner The above described AG Building is exempt from a building permit. FLOOJ PARC I P.D. ROOFIN ISSUfy Director of Public Works By Date J �� White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant - t, -k- COUNTY OF BUTTE - DEPARTMENT .OF PUBLIC WORKS - BUILDING DIVISION 7 COWNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r _ PERMIT APPLICATION DATA SHEET P„ J� / ,� Permit No. _3v _ 7�73 OWNER �V (� L A. P. No. Proposed Building Use 6- —�� � Building Inspector eb Date 5 a At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Z"1__ / 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department -15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ,,.(see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to ) Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27` When you issue the permit, process as follows: _Mail to owner. Mail to contractor. Telephone and hold for pickup at o 'ce. Deliver w/inspector. Other r Applicant Date 9// Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date ` Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ".date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans,on hold in File cabinet AP folder RESIDENTIAL PLAN CHECKING GUIDE "12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A.P. # Plan Checker/ GENERAL �oning requirements: (sideyards and number of permitted living units). luation. "ans signed by designer. Proper description of work on application. Existing violations on property. M ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT plete parcel size and dimensions. 10ba cks, sideyards, easements, etc. F. buildings or structures. �ding, fills, drainage. od hazard'. tial conditions on creation map, (noise, CDF, fire sprinklers, non -comb - u able, and foundations). AU & FAS road setback. Building or utilities across lot lines (Record form). FL00 PLAN plete to scale plan with dimensions. rRe.'quired quired windows for light and ventilation (Sec. 1205). k m windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). V.GFC1s "n impact glass (Sec. 5406). ired room sizes, ceiling heights (Sec. 1207). in baths, garage, kitchen, and exterior outlets (Article 210-8). ht fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical o5/gas equipment. -.10. Garage firewall, door size, and closer (Sec. 503(d)(3)). ,1/-- 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. 1-3. Smoke detectors (Sec. 1210). VPlumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS VStandard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. ations and wall construction details complete p e enough to construct building, construction details complete enough to construct building. V�.Faplace construction details and talcs if necessary. er ties or bearing ridge beam. ge door or porch header sizes.° -Sheights. Wbe soils - special foundation design. ecpecial ining walls requiring design. 1 Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS .TO LOOK .OUT FOR -r.--Stairway details: landings, rise and run, head clearance, handrails • ems. 330E ) . drail details (Sec. 1711 & 3306(j). ick or stone veneer (Chapter 30). jerior plaster - weep screeds (Sec. 4706). P oper roof pitch for roof convering (Chapter 32). e(of covering type - (fire hazard). t oam insulation - protection. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side inc ding supporting walls and posts, etc. �. T exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1. ttic access and ventilation (Sec. 3205). �xderfloor access and ventilation (Sec. 2516). Coffustion air for fuel burning appliances - L.P.G. requirements. 1 N6ise requirements on duplexes. E ergy design.. lashing at all exterior openings. 1 CDF responsible area requirements. 0 FOR M % ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner. Climate Zone e Permit # Floor Areay The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA ® CEILING 0 WALL ® FLOOR SLAB ® GLAZING SHADING ZONE 11 ZONE 16 R-30 I- R -11. RIA 9 R-11 R419 R-7 U-.65,..(Dual) 0-A5 (Dual) SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_.doors, certified windows, caulking) P B I'vilRt4e1 UN DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25,LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER sum COUN' y zIr Bt111.MG - - -. vz. 12/85 *1 ❑ ❑ ❑ *2 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collectgr brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95'F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM (d) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons - (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft - (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I,P.S.E. chart'or other approved system (form X65) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building th requirements of Title 24, Part 2, Chapter 2-53 of the Californi Administratio J, f yy i. S R *11313 *1 ❑ ❑ ❑ *2 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collectgr brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95'F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM (d) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons - (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft - (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I,P.S.E. chart'or other approved system (form X65) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building th requirements of Title 24, Part 2, Chapter 2-53 of the Californi Administratio J, f yy i. S R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT IN rr / ERMIT NO. J Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PA EL NO. tya-310 .--. r � ZONING OWN) a i IV PHONE Q �� �r' /� (/�`Q OWN QDR S©/v I vvxA6AL,A 1 !13,`' � i L ATIONOF.&UILDING _ Cf b (K�'' C851k)Gl -�vv _' *�- LgR,/ S0- a v, a Lg_ USE OF UILD G ` ,( SIZE OP Sf RUCTURE �)' / "�' �/ �� X - SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _)_< STEEL CONCRETE OTHER (Specify) TYPE OF SIDING IINA le -- A- L ROOF COVERING v.n, t- -1A L_ FLOOgTYPE C__10 �J ESTI MgTED� OSCONSTRUCTION 6 $ . J AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:/ _-:-0, 0 ` �`"'� .4— ` C) FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of t is made, I will contact the Department of Public Works and will obtain any necessary permits, ins 7<ding tion and approvals to comply with the requirements in effect at that time and before occupancy. Date 3 P_Q 0— / Permit Fee ->m SD,O_0 Receipt No./ V � 7 ?(� Signature of Owner The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - 8.1., Goldenrod - Applicant Director of Public Works By Date y— 3 —9 A --- FLOOD PARCEL P.D. RO'OFIN/G ISSUE V I Director of Public Works By Date y— 3 —9 A --- ew 71 COUNTY OF -BUTTE - DEPARTMENT�OF P"UBLIC WORKS - BUILDING DIVISION T -: v r 7 COUNTY CENTER DRIVE - OROALLE, C'ARLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICA�TI,OZV DATA SHEET OWNER %/ / Permit No. / Inn /_ ( (� CA A. P. No. bV- Proposed Building Use—*— - I Building Inspector Date, At time of permit application, I was advised the following data must be submitted prior to permit processinglan&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. Hazardous Material Form ............................................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... ` 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ................................. "- 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. _ Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to _ 21. Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... F 24. Recorded copy of Agricultural Acknowledgment Statement ...•...... 25. Letter of signature authorization ................................... r 26. 27. 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 2 �X1 Applicant � 9, X— M Date ✓ Copy of ! laz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent /Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW { RESIDENTIAL 64-63-3 169'0-90B,P,E,M ��ILLA, Don 5882 Bugle Ln, Magalia (sf addition). r �I I i i 1 i .s JOB FINALE Signature V=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s , 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance �. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #s )II' 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Boxes-Enclosures-Panelboards-Ins. to Main in Conduit MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable = Not Ready t RESIDENTIAL (Single & Duplex) Date ,FRAMING (Continued) 4 . angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date UN RFLOOR Plans OK except #'s Hing -Setbacks -Easements -Flood -Slope Fig., Main; Soils-Elec. Grnd.-/.. /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4- Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth �emwalls, Main; Steel -Bloc kouts-Wrapped tjStemwalls, Garage; Steel -Blockouts-Wrapped 6a.�-lold Downs and Special Anchors 7. Slab; Steel -Wrapped a-*ers-Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date 41 ILI SlCard B-1 C Date Card B-1 Date (Z-10-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s 22' Fixture & Transformer Clearance -Ins. Protection 2,9. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. JE4uip. Ground made up w/Mech. Fastners-Bond as & Water Appliance Circuts in Kitchen & Conductor Size/GFI §pWeed Wire Size ga. or AI-A.C. Wire Size / / ga. (glifor Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date '//I- Card B-1 LS.+ Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3<7 A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 C :�P Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils, Proper Material & Anchors -fO'.,V,Ails Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44 Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50: Garage Fire Protection Framing 51. Property Line Firewall & Openings 5 . Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5,--,."'Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. hear Walls; Nailing -Bolts A. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date i�, j 1� Card B-1 ✓ t Date Card B-1 Date j�.2� Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight_ Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. pedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Fib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 80. Following instld.; Drive 0 Yes 11 No; Walks 0 Yes 0 No; Planters 11 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firep lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 4.OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,R: PERMIT NO.� r ASSESSOR PARC NUMBER 64-63-3 , ZONING ARMH3 4 1 , r BUILDING PERMIT OWNER Don Illa TELEPHONE 873-0478 SQ. FT. OCC. BUILDING VALUATION 304 R 2 0 OWNER'S MAILING ADDRESS P.O. Box 424 Maoalia 95954 336 c r ort CONTRACTOR'S NAME same TELEPHONE 120 COV 7,200 264 COV CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 140.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 70.25 Energy Plan Checking Fee $ 15.0...0)) ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5882 Bu le Ln Permit fee $ 235.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Ma alfa Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARvC Es.,M AP '✓/'1'��,CJ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [�]K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Additiona Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: � oma, ( _AJ_ Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L too 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 Profes Uons Code and my license IS In full force and of c License No Classificationt�(r /Q C-'3 — 0 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ADDNS. ( ACC. BLDGS. 2/z¢sgft 7 60 NEW CONSTR "'ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES 20@SO¢ AL® a 30 FIXED Ex. Occup. OUTLETS P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 17.60 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 3.00 Ventilation P Permit Fee $ 13.00 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 agre ve, indemnify and keep harmless the County of Butte against all liabilit ts, costs, and expenses which may in any way accrue against s o in nsequence of the granting of this permit. X �� '�-�,�9Q Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -PUBLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspe tion Fee $ 30�n 0-00 coNs PE V TOTAL FEE $ 318.35 F{qZ CU PARK sc F D PDri�i Issu This permit is nereby issued under Bions or the Butte County Code and/or work indicated'above for which fees f/IS/ BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dat Receipt No. WHITE-D.P.W.. YELLOW-ASSrSSOR. PINK -INS TOR. GOLDENROD- PPI "ANT t,7 F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION l� .11. _ ` 7 COUNTY CENTER DRIVEQRO LE;'C��LIFORNIA 95965 - T P�O Ei 916/538-7541 J PERMIT•sAPPLICAT�lONMATA>S L ' +,Permit No. OWNER b6 M I LLA X. P. No. &4- (0 3 -3 Proposed Building Use SF Adddiun , Building Inspector ISU 'd LYW Date 5124/90 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. Hazardous Material Form .................... k..................... 6. Energy Design Compliance and supporting documentation F012 )."7. 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.......,.0.................................. ..... n, Fees of $P-03, 0 ........................ 11. Chico Urban Area fees paid ......................................... 12. Park fees paid .................................................... 13. VNy2A0i9F School District fees paid .............. "Z ` 14. Sanitation approval from VAf7ADIS1r Health Department - Z 15. City of Chico plumbing permit ..................................... 16. Plot plan -and sA Ik'c%yse approval from City of (see City for other requirements) wl 0 41 17. Planning approval for (A) Use: (B) Parking:...... 18. Improvements may be required. Contact Land Development Section DPW for 19. Driveway permit (construction approval required prior to occupancy) I 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... `. 22. Certificate of Workmans Compensation Insurance ..... 23. Owner -Builder Verification (Given to owner o, Mail to oluner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................... Pj.............. 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contradior. _ Telephone X373 64:7A and hold for pickup at ffice. Deliver w/inspector. Other - J-' • " Applicant .Date F Copy of Haz-Mat form sent Health Dept Fire Dept. Air Pollut9 Date Copy of plans sent Health Dept. Fire Dept. Other_ (fit By The following data must be submitted prior to permit issu c (Circle ne ii�m��ot checked above). 1. Index permit for above items No. 2. Additional items required: % Contractor, designer, owner, was advised of above required data by_phone---nail_coun er by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_c unter by date Plans checked by Date Plans approved by �� Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Suildinc Departmert Flom: Environmental Health,-4''`'� SUBJECT: Sanitation Clearance Owner Location A?# for: Sewage Disposal Water Supply Approved " Hold sinal for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other SI+ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number &4-(03- 3 Building Departmp-nt- Nig. School District 9Ni2Ani,-, City = County Q, Jurisdiction Property Owner V Aa 1 LLA Project Location/Address cjQa2 :004LE J AME , WA/w'Aj i A Subdivision Lot Number Residential Development: a Sq. Footage 304 Fi/ # of Living MHI Addition (Group R) Units Commercial/Industrial: 0 aO Sq.,Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District I No. 111 10 School District certifies that 7'3-0 78 . (A plican/t Name), (Phone Number) Street Add ess) Al ate p Code),f has complied with the requirements of Resolution No. by the payment of $" repres.entin4 square feet. c ool District Representative Dat. PAID BY CHECK NO. REMAR KS:,�� BANK NO I --- /M PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPAATMENT OF PUBLIC WORKS 7 CoP 6'533-=5aiunty Canter Drive - Oraville, California 9596S - Tele none: 91 PERMIT N0. ,APPLICATION AND PERMIT A S3 ESSOR PAgCEL ,YVMOER OWNER •i I���Zm �} 3 BUILDING PERMIT owNER's MAuNc ooREss I8 fZO 50. FT. I CCC. i 6UILCING VALUA71ON P 0 13o.x q24 o, o0 CJNi�RAC-JR'$ NAA+E I 5.,/.(. 6 E- CJNTa•C-OR•Sr.uL,NG I EP..pNE IZO (a ( d AOORESS 1 I CONSTRUC TION- LEND ER Fireplace I I I UN rtNpWN I Valuation I j LEN Total OER•:M.,_INc Aooaess Filing Fee UO t0.CO ARCw "ECT OR ENGINEER Plan Fee I _ICE.Y$E >Ip' _ 5 990, 5a I ?tan C tee%ing = I S ARC7-II-EC- JR=NGiNE=a'$ .M •i L:.YG ♦ C oo �V� G� I-- CJPaSS _rare.' ?!zn C`ecxtr.-_' - _ /1 T%� 3VIL-IMG AC:acs$ '= I ' • t�./ 5 5a 2�30/,r, LARJ� MACOALfA Permit fee I I S 2 5•%s PLUMBING PERN11T I FiiingFee j 1.0.00 Eacn rap I I 2.00 I 2.d -D _Jr No• suaoiv,sioN aIAME Solar or neat cur.,o water heater P ARC G_ .MAP _0.00 'water ptoino 5.co I cacn cas water -eater or Lvtent1 5.co�i USE OF STRUCTURE Gas oio,ng system t - 5 d SF Lb. Duplex' Mabilehomel f Other I I 5.001 Buiidino sewer I I 5.00 $PEC,pv TYPE OF WORK Mooife Home I S I G I!'1. ! _ I 110.00 Aa Newr.l Addition I Remodell_! Utilities Installations Other``,l PemtitFee Describe work: S Contractor 2• I ELECTRICAL PERMITI FiiingF-e t0.00 Main service ;°O''AAa _Pss __ss I 110.00 I _- CONTRACTORS LICENSE LAW Main service EA. AOO-_ tco AMP I I 2.50 1 I declare under penalty of perjury (clack one}: YEv co"s T. wE__:NG occuP.s ElCoR AooNs. (�cc. au�cs. - ) '2'r:=saftl 7.&0 .. I am licensed under provisions of Chaot. 4, Div. 3 of the Business E" cJNs-� ..u_-;.;,.___ oN.P�5I eRAYc- 12.50 eat ana Professions Code ana my license is in fuil force and effect• License NO. - 9NGL2 -UT_n. .R. CClassification Ex. Occuo(ou-_E I I, as the owner, or my a -s JR moloyees with wages as their sole czmoen- ��`-E'_-";_; _ cation, will Ex. OCCUO' s�J.R_A) I I 2.00 I do the work, and the structure is not intended or altered Temoorary Servide for safe. (Sec. 7044) Q I, as the owner, am exclusively contracting with licensed contract I 170.00 ors. (Sec. 70441 Mobile Home Facilities I i t5.00 C I art exemot under Sec.Misc. Iwiring Business and Professions Code I t5.�0 I for this reason I I I Permit Fee S -7, t.0 WORKMEN'S COMPENSATION INSURANCE ��^tractor 7dectare er penalh o!1 Perlury (check one):"ECHAPJICAL PER,'.'IT cernir is for jtCO.GC !vaivattonlor less. I F;iirn, ee I i0.GO +'- ve clacec on iiie wim :me CJ ou,;UnIV Qf aCertificate of workmen's CJmpensatlCn insurance' or a Cecar,:r.ent of Consent to Sett -Insure. Certificate I I I shall not employan AVentila g y person in any manner sd as to become subject 1.0 the W. C. laws at California. Notice to Applicant: It after makin this statement. I 1 3.00 j 3,6b pP g should you become Subjecttion to the W. C. provisions of the Laoor Code• provisions or this permit small be deemed revokeOU �st fdr[nwtth Ccmoly Nith sucl Fee s 13,x. I certify that I have read this aoolication and state trial the aoove information c:or is correct. I agree tocomp) to all Mootle Home Instatiation Fee I j Y Count Ordinanc_s and Stare Laws relatingEner S to building construction, and hereo a y Butte to enter upon the above -men representatives of the gY i^spec:ion Fee 5 30e • property forCounty or occ QD ' I also agree to save. Indemnify and keep harmless the Countyatpurposes. against CONST TYPE all Ilaotlities, judgments, costs, and expenses wnicn may in any way accrue TOTAL FEES 318"' )40 against said County in consequence of the granting of this permit. _ �•L I cw I '•p I x"c I °•R I - X Date This Perrot is nereov Issued under the aopficaofe Signature of Applicant � _ .--, sIOr1S provt- 'Owner I Contractor G or the Butte Ccunty Code and/or resolutions to do An OSHA - ' - "- •- Ay•"' L t �+'ork indicated aoove for wnicn tees hav !� perms It r•ouired for •tea�ations over S'q" a been paid_ ion of snuctur•t over 7 sronet .n h•tgnr, deco and demolition or construct. Receipt _ - �,/ ..- DIRECTO OF PUBLIC WORKS ..,.c.a.a.W.. ret ow.�_a1�4 By _. Date- AaaJaa. ►Iwe ,rn.erre Ij °t`"Do- "°•"T PERMIT EXPIRES Data COUNTY OF BUTTS - Department of Public Works 7 County Center Drive, Oroville,'CA , 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and at rials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �_AVE_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ' Social Security Number Date <Z-1, 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. FO.R M 7 ADDITIONS TO RESIDENTIAL $UILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit # 00" 9 o Floor. Area .30 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA. 0 CEILING 0 WALL 0 FLOOR SLAB 0 GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 % ZONE !16 R-30 A-3 R-11 R R-11 R- R -7 R U-.65 (Dual) tj .6_� (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ® INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR.BARRIER (Zone 16) S DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 0 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT 0 MAXIMUM GLAZING 16% OF -AREA VLUS REMOVED GLAZING NEW HEATING, VENTILATING,'AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating t ❑ Ce'ntz;al Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand'and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other *1(describe) (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13 * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I. P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. z. ® DESIGN COMPLIANCE STATEMENT: The above building des m the requirements of Title 24, Part 2, Chapter 2-53 of the California niir ion ode. SIGNATURE OF BUILDING DESIGNE OR APPLICANT 11 RESIDENTIAL PLAN CHECKING GUIDE ($.•F:, DUPLEX & MISC. ONLY) Bldg. Permit OWNER % lig A.P. #c1-1�3�3 GENERAL moi. Zoning requirements: (sideyards i�'Valualtion. Plans signed by designer. 4. Energy Design and Compliance. _rExisting violations on property. Items on data sheet. PLOT PLAN and number of permitted living units). 1. Complete parcel size and dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. u5: Flood hazard. Special conditions on -creation map or compliance document. FAU & FAS road setback. ;FLOOR PLAN omplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 5/89 %&squired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance .1-0£ mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 8- Garage firewall, door size; -and closer (Sec. 503(d)(3)). T 1 - 3'0" exterior exit door (Sec. 3304(e)). 2— Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS • Foundation plan complete enough to construct building. . Floor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. • R of construction details complete enough to construct building. • Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). rick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS.ITEMS TO LOOK OUT FOR (CONY D) rE.terior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). of covering type - (fire hazard). rfter ties or bearing ridge beam. Garage door or porch header sizes. . Adequate bracing. wing area over garage - complete 1-hour separation required on garage side including supporting walls and posts, etc. r.Retaining exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). s access and ventilation (Sec. 3205). rfloor access and ventilation (Sec. 2516). ustion air for fuel burning appliances. e requirements on duplexes. e soils - special foundation design. walls requiring design. ual shape, size, or split level house requiring lateral design. • hing at all exterior openings. /r `C b " . _.�...,.,ri?,!:"..r-r�S,.wM{�r.+.k;'.f 1rf�..Yt:,alr,'r �,,,�;t�f::.a�-u.-„�+*�'t:7.'•t �'k2r+.�y..-,.'+p�!{�,�Jt;=�`<<rl�'�i' `!"t',j'�l3iiRlterf"a"'ry. w*"��.�.r:-t�*Y�'�"yi� BUTTE COUNTY SCHOOLS -DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number 64'-^ 00 -015 -Building Department No. School District %� r'�� City;.= County 1 Property Owner Project Locati Jurisdiction l q P SubdivisionLot Number Residential Development: Sq. Footage # of Living MHI Additio (Group R) r q S Q V � Units 0�6vioi45 �Ui � � ►1Q Pevr�, -�i noded. Commercial/Industrial: Sq. Footage -^. New Addition (Including Exterior aL Roofed Areas) "oJW�r/aa/4/ Building Department Representative Date ******************************************************************* -� (Floor Plans reviewed by School District Personnel) f' Dist ict Id No. School District certifies that DD�J (Applicants"Name) (Phone Number) " (Street ddress) ' ity a 7,ip Code -Ilk.t has compli�dhwith the requirements of Resolution No. by the payment 'of $ repres.enting,Nq�1.60 square feet. t� - 111gql School Dist ict Representative '� Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Don Ills _ DATE December 9, 1991 P.O. box 424 Magalia, CA 95954 RE: PErmit Application #1572-91 (addition) Dated 5/17/91 A.P. # 64-63-3.5 With reference to the above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville ZXX Skyway 6 Elliott Rd., Paradise Planning approva rom Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of dead showing Recorded copy of agricultural acknowledgement statement. X_XXX Paradise Unified School District Fees PAid AXX& OTHER Please submit the ahnua i tame en that _,..e ''aii isa44a YG P ppeffil4!t E PERMIT APPLICATION EXPIRES 5/17/9? AND CANNOT RR TRMIgn AFTER Ti3A5' 11/42:E Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, Russ Owen William Cheff Director of Public Works F. Glander Chief Building Inspector RESIDEN?Rr' 2-2540 B 5 ILLA, Don Ln, Magalia 5882 Bugle add to garage JOB Fit Signa J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 n MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zo `Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel !f 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dat Card B-1 Date Card B-1 Datey Card B-1 Date Card B-1 Date POOLS (Plans OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except 11's 1. Zoning -Setbacks -Easements -flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle - -------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------------------------------------ 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- ------------- - ------------------- - 19. Shower Pan; Test. First Floor -Tub Access ----- - ------- 20. Test -Tub & Shower. -Second Floor -Tub Access ---- ----------------- ----------------- 21. Gas Pipe: Size & Anchors --------------------------------------- --- ----------------- ------- Date -----Date Card B-1 Date Card B-1 --------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection --------------- -- ---------------------------------------------- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ----------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled _ 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------------------------- ----- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ----------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size r / ga. _Cu or At ------------------------------ -------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------ ------------- ------ 30. Service -Riser Conductors & Ground -Main Disconnect ---------- --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ----------------------------- --------------- 31-.-Equi-p.-Clea-ra-nces Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------- -- --------------------------------------------- ---- --------- -- - - 33. Smoke Detector ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------- ----------------------------------- ------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------- --- ---- - - --- - --- -- - -- - --- - ---------------------------------------- Date -------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's . 39. Sils. Proper Material & Anchors ------------------------------------------- - - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------- --------------------------------------------------- 41. - Bearing Walls over Girders & Floor Nailing --- ---------------------------------------------------- ------------------------ 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------- - --55.-Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------------- 64. Bedroom Exiting ---------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------____ ------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth --------------------------------- 69. -------------------------------69. Elec. Outlets at Wood Panel: Int. & Ext. - ----------------------- ----- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ .-- - - --- ------------------------- ---------- - - -- 71.--Elec. Outlets & Receptacles at Kit. Counter ------------------- --- --- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Hlr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------ ---------------- 7;.- Insulation -Foam -Looked in--- Attic ❑ Yes ----------------------- - 78. -Guard -Rails & Deck -Const ruct ion- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------- -- 81. Stucco: Brown -Finish ----------------------------- ­__________ - -- 82. A.C. Unit; Disconnect, Electrical, Plumbing -------------------------------- 83. -------------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------------- ---------------------------- --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - ---------------------------------------- 87. _Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric ------------ - ------------------------ -- ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------------------ ---- -- Date Card B-1 Date Card B-1 Date Card -6- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION !DEPARTMENT OF DEVELOPMENT SERVICES 11469 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 (OWNER PERMIT NO. AroutiineimspPifflon 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-eorrpleter"1.3fprou have any questions pertaining to this matter, or need additional explanation, -please-contactIhis office immediately. r, P" IDW COUNTY OF BUTTE - DEPAPFTMEIVT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 96065 - Tolophono: 8161838.7541 APPLICATION AND PERMIT PERMIT O. 064-630-035 BUILDING PERMI D_TWON ILLA 873-0 78 M SQ. FT. OCC. BUILDINQ VA DATION M SAP,— OWN 'S MAILING ADORSSS P.O. BOX 424 MAGALIA 95954 ONTRACOR'S NAME CONTRACTOR'S OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 67-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5882 PIAGALIA 95954 Permit fee $ 116-95 PERMIT Filing Fee 15.00 A/ 7 7 „7 1/,PLUMBING v� Q 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 DET GARAGE 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: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA> 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. II 3.6Q sq.ft. NEW CONSTR ULT'.OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 46, FIXED Ex. Occup. OUTLETS PRESID IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ISI I shall not employ any person in any manner so as to become subject J� 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 en r u the above-mentioned property for inspection purposes. I also agree to ave, emnify and keep harmless the County of Butte against all liabilit' t costs, and expenses which may In any way accrue against aid County in quence of the granting of this permit. X Date 7 — �P" �� Signature of Applicant — Owner Contrac r ❑ Agent ❑ i n OSHA permit is required for excavatio over 5'0" deep a d demo ition orr construct- ion of structures over 3 stories in height. 2/ Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL F $ 116.25 HA2 DFEES IMP FLOO CDF PARCE PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work�inditv r which fees OF PUBLIC By `� P MI EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date �Z Receipt No. D4 `1,4Afe � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -IN ECTOR. GOLDENROD -APPLICANT . •4r.+ .• ve.w�in-T�Ti•'. _. . ,c.�.nT � .-oaa-. ��t#'.•7—rpL--'_i[..::1�:.� ';.r ) 1 •• w1✓ `Ts i1S ti COUNTY OF BUTTE - DEPARTMEN'fi OF PUBLIC WORKS -BUILDING DIVISION_ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER CJ I I ? / A.��Ppp. No. �����- 3� Proposed Building Us Building Inspector </�- Date -;;�- ZO` 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. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. 1 6 -Eraer y„D.esign-GGmpliance and supporting documentation . .................. 7. tate ent of In.teent for Non -Heated and A/C Buildings . ..................... . 8� nc_ i 6 -Ad truVv4et.-&d5 &avy6n1 in duplicate (required prior to plan check). ... . Mobilehompp a � manufacturer's installation instructions, 2 sets. . Fees of $ (7 .7a 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees.. ....................... . 13. Flocld 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). ..... . Pre -Inspection requesi- 20. Pre -inspection for required. . . to Building Inspector (Dale) 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 . .............. . 'Al- Existing violations/expired permits . ...................................... Plan check list ...................................................... Sr&A/ IgA.vg 34. When When you issue the -permit, process as follows: Mail to owner. Mail to contractor. Telephone 7 and hold for pickup at%Z----office. Deliver with inspector. Other Parcel Creation Acreage Applicant 4 T, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other .eDate,. By 5 . The following data must be submitted prior to permit issuance: (Circle r 1. Index permit for above items No. _f�n�O Sz .cris 2. Additional items required: item not checked above). Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by Date /� Z Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ,� Z Date -Z”, Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO Building Department 0,3, (-f 1 FROM: Environmental Health SUBJECT: Sanitation Clearance Coulyry BUILDIVGDEp ATE JUL 2 ® 1991 Owner Location AP# Plan Approved for: Sewaqe Disposal �- Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE *** Water Supply Water Supply Other Sanitaria Date s COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and.return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally .plan to provide the major labor and vaterials for construction of - the proposed property improvement (yes or no) 2. I (have/have not) m% IE_ signed an application for a building perlpit for the proposed work. a.- I have contracted with the following person (firm) to provide the proposed construction: .Name Address City Phone Contractors License -No. 4. I plan to provide portions of this work, but I have hired the fo'llowing-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: Z,,j(U_ Property Owner Social Security Number Date -7 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 - DEPARTME14T OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATIOWAND PERMIT A33E33OR PARCE R – — ZONING BUILDING PERMIT OWNER T / TELEPHONE SO, FT, OCCi, BUILDING VALUATION AA -S-760 OER'S MAILING A-Dy/D.'RESS P6 Z V IddUc(AC CONTRA, I DR'S NAME TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � � / U GLC ( IU, Permit fee $ f �� (� C-4 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 ❑ Duplex❑ Mobilehome❑ Other a SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New F-1 Addition Remodel Utilities❑ Installation El Other ❑ Describe work: TTT" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.aq 3.6Csq.ft. OR AODNS. l ACC. BLDGS. NEW CONSTR ULTI.OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIS, Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APPLNS. Ex. Occup. OUTLETS IRESID 1SEA.� 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ons over 5'0" deep and demolition or construct- ion of structures toverr39stor esip- Mobile Home Installation Fee S J, Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 116A HAz OFEES IMP I FLOOD I COF I PA c L Po H0 1 SSuE 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 Lc�ght. Receipt No. 22 Z 1 �-?S WHITE-D.P.W.. YELLOW-ASDE330R. PINK -INSPECT R. GOL 0 EN ROD -APPL I CANT ITjQ iO g O PERMIT NO. 1828 -89B . E PERMIT EXPIRES 6_13— 90 OWNER DON & AIDA ILLA CONTR. Illa ASSESSOR PARCEL 64-63-03 LOCATION 5882 Bugle lane. Magalia 'I Temp. Power Pole Called PG&E -� Temp. Elec. Service t -Called PG&E 1 Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date ' DE ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zo ing.Requirements-Setbacks-Easements 2. Soils; Special MH Support -Sketch /S— ootings; Soils=Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location -Test -Fall -C/O -Concrete - - c n - s 4. Water; Location -Test -Easement Needed (Sketch) - onnec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete S acing --- - 6. Gas; Location -Test -Wrap: / P'U ft. - s / /"Nat. or/ /"L"ft./ P'LPG 7. Utility Clearance lec. MISCELLANEOUS Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements, _ 2. Footings; Size -Spacing -Marriage Line " 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -61 Date Card -B1 Date Card -B1 Date r g; Sills-Anchors-Studs-Rftrs-Trusses Xp9Miding; Nailing -Veneer -Stucco -Mesh of; Shthg-Roofing .Ext.; Steps -Doors -Landings Card -B1 Da Card -81 Date Card -131 n1 Datp�y Card -B1 Date DatePOOLS (Plans) OK except #'sOK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -B1 Date Card -131 Date 0 �� , 0 = Not - =Not Ap plicab el C RESID NTIAL (Single and Duplex) = Not Ready, /�/i� / i ori e, -i3 Date UNDERFLOOR (Plans OK exce [I)ato FRAMING (Continued) o g -Se b s; -Ea ts-F+eed-,914W . Hangers -Post Caps -Anchors -Connectors epth 4 . CJng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. g., Garage; Soils-S4ee--//j/" Ftg. Depth . Fi eplace Ties or Type A Flue -Fireplace Throat Clearance 4.Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 4 . is Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions walls, -Garage; -Bio is-WmpV d. Garage Fire Protection Framing .§: Property Line Firewall& Openings 8.Wiers-Fireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits 9XO.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test . S irs; Width -Headroom -Rise -Run -Landing -Fire Protection 10,xGas Pipe; Size -Anchors lywood on Roof Overhang -Attic Vents -Rafter Outriggers 11AVater Pipe; Test -Anchors -Regulator -Service Test Ot. Siding -Nailing Veneer 121,lectric; Underground ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 1&'Venums & Ducts; Clearance-Material-Supprt-Ins. Gla • g Area -Glass Protection -Skylights -Plastic 14r,Girders-Sills-Anchor Bolts -Joists -Vents -Cripples ear Walls; Nailing -Bolts 154nsulation .Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -Bl Dat -�� 'J Card -B1 Date Card -B1 G Date Card -B1 Date Card -B1 , Date/0 Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s �. ater Ht. Vent -Access -Combustion Air -Baffle - ,cc_ Date FINAL (Plans) OK except #'s .,Water Pipe;_ Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 5T8'Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection est Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting $5. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 %%% Date 101 Card -B1 Date 67. Stairs &Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22.fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance . Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24rSi'ze Boxes & No. of Conductors -Stapled 26. Romex Installed Close to Edge of Studs &73. 72. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper, 26 quip. Ground made up w/Mech. Fastener -Bond Ga &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 217. 2 Appliance Circuts in Kitchen & Conducto I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. --291 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps VO. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Equip. Clearances Panels-Motors-Mech. Equip. -82-Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive -OYes O No; Walks O Yes O No; Planters ❑ Yes O No U. Smoke Detector $1. Stucco; Brown -Finish Card -B1 Date FL') --j Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing :!F C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground . Vent Fan; Exhaust above insulation 86. Ventilation throughout House --6-Condensate Drain & Overflow; Size & Grade 87. Glass Protection ft. -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections Se Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date/� Card -B1 Date 1l 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date F AMING (Plans) OK except #'s Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date Is Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing Comments at Final: at Draft Stop in Walls (rat proof) 3,, Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site► Owner:. 1 L- L Permit No.1rp Q �Q ENERGY CERT It ICAT ION u GLC- 4.ti,, KAA GAw A , CSA 4s9SY 06 LOCATION A. P. No. DESCRIPTION -OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL MaterialE 8 EP, 6L ASS�& lTs Thickness(inches) 36.1k CEILING Batt or Blanket Type MRS Thickness(inches) 104% Loose'Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEYATED Material FiZZA49LACS Thickness(inches)_ " FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name (OW EtiJS-C4IQ" I AJ G Thermal Resistance(R Value) —1i, Brand Name Qt.lJC d S—CO AAJ I AJ _ Thermal Resistance(R Value) 21 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name OW ENS — (20ROJ) QG Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of'CalifornLa Ener&, Requirements. tLLA, 3W) '?7S - FIRM NAME R STATE CONTRACTOR'S LICENSE NO. 961. -7 9 SIGNATURE OF INSTALLATION 77MMMOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by.the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. L -LA FIRM NAME/0 (Please print) SIGNATURE OF R CONTRAC t OWWER -31-7 9 7 s` STATE CONTRACTOR'S LICENSE NO. -7 -,T-- - / / DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. =A,1 ASSESSOR PARCF NUMBER 64-63-03^ ZONING ARMH3 BUILDING PERMIT OWNER Don & Aida Illa TELEPHONE 872-0485 SO. FT. OCC. BUILDING VALUATION 1st renewal OWNER'S MAILING ADDRESS P.O. Box 3213 Paradise 95969 CONTRACTOR'S NAME Illa TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ - FEE $ 37.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Ener Plan Checking F Energy g ee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5882 Bugle Ln. Permit fee $ 47.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ma Alia 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 SF ❑ Duplex❑ Mobilehome❑ Other garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: TXXXXXXXXT I. -,t rPnPwal of BP#18?8-8C _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP OR101 OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 'IFY_'I I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force 'annd effect. License No. 337 9 7 S Classification y 61C-10, C: ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. 2/z¢sgft NEW CONST R. RANCH TLET NON -R ESID BRANCH CIRC ITS CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES eAL090 Ex. Occup. OUTLETS P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 said County i consequence of the granting of this permit. // X Date.( — Signature of Applicant — Owner( rector ❑ 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 $ occ CONST TYPE TOTAL FEE $ 47.25 HAz CUA PARK SCHL FE PAR PD HD ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work in ' ated above for which fees have been paid. DIROF PU 1 WORKS gma. / V Date PERMIT EXPIRES Date 6-13-91 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L 44_A6P 44 COUNTY OF :3'UTTf Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-53$_754 1. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for 4..n 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 iaterials for construction of the proposed property improvement (yes or no) q65 2. I (have/have not) A VIG 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� A • _ Address _ City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, su3rvise, and provide the major work: Name K , A S 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: NameA Address Phone Type of Work A. Signed: Property Owner Social Security Number Date I& -3e NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of t -he 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 PERMIT NO. 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541 APPLICATION, AND PERMIT' , v ASSES OR PARCELNUMBERA BUILDING PERMIT ^ WNER ( LEPHON Ips( SQ. FT. OCC. BUILDING VALUATION 0 NER' AILING ADDRESS I 13� % C• TRA�CTOjR NAME vV TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -741 ARCHITECT OR EN IN ER LICENSE NO. Plan Checking Fee .$' Energy Plan Checking Fee $ A C CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 Permit fee $ Ul 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 SF ❑ Duplex ❑ Mobi lehome ❑ Other Gf6CaA 6,4 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work::(� 6A99AC_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10./Age 00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 91 I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and license is in`� f,force irnn�d effect License No. Classification C^ (0 ❑ I, as the owner, or my employees with wages as t air 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 OCCUPM , OR ACDNS. ACC. BLDGS. / /=¢sgft NEW CONSTR.MULTI-OUTLET NON RES .BRA CH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES 200030 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 %S .� 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to er upon the above-mentioned property for inspection purposes. a1a11 ab'iso illitieto ve entsmnists,nandeexpenseiess the s which mayinanof Bwayutte aaccrue ainstOccup. against Cou i nsequence of the granting of this permit. r— — �? ` Signature of Applicant —Contractor I --]Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3.stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ /SSG S CONST.TTP! ecllooL FLoop PAR H71 �9u This permit is hereby issued under sions of the Butte County Code and/or work Indicate above for which DI CT UBLIC BY r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2 '99 / /// •in Receipt No. WNIT!-D.P.W.. YELLOW-AselSSOR. PINK-INOPICTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your -earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes .or no.) C : 2. I (have/have not) �.. �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: ` 1 Name 1 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supgry e, 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 n Address Phone Type of Work L� o Y. Signed: I Property Owner Social Security Number Date 6-_7-'q 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. y e TO B�xi_d2nca Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# ?!,an Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom>-meb4lehome. Other NOM3 n ari Date COUNTY OF BUTTE - DEPARTME14T OF PUBLIC WORKS - BUILDING DIVISION .. 1 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONIE: 916/538-7541 - PERMIT APPLICATION DATA SHEET l Permit No. Proposed Building Use ,4Jd� C-&9 jQA6C+ 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. ...:................................ 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 .............. _ 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11., Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 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. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: ! T e I e p h o 6@22 COS 5; and hold for pickup a Other Applicant Date) Mail to owner. Mail to contractor. t^,_r-1__office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Date6-77— O YO (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone----nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date r� Plans checked by Date Plans approved by �� Date - O/ Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTAENT OF PUBLIC WORKS 7 County Center.Drive, clroville, CA 95965 PHONE: 916-538-7541. DATE 6/13/89 Don and Aida Illa RE: P.O. Box 3213 Paradise, CA 95969 A.P. # 64-63-03 With reference to the above.subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L1 We need the following information:. Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. LX1 OTHER_ T need a floor plan of your garage conversion showing window dimensions W . I need to know the insulation R -values you are using. Are ..ou kee in the ara a area downstairs? Should you have any questions concerning the above, please contact this office. Yours very truly,. William Cheff • Director of Public Works JFG/aj .F. Glander Chief Building Inspector RESIDENTIAL .35�s 8 1827-89 1828-89 1365-90 X64-63-03 .1365-90B,E LILLA,, Dori 5882 Bugle Ln, Magalia (addition/sf) >— W 1L -;S J=OK O = Not OK ' - = Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. 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 trs 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 4 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails '4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg: Bracing" 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining ' 4. Elec.; Receptacles and Lighting, Distances-GFI <` 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t 4=OK O=NgtOK 13ot Readyable RESIDENTIAL (; Dafo UN ERFLOOR Plans OK except #'s Zon i ng-Setbac ks- Easements- Fl ood-Slope VFtg., Main; Soils-Elec. Grnd.-/JV" Ftg. Depth Lftg., Garage; Soils-Steel-Elec. Grnd.-/►V" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped 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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date `� ! y o Card B-1 Date Card B-1 Date Card B-1 Date Card'B-1 Date PLUMBING Permit OK except #'s Ve"Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date L `/ Card B71 C SJ Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 221. ec. Receptacles Spacing -Lights & Switches at Doors 42ze Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. E6.'Equip. Ground made up w/Mech. Fastners and Ga & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33!$moke Detector Date 4, L Card B-1 (4,1.:) Date Card B-1 Date "t Card B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s 3 . A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAPING Plans OK except #'s 3 . s, Proper Material & Anchors 4VYAlls Studs -Nailing, Spacing & Bracing -Plates -Sound 4 ring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Headers & Beam -Size & Bearing 11 jingle & Duplex) P Date FRAMING (Continued) 45. Ha gers-Post Caps -Anchors -Connectors 46. 4ng. Joist-Rftr. ties -Pur' -roof Brac-Truss-Shthng.-Rfng. fireplace Ties or T lue-Fireplace Throat clearance 8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 5VProperty Line Firewall & Openings _ 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54/ plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55/§iding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Sear Walls; Nailing -Bolts 5 Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date �, Card B-1 5 J Date Card B-1 Date 2,6 Card B-1 (,b...) Date Card B-1 Dat_ a FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes 0 No; Walks ' ❑ Yes O No; Planters O Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY, OF BUTTE .{• DEPARTMENT OF PUBLIC WORDS ! •' 196 Memorial Way, Chico — Phone: 891'-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ILLA 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 perrtaihing to this matter o eed additional explanation, please contact this dffice, n�fediately. En S (� la Iz. [k 1 r: s� i4. s� l�. v �t .o EFE;• - Y. P° r^/� (, eA Date " Inspector F' COUNTY OF BUTTE 1 `. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Orovi Ile — Phone: 538-7541' I•. 747 Elliott Road, Paradise— Phone: 872-6307 v u;. CORRECTION NOTICE A E, j � �,e- X36 s'— s� • i,. 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 corr /c -tion of work is completed. If you have any question pertaining to this matter or need additional. explanation, please contact this office immediately. lit � S''��/' VA �,n C I 4ROJ'I(l L-J'%ren.. %.,,V.e -d ,V 5 d c Date Inspector w�.a�ti�.wc., r �R+a�4�'.--ii-�c�at-...a•.re.a.,.+,.�b+ne.� aF�a��"A . 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 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance 4 exist at the above address and should be corrected. Please notify this office 1 when correction of work is completed. If you have any question pertaining to this ` matter, or need additional explanation, please contact this office immediately. �1 N CA-, Gk. Q l0 o u r— " ez • /f Date , —7— Inspector VIA Permit No. "I j t�2� 96 ENERGY C ERT I F ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) ,/E%TERIOR WALL Material Thickness(inches) ILING Batt or Blanket Type %A—IT Thickness(inches) —� Loose -Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVAT Material Af 5,4- Thickness(inches) % FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Namenw {� S co! 1 Thermal_ Resistance(R Value) 1 Brand Name(�1X) CJS (�o a 1 jai Thermal Resistance(R Value) :�p, d Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Otk jam) S Uri, (Z�l �� Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of Californ.:a,Ener ; Requirements, 3-3 797 STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/07 (Please print) STATE CONTRACTOR'S LICENSE NO. r SIGNATURE OF C RACTO DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' January 1984 COo Uel To P PERMIT NO. 1827-8 B P ,M PERMIT EXPIRES OWNER DON & AIDA ILLA CONTR. Illa ASSESSOR PARClk4-63-03 ( LOCATION 5882 Bugle Lane, Magalia i r C I ` I Temp. Power_Pole Called PG&E -•w.:� Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature =01K F 0 = Not OK = Not Readyiable MOBILE HOMES f � . 1 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: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -61 Date Date Card -61 Date MOBILEHOME INSTALLATION (Plans) OK except #'s 11. Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks -Easements Card -131 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/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date 9. Health Department Approval i 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 , Date Card -131 Date Card -131 Date `- UK ' 0 = Not OK : RESIDENTIAL (Single anid 'Duplez) - = Not Applicable ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks;-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlih-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A flue-Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel-Wrapped 51. Property Line Firewall & Openings 8. Piers-Fireplace Ftg.-Steel 52. Ext. Doors-One T-Check Garage-3rd story, 2 exits 9. D.W.V.; Fall-Fittings-Test-2 way C/O-Sewer Test 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size-Anchors 54. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers 11. Water Pipe; Test-Anchors-Regulator-Service Test 55. Siding-Nailing Veneer 12. Electric; Underground 56. Stucco Mesh-Drip Screed-Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 57. Glazing Area-Glass Protection-Skylights-Plastic 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 58. Shear Walls; Nailing-Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors-Nail Protection Ext.. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test-Fttngs & Anchors-Nail Protection - Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access _---B3_Fu=ace; Vents-Clearance-Comb. Air-Connector- I Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor-Tub Access 21. Gas Pipe; Size & Anchors . Bedroom Exiting Bath Fixtures & Tub Access-Spa c. Trim & Subpanel; Breaker Sizes-Labels Card-81 Date Card-B1 Date airsRails Card-131 Date Card-B1 Date _& , ireplace or Stove; Clearances-Hearth . Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance-Ins. Protection "t. & Appliance; Grnd. -Air Gap-Cooking Clearance 23. Elec. Receptacles Spacing-Lights & Switches at Doors. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors-Stapled FiElec. ` 72. Garage re>Door; Swing-Landing-Closer L U3 kC. Duct in Garage-Damper 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners-Bond Gas &Water 7 tr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. �Zg-Pt�lec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al ceptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 7. Insulation-Foam-Looked in Attic Yes . Guard Rails & Deck Construction-Post Caps 30. Service-Riser Conductors & Ground-Main Disconnect . Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. F 'ng instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes E3 No; Planters ❑Yes ❑ No 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 4tiirrn• Rrn..n-Finish Card-131 Date Card-B1 Date ---.82'A7C. nit; Disconnect, Electrical, Plumbing Card-B1 Date Card-81 Dateants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s er Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support . Exterior Elec. Trim; G.F.I. Receptacle-Underground 35. Vent Fan; Exhaust above insulation . Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade L-81t�ass Protection 37. Furnace-Vent; Access-Comb. Air-Return Air Vent-115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test-Meters Tagged; Gas-Electric 90. Wate & Sewer Connected-C/O to Grade-HD Approval S nergy Compliance Certificate-Other Certificates Card-B1 Date Card-B1 Date oofing Gertificat Card-B1 Date Card-B1 Date Card-81 ate Q Card-B1 Date Card-131 Date Card-B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card-131 Date Card-B1 Date Comments at Final: 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Header & Beam-Size & Bearino (NOTE: An entry must be made each time you visit iob site) Owner: pc)k) (j-l—A Permit No. LOCATION ENERGY C E R T I F I C A T I.0 N LE- LAJ A. P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material IT Thickness(inches) CEILING Batt or Blanket Type—Ex x �Thickness(inches) lam" Loose'Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATEDn /� r. Material 15l`t- Thickness(inches) (f, FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) --03� Brand Name Thermal Resistance (R Value) Brand Name rV 1/y AJ Thermal Resistance IULE- Value) fK j 11 Brand Name Thermal Resistance(R Value) - Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name . LL-ts Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) ---- I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Ener; Requirements,, FIRM STATE CONTRACTOR'S LICENSE NO. SIGNATUREINSTAL TION TOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. /& LA x'37 FIRM NAME/ lease print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF _ ONTRACTOR OWVER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CeuntEr Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR'PARCEL NUMBER 64-63-03 ZONING> ARMH3 BUILDING PERMIT OWNER Don Illa TELEPHONE 873-0478 SQ. FT. OCC.1 BUILDING VALUATION R 22,400 OWNER'S MAILING ADDRESS P.O. Box 424 Magalia3,440 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace IWOOd 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 26.840 Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ 79.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 89.75 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 294-29 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT 6 SUBDIVISION NAME Hidden Hills PARCEL MAP ,S �� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Addition SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition oK Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3BR _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 AMP OR OR LESSLESS 100 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profen n�. Code and m license is inf Illrforce and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR W CONST.AODNS. ( DACCLBLING LDGS.5b �) 2'/2csgft 14.00 NEW CONSTR ULT' -OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES zoeDoe 9AL®30 FIXED APLNS Ex. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ 24.00 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. otice 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 to,60J . Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree demnify and keep harmless the County of Butte against all liabi es, ju ntk sts, and expenses which may in any way accrueagainst said County uence of the granting of this permit. %� Date —�� Signature of Applicant — Owner Contractor E] Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ SLOD -CCOW&TTYPE I 3 TOTAL FEE $ 3 , 25 HAz CILIA PARK SCHL FLD "— PD HD -ISSU This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER T EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS Date ��� 1P p q Lj 8 — 6 1 Licn 124.75-64276// t�pf� �— eceipt No. � _��_�. HITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • `` �+,� �� ��.e!YR �. ` � CY� � �n`� �� Y y' ` 4-�. "Ev�S.T.t a ?' • 1. COUNTY OF-413UT E -DEPARTMENT � -OF PUBLIC WORKS: BUILDING DIVISION �� � r 7 CdCJNT1bCNT■2'P,DRIVE - OROVL, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 yc ._. • ! � � - r` a .. PERMIT APPLICATION DATA SHEY (cii j.r OWNER �� 1 L L A Av P. No. �L� 3 � 3 Proposed Building Use >� A Aw)/T(0& •Building Inspector Date .0 At time of permit application, I was advised the following dafa 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. Hazardous Material Form ...................... ................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions 3s�............... 0. Fees of $ .. ........................h—Z/ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ... ............................................... 13. PA12 Qi 5 ff School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW X19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . ' Pre-Inspec. request to Building Inspector (Date) .21. Contractor's license information (No., Name Style, Classifications ... � , 7� 227Certificate of Workmans Compensation Insurance .................. v�- 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone % ^dL(%�iand hold for pickup at ffice. Deliver w/inspector. Other 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 p'rior to pemit issuance: (Circle new 'tem not checked above). 7 1. Index permit for above items N 2. Additional items required: T �Do.2 h�rt� ��✓ Sliv l i %✓9 Abo 2 S i, �� �✓. �o� 1 S' .� ,i r 7if r ' �7� 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—mall Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder unter by date Date ,S =- / %�l0 N TO zdtlTdina Department FROM: Environmental Health SUBJECT: Sanitation Clearance se �AP# owner Locate Plan Approved for: Sewaqe Disposal x Water Supply PlpA Hold final for: Water Supply ^inal clearance �O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** 'o - �— Date Sanitarian P ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _. :.. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO.` ASSESSOR PARCFL NU BER _ 3 _ 3 ZPNIMG 111 3 - - BUILDING PERMIT j I owNE /� ' l `v TELEPHONE 7 � �� SO. FT. OCC. BUILDING VALUATION D� OwN R'S MAI ING ADD ESS f hill i ' C NTRACTO 'S NAME CCU �2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace w(�Ej , �� � CONSTRUCTION LENDER UNKNOWN' Total Valuation Sfo, Filing Fee Fq0.OV S 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �� �Q ? ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ C Energy Plan Checking Fee S ��� )r) ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permlt fee PLUMBING PERMIT Filing Fee 10.00 Each Trap1 2.00 Solar or heat pump water heater 20 I LOT/V O. SU�it510N NAM U^ PARCEL MAP Water piping 5.00 Each oas water heater or vent 5.00 1 r USE OF STRUCTURE G SF ❑ Duplex ❑ Mobilehome❑ Other /i+� /"r/ �A SPECIFY Gas piping system 1 -5 ou s 5.00 Building sewer 5.00 Mobile Home S G V1 1 10.00 ea iDescribe i TYPE OF WORK New- ❑ Addition Remodel[] Utilities(] Installation❑ Other ❑ work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 01 LESSOR 100 10.00 Main service EA. AOO'L too AMP 2.50 I I j '0C f I ' ? ' -' CONTRACTORS LICENSE LAW .I declare under penalty Of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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 forthwi.th comply with such provisions or this permit shall be deemed revoked. I certlly that I have read this application and state that the above Information is correct. I agree to comply to all County Ordinancss 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 to any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant.—, Owner Contractor Lj Agent G An OSHA permit is reouired for excavations over 5'0" deep and demolition or construct- on of structur s over 3 stones in height. Receipt No nW _e WHITE-D.P.W.. TELLOW.A5SE5500,-4—INSPI 04. 6OLOEHPOD-APPLICANT NEW CONST. DWELLING OCCUP.a , i OR ADONS. ACC. BLDGS. h¢So ft `TOO NEW CONST RULT'-OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FI%TURES 2ALe 30 Ie00?5 0C 1 Ex. Occup. OUTLETS Pi RESID ORA.) 2.00 ` Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permlt Fee $ s2wAiq C) Contractor MECHANICAL PERMIT Fil ee 10.00 Heating Cooling g Hood 3.00 Ventilatio PetTnl ee $ Con -tractor Mobile Home Installation Fee S Energy Inspection Fee S `lac occ coNsT_,-Y,oe (I I TOTAL FEES 8 F HAz CUA I PAgK I scHL i vLo I PAR Po HD ISSUE T~:s permit Is nereby Issueo unoer the applicable prove - sions or the Butte Ccunty Code and/or resolutions to do work indicated above for which fees have been aid. P DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date COUNTY OF BUTTE - Department of Public Works 7 County Center Hrive,`Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner:. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)i� . 2. I (have/have not) IZ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned.to our office before we are per- mitted to issue the permit. i-. .,cs• r-... rs:�,.,.Z�'r ��l?);r c7'0'�7Y ^- •: Frrw �S'^o.'-.^.,rV.�y►.,[+ehrt-�.;7MI1��'�R":!.Y'•if�a:s.lrrl�'e'-Se'i'•`'�1 i � • 0 BUTTE COUNTY'SCHOOLFzDEVELOPMENT FEE CERTIFICATION FORM •'(One Form per Building). A.P. Number �j "b3" Building Department No. . School District Pa(a4D� Mcity Q County n Jurisdiction Property Owner&V �ZZCA �T " Project Location/Address 5?k�z Raw-& Lam/ Subdivision Lot Number Residential Development: O � JSq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: D New aSq. Footage Addition (Including Exterior Roofed Areas) Date ******************************************************************* (Floor Plans reviewed by School District Personnel) D1St 1C d NO., e School District certifies that ` ( pp1icant Name) (Phone Number) veZAI (Stre'et Address) Q (City"y) ( State) (Zip ,Code ) has complied with the requirements of Resolutibn No. by t e payment of $ representing square feet. School District Representative Date PAID BY CHECK NO. BANK NO ' . rA� REMARKS:, PAID BY CASH white -applicant, yellow -building 0 3ep4-rtment, pink -school district „s. SCHOOL.FEE (8/88) ?- ,-A ;4 � FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET • PACKAGE'"A" (Additions) Owner bq �j �-(_/� Climate Zone Permit # s G Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 XR8 40 WALL R-11 FLOOR R-11 SLAB R-7 ® GLAZING U-.65 (Dual) U-.65 (Dual) fF SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient O LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) It DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT 0 MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTIIATING, AIR CONDITIONING SYSTEM , (A) Heating. ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y-intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13 * Active Solar (collector brand and model number) (rated y-intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to cument sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets rements of Title 24, Part 2, Chapter 2-53 of the California Administ on Code. CXfl .��' 0 ac vUo. � 4 FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner l�L/G Climate Zone Permit # Floor Area , 10 ,7 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and7-attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZON APPLIES TO NEW AREA 4P CEILING R-30 R-38 WALL R-11 R ® FLOOR R-11 R- 9 SLAB R-7 r R-7 f® GLAZING U-.65 (Dual) U-.`5 (Dual) ?13 RESIDENTIAL PLAN CHECKING -GUIDE - MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) • oper roof pitch for roof covering (Chapter 32). oof covering type - (fire hazard). R ter ties or bearing ridge beam. age door or porch header sizes. Adequate bracing. complete 1 -hour separation required on garage side including supporting walls and posts, etc. llings (Sec. 3303 & see Mezannines - 1716). TlZtt=ac�cess and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). 1 ion a � 16- 1 se requirem es. s - speci.a o a ion esign. 1 nusual shape, size, or split level house requiring lateral design. 1 Flashing at all exterior openings. 7 r' l 7 /d5 t✓ • �� cc lix'7 c Orct 5/89 0Od2S -1'/ GV, u da j J fj' �s GAJ W ,,-'�► 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 13(o S - 1 O OWNER 7r��% �kz_c� A.P. # 6 o/' 3- O� GENERA ning req uirements: (sideyards Y.�alua 'on./aigned by designer. and number of permitted living units). nergy Design and Compliance. /iveph % Y• terns on data sheet. PLOT PLAN Cpmplete parcel size and dimensions. etbacks, sideyards, easements, eto. . ,,0ther buildings or structures. k" Grading, fills, drainage. 5.5. Flood L__ard. 6. isr nditions on -creation map or compliance document. 7 roa setback. FLOOR P -LAN 6� plete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). 5_t Z£'S Y ig 7)• man impact .glass (Sec. 5406). �! Required room sizes, ceiling heights (Sec. 1207). s garage,.and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ns o water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1 firewall, d size, and closer (Sec. 503(d)(3)). 1 - 31011 exterior exit door (Sec. 3304(e)). - ear=tee location, alcoves, and clearance. Smoke detectors (Sec. 1210). 1RUCTURAL DETAILS ation plan complete enough to construct building. oor construction details complete enough to construct building. c-Ele ions and wall construction details complete enough to construct onstruction details complete enough to construct building. �'� rcnl ara rnnCYTllf Yl nTl C�PYA� � R � l •-e ' � --- t3.�f-. s T__ MISCELLANEOUS ITEMS TO LOOK OUT FOR building. 1. ,, ise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). ._ one veneer (Chapter 30). OWNER'S NAME: LL RECEIVED PERMIT NUMBER: l3 65-- �1 O A. P . # : 6 e? DATE RESIDENTIAL F NON RESIDENTIAL RECEIVED BY d --------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE W FROM DATA.SHEET F� REQUESTED BY PLAN CHECKER OTHER ---- ---------------------------------- REQUESTED BY CORRECTION NOTICE Q YES Q NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call -03— by92 and hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Coun?.y Center Drive : Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCELryUMBER - 4 ZONING —3 BUILDING PERMIT 0WN0LL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINt ADDRESS 3 PjqRI CONTRAC O NAME ' TELE HONE CE CONTRACT R'S MAILING ADDRESS Fireplace CONSTR CTION LENDER NE UNKNOWN Total Valuation LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. K�n LA F7 Filing Fee $ 10.00 Permit Fee Idl/02 Plan Check na ee $ aS $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ . a gaPLUMBING E PERMIT Filing Fee 10.00 Each Trap Solar or heat pump water heater #20.00 LOT O. SUBDIVISION NAME Li.s PAEL MAP Water piping Each qas water heater or vent 5,00 USE OF STRUCTUREz S'r,`tQR SF ❑ Duplex[]Mobilehome❑ Other&q-EA--F itSTdKA -rE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Q rr- 3g5 ONTRACTORS LICENSE LAW I declare undert of perjury ;pVa'l q Iy (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) F1I am exempt under Sec. , Business and Professions Code for i 7reason Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR AOONS. ( ACC. BLDGS. 2/zQsgft NEW CONSTR. "UL LTCH C'.OUTIRLETCITS NON.RESID BRAN 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES SAL130 AL030 Ex. DCCUp. OUTFIXED TS PI RESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring P15.00 Permit Fee $ ORKMEN'S COMPENSATION INSURANCE I declare u �Cenaltyy 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 Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte againstal liabilities, judgments, costs, and expenses which may in any way accrue a t said County in consequence of the granting of this permit. X Date 'gnature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations ever 5'0" deep and demolition or construct- ion of structures over* 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ :EFjFT0FTAL�FEE $—I FLD PAR J PD HO 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 --t— .. '�� 7 1 ► Receipt No. ,.,,.,-..,. e .,, -.,.,.... -- - - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'- Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. � on --: ASSESSOR PARCEL NU ER 64-63-03 ZONING AKMH3 BUILDING PERMIT :��J OWNER Don & Aida Illa TELEPHONE 872-0485 SQ. FT. OCC. BUILDING VALUATION 1st renewal OWNER'S MAILING ADDRESS P.O. Box 3213 Paradise 95969 CONTRACTOR'SNAME Illa TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee Q 1$ 31.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5882 Bugle Ln, Permit fee $ 41.25 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 SF MX Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel g Utilities ❑ Installation[] Other ❑ Describe work: 1st renewal of BP#1827-89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR111 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): .�/I !O-t�l I am licensed under provisions Of Chapt. 9, Div. ° of the Business and Professions Code and my license is in full forceand /eff�ec/t. License No. 33 7 7�-9T� Classification B t • C_ �0 `_c7ip Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. /20sgft NEW CONSTIL ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 00509 eAL@30 e0LOSO FIXED APLNS EX. QCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1�f I shall not employ any person in any manner so as to become subject l� 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseVence of the granting of this permit. X � X30 10 Date Signature of Applicant — Owner Coneroetor 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 $ occ CONST TYPE TOTAL FEE $ 41.25 HAZ I CUA PARK I SCHL I FLD I PAR I PO I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ted above for which D) R OF PU 1411 y P MIT EXPIRES Date _ 6-19-9t the applicable provi- resolutions to do Ife have been paid. ORKS Date Receipt No.m 2 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -; Depar,tment. of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and m teri.als for construction of the proposed property improvement (yes or no) 2. I (have/have not) I'iAyo(,� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firer,) to provide the proposed construction: �` n Name Address _ City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, superviand provide the major work: Name h l t7_ 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(0`' 30 ^`710 _ 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 / ` COUNTY OF BUTTE -' DEPARTMENT OF PUBLIC WORKS TMIT 7 County. Center DriVe-'Oroville, California 95965-,Telephope: 916/538-7541 1Nyy APPLICATION AND PERMIT ASSESSOR P RG �un�eE0 3 14 ZONING BUILDING PERMIT AIL—� LEPHONS0. FT. OCC. BUILDING VALUATIONILING A ^ FIER ONTRAC OR'S NAME TEL PHONE NT ACTOR'S MAILING ADDRESS f ( , Fireplace CONSTRUCTION LENCIE UNKNO Total Valuation '$66 .0 Filing Fee $ 10 L ER'S MAILING ADDRESS Permit Fee $ .i ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS yry U Permit fee I PLUMBING PERMIT Filing Fee 1 10.00 Each Trap JfJ 2.00 t� Solar or heat pump wa Iier heater 20.00 LOT NO. SUBDIVISION NAME V PARCEL MAP Water piping 5.00 Q,0 Each qas water heater or vent 5.00 0,3,1 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 r Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel 9k. Utilities ❑ Installation❑ Other' Describe work: Any l `l Permit Fee I $_;5 y Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 $D CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Iqland Profess' CiQd an y license Is In 1 I{\ force and effect. License No. 5 77 J Classification) F 010,1230EX. F1I, 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 oc P a� /z�sgft JL 10 -+ OR ADDNS. l ACC. BLDGS. NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS al SINGLE OUTLET CIR. / OCCUp(OUTLETS OR FIXTURES .220 0 50c 00030 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 % ✓ Permit Fee $ 1& 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 6 Eye R y Cooling g --� Hood 3.00 Ventilation f 3 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 uction, and hereby authorize representatives of the Countyot Butte to ent upo vet9oned property for inspection purposes. I also agr ave, ' rr n�ify and keep harmless the County of Butte against all liab' ties, j n s costs, and expenses which may in any way accrue again said County cense a e the granting of this permit. X— Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavation o er 5'0" dee and de olition or construct- ion of structures over 3 storiesinheight. d g /S`ot7, Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FE OCCUP. CON B7.T PE sCHoo R PARCE PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/ ��pL r �1 /i / o Receipt No. G/Z �% e / - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -A PL ICANT COUNTY OF BUTTI�,- D.J�RARTIME '-O� PUBLIC WOF!�,j BUILDING DIVISION NT PERMIT APPLICATION- DATA SHEET I jlew/ -41 Permit No./ -3' Building lnspE 0 Proposed Building Useeavl. A/Z4A6C 7P-, lctor_� Date At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED uppnovso --_-_� 1. All items have been oubmittod. ................................... __--_ 2. Plot plans in duplicate/triplicate, signed by proparor of plans ........ 3. Complete plans in dup|ivate/trip|ioate, signed by pnopaoer of plans �. __---- 4. Complete engineered plans and oa|oa, with wet signature on plans ---_-- 5. Energy Design Compliance and supporting documentation ......... -___- 8. Statement of Intent for Non -Heated and AC Buildings .............. ------ 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. W1obi|ahoma installation data including manufacturer's installation instructions .....� - ........................... ---��. S. Fees of .......................... 10. Chico Urban Area h*oa paid .. .. .. .. ..... . .. . . .. .. .. .. .. ... .. ... .... 1. fees id ..................... 2. p�d................. ���Sanitation --&��l Sanha ion approval �nomHeu|�h Department ��� ----_- 14� City of Chico plumbing penni� ����������������������������.�.������� 15. Plot plan and business license approval from City of (see Qty for other requirements) ------ 16. Planning approval for (A) Uaa:--------(B) Pu/king:__---_--- ........' ------ 17. Improvements may berequired. ------ 18. Driveway permit (construction approval required prior to occupancy) ... 1A Pre -Inspection required pm�mopno��n"emm ------ � ����'� Building Inspector o*o> __-_- 20. Contractor's license information (No, Name Style, Classification) ....... 21. Certificate of VVo/kmuno Compensation Insurance .................... 22. Dwne`Bui|dexVohUoadon (Given to owner o. Mail to owner o) ........ Recorded copy of Agricultural Acknowledgment Statement ............ Xznz -_---- 24. Letter ufsignature authorization ..................................... 25. ------ 26. When you issue the marmit, pvnooas as follows: -------Mai| to owner. _-------Mai| to contractor. TeIephone_?12_-<14KS and hold for pickup at ffice. —Deliver w/inspector. Other Applicant Dat Copy of plans sent — Health Dept., —Fire Dept., Other- Date , The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone"ai I —counter by X6 date � �. Contractor, mes/ene,, vwne,, was advised of above mnu/mu data uv__phvne__mux I by- date ' Plans checked by 6�5 Date _4__LLL_PIans approved by Date Sets of plans on hold iD/48,.r2Fqe p ,AZitd_��P folder mEm=~_Copy-DPW TO Buildincx Department FRONS: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supplyo _ Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom a ome. Other Water.Supply NOTE Date BUTTE COUNTY SCHOOLS..DEVE'LOP•MENT FEE"CERTtFICATION FORM (One Form per Building•) A. P. Numberb3- 0 S Building Department No. School District;AOZ:�;C City = County Jurisdiction � Property Owner 62,t Jy'-A QA 1, - _A Project Location /Address Subdivision Lot Number Residential Development: l ``G a � Sq. Footage # of Qg MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior -W. ,, _ Roofed Areas) "`�"''Buildin`g `Department R'ep'resentative Date (Floor Plans reviewed -by School District Personnel) r�I r District Id No. School District certifies that (Appl�ica�nt 44tme )_ (Phone Number) (Street Address) (City) (State) "(Zip Code) i has complied with the requirements of Resolution No. n r by the paymera't Of- $ 0�/ representingAD square feet. L/School District Representative Date' PAID BY CHECK NOC ,i BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) MSR PERMIT NO. �j Q 3855-89B PERMIT EXPIRES -`� AF -7 OWNER DON & AIDA LI L CONT R. ILLA ASSESSOR PARCEL 64-63-03 LOCATION 5882 Bugle Ln.. Magalia OF►= 14wn.914 �- q=9"�q 41"W -� 6-7,8"9O o6z0 Sa Temp. Power Pole _ Called PG&E— Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E da8..61NfC„(D te) Signature P = OK ' O=NotbK - = Not Applicable ' MOBILE HOMES MISCELLANEOUS = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 14oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; 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: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 10. Roof; Shthg-Roofing Card -131 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 8 -VA- 1. Zoning Requirements -Setbacks -Easements Card -131 (',.G, Dateg.-(').Arj Card -131 Date 2. Footings; Size -Spacing -Marriage Line 4 Card -81 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 Tegt-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 - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -131 Date Card -131 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -61 Date - r - 1' � v °k= "°Cit t Not Applicable RESIDENTIAL (Single and _Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors / 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Bra -Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 9. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131f.0 Date /Q -� Card -131 Date Card -131 rDate Card -131 - Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Profection=La dings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents- earance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -131 Date 67. Stairs & Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture b Transformer Clearance -Ins. Protection 71. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer Gara 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75 plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic 13 Yes. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral s I No 78. Guard Rails & Deck Construction -Post Caps 3e -Service -Riser Co tors &d-Main-0hcot�ct 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date:7.4'-'dy Card -61 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -81 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -131 Date 39. Sills, Proper Material & Anchors Comments at Final: ♦ -/,s / A' 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders &Floor Nailing r ' 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub �1 �� E'���•�o�d-�,'�_ T 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r/ 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 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. {� f_a e "'.// ,o✓a J InspectorDate .-.. .r, �-...cR3.s-�c•.t. -: f••• .r•c.. t-- c.... n. -``"'r C^py�,;s.> s2-w"FSA,' 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 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 eed/d'v plil�d� explanation, please co tact this office immediately. 51 I rFY'�ti Inspector Date COUNTY OF BUTTE I DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 E liott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N0. /that A routine inspection indicates 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. q C1cs -J 0 A a N r4 C G- rz 4 I 15 n 1-- 1-9 e, t^ I Inspector Date 4 17- A? • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER TO. 7 County Center Drive - Oroville, CatSfornia 95965 - Telephone: 916/538-7541 vim" APPLICATION AND PERMIT ASSESSOR PARC L N BER I ZIONI'^G �jILL&"' BUILDING PERMIT ow R EP ON I o A r-0 SO. FT. OCC. BUILDING VALUATION OWN S MA, ING DD ESS �0� )s� QA t S9ilc; CONTRACTOR'S NAME1.ELEPHONE CO ACT 'S MAILING ADDsSS o J 1S� Q -/qt p S 'ry Fireplace CO R C TI N ENDERUNKNOWN EL Total Valuation $ Filing Fee $ 10.00 LENDER'S MAXING ADDRESS I N Pennit Fee $ AR HITECT Eem ER LICENSE NO. Plan Checking Fee $ , Energy Plan Checking Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS , J Penalty $ BUIL I G ADDRESS sg,, C1 fL t4 n6PLUMBING Permit fee PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SU DI VISION NAME ARC EL MAP 1� D , L" Water piping P�P� 9 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE�n SF❑ Duplex❑ Mobilehome❑ Othercs SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00 ea' TYPE OF WORK New/&, ew Addition [I Remodel[] Utilities❑ Installation❑ Other[] Describe work: __ o oj ,_ i u LQ' TZ7 T— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and license is in full force and effect. 3' CC .'� C 3� License No. m Classification. I, as the owner, 9L-R�L-6R ea4iiwi,-will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ ,I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI New CONSTR.(ACC , �22sgft ULTBI-OUTLET NON.RESID BRANCH CIRCUITS) [2.50 ea POWER APPARATUS IN (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 2AL03 C .200030 FIXED AP PLNS. O Ex. Occup. OUTLETS (REST D.1R EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 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 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 e, indemni weep harmless the County of Butte against all liabilities, ju osts, and expenses which may in any way accrue against said my nsequence of the granting of this permit. X Date /qza� Signature of App ,cant - OwneyB- 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 oceDP. corlsT.Tr c sc,IooL FLOOD eEL PD ND .2u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2),J p ��,�1 Receipt No.�- .�y WHITE-D.P.W.. TELLOW-AS.2Ea SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,✓, ....i-iZy�; X,Ati�3,a y r 4 ;- COUNTY OF BUTTE„ D1wPARTMENTXOF UBL,IC WORKS - BUILDING DIVISION _ - 7 C&NTY CEr4TER DRIVE - OROVILLE, CAL -IF NiA 95965 - T€LEPHONt : 916/538-7541 PERMIT APPLICA-TtOWDATA SHEET---' — f Permit No. ��11 OWNER /00 lkc tt A. P No. �T _13 Proposed Building Use GO r'Q P 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 1r All items.have been submitted. . . . . . . . . . . . Plot plans in u lica tri licate, signed b re are. of dans. r 3, Complete plans in WD licate iplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5.ns wit Energy Design Compliance Statement. 6. araCl l School District "Fees Paid" Stamp on Floor Plan. i�//7 Statement of Intent for Non -Heated and AC Buildings. tQn8. Fees of $ . . . . . . . . 9. Letter of signature author Iz on. J 10. Sanitation approval from ra� ` SC Health Dept, r 11. Planning approval for (A) Use: (B) Parking: 2. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 7. Pre -Inspection for RequiredPre-Inspec. request to "9'(rfate) . Building Inspector Recorded copy of Agricultural Acknowledgment Statement. A y Driveway Permit. .� Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). W en you issue theg r it, tr� s follows: Mail to owner, Mail to contractor. Telephone �� �r and hold for pickup t Vr4l, ffice, Deliver w/inspector. Other LApplican Date J Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. k 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date ' Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 6 Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan •Approved fdr:'" Sewage Disposal Water Supply , Hold final for: Water Supply Final clearance O.K. for: Water.Supply Clearance for _ bedroom mobile home. Other r NOTE * * * tari r r/�� �- ot=-- civ � �S � �✓�A-� .1. LJ 5/0 ; rl" 2- � 2- 09 �.�, y A -a vs,71 /164. plf 11/2" CDX w @ level of openings 94 plf BASE CONNECTION 84 plf I1/2" Glia AS a 48 'loci R= 993 #/A 4.00 '/AS= 248 plfj HOLDOWN RESISTANCE OF -1174 lbs j.NA1 * DEAD-LOAD RESISTING MOMENT CHECK footing: Dftg= 3.00 ft Widthftg 0.67 ft Lftg 27.00 ft Wftg 300 plf endload 0 lbs a ea end applied TOTAL OVERTURNING MOMENT Motf 29380=L*(Dftg+height)+M ftlbs 1.5*Motf 44070 plus TOTAL RESISTING MOMENT Mtr= =Mr-(Wftg*Lftg-2)/2-(Lftg*endload) -174851 ********** additional resistance required -130781 ftlbs SOILS RESULTANT R=P+Lftg*Wftg= 12952 lbs e=(Mott-(Lftg*endLoad)/R= 2.27 ft Lftg/6= 4.50 ft maximum soil pressure=p=(R/Lftg)*(1+(6*e/Lftg))= 721.51 plf (when a<=length/6) maximum soil pressure=p=2R/(3*(Lftg/2-e))= 0.00 plf ,(when a>length/6) widthBASE= 1.25 feet actual soil pressure=p/widthBASE= 577.21 psf STRUCTURAL CALCULATIONS �QROFESS/pNq Cj V � L ��P 9TF OF c IVY ' NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings F.S=z,.n owner of the building to be constructed as a (please print) under at -- %Z A (bldg.permit no.) (location) hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than .the mandatory sections of the State Energy'Requirements. I understand that if I do heat or cool this building in the future, that I will be'subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will .be subject to the energy -requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning equipment, (4.) the service water heating, and (S) the lighting of the building to comply with the regulations.. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building -Owner Mailing Address A(, V1,,) � Aver Telephone No._ �� p� COUNTY OF BUTTE = Department:of Public Works 7 County .Center Drive, Oroville,'CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building .permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name' Address City. Phone Contractors License.No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervis and provi.de,the major work: -4; Name Address VNICity 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 ,AddXess Phone Type of Work Signed: Property Owner Social Security Number _ Date f©— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 07(0, Section 2this1 County- ®P'�1NAlDOcv/H IN requires acknowledgement ber corded prior to issuance of a building permit. ENT The property described herein is adjacent " �- to land or included within an area zoned t-9-022426 Cor agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as fnllnws: D3 I\jO9TN Few(=. /�' R.4 N C.C 3 C7p l -L U LjS Po�i'i�.+v or ��cT�otis 1�-F E L L oT Cn Sv f �! Cil t on1 �EcO/ZOE� OFA of 13UIrG:) ST�� Aiv') 1 ST/ i owQ Ste t,° r';�,2-TtCu L_At?- L ; 0 SC -P -i 0t0 AS M A v° OF 1-6 Di) 1= N ot=Ptc-e 0r i11At Ceu�v``i EcoeQ� mF QA L i t - o, A A/ o N U."i e 197E, :'J 3 alp S.D M ,A � s i Ar t'0A6E `1'(o , Date: U,�1C � 1 ci nj PROPERTY OWNERS: State of CALIF ) On this the 8th day of June 1989before me, SS. the undersigned Notary Public, personally appeared County of BUTTE ) DON ILLA AND AIDA ILLA------------------- 7----------------------- ------------------------------------------------------------------ Personally known to me. E -Proved to me on the basis of satisfactory evidence. o be the person(s) whose name(s) ARF .cr. O�1ZC ALSEAL ubAcribed to the within instrument and acknowledged that THEY JEANNE M BARCFIUI ! JEAN xecuted the same for the purposes therein contained. IN WITNESS . � sim c0UNTY HEREOF, I hereunto set my had an official seal. Mfr Cann. Exp. Apr. 10.1000 Present A.P. No. —('o Notary Public 5/89 RESIDE11TIAlL'PhAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A. P. # GENERAL t1! Zoning requirements: (sideyards Valuation. bans signed by designer. 65F "nergy Design and Compliance. -5% Existing violations on property. Items on data sheet. PLOT PLAN and number of permitted living units). -I'-.Complete parcel size and dimensions. e backs, sideyards,'easements, etc. Other buildings or structures. Grading, fills, drainage. --5: Flood hazard. -6— Special conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN __r.-�Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). t3 --Required windows for second exit (Sec. 1204). -4—. Skylights (Chapter 34 & Sec. 5207). -5 Human impact glass (Sec. 5406). -6! Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). s�ight fixtures, switches, receptacles, and exterior receptacles for maintenance _e,�Lof mechanical equipment. ocations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. L].O-�--Garage firewall, door size, and closer (Sec. 503(d)(3)). kY 1 - 3'0" exterior exit door (Sec. 3304(e)). 1--2"Fireplace and wood stove location, alcoves, and clearance. 1I—.Smoke detectors (Sec. 1210). STRUCTURAL DETAILS .1! --Foundation plan complete enough to construct building. ,2. --Floor construction details complete enough to construct building. -Elevations and wall construction details complete enough to construct building. 'Roof construction details complete enough to construct building. -5-r--Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR -1-.--� Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). .3! Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) --4-. Exterior plaster - weep screeds (Sec. 4706). r� Proper roof pitch for roof covering (Chapter 32). —Roof covering type - (fire hazard). --- Rafter ties or bearing ridge.beam. -8-.—Garage door or porch header sizes. -9 Adequate bracing. wing area over garage - complete 1 -hour separatior_.required on garage side including supporting walls and posts, etc.. J-1-. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). - �nderfloor access and ventilation (Sec. 2516). Nombustion air for fuel burning appliances. oise requirements on duplexes. -16--Tdobe soils - special foundation design. wining walls requiring design. -le-.-tTnusual shape, size, or:split,level house requiring lateral design. 1 -9 ---Trashing at all. exterior openings. Di ff Mui 'aw 00 Z /._.W e In Xfd-k OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Jack H. Dick ADDRESS: 5 Upland Rd. Magalia, CA. 95954 CITY 8. STATE: IMPORTANT: DATE OF CLAIM: Aug. 9, 1977 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit Appin. #3618-77B,P,E,M - Receipt #164996 - AP 64-63-3) Buildin a it$108.00 -- Retain 1/3 of fee ------- 36.00 Amount Plumbing permit fee ---- 21'.00 Retain filing fee ------- 3.00 Amount of refund due ------------ 18.00 ' Electrical permit fee --- 46.75 Retain filing fee ------- 3.00 Amount of refund due _____________ 43.75 Mechanical pe=it fee -- 7.00 Retain filing fee a------ -,-1.00 Amount Permit fees refund due ----------- $137.75 Land Development fee refund due -- 25.00 TOTAL REFUND DUE ----------------- $162.75 TOTAL $162. 5 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that there is a Budget Appropriation F-1 or Specific Board Approval F-1 (Check one) for the same. Datedthis ........ 9.Jt h ................... day of ....Ali .............. 117...., at orgV.A.Ur........ . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM...............................:............................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 4`r114 -y-"" INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to Coun:j Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented t8 off..::als for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS �y 7 County Center Drive - Oroville, California 95965 Q(/ Telephone: 5,� 454itj 77 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 0Date 7 ?/ Signature of Permitee or Agent Receipt No. 1(-/9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 Date Building permit expires Date BUILDING Owner IC L J C e SQ. FT. OCC. BUILDING VALUATION p, Mailing Address S �( L 7 ` Z . elephone No. Fireplace Contractor Total Valuation 2 - Mai Mai I i ng Address Permit Fee 106- P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ O Building Address C/20 Piz/ 124' 0 U ' r�. PLUMBING No. @ t FEE PERMIT FILING FEE $3.00 (� + 1V t,o S P 4GW Ce_ryN P_-%6/, -` inti 1 Each Trap 1.50 ! ' S ��i fD W n Repair drainage or vent piping 1.50 Water piping 1.50 yam_ Tfih' ' Each gas water heater or vent 1.50 A. P. No. 4 J 3 Zoning Gas piping system 1 - 5 outlets 1.50 .Each additional outlet .30 .F Sanitatio Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plons Recd Parcel pproval Plans Approval Permit Fee $ -- $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - V OR L Main service 100 AMP ORSLESS 5.00 Main service EA, ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ ER 600V Main service OOAMP OR LESS 25.0 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING 2¢sgft 3 OR ACDNS. (ACCLBLDG � UL NEW CONSTR. MTI.OU L T NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8& NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@SC 100 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ — s-7 "- 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 4 PJ o �l• f� TOTALPERMIT FEE ZS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 0Date 7 ?/ Signature of Permitee or Agent Receipt No. 1(-/9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 Date Building permit expires Date Permit #812-76E '- Dick' Jack Nls Nmshevr Cemetery Nimshew A.P. 64-63-3' -( Temp . ser:.. for - lot maintenance) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephfne' 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 "- Date r Bui-Ming permit expires Date =� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address , Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees" Wim. Sanrta4ron Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'da Parcel Approval Plans Approval Permit Fee $ NEW -]ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 00V OR Main service j00 AMP ORSLESS 5.00 ' .. Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service �VER 600V 00 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 21tsq ft NEW CONSTMULTI-OUTLET NON-RESID R (BRANCH CIRCUITS) 2.50ea NEW CONST'R. (POWER APPARATUS NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 25� BALD Ex. Occu ( FIXED APPLNS, OR P•OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ < $ L._w WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. (' 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 "- Date r Bui-Ming permit expires Date =� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — oroville, California 95965 Tel ept!gn-e!- 5T4-4541 APPLICATION AND PERMIT auuwiicc rep esentaU ves of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date J, .Z?-^ Signature off fPermitee or Agent eceipt No. % / 2 7o L� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions Iof the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D CTOR OF PUBLIC WORKS 1 By Date .2 I permit expires Date BUILDING Owner q C -.� lC . l �- G SQ. FT. OCC. BUILDING VALUATION Mailing Address /Ls4i�l,S Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 7- e •2 L Each Trap 1.50 �msN�i.`1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -- 3 — Zoning a Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F &men Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPplan rkins Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V �+ Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Q OVER Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. & OR ADONS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2. 0ea NEW CONSTR. POWER APPARATUS & / NON.RESID. (SINGLE OUTLET CIR. /4 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: BAL@25101 Ex. Occup(OUTLETS OR FIXTURES)@ 04 Ex. Occu {�.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 O — Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ i WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �4( 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ — auuwiicc rep esentaU ves of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date J, .Z?-^ Signature off fPermitee or Agent eceipt No. % / 2 7o L� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions Iof the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D CTOR OF PUBLIC WORKS 1 By Date .2 I permit expires Date vUUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Callf9inla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER ZONING'64-63-39 ARMH3 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Magalia 95994 CONTRACT OR's NAM nwner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ i0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR Eu -,INEEP, LICEPiSE No. Plan Checking Fee $ 87.50 Energy Plan hecking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty N$ BUILDING ADDRESS Permit fee $ 987-90 PL NG PERMIT Filing Fee 10.00 Eachap 3 2.00 .00 Sol o at pump water heater 20.00 LOT NO.SUBDIVISION NAME PARC EIS MAP to iping 5.00/ Ea h qas water heater or vent 5.00 USE OF STRUCTURE SF RJ Duplex❑ Mobilehome❑ Other arm; SPECT 7,Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I GJWJ 10.00ea TYPE OF WORK New ❑ Addition ffK Remodel ❑ Utilities ❑ Installation❑ 0th r ❑ Describe work: bed, bath, hallway _ Permit Fee $21.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE AW I decl a under penalty of perjury (check o ): I I am licensed under provisions ofl hapt. , D v. of the Business and Professions Coe and my licen a is in force and effec License No. Cil SSI cat, n, _(Z ❑ 1, as the owner, or my employees Ith as their sole "pen- sation, will do the work,and the st ucture is not intended of offered for sale. (Sec. 7044) El I, as the owner, am exclusively co tracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELT I�ocCUP.N) OR ADDNS. \ ACC. S. yZQsgft 12.40 NEW. CONSTR ULTI.OUT,LET NONRESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES BALI 20@30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 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 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju gm s,zosts, and expenses which may in any way accrue against sai in c asequence of the granting of this permit. X ^�•7�� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL EE 330.90 HAz. can PARK sc F c PAR PD ) jiD. ISSUE This permit is hereby issued unser 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 Receipt No. 93668/330.90 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y 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. 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 ma" labor a d materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 44p� 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 1 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 /-7-1 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 - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 • PERMIT APPLICATION DATA SHEET --�— Permit No. OWNER [D/IN ^ A. P. No. Proposed Bu Iding Use Q � t��d Building Inspector Date 5_ 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. Hazardous Material Form ................................... ":.... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid �iaAl2 sem-- School District fees paid..............`fes 9:5- Sanitation approval from 651 ma?_ Health Department City of Chico 16. plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue theermit, process as follows: Mail owner. _Telephone � 7� and hold for pickup at % fierce. Mail to contractor. Deliver w/inspector. Other Al ApplicantQ –�+ Date '" 1 / — / / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. �o o /Y� STrt/ O�sWS 2. Additional items required: /Ise ,: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date - Contractor, designer, owner, was advised of above required data by—phone—mail_ ounter by date. s checked by k]ate fans approved by Date Sets of plans on hold inl� File cabinet '_�AP'folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,Calltori la 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIN ,C ' a BUILDING PERMIT - OWNER^o A' fj 'V l/4 TELEPH N9 �d SO. FT. OCC. BUILDINGyVALUATION C lb OWNER'S MAILING A.DDR E3$15K ��� I r�./� . '061(�( MAr 5 -/ CONTRACTOR'S NAMOw ��^ �GJ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER _ UNKNOWN Total Valuation Is Filing Fee $ 0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN .WEEP. LICENSE NO. Plan Che, -king Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 58 2 Permit fee $ �i'''] PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 .06 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 S. O� Each pas water heater or vent 5.00 USE OF STRUCTUREI SF/� Duplex❑ Mobilehome❑ Other � u I�fVJ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ AdditionA., R model ❑ Utilities �lnstallation❑ Other ❑ Describe work: //f//f����--pe rLl//�/ Permit Fee $ 1101j 0 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service s100oovAMP oR OR LESSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.R 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 comperi- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o P e OR ADONS. ACC. BLDGs. hdsgft _l g_ LJ NEW CONSTR. RANCH CIRCUITS) ESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (POWER OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 2AL 50t eALeao Ex. Occup. OUTLETS FIXED ( R RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 22. WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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 forthwith6comply 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 Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ i An OSHA permit is required for excavati s over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE �5Dt lO TOTAL FEE �^ HAZ. CUA PARK SGML FAD coF PAR PD I HD. ISSUE This permit is hereby issued unser 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 Receipt No. f -:31-3Q' �� WHITE-D.P.W.. YELLOW-ASeESSaR. PINK -INSPECTOR. GOLDENROD -APPLICANT Certificate of Compliance: Residential Climate Zone 11 eTo jest Title a lBuilding Permit N / r roject Address . ',s - G �J Checked By / Date uocumentatlon Author Telephone Enforoanent Agency Use Only 3UI1LDING DATA shit -hut n Glass Area % Glass 'l onditioned Floor Area Number of Stories North East r 7 Slab/Raised Floor Number of .Units South t , urSingle Family Detached (SFD) [ ] Addition Alone West 7 ] Single Family Attached (SFA) [ ] Existing Building Skylight (inches) Location/Description (kitchen, bath etc.) ] Multi -Family (MF) [ ] Existing -Plus -Addition Total .VAC SYSTEMS Minimum 3.1JILDING SHELL INSULATION ype (furnace, air Efficiency oditioner, heat um) (SE, SEER,HSPF)• Location (attic. etc.) :;omponent Insulation Location/Comments Output Manufacturer / Model # tui or approved equal) - R.. r69 ;( Jc ✓ , 1C!'T R -Value attic, to guagN ical, etc.) Nall .............. / gall .............. soof ............. :icor............. -loor............. iiab Edge..... !LAZING Shading Devices ilazing Area Glass Type Interior Exterior Overhang Framing Type rrientntinn foil -... . _ . _ north ( ) 3;Z J> shit -hut n 4Orth .aSt ( ) d :ast ( ) ouch ( ) ouch Vest ( ) Test ( ) kylight....... t , NERMAL MASS ype/Covering Area Thickness isb/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath etc.) .VAC SYSTEMS Minimum Duct ype (furnace, air Efficiency oditioner, heat um) (SE, SEER,HSPF)• Location (attic. etc.) Duct R-Vaall/wwu//e Output Manufacturer / Model # tui or approved equal) - R.. r69 ;( Jc ✓ , 1C!'T - faximum Fumace Heating Output: - .OT WATER SYSTEMS ,rte ystem Type (storage ¢as. eta.) Canacil tGT Btuh Manufacturer/Model # PECIAL FEATURES/REMARK Add ex . S ( tea sheets if necessary) .A.I r Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards motg contain these mtastrea regardless of the Compliance approach used. Items marked with an asterisk M may be superseded by more stringent compliance roquuements luted on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the [Mures noted shad be considered by all panics as binding minimum coihponcnt performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. 1 DESCRIPTION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled Ry Value. §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). 62-5352(k).- Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pemVinch. §2-5311: Insulation specified or installed meets California Energy Commission (CEQ quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltnuion/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed 10 limit air leakage. b. Doors and windows certified. c. Doors and windows weathersuipped; a0 joints and penetrations caulked and staled 42.5352(c): Special infiltration barrier installed to comply with 42-5351 meets CEC quality standards 12-5352(d): lastallation of Froplaces I. Masonry and factory -built fireplaces have: a. Tight fatting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 42-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 42-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 42-5314(c): Gas-fired span heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters. showerteads 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 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. . §2.5318(d): Swimming Pool Heating I. System has: a. Ort/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and baQuooms. §2.5314(c): Gas (seed appliances equipped with intermittent ignition devices. 42.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, ChapterZ Subcdupter4, 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 Name rkwum Address. Telephone Lic. 0: (signature) . (date) Documentation Author Name: Tttk/Ftmt: Address: Building Owner Name: T stk/Fum: Address: Telephone (signature) (date) Enforcement Agency Name: Agenry: Tekphonc , 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories ' R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 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 2. Wall Insulation 3. Raised Floor Insulation t Insulation in Floor Single- Single - -46 R -value 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 -6 -3 -2 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 3. Raised Floor Insulation t Insulation in Floor U -value -- 0.60 -144 Number of stories -46 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 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 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -14 -48 Number of stories -64 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 40 -90 37 Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 -4 3 .1 0.80 -1 -1 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) Specification Points sterhtlerd 0 6. Glass Heat lass Total -14 -48 -69 -64 U -value East Percent West Skylight .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 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 -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 1 6 10 14 17 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 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective -14 -48 -69 -64 %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 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 8 lB. Shading (Shade Closed) ElTective Percent Glass (percent glass x SC) %Gctive lass Norio Esq Sank West &Ykht 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 8 3.0 9. Interior Thermal Mass Interior Single- . Slab Floor Sum of 1.6 Raised Floor Mass Family Stories Mass Detached Stories Family /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 2.0 -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 - Sum of 1.6 Wall Family Family Mule Mass Detached Attached Family 0.00 0.20 0 3 0 2 0 1 0.40 0.60 5 8 4 6 3 4 0.80 1.00 10 13 8 10 5 7 1.20 1.40 13 12 12 13 8 9 1.60 1.80 10 10 13 12 11 12 200 10 11 _ 13 11. Heating System SE or ASPF (assume: ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 -25 or -2410 -14 to -4 b Sum of 1.6 16 or SEER less .15 •6 .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 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 12 9 Effective SE or HSPF -1 -1 Effective SEER (SE or HSPF x duct efficiency) Effective .25 or -24 to -14 In 1 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 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 Zonal Control Adjustment i 10 8 7 6 4 3 No Cooling System Installed I Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -2410 -14 to -4 b +6 to 16 or SEER less .15 •6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 •3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 .3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 '- 12.0 15 13 11 9 7 5 _13.0 20 17 14 12 9 6 -1 -1 Effective SEER 0 HWR (SEER xdud of liciency) -9 -7 -6 Sum of 7-10 WSB 45 Effective -25 or -24 to -14b -4b +6 b 16 or SEER fess -15 -6 +5 +15 more 5.0 -30 -25 -21 -17 -13 .9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 f 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment i 10 8 7 6 4 3 No Cooling System Installed I Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration Measures �� or Unit Size (sQ R -value [381 ��1 or Water R -value (11] I Ci• or 1199 12M 1700 2200 2700 Heater Credit or • In to to or Type Type less_ _1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB 45 -16 -12 -10 -8 POU -18 _-12 -9 .-7. -6 IG None -5 -3 -2 -2 -2 25% Solar 7 5 -4 3 2 60% POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 0.8 Solar 8 5 4 3 3 23 POU -10 -0 -5 -4 -3 3.8 Multi -Family (individual units) 4.2 4.4 -4.6 4.8 Unit Size (s 53 1011. Water 0.4 699 700 1200 1700 2200 Heater Credit or b to b or Type Type less 1199 16% 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.5 WSB 9 4 3 2 2 5 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 24 Solar 2 1 1 •, 0 0 3.9 HWR -23 -12 -8 -6 '-5 5.3 WSB -25 -13 -8 -6 -5 1.3 _FOU. _23 12 B -0 .5 IG None -8 -4 -3 .2 f - Solar 6 3 2 1 .• 10 _ POU 1 _0 - . 0 0 0_ E None 30 -15 _ -10 -8 -6 27 Solar 18 9 6 4 4 42 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration Measures �� or R -value [381 ��1 or U -value [0.030] R -value (11] I Ci• or U -value [0.098] R -value 1191 U -value [0.037] or R -value 101 Interior Mass/CFA tt.i•ou -4.21 t TYPE 1 MASS W114C + 4.2, ie: e■ osed el b) �- (e.,Wt.d .t.b) - --- 0% 5% 101/. 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 654. 70% 75% 80% 857. 90% 95% 100% 105% 110Y. 115% 120% 125• 011. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 -4.6 4.8 5 53 1011. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 12 21 23 25 21 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 507. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.5 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 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 28 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 Al 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 9.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.1 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 85% 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 4.6 S 52 54 5.6 5.9 6.1 63 6S 67 907: 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.8 3.8 4.1 4.3 4.S 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 1001/. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.6 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 68 7 110Y. 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 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 9.8 9.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration Measures �� or R -value [381 ��1 or U -value [0.030] R -value (11] I Ci• or U -value [0.098] R -value 1191 U -value [0.037] or R -value 101 F2 factor 10.771 6. Glass Heat Loss_ a 0 Type [double] U -value [0.65] % Total Glass [ 161 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 % Glass SC Efff. .[.!% Glass X• 7 = _ 1__2� 3. x = ,2-9 �• % X= X IF- = %g GI SC - Eff. % glass j 42a Z 46 . - X 4• _ ;- X D X TYPE 1 MASS AREA InteriorN'us/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA _ $ CfJ Exterior Wall Mass ND. FLUOAREA i�Q �17tQ 11. Heating ys em - IN x . - - Zonal Control? ( YY ) SE or HSPF Duct Efficiency [0.78] Effective SE �o, ���s�e'll W" 'A/�(0-72/6.61 - HSPF 10.5615. I�J 12. Cooli S X •4 - . Zonal Control? ( Y / N) S [0.51 Duct Efficiency (0.74] Effective SEER [7.03] Point Scores 0 � ♦rj Sum 1.6 r 13. Water Heating [ _Credit [none] -� Point Total