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GRIMES,, i h ),Pd -
6479
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COMPACTIONTEST REQ_.,
' SUPPORT STRUCT REQ
I 65-19-93 e 2747-91B,P,E,M
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L GRIMES, 'Richard
6479 Ta nesaDr,^Magalia
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I '91-4292
�-065-19-0-093b,.z-
GR I MES ;'•"'R I CHARD
UNKNOWN
6479 .TAL'L�,,',P.I NES,. MAGAL I A
MH ON PERM"FNDN+• a'
94�=1064B,E: `
` 065-190"093
GRIMES ,`<RICHARD
rMAGAL`IA z
v 6479 ALL PINES;. r.,`
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CONT:
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RESIDENTIAL
1 065-190-093 94-1064B,E
i GRIMES, RICHARD
6479 TALL PINES, MAGALIA
CONT: BRUCE JONES _
NEW PRI DET GARAGE 12 J--
11 01- 'l W ob / t' 1 o 4,
JOB FINALED (Date)
Signature �./L-
V=OK
O = Not OK -
-=Not 8ble
ReadyMOBILE HOMES=
' =Not Ready ,
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
- 1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)'
5.. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete '
6: Gas; Location -Teat -Wrap:./ /"L"ft:
/ /"Net. or/ P'L"ft./ /"LPG
7. Well Clearance S Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2 Footings; Slze-Spacing-Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Teat -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
w
I
e�_N MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS.10ARAGES, ?Rlans)OK except #'a
,117Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. ports; ndows-Doors
I ctr'
Ns-Anchors-Studs-Rftrs-Trusses
vv
Siding; Nailing -Veneer -Stucco -Mesh
1 oof; Shthg-Roofing
. Ext.; Steps -Doors -Lendings
Date/Initials POOLS (Plans) OK except #'a
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
I
..
r
V=OK
O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plana) OK except #'a
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-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'a
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/initials ELECTRICAL (Permit) OK except #'a
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/Mach. 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 / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes O No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except tra
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/Initials FRAMING (Plana) OK except M'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 (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. ties-Purlin-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
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-Skylighte-Plastic
58. Shear Walls; Nailing -Bolts
59. Insu lation-Walls-Celli ngs
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'a
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. 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 -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Ineulation-Foam-Looked in Attic O Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive O Yes O No; Walks 13 Yes 17 No;
-Planters Cl Yes O 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
Corrmmanta at Final:
vk COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville,.California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPOCATION AND PERMIT 9q- /O(oS,l
ASSEsso OJ 1T TT -093
ff-N l
BU G PERMIT
OWNER RICHARD GRIMES
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
273 Kuwait Way, CA 94553
CONTRACTOR'S NAME
Er lopes
TELEPHONE
272-3754
-lice
CONTRAg9R 9AAIROG S ORE
LL}E L} Cj ane, Paradise
Fireplace
CONSTRI(GT-ION LENDER
1V�
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 144 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 9360
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6479 Tall Pines, Ma alfa
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
463
SUBDIVISION'S NAME
Fir Haven
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other garage
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
X}(
New IgQX Addition ❑ Remodel El Utilities ❑ Installation C3 Other Z]
Describe Work: New detached garage
PERMIT FEE $
Contractor
ELECTRICAL PERMITg
Filin Fee 20.00
Main Service ( 6001 OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW OR ADONST. ( D BEACCGBLDS. I 3.50 F . 25.2C
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
'1* 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
T ode an m license is in full force and effect.
Professions C, Y
License No. (Q 1 3 U g Classification �ti
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON.RESID. ( BRANCH CIRCUITS ) @7.50
( POW ERAPPARATUS )
& SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES 20 @ 1.00
p• ( I BAL. .50
Ex. Occup. FIXED fRESI . OR
p' (OUTLETS flESID.I EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
`fol I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $ 45.20
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
n consequence of the granting of this permit.
�I Date J _I lq
Signature of Applicant - ❑ bw er 12- Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
p�
(r \
T' TrPE
TOTAL FEE $ 302.80
MAZ. D. FEES
'
IMP
FLO�
.COF
V
PAflC�L Po
(/
HD
ISSUE
V
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 UBLIC WORKS
BY D to 2�
q
1K2-
PERMIT EXPIRES ON `T /
(De rel
153887
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE ' �1
DEPARTMENT OF PUBLIC WORKS.
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 4
747 Elliott Road, Paradise, CA - (916) 872-63b7
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Inspector OA)J,,A
REV 11/91
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N? 19058
'f"HE7 a,fNOEnSIGNED �,r9r^,i�3Raf'.^,s:=f!,rFit�:f� 1"ryiIf:BY C4E,`,T i•li'it_;i4 thrti Rho' tim-CCt.tral ,,cod I:ts'1'.)du s
is antif);Rd below and markt_' v.,Wt n collr:c dye marl: of ita9394:dr,,trn I'Vood SyAqms (AM) werc) man-
ufactr.ared in accordance with that specifications indioatted b-slovit.
EXANSI Standard for structural Glued Laminated `C•imber
❑ R Rruce' Jones -----
6479 Tall Pines
3 1/8 X 13 1/2
J.or Name PGL BUG Pct�MUES
SACPAAM10 Cis - -
Cu9tamrr•s Order P;a. _ "�'�� —3J F3 f� Qstq _ Mfgr's Ord No. 7997
F rl, ,C71:l' 110A:Lre-ID END .a'4r MI -11
Signmura — (L<
C,'ompany Sf`Fllt!(�FIS! Q. OREGON Date
IT !97 t'tEtRf3Y CEf itr{t*D toal t?t-� :,te tj(:lrai I itlued Ilrninmed •;iznbar production .-i the F:bove-named
tltaw.;fact Luer which catrrns a 11-mrk of Amorican Wcofil Systems (AWS) is SLII')jnrt W regular
audit by American Wood Sy tem -is, t►r..h s.t�ciit col•Isisti[ig of the inspection with re:=sonable frequency
of the manufacturing promF ,, l"Jil.tl cieclr r�tt t Sampling to verify tine duality of giul�zrn csartatrr_�t tiorZ and
the adequacy of gibe bond.
1A 'IWO
Its 2.
`
t51 s a i ,, It4icVlaol t'i. C� �Ilora•�
E:xeculive Mice Presildent
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILtE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATASHE6 V
OWNER 12 1 12 I f-)) (��� ~ A. P. No. c/ 0 • 0 �J
Proposed Building Use % s c ,14 4\_C'A (1 A G !� Building Inspector < Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
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 . .............................................
a 6. Energy Design Compliance and supporting documentation. ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .................... .
11. Impact fees as shown on attached schedule. .
California Department of Forestry plan approvalfees.
13. Flood elevation letter (100 year flood) by Californ sneer. .._
N14. Sanitation and plot plan approval t q 2A i1,Sf Health Department . .............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for required. .. o Build 9 �sP�o�-
(Date)
21. Contractor's license information. (No., Name Style, Classification) . ............. .
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ......
27. Letter of intent on building use . ...................... ................... .
28. Mobilehome utility clearance . ..........................................
.............
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation /
Acreage AppICin t �- - Date YI 3(G y
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).
�. Index permiffor above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Plans checked by Date Plans approved by
Sets of plans on hold in File cabinet AP folder - 1
Copy - Department of Public Works
Counter by _ Date
Counter by _ Date
Date
_ 1:.11.1ISE (INL'
Plot Plan Auothcd — C
Flour 1'I:m Attnchrd s
Scot to B.U. 7 Z6 . ,/_
t? ff
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
?4,[Qa
Owner Location
Plan Approved for: Sewage Disposal J Fater Supply: Public ✓
Clearance for ,-- bedroom mobile home. Other 02 q� P< 30, Ceieeff
b,"5- - 17 - 93
AP//
Private Well
.C1.0 _ sL1,
Hold ficial for:
Final clearance O.K. for:.
NOTE:
Environmental (He+ Specij list
8/92
• `O
Date
RESIDENTIAh"PLAN 0CHECKING GUIDE 8/91
(S.F.,` DUPWX & MISC. ONLY)
Bldg. Permit # 94-- `oo-ey,
OWNER � CNA�R-D 1 Nl �S A.P. # QV'5 - /9 D - (793
Plan Checker Nl Vj
GENERAL
!Y Zoning requirements: (sideyards and number of permitted living units). S�
Valuation.
,,-plans signed by designer.
4/. Proper description of work on application.
fisting violations on property.
. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
7 ---Recorded notice of violation.
PLOT PLAN
1. Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
4. Grading, fills, drainage.
1- Flood hazard.
fa� Special conditions on creation map,
ustible, and foundations).
GHJ & FAS road setback.
n a}-- 4-0 ecrJf_
S iusk s AAA
(noise, CDF, fire sprinklers, non-comb-
-9,--B-trilding or utilities across lot lines (Record form).
FLOOR PLAN
Y. Complete to scale plan with dimensions.
-4T---Req-aired windows for light and ventilation (Sec. 1205).
13—Ruired windows for second exit'(Sec. 1204). _h
Tights (Chapter 34 & Sec. 5207')':''
D1-.--Ilaraan impact glass (Sec. 5406).
f Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacle
tenance of mechanical equipment.
Q� ions of water heater, heating and cooling equipment, other
or gas equipment.
iv1� Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f). Zy
P2-.--ft-replace and wood stove location, alcoves, and clearance.
detectors (Sec. 1210).
y h: P3-embing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
s for main -
electrical
Il--�Standard bracing or engineered design (Table 25V)
27—U sual shape, size, or split level house requiring lateral design.
.3 --- ^clerestory requiring balloon framing and/or engineering.
h— T-�rree story building requiring engineered calculations and plans.
b� Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
W Elevations and wall construction details complete enough to.construct
&"--Roof construction details complete enough to construct building.
ce construction details and calcs if necessary.
. Rafter ties or bearing ridge beam.
1;K Garage door or porch header sizes.
Jam. Stud heights.
1e Adobe soils - special foundation design.
l*-.-Pte-dining walls requiring design.
1 ec'al Inspection required.
building
8/91
RESIDENTIAL PLAN CHECKING -GUIDE
MISCELLANEOUS ITEMS TO•LOOK OUT FOR
1-. k- ixida4 details: Landings, rise and run, head clearance,
handrails
(Sec. 3306).
-2-. --6aaH rail details (Sec. 1711 & 3306(j).
-3---*.stone veneer (Chapter 30).
for plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
'r7.--F6dm~insulation - protection.
lls and stairways.
-}.— Living area over garage - complete 1 -hour separation
required on garage side
including supporting walls and posts, etc.
,1 �xits on three-story dwellings (sec. 3303 & see
Mezannines - 1716).
Attic access and ventilation (Sec. 3205).
4-2_�rf loor access and ventilati,on (Sec. 2516) .
3---6e�bustion air for fuel burning appliances - L.P.G.
requirements.
�s`e requirements on duplexes.
ergy design.
L F -lashing at all exterior openings.
lw CDF responsible area requirements.
V*-
I
lEmm" MQUEM Idlt
AND WHEN RECORDED MAIL TO:
tl�
DEPT OF PUBLIC WORKS
STKS 7 COUNTY CENTER DRIVE
ADDEM OROVILLE, CA 95965
cm.
STATE.
,ea a
92-169.tl
92-0169171'
G-0169171 Total 00
I
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
1:32pm 20 -Apr -92 I COMS XX 1
SPACE ABOVE THS LRE FOR RECORDER USE
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
r
Recording of this document at the request of the locai agency indicated is in accordance with California Heoltl,. and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Ifni t descr ibed
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
RICHARD W. & BEVERLY M. GRIMES
REAL PROPERTY OWNER/LESSOR
273 KUWAIT WAY
MAILING ADDRESS
PACHECO, CONTRA COSTA, CA 945.53
CITY COUNTY STATE ZIP
6479 TALL PINES DRIVE
INSTALLATION MAILING ADDRESS, IF DIFFERENT
MAGALIA, BUTTE, CA 9.5954
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DEPARTMENT
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
91-42-92 916 .538-7541
6UILDI � 7 TELEPHONE NUMBER
4/16/92
SI NATURE OF LOCAL AGENCY OFFICIAL DATE
K.C. HOMES SALES
DEALER NAME (If not a dealer sale, write "NONE")
HCD#92478
DEALER LICENSE NO.
GOLDENWEST 12/24/91 GOLDEN VILLA-GV60/MS-1
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
GV9287 A&B 60' X 25'4" RAD61941.5/16
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
A.P. #065-19-0-093
FIR HAVEN SUBDIVISION - THE SOUTH HALF OF LOT 463, WHICH MAP WAS FILED IN THE nFFTf'.F.
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 19, 1955* TN
BOOK 21 OF MAPS, AT PAGES 31, 32, 33. 34, AND 3.5.
HCD FORM 433(A) 4/86
END OF DOCUMENT
NT OF hC
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c'o
y~VNITR
MD U ap
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01
O
RESIDENTIAL
065-19-0-093 91-4292
GRIMES, RICHARD
j CONTR: UNKNOWN I
6479 TALL PINES, MAGALIA
MH ON PERM FNDN
b 193
t
DETACH FOR SERVING UTILITY
e Address
GAS t/
Meter By Date -7/1'-/Z
ELECTRIC
Meter By Date
4
GAS
Meter By
a, ELECTRIC
Meter By - Date•
541" q1
1 116
714
i
JOB FINALE
Signature
OWNER
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 ,
7 County Center.Drive, OroviIle— Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307 ^-
CORRECTION NOTICE
1/f 2
ERMI T NO. y
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.
mid✓� �G { ��.r, Sy ��s !�� E
A// r,
Date �� ��� Inspector �'�
J=OK
O = Not OK
Not Applic
Nat Ready&e MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except It'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/
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOB!E HOME INSTALLATION Plans OK except N's
Z ing Requirements -Setbacks Easements
21"Footings; Size -Spacing -Marriage Line
3. Ga • MH Test -Demand- alve-Connector
lectricity; MH Te rosso s -Breakers -Clearances
5,61rain; MH Test -Fall -Flex Connector
6.ft l er H Test -Regulator -Connector
7. ater and Sewer onnected-C/O to Grade -HD Approval
8. Gas and Electr rty Tagged
Fxiir Mtn -Sketch
yam; 0 CSerI t'7eF,ii1.sirrl'•
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except N'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- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmq; 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 tf's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. -Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Liqhtinq; 15 volts-GFI
fdp 6. Elec ;Enclosures; Conduit Entries -Terminals -Listed
__ -- .. _.. __ --_ __. _._._- i �. Elc:, �G^rs1R:i. PC'�t•: 'r' Fn. n-Hwitnr
C c .dtrr J E(7uip -enol ifsitc9
3 t3 s frclo r re, F. re1b0ardS n to "ot -,r, ,n [ Lnd ti
Da: % gy r: s o B- r CJI'✓ Dat,: Car i F-1 _ - - - ----- --
0
`. H �h U..f_ pn _ m l;A pro_v_3;
_
(,u b. C'r 1"CS!-Wate. Supply TFst__�.
k
Daip ._ Card B-1 - - - -�Datc Card P.-1
Card B- , Date - - __..Card 8 -1 -
lN oRf-FI
Gas
lN oRf-FI
J=OK
O = Not OK
= Not Applicable --
Not Ready RESIDENTIAL (;
' =� #
Date' UN ERFLOOR (Plans) OK except ft's
oning-Setbacks-Easemen S Flood -Slope
Ftg., Main; Soils-Elec. Grr&/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Xg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. lab; Steel -Wrapped
Or 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
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
- I
16. Insulation
Date l # SL Card B-1 i. 5,1 Date Card B-1
Date Card B-1 Date Card B-1 ;
Date PLUMBING (Permit),OK except ti'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
------- ------- --- ----------------
- Shower Pan; Test. First Floor -Tub Access - --
20. Test Tub & Shower. Second Floor- Tub Access'
------ ----_--------- -----------------
21. Gas Pipe; Siie & Anchors
Date --------Card B 1-------- - Date -----------Card 8-1----
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection t
-------------------- -----------------------------------------
-- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24.,,Size Boxes & No_ of Conductors -Stapled ""I
25:1Romex Installed Close to Edge of Studs & C'J;_,
-----------------------------------------------------`-=----=-- -"
26. Equip. Ground made up w/Meth. 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 ! ! 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 Panel s_Motors_Mech_ Equip_
------------- --------
32. 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 ti's
34. A.C. Ducts Insulation & Support
35. Vent Fan: Exhaust above insulation
----------------------------------------
36.
-------------------------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 -
n------------ ----------------------- -------- ------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
i
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
YO=V
Jingle & Duplex).,
Date FRAMING (Continued), . L,
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
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, 1.1P r,
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 ft's'
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents-Clearance-C6inb."Air`C6ri6edl6'r'
---------_ in Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
-----------------
65.-G F.I & Bath Fixtures & Tub Acgess-Spa r
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 -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 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-Cther Certificates
- - - ----
------- ------------------------------- -- -
Date Card B-1 Date Card B-1
----------------------------------------- --- --
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orowllle, Callfornle 96985 :Telephone: 918/538.7541
APPLICATION AND PERMIT
PERMI NO.
�-�
ASSESSOR 8�_ Ju
Z TY1W
BUILDING PERMIT
OWNER GRIMES, RICHARD 510)
T9'Mr-! 99
SO. FT. OCC. BUILDING VALUATION
1520 R 77,520
OWNER'S MAILING ADDRESS
273 KU['JAIT [JAY PACHECO 94553
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
77,520
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 249.25
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 124.63
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
6479 TALL PINES MAGALIA
Permit fee
$ 388.88
PLUMBING PERMIT
Filing Fee 115.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
52 463
SUBDIVISION NAME
FIR HAVEN
PARCEL MAP
Water piping
1 7.00 7• 00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other MH I PERM FOUND
SPECIFY
Gas pipings stem 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: 9 REIRM
Permit Fee
$ 42.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OOR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
)
F -1I 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
r 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 200ATO1000A)
NEW CONST. / DWELLING OCCUP.q\
OR ADONS. l ACC. BLDGS. II
_37.50
3.6Qsq.ft.
NEW CONSTR. ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS e�
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
Ex. Occup. OUTLETS (RESID.)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 33.50
—
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
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 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
--
$ 15.00
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 Ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agre to save, indemnify and keep harmless the County of Butte against
all liabi ' ' s, ' dg sts, and expenses Which may in any way accrue
again id aunt n equertce f the granting of this perm i .
X l�
Date
ignature of Applicant — Owner V Contractor ❑ Agent ❑
An OSHA permit isrequired for excavations over 5'0" deep a demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 479.3p
Ifez
DFEES
IMP FLOOD
—
CDF
PARCEL
PD D
ISSUE
t/
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
work indicat a ve for which fees have been paid.
I E TOR P IC WORKS
�g
`APER IT EXPIRES ate _Z Date I 2
[1�(
Receipt No. C • 6 3 %7 13 -7 _7 1"?�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSP OR, GOLDENROD-AICANT
T—�F,.Y.. rt. ..,...—'r--•Y4-O+-t, iyc,
4Lt.
COUNTY OF BUTTE - DEPARTM-OF P .WORKS = BU4LDING DIVISION
7 COUNTY CENTER DRIVE - OROCALIFORNIA 95965 - TELEPHONE: 916/538-7541
,y% 'x a
PERMIT APPL'`ATION DATA SHEET
�j Permit No.
OWNER p i Gh//dAd C.R 1 M 'e - S ~ A. P. No. 6-5 V
Proposed Building Use PCA4-i Building Inspector C,S.✓ Date 12- - t6-! I
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 . ..............
Plot plans in duplicate/triplicate, signed by prepare"r of plans ........ 1s.119 I41 iicc�
omplete plans in duplicate/triplicate, signed by preparer. of plans . .
Complete engineered plans and calcs with wet signature on plans . .
Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
9. Engineered truss details and layout in duplicate (required prior to plan check)
obilehome installation data including manufacturer's installation
Instructions.
Fees of $ �T..
11. Chico Urban Area fees paid .......................................
1 Park fees paid
L ����/f Scho9j Dist ict fees paid ..............
" �(21 9Z
Sanitation approval from /A�`s� 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, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
2Owner-Builder Verification (Given to owner o, Mail to owner 0). . .
-`'`Recorded copy of Agricultural Acknowledgment Statement.. .
Letter of signature authorization ................ S. .........., ... .
26. L X rralL o f i.✓ re.yT. o,.i u r o 1, 'l peA/W.- i
27. L xO 3,Y of
W en you issue the.permit, process as follows: Mail to owner. Mail to contractor. _
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant' .Date
Copy of 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 submittedkrjioto permit issua ce: (Circle new item -not checked (
1. Index permit for above items No. bI0 S
2. Additional items required:
�? I z -
Contractor, designer, owne was advised of above required data by _phone�/mail_counter by 12W dateIZ1[23) 9/
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date
Plans checked by I)W Date 2 Plans approved by 014 Date 1/27 1 9Z
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE;- DEPARTMENT CSF PUBLIC WORKS
7 County, Center; Drive.- Orgvllle, Cellfornia 95965,'. Telephone: 916:538-7541
APPLICATION, AND PERMIT. .
PERMIT.NO.. ' `
ASSESSOR PARCEL NUMBER
6S 19 9 ; -=
ZONING.
i u411W
,
j BUILDING PERMIT
OWNER '-
R 1 cim n�>ES - J �rJ'�
TELEPHONE
61bq -
SO,��FT^. OCC. BUILDING VALUATION
OWNER'S MAI LI G ADDRESS - 4XC e -
2.7 , �( W 4 7� -we gyss3
/J Gv / /
,J 'z.0
CONTRACTOR'S NAME - ---_=HONE
i � itn/O�l/V
CONTRACTOR'S MAILING ADDRESS - - -- - -
1
Fireplace
CONSTRUCTION LENDER
UNKNOWN'
Total Valuation I $ '%
2 O
LENDER'S MAILING ADDRESS - - ---- - - e
Filing Fee
Permit Fee 91 1
$ 15.00
$ 2 9
ARCHITECT OR ENGINEER - - - --- -
LICENSE NO.,• -S--
PIan*Checking Fee y5 �
$
V Zt�_�
ARCHITECT- OR ENGINEER'S MAILING_ ADDRESS_ - - - - --
Energy Plan Checking Fee
$
Penalty
$ ;
BUILDING ADDRESS T
Permit fee
$ 343 g
6y ....
PLUMBING PERMIT
Filing Fee 15.00
Each. Trap
5.00
Solar or-heat'pump water heater
.20.00
LOT NO. -
Sk / 63
SUBDIVISION NAME - -' - - - -- _
�I � 1"'% �� �
PARCEL MAP
Water piping • ... _ .
7:00
Each q9s= water heater. or,yent
7.00
"USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome0 _ the �/X .de,</k-.1G,),4 ,rr
SPECIFY —
Gas piping system 1 - 5 outlets
5.00 5
Building sewer _ _
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel El Utilities❑ Installation❑ Other ❑
Describe work: �/� _
Permit Fee
$ Z -
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 500V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000AI
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 BUslnesS
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
r 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 ADDNS. ACC. SLOGS. //
3.54sq.ft. '
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex.Occu p OUTLETS OR FIXTURES
20 75
FIXED
Ex. Occup. OUTLETS IPR ESID IREA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ J3 53t
Contractor
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
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 yoy become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte'to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabili ' s, judg nt , costs, and expenses which may in any way accrue
again Id unt n' o equenge of the granting of this permi
X Date /
ignature of Applicant — Owner EZ 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ y �y 3�
HAz
11 FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
�^DIRECTOR
Receipt No. - C- / �3 J 3
WIIITE-D.P.W.. YELLOW -ASSESSOR. PINF-IN CTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE. 916-538-7541
RICHARD GRIMES
273 KUWAIT WAY
PACHECO CA 94553
With reference to the above subject:
DATE 1-22-92
RE: MOBILE HOME PERMIT #91-4292
A. P. # 65-19-93 t
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.
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 Co4nty Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded.copy of deed showing
Recorded copy of agricultural acknowledgement statement.
Should you have any questions concerning the above, please contact
of this office.
JFG / a j
Yours very truly,
B. WILDING
William Cheff
Director of Public Works
.F. Glander
ez
Chief Building Inspector
17 'i
TO Buildinc Department O✓ I
FROM: Environmental*Heilth
SUBJECT: Sanitation Clearance E
_ 3
-
Owner Location AP#
Plan Approved for: Sewage Disposal
✓ 'Rater Supply
Hold final for: Water Supply
Final clearance O.R. for:
Water Supply,
f f
Clearance for —2 -bedroom mobile home. Other
NOTE * * *
� �*-Date
Sanitar
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C HOME SALE
1300 EI Camino Ave.
Sacramento, CA 95815
(916) 921-1881 .
rSm so. n� + rnxsr a o�c . rw aern
ENVIRONMENTAL HEALTE
DEC - 2 1991
Paradise, Californias Y5969
. GOLIDEN WEST HOMES®f-
� s 9998 OLD PLACZR LLQ RD.
SACRAMENTO. CA 95827 DRAWING mCDEL NUMBER DATE REVISED PACE SHE: -:7
A setback of 5 ft. from the
-�rorjerty lines and a setback of'
!ko ft. from Irl roaa
c4 a!; be cl!ear of
Dr equ pment. except
C� for 2 ft. eave ovedhan-
IN
L
PACIFIC CONSULTING ENGINEERb
4020 El Camirto Ave. Suite A-2
Sacra/menntto, California 95821
MODEL
RIDGE BEAM SUPPORT VERTICAL LOADS
r e�pEESS10/yq�
O P A
Exp.
OF Cad-����
ROOF L.L. & D.L. = 4ie�) pS.F.
uY=(12.67)(¢0. )=507 P.L.F.
Soil Bearing Pressure 1000 P.S.F.
DATE'
JOB NO. 9/-832
da
N
N
X2.25 -f B.ZSe5�1r. 24 11136)
ID z s 7�
C
5/507
2 74 ,
3 C 95 4 � � "X
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�3 1 / 7 4563
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COUNTY OP BUTTE
BUILDING DEPT
JAN 2 7 1992
,T N t-4 ?-.zrl 0 t4 3 : 5 E- - P. P I G H Y I D E VZ4 S P - 0 1 ='-07-
'h s California 94549
Brig e, a Presse 34 50 Golden Gate Way 6 Uifayelte
Telephone: 415/284-535o FAX 415/284-5357
If%'.Pk. se c
g16
ca aIr"
To:,?
Frotn:
Number of pages, including lhis__..--"-,
e9c
k]he images on facimilc [xipu are temrxit-ary. They WILL FADE. If You need to kjoep this for YOUr rccords. make photocopy.
JAN 27 '92 09 : 47Atri AT&T FAX 9015PF
K.C. NOME BADS s 1" tL CAMINO AVIA. 0 SACRAWPNT0, CALIFOMA 95815
MANUPACTUAVb HOW SALPS 6 LICtNSt NUMBER 91535 telephone 1918} Q-21-1881
FAX TRANSMITTAL
TO:
FROM:
K. C. HUME SALES
1300 Ei Comind Avr .
Soc?dmentbi Ca, 0651
916--Uzi-i�gi
P.1
SHOULD YOU HAVE ANY QUESTIONS¢ PLEASE CALL US AT
( 916) 921-188i OR RESPOND TO OUR VAX # t 916 ? 921-5504.
NUMBER OF PAGES TO POLLOW:--/
THANKS 9!I
7 2 9 — t•1 ID t4 = e _ YR I G H T - IjDEA 1
t1OBII.EA,?iSF� S1iPPafi'1' DATA
P _ 0 — . • 171
n If other than single w ,
Mobilehome Mfr U ' ..furnish Setup Model NoidL. _S_ Years, q11W _
/t
Width (ft.) Box length 0' (.ft.9,-t Tagalong or Fxpando Size____�_J__^ft= x £t•
on all mobilehort?es manufactured after October. 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte)./�fM`/yyJ
0Q11I'GS (check one) 1. Wood pressure treated or foundation grade. F12. Other (fie !�!
SUPPOfi S (check one) 1- Concrete block. 11
2. Other, -(specify)
Pier Footing Sizes and locations
S.I,t;OLE _W1 D1 i�
ie' i
t-cne i _ �.
gain Beats
Mag 3
Mein tsar's
ine
Iog or Triple T T Y
Ij-/// III •— •..•• _--:.�— � -�' - - -- �--� I
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From finds-M4:x........
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Spacl,1g4ax. ... e,
From Enda-MaN, -.s
M
Line I opgn:
` Sizt Min, ------------
Each
----------Each Bide of Openinas
With Width,, Corer ' • .......
®. 1,
j1&RL 3 .Pj.trv- (Gide: Bc3ring wait vn,y)
Sisa-Nin. x n
Spacing-Hax................
Ftoa tndt-Kox............... „
x „
L4catl�oR (Frim Frcnt) ! - - r -
��� Lndar Bearingai c )•)
Sicc•Min............ f Si¢¢ -Min.--......--....... �x
dC tnB•if-0YC. ,^ h SpaC iee'MAx................ e_ n
Froo Fr,31tax...From Ends -Max .....--------- �, w
i�c.cion (Prow Ft Ont)
r
JAN 2 `92 EPS! : 48AI l AT&T FAX ' 1015FF�������
r. r.
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BUTTE COUMY DEPARTMENT OF PUBLIC WORKS
7 County Center.Drive Oroville CA
PHONE: 538--75G1
MOBIXExoM�; IN��AI,i,ATION SKE'T f
l owner's Name:
2. Installex's Name.--��------
3. Is the site currently under permit? Yes El No
(if yes, ffurnish permit number ) OR
Is the site an existing site? Yes Lil No kd-
(if
yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 €t. away from septic tank and leach
fields and clear of all setbacks and easements? Yes 0 .No
(If no, clarif.Y--
s
5. What is the mobilehome electrical rating? ---------- ! C,�Aups
5> What is the mobilehome site service rating? ---- - 200 Amps
7. What is the wobilehome site circuit breaker rating? Amps
8. is there any other -electric load to be served by the
aoobilehowe ,site serViee?-------------------------------- Yes � No L�J
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe sire? --------------(in.)
14 What is the type of gas service? ------------ ---® Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?------------_-----------•----------------a --------------------------------
(It.)
is the mobilehome gas demand? ------ (BTU)
--------------
12. What ,
*(This information not required if pipe length less than b ft. on
natural gas or less than 50 ft. on LPG.)
... .. _, ... ... .. .., ,, . .. ..�. .. .• _. .e . �.......F w. ., ;,.-i,- .. r �S,: .:•l�sti;t'-S. .ki-. :r. i..... n {,'a•, -;.�.i j.l. :. ?�..e ..�. ,a. .. .r.., ... �,.�
V
BUTTE COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
196 MEMORIAL WAY SEWAGE DISPOSAL PERMIT
747 ELLIOTT ROAD 7 COUNTY CENTER DRIVE
CHICO, CALIFORNIA 95926 PARADISE, CALIFORNIA 95969 OROVILLE, CALIFORNIA 95965
Phone: 891.2727 Phone: 872-6308 Phone: 538-7281
Permit Issu
To construc
Located at:
Date Issued
EXPIRES ONE YEAR FROM DATE F ISSUANCE
SEPTIC TANK SYSTEM REQUIREMENTS
Septic Tank
(Inside Measurements) Leaching Field
Length: . . . . ./. . . , ft. Total Length:. .. ft.
Width: I. . . . . ft. Trench width:. �I , inches
Liquid depth: , . . . . . ft. Minimum No. of lines / �. . . .
Liquid capacity: /0.Q0. gals. Rock under tile u, inches
Special conditions:-
Additional leaching field will be required if experience shows it to be necessary. No part of the system may
be located within SO feet of the center line of any County Road.
NOTE: Satisfactory inspection by the Flealth Department is required before backfilling or putting
the system into use. Occupancy of a new building is not permitted until the system is approved.
Permit Fee S An(,., Penalty Fee 8 Total Fee $ C)6 -
Building Sewer Fee 8 Issued -By: jr=L
G p � S itarian
Receipt No.
S31-278 R
v'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
RICHARD GRIMES
273 KUWAIT WAY
PACHEO, CA 94553
With reference to the above subject:
LL Attached is:
Application for permit
Building Plans
Engr. Calca
Owner -Builder Verification Form
OTHER
"[, We need the following information:
DATE 12-23-91
' MOBILE HOME UTILITY PERMIT
JPJ: 91-4292
65-19-93
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
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# need one additional set -wet stamped
X Complete plans aEtdx$&Uz in singular• 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.
x Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
X Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 Co4nty Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded.copy of deed showing
Recorded copy of agricultural acknowledgement statement.
" OTHER 1. Provide marriage line. blocking diagram specific to model #GW 6015-1
2. Provide -second copv of signed. stamped, engineered foundation plan
(wet -stamped and stamped)
3. Paradise school district receipt.
4 HVD form 433-A statement of facts_
5 Check to Dept.. of Hmisi ng $11 _OO p Pr carti nn _-
Should you have any questions concerning the above, please contact B. Wilding
of this office.
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
f COUNTY OF BUTTE - DFPANT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
12ichand Grimes
273 Kuwa.4 wag
each eco , CO- 94553
With reference to the above subject:
DATE 12-, Z319/
RE: rnoloi'je Nbm Uf Ili P,,�(f AppI. X91 4
A. P. # (05- I q- 93
�L Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calca 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 *.Weed omajctcilmna� ��=u,e�-5lwrriped�
s� graQ
_,i,::�--Complete plans andmealos in S(ri�vkCu 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.
__1,::f -Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
1✓ 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.
LL
Should you have any questions concerning the above, please contact Rw. _td�
of this office.
Yours very truly,
JFG/a j
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
fi
I
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM `
(One Form per Building)
A.P. NumberBuilding Department No. �Q
School District /Q/dM X011 L City D County Ef Jurisdiction
Property Owner
Project Location/Address % �i®,rp�,y v
Subdivision �,rt �%,/e n�/ Lot,Number Y-6 ,
Residential Development:
Sq. Footage l �
# of Living, MHI Addition (Group.R)
Units
e i
J
Commercial/Industrial: O Sq. Footage
New Addition (Including Exterior
Roofed Areas),
2 u' -di g Department Representative -� Date
r (Floor Plans reviewed by'School District Personnel)
District%Id No. -ell
School District certifies that
(APplicant Name) (Phone Number)
(Street 'Address)
(City) (State) (Zip Code')
has co plied with the requirements of Resolution No.
by Vhezy,
nt of $ glp/ representing /,�a� square feet.
l�
`School District Representative Date
PAID BY CHECK NO. �!
BANK NO 9n
PAID' BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
0
UTTR
COUNTY NG DEPT
JAN 17 1992
i
l
C.C. HOME SALEb
1300 EI Camino Ave. �..
Sacramento, cCA 95615
(916) 921-1881
t58D SQ. iT. — T7m= wv 307R
t GOLDEN ONES S HOMES
I �0 9998 OLD PLACERVILLE RD.
�� SACRAMENTO. CA 95877
DRAWING MCDE! NUMBER DATE
G,�l ,v1.6=-5
{
52
REVISED PAGE SHEri
0
f
fy1
COUNTY OF 8011'8
BUILDING DEPT
DEC 16 1991
Al
x91-45098
Return to DPW AGRICULTURAL STA ME.`iT OF AC1.01OWLEDGEMNT
FOR RESIDr;MAL DEVELOPMLNT
Section
requires
prior to
26-8.1- of the Butte County Code
this acknowledgement be recorded
issuance of a building permit.
91-043498
The property described herein is adjacent
to land or included within an area zoned Recorded
for agricultural purposes, and residents Official Records
of this property may be subject to incon- County of
veniences or discomfort arising from the Butte
use of agricultural chemicals, including, Candace J. Grubbs
but not limited to herbicides, pesticides, Recorder
and fertilizers; and from the pursuit 2:20pm 25 -Oct -91
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
I
I Rec Fee
I Check
1
I
I
I
I
I
I XX
Iv
5.00
5.00
1
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that real property. situate in the County of Butte, State of California, described as
follows: J�fE ,� 7-1f h, L1= O�GDT �� f �f�oc�/.v0�✓T/fi�T C�I'►'T/�i�//i�/f/�
17��44-5'-Al svIg014113-10AI 14v ICI�f mXr� W19-9/�vT,S�
a�C�cE of Tic'c�rPa ofi T�� �o�� d�,G�TT�- sr,�T�- ter=
f7lrY,Y9�S /ti /300 3
Date.:.
State of On this
SS. under
County o )
PROP!r 0147 r
the/ !�_�day of 19,e2l, before me, the
ned Nota(ry� Publi'c's, /pe sonally appeared �!
`4 Personally known to me. M Proved to me on the basis
of satis-actory evidence.
to be the person(s) whose name(s) 7 4
subscribed to the within instrument and acknowledged that
executed? the same for the purposes therein contained. IN WIT: SS'
WHEREOF, I hereunto set my hand and official seal.
r
Present A.P.X10. ( ,S^ _g�,�
f ND OF DOCUMEwNotary Public
,�;' ;rads.-- ,n�►V«.., .
AM
s�
jEQUE OM M-
e
.r-
AND WHEN RECORDED. MAIL to -
DEPT OF PUBLIC WORKS
amt 7 COUNTY CENTER DRIVE
OROVILLE, CA 95965.
'ATE
m ztr
_.-._.92-016917
------------
Ei!(
GIN � dg
i 0x_:L_:.�.� f ��rdCan' T
I
92-016917
CONS XX 1
ECOM USE ONLY
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Healy- and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
RICHARD W. & BEVERLY M. GRIMES BUTTE COUNTY BUILDING DEPARTMENT
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
273 KUWAIT WAY 7 COUNTY CENTER DRIVE
MAILING ADDRESS MAILING ADDRESS
PACHECO, CONTRA COSTA, CA 94553 OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
6479 TALL PINES DRIVE 91-4Z92 16 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDI PE TELEPHONE NUMBER
MAGALIA, BUTTE, CA 95954 4/16/92
CITY COUNTY STATE ZIP 5 ATURE OF LOCAL AGENCY OFFICIAL DATE
SAME
UNIT OWNER (If also property owner, write "SAME")
MAILING ADDRESS
CITY COUNTY STATE ZIP
K.C. HOMES SALES
DEALER NAME (If not a dealer sale, write "NONE")
HCD#92478
DEALER LICENSE NO.
UNIT DESCRIPTION
GOLDENWEST 12/24/91 GOLDEN VILLA—GV60/MS-1
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
GV9287 A&B 60' X 25'4" RAD619415/16
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-19-0-093
FIR HAVEN SUBDIVISION — THE SOUTH HALF OF LOT 463, WHICH MAP WAS FILED TN TRE QFFTCP_
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. MAY 19. 1955, TN
BOOK 21 OF MAPS, AT PAGES 31, 32, 33, 34, AND 35,
1oEpT Or
• ��� �• HCD FORM 433(A) 4/86 0,
'r
R
R
CT AT CCU .ti, C'
BInIR UI
Address or location of 6479 _TALL PINES DR.., MAGALIA
Real Description of A.T. #065—.19-0
Real Property y
NO. 91-4292
FIR HAVEN SUBDIVISION — THE SOUTH HALF OF LOT 463, WHICH MAP ,%S
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, MAY 19, 1955, IN BOOK 21 OF MAPS AT PAGES 31, 32.
33, 34, AND 3.5.
A EMobilehome/Manufactured Home Commercial Coach has been affixed to t:-=
real property described above by installation on a foundation system pursuant t:
Health and Safety Code Section 18551.
Owner's nonne: RICHARD W. AND BEVERLY M. GRIMES
Owner's address: 273 KUWAIT—WAY,, PAOHEO, CA 94553
INSIGNIA OR HUD NUMBER: RAD619415116 SERIAL NUMBER OR V.I.N. GV9287 A8,13
AACTU R' E .
(OH -90 AoW0—V r...nrk.,
"cc snx nie01
T
YEAR OF MANUFACTURE: 12124/91
4/16/92
@ 7
916) 538-7541
STATE OF CALIFORNIA
DEPARTMENT OF HOUSING AND COMMUNIT`, DEVELOPMENT e �
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF FACTS
This unit -is a:LZ,
Mobilehome ❑ commercial Coach El Floating Home Truck Camper
Decal (License) No.(s)
Trade Name.
Serial No.(s)
I/We, the undersigned, hereby state that the unit described above:.
Affiant further agrees to indemnify and save harmless the Director of Housing and Community
Development, State of California, and subsequent purchasers of said unit, for any loss they
may suffer resulting from registration of the above-described unit in California, or from
issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on /7 . at
(Date) (City) (State)
Sigpattwe of each affiant Printed name of each affiant
Address 3\ 7�C/i•</�i " �.�-j;L%
City �iE'I`�G C State
HCD 476.6 (Rev 11/86)
P�n
January 13, 1992
Butte County Dept. of Public Works
Building Division
7 County Center Drive
Oroville, CA 95965
Gentlemen:
Re: 6479 Tall Pines Road
Magalia, CA 95954
This letter is to advise you that Tehama County
Bank, 2545 Zanella Way, Chico, CA 95928, will
be the lender for the construction of a permanent
foundation at the above -referenced property as
well as for the purchase of a new manufactured
home for Mr. and Mrs. Richard Grimes.
Should you require any additional information,
please call our office.
Sincerely,
/Grace A. Simmons
Loan Representative
COUNTY OF BUTTE
BUILDING DEPT
JAN 17 1992
2545 Zanella Way, Suite E e Chico. CA 95928 • (916) 891-5837 • FAX (916) 891-5036
COMM OFBLrrrE .
WILDING DEPT
Ut+
19 1991
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COUNTY OF BUTT E=,DEPARTMENT OF PUBLIC WORKS PERNo.
�. ::9
7 County Center Drive - Oroville. California 95965 - T.lephone: 916/538-75410��P�
APPLICATION AND PERMIT
A SESSOR PARCEL NUMBER
65-19-93
ZONING
RTIA W
BUILDING PERMIT
OWNER
RICHARD GRIMES
TELEPHONE
68 —6597
SQ. FT. OCC. BUILDING VALUATION
1620 R 82620
OWNER'S MAILING ADDRESS
P.O. BOX 272315 9q5?—J
CONTRACTOR'S NAME
TELEPH:O,NE
/ /j
v
9
A
CONTRACTOR'S MAILING ADDRESS
Fireplace ^—
CONSTRUCTION LEND�777E7����R
pp TI
TRI
UNKNOWN
Total Valuation $
Filing Fee
$ 10.oq
gS
LENDER'S M NG
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1 1.0
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
6479TALL PINES DR MAGALIA
Permit fee
$ JI�.VV
PLUMBING PERMIT Filing Fee 10.00
Each Trap 101
2.00 20.00
Solar or heat pump water heater
20.00
LOT NO./ SUBDIVISION NAME[�
PARCEL MAP
2-7-10
Water piping
5.00 5.00
Ea h qas water heater or vent
USE OF STRUCTURE
SF g Duplex F1 Mob ilehome❑ Other
SPECT
Ga piping system 1 - 5 ets
Bu Iding^sewer
o He oma G W
0. ea
TYPE OF WORK
New R1 Addition ❑ Remodel ❑ Utilities ❑ In to lga ion ❑ Other
Describe work: vvvv
P It Fee
$
Con Tactor '
E E ICAL PE I
Filing Fee 10.00
Mal skry ice i°oo AMP O S
10.00 10.00
M in er ice A, AD L too AMP
2.50
CONTRACTORS LICENS LA
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, D v. of the Bus In SS
and Professions Code and my license Is In f I force and e e
License No. Classification.
❑ 1, as the owner, or my employees with wages as theirs e o pen
sation, will do the work,and the structure is not i teale offered
for sale. (Sec. 7044)
,,, I, as the owner, am exclusively contracting wit ed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Busine s rofessions Co
for this reason
ON s owE NG; CCUP.&
R DNS.` ( AW S. )
, /zQsgft
N CONSTR. U O TLET
NO -RESID BRA H CIRC ITS
1.2.50 ea
/POW APPARATUS e\
(SINGLE UTLET CTR. /
Ex. Occup ETS R FIXTURES
e20 A 030
LNS
Ex. Oc p. F UTLETS P(RESID.)REA.)
2.00
Te or service
10.00
bile Home Facilities
15.00
Ni\Soq. 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 B ngD partment
a Certificate of Workmen's Compensation Insuran a Certificate
Consent to Self -Insure.
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
1 provisions or this permit shall be deemed revoked.
Contractor
'
MECHANICAL PERMIT
FiIingFee 10.00
Heating
6.00
Cooling
g
Hood
3.00 3.00
Ventilation
-
Permit Fee
$ 19.00
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 ofCU
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte againstKHAZ.
liabil' es, judg ents, costs and expenses which may in any way accrue
again id un o eq of the granting of this per .X Date /
Signature of Applicant — Owner Contractor EJ 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 $ 30.00
Energy Inspecti n Fee $
ViDdTOTAL
TYPE
E
FEE $ i6 go v
QUA
--
PARK
SCHL
F
PA PD
i H5(all
s permit is hereby issued unoer 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. 97128 246.00
WNITC-D.P.W.. YELLOW-ASSE'eOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
s(,,,,r-, ;.-v.-..n,Rj,.�-R �sT-J'r."Ti- 7.- : rI, -... ...•rrr ..L'•r%'�}%.T�4��a:,r,T,r.�Ks:-=i��`"c"�L`•`�:`^�4pt�.�.-7S=c �• .` . .. _. ,. ..
COUNTY OF BUTTE - DEPARTMENT OF PURLIe fIIORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE �QROVIL'LE, CAL1F(t�RNfP'S5965 -TELEPHONE: 916/538-7541
` PERMIT APPLICATION DATA SHEET
It I�r Permit No.
OWNER ✓\(C��Ct�% Gr (ryle �js"�g-q3
,) n A. P. No.
Proposed Building Use S•►" /V4w 3 6eSQZQyt^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. 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 to ' . eluding manufacturer's installation
instructions./ 0.
V, 10. Fees of $-_
/�
11. Chico Urban Area fees paid .......... .... ........ ..........
12. Park fe paid ..........
13. I a t -2 Schogl ,pi rict fees paid .
14. Sanitation approval from Vt t He'
h "a'rtment
15. City of Chico plumbing permit....... ........
16. Plot plan and business licen a p al from City
(see City for other require m is
17. Planning approval for (A) U� el (BB) a► i g:
18. Improvements may be requir ontact Lafad�Qvelopment Se•ti D W
--J&f9. Driveway permit (construct on a pr l required prior o oc u ;anc ,)
20. Pre -inspection for requPre-lnspf
Building
21. Contractor's license informationo. ame Styl Classl cations ...
22. Certificate of Workmans Compens tion Insuranc . ........... ...
23. Owner -Builder Verification (Given to owner ' o owner ❑)
p�)[24. Recorded copy of Agricultural Acknowledg t Statement .. ....
25. Letter of signature authorization .... �... .
26.
27.
.1rIV��
K&I
When you Issue the permit, process fpws:all to owner. Mail to contractor.
V"'Telephone7� ��ar`t�hold\for pickL�p, office. Deliver w/inspector.
Other \\
Date
ry
Copy<s'of Haz-Mat form sent Health D pt. 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: /
/Z -f3-%/ ETUizt�9ED {-f R CLP_ TO TM REeb R�
.` 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 -mai I -counter by date
Plans checked by �r�a `s- Date _Plans approved by_1::;Iy - Date
-42sets of plans on hold in File cabinet AP folder
Copy -DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Callfornla 95965—Telephone: 916/538-7541
APPLICATION AND PERMIT
SSESSOR P CUEL NR
`
ZONING
TI';A
BUILDING PERMIT
OWNERT�LPHgNE
(6J[v� 6b
SO. FT. OCC. BUILDING VALUATION
OWN R'S A L G ADDRESS
CONT CTO 'S NAME
T LEPHONE
101
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTR TION LEND RUNKNOWN
U (Vtm
Total Valuation $ 2G Zo
Filing Fee
$ 10.00
LENDER' MAILING AODRESS
Permit Fee
$ t�
•
ARCHITECT OR ENGINEER
! 6 V1. 'e—
LICENSE NO.
Plan Checking Fee
$ a �-d
Energy Pian Checking Fee
Is-, cr*
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILD NG ADDRESS
a (( Pines iN_ a c l;
Permit fee
$ ' 0'd
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
JO 2.00 ao �'v
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 C.>�
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S1 G W
10.00 ea
TYPE OF WORK
Newk Addition f Rem el ❑ Utilities ❑ Installation❑I Other ❑
Describe work: U1r07�n.°1,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service GOOV OR LESS
TOO AMP OR LESS
10.00
Main Service EA. ADO'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 compen-
gAtion, will do the work,and the structure is not intended or offered
V1orsale. (Sec. 7044)
, as the owner, am exclusively contracting with licensed contract-Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.EI
OR ADDNS. (.ACC. SLOGS.
1/7 Sv
esaIt Vo
NEW CONSTR. ULTI-OUTLET
_SID BRANCH CIRCU ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCCup(OUTLETS OR FIXTURES
20,9300
e ALO 30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.)
1 2.00
Temporary service.
0-
Mobile Home Facilities
15.00
Wiring
9
15.00
Permit Fee
$ 00
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
.94 -Consent to Self -Insure.
hall 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
6-0
Cooling
g
Hood
3.00LK 00
Ventilation
permit Fee
$ Cf. Ciro
I 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.0.0
I also agree to save, indemnify and keep harmless the County of Butte against
all liabi ' ies, ju ments, costs, and expenses which may in any way accrue
again ai Co in o encp of the granting of this per t.
X Date
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 $ 0<;
occ
CONST TYPE
TOTAL FEE $
HAL. I CUA I PARK
I SCHL
I FLD
CDF AR PD
j
I
J 1-10. ISSUE
This permit is hereby issued unser
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne.applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. CtZI 28 .01
ck. 411'2q6.&0
WHITE-D.P.W.. YELLOW-ASSrSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
C
Bldg. Permit # 11 Lcl
OWNER IQA.P. # S eq,
GENERAL Plan Checker
P
ing requirements: (sideyards and number of permitted living units).
uation.
ns signed by designer.
per description of work on application.
sting violations on property.
ms on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
orded notice of violation.
PLOT PLAN
omplete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Griming, fills, drainage.
lood hazard.
Special conditions on creation map,
stible, and foundations).
AU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
4. or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
"`quired windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
5:_S"kylights (Chapter 34 & Sec. 5207).
uman impact glass (Sec. 5406).
/Required room sizes, ceiling heights (Sec. 1207).
FCIs in baths, garage, kitchen, and,exterior outlets (Article 210-8).
. Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment. — ` '-" -
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
B.�Garage firewall, door size, and closer (Sec. 503(d)(3)).
irl - 3'0" exterior exit door (sec. 3304 M.
Z_ Fireplace and wood stove location, alcoves, and clearance.
3"S a detectors (Sec. 1210).
'. Plumbing fixtures, water closet clearances and shower size.
�tandard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
ree story building requiring engineered calculations and plans.
oundation plan complete enough to construct building..
F
loor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building
oof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary
TRafter ties or bearing ridge beam.
. Garage door or porch header sizes.
r.Retaining
tud heights.
dobe soils - special foundation design.
walls requiring design.
pecial Inspection required.
8/91.
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
rick or stone veneer (Chapter 30).
xterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convering (Chapter 32).
.rRoof covering type - (fire hazard).
'r Foam insulation - protection.
36" halls and stairways.
kA
g area over garage - complete 1 -hour separation required on garage side
ding supporting walls and posts, etc.
xits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
access and ventilation (Sec. 3205).
floor access and ventilation (Sec. 2516).
stion air for fuel burning appliances - L.P.G. requirements.
requirements on duplexes.
y design.
ing at all exterior openings.
esponsible area requirements.
ME
CLAIMANT:
ADDRESS:
'mud* q
tJJ�
OROVILLE, CALIFORNIA
GENERAL CLAIM
Richard Grimes
P.O. Box 272315
CITY & STATE: Concord, CA 94527 IMPORTANT:
August 27, 1991 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT
Owner has decided not to do work. Permit #1055-91 `giU
AP#65-19-93 Receipt #83113 & #88650 dated 4/12/91.
i I
--1
I
Total Permit Fees Paid ----------------------------------- $92.50
Retain Plumbing Permit Filing Fee ---------------- $10.00
I i
e ain Electrical Fermit i ing ee-------------- 10.00i
Total Permit Fees Retained------------------------------- 20.00
-----------------------------------------
i
I
I i
i
� I
t i
i
I I
TOTAL I
$72 50
I, the undersigned, declare under penalty of perjury that the services or articles claimed have be 1 rfortned delivered an that this
claim is true and correct as stated.
���
X Dated this L .1day of a� 19�!• eC4�`'% Calif. �C ..
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have bee erformed or de-
livered and that there is a Budget Appropriation❑ or Specific Board Approval (Checkonej for the same.
Dated this 27th,,,,,,,,,,,,,,,,,, day or .,August 1991 at Oroville Ceuf. I
.............. ............... ....... .............................. ...... .. .. .... ........
....... .. .. ........ ....... ..... .... ,
ant Head or Authorized D eputy
Code 440-002 Code 4210500 PAYABLE FROM COIISt. ,e�rmits
.................................................................................................................:r.................................................................. F UND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ. SUB. OBJ. CLAIM NO. INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
T Co.J�vc-lam 7b dui �7 r`
S-7 (4 4
0r FEES 7/1-\V) Fc) MOTIS F-ta0
��=�0✓11 1 f
yo V✓z 1 7 N x
yv�
--ala
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tie s1
l
re
3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive - Oroville, California 95965 - Telephcne: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
1055-91
ASSESSOR PARCEL NUMBER
65-19-93
ZONING
RT1AW
BUILDING PERMIT
OWNER
Richard Grimes 415
TELEPHONE
689-6597
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
POBox 272315 Concorc CA 94527
CONTRACTOR'S NAME
Blakes AffordableHousing1934-8336
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
2175 Feather River Blvd Oroville 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 1
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
,4V7 Tall Pinps, Dr, Mn2nlin
Permit fee
$ 15.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
L T NO.
2 463
SUBDIVISION NAME
Fir Haven ?e �I v�
PARCEL MAP
—C 0
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ElDuplex❑ Mobilehome� Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I ;$ JXG W I
hi[1-00ea 30.00
TYPE OF WORK
New❑ Addition[] Remodel[] Utilities Installation❑ Other ❑
Describe work: 3 bedroom
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. AOD'L 100 AMP
2.50 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 BuslnesS
and Professions Code and- my license is in full force and effect.
License No. SSS O� ��
Classification. y-%
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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.BI
OR ACDNS. ACC. BLCGS.
, /z¢sga
NEW CONSTR MULTI. -UT LET
NON.RESIC BRANCH CIRC ITS
2.50 eFV a
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. Occup�OUTLETS OR FIXTURES
ALO 30a
2ALO 30
FIXED A1LNS.
Ex. Occup. OUT ETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin 9
15.00
Permit Fee
$ 37.50
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.
ryI 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 enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all fes, judgments, costs, and expenses which may in any way, accrue
a Inst sai County in ons ue e f the granting of this perm' .
X Date -
Signature of Applicant — Owner Contractor Agent FJ
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 $
Az.
CUA
PARK
SCHL
FLD
cDF
PAR
PD D•
ISSUE,
This permit is hereby issued unoertne 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. q a I I 1- ,
WHITE-D.P.W.. YELLOW-ASSEeSOR, PINK-INSPEC . GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTME T OF PUBLIC WOR B
Appl is
Cop "'.f Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date
Copy,af pians sent Health Dept. Fire Dept. Other Date _ � By
The f6l4owing data,niust be submitted prior to permit issuance: (Circ'I neQ_'__ hot c ec`kedabove).,,,.
1. Index permit for above items No.. -
2.
o.• 2. Additional items required: f�% 'N,
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —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
KS - UILDING DIVISION
7 COUNTY CENTER DRIV C V OVILLE, CALIFORNIAr95965 - TELEPHONE: 916/538-7541
-PERMIT APPLICATION DATA SHEET
'
Permit No.
�� C. �%�c �i4 S r S ^ 5-3
OWNER
20 /ham A. P. No. '�
Proposed Building Use Building'Inspector S� 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
]�
All items have been submitted . ....................................
2.
Plot plans in duplicate/triplicate, signed by Dret]arar 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 ....................................................
School District fees paid ...............
• . v14.
Sanitation approval from'�2r�'� ��� 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) e4, ✓�rre_
,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 ..................
2P.
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ................................... t
26.
i 1
27.
?
� When
you issue the permit, process as follows: Mail to owner. '. TA`�:Mail to contractor.
Telephone and hold for pickup at office. Deliver w. /inspector.
Other /--\
Appl is
Cop "'.f Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date
Copy,af pians sent Health Dept. Fire Dept. Other Date _ � By
The f6l4owing data,niust be submitted prior to permit issuance: (Circ'I neQ_'__ hot c ec`kedabove).,,,.
1. Index permit for above items No.. -
2.
o.• 2. Additional items required: f�% 'N,
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —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
VC1 LAAA�-a LG Vl \.,111114LC AAJlJe 11
Project Aub
i
Project
Author
BUILDING DATA
Conditione-d._�,zArea Number of Stories /
: Sla sed Fl Number of Units
Single Family Detached (SFD) (] Addition Alone
(] Single Family Attached (SFA) [ ] Existing Building
(J Multi -Family (MF) [ ] Existing -Plus -Addition
7 k! 9� ,
Building Permit 0
Checked By I.Dage
Enforeanetit Agency Use 0*
Glass Area 9b Glass
North
East g
South v -J • Y
West
Skylight 0_
Total _ ,-
BLM.DLNG SHELL INSULATION
Component
Insulation Locafion/r--omme:lts
Tyoe
R -Value (algia, to garage, mix- etc.)
Wall..............
East ( )
Wall ..............
Roof .............
Roof ............
South ( )
Floor .............
Floor
-
i
Slab Edge.....
West ( )
GLAZING
Shading Devices
Glaring
Area Glass Type Interior . Exterior Overhang Framing Type
Orientation
(ST) (single. double) (roUer blind, etc.) (shadewreen. etc.) (veshrn) fsrtetnYwnewn
North
--
Nor -,,I ( )
East ( )
East ( )
South ( )
n
SOUL', ( )
-
West ( )
p
West ( )
Skylight.......
_0
THERMAL MASS
Type, Covering
Area Thickness
(slab/exvosed, tilt etc)
(sf) (inches) Location/Description (kitchen, bath, etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, hent pump) (SE, SEER.HSPF) (attic:, etc.) R -Value (Btuh) (or approved a all
Maximum Fum Heating Output Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model # `�`�ARTMEN .
�UILDIN De.:,
System Type (storage gas. etc.) Caoacitv (or approved equal) Soecial Feature(:)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
SOT& Lohse residential buildings subia:e to the soindards mug catuin Arse mcasuru iegagdless of the msapliaece
" -V" h used, tuns marred with an uteri t (-) may be supvsoded by more scruitau compkiince requrencou fined
on the Caufrrne o(Compianct When uhis checI tie is incorpaatrd thea the permit doeumeriM the fc oitam ileo shall
be constdered bit all parties as binding minimum component performance spaerGcaumra for the marnduory mance
t wt urrr they are shown elsewhere in the documents or an thu checklist only.
DFscwntION
Building Envelope Measures
12.5352(a): Mini -urn ceiling msuiumn R-19 weighted average.
42.5352(bk Loose fill insulation montfaaurrs•s labeled R -Values
12.5352(ck Minimarn wall ituulaoon in framed walk R-11 weighted awerige (doe no apply b
catmor miff walk).
12.5352(kk Slab edge insulation - weer aboxv lin rate no greyer than Oa%, vara vapor
transrntsudn rate no greater tun 2.0 p=TWu x
§2-5311: Insulation specified «installed meets California Energy Commission (CEC) quality
standards. lndx= type and form.
§2.535201 Vapor earners mandatory in Climate Lanes 14 ud 16 only.
§2.5317: InfiltrauorvEsfiltration Conaols
L Doors and +undo -s between conditioned and unconditioned spaces desigried to limit air
leakage.
b. Doors and windowccrtirwA.
e. Doors and -undo.,: weathcrmpped all joints and po+cauiaa caulked and sealed
12.5352(e): Special inWuaton barrier installed toeompfy with 12-5351 m„.,- CEC quality
12.5352(4): Installation of Fimptaees
1. Masonry and factory -built fueptaces have
a. Tmgnt rating. closeable metal or grass door
b. Outside at intake with damper and mild
c. Rue damper and cora of
2. No codtinuous amang gas piion allowed
HV AC Mad Plumbing System Measures
§2.5352(g) and 2-5303: Space conditioning equipment sizing: ataeb—1--lations.
12.5352(h) and 2.5315: Sc -bac k thernoam en aA appliabfe hrying sysaas-
- 42.5316(a). Dual mnstnicted. instilled and imtiuted per Chapter 10. 1976 UMC
12.5316(b): Exh— system have dam irs commis.
§2-5314(c): Gas -rued space heating equipment had intermittent ignWors devices.
§2-5314: HVAC cquipment• water heats:, showcheads and fauces certiGcd by the CEC.
§2-53=9 water timuerimwadon bL�nka (R-12 orgreater) or combined intexiorksmrior
inswation (R-16 or greater),. rust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.53 t2(Fseeption Ile Pipe insulation on steam and steam condensate naurn & recirculating
Diving.
i
12.53111(d)- Swimming Pool Heating
1. System has:
a. onkiff switch on heater.
b. Wcunaproof instruction plate on heater.
e. Plumbed o alio- for sour.
175 percent thermal elGaericy.
3. Poet cover.
4. Time clock. .
5. DirecurmW water inlet.
t Lithting and Appl-mcc Meawres
i
12.5352(k Lighting - 25 kancrul-atm or greater for tcnuW lighting in kireheru and bathrooms.
i
17-53 14(c): Gas rued appliances equipped -iUk inuaminatt ignition devices.
§2.5314(3): Refrigerators. m(rigerawr-freezers, Geezers and fluorescent ramp ba)lans certified
by the CEC. lith-,- make inn model number.
DESIGMF3[ I FNF CEMENT
COMPLIANCE STATEMENT
This cerdficue of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. C hapttr 2. Subctm;ter 4. Article 1 of the California Administrative code. This
cutificue has been signed by the individual with ava-Z design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate in my subsequent purdm= of the buildio&
Designer
Naarsc .
rawn:rm
Takpfaonc
lx. s: -
(siCnature) (date)
t
Documentation Author
Naura�
TickrFta,L
Addrrs:
Building Owner
Name
Titk/Firrrr
Address:
f.
Tekphone
(si titre) (date)
Enforcement Agency
Name
ACencr.
T.1.-i.,,.,�
fl
a
a
1. Ceiling Iasulatioll
2- Wall Insulation
Stab Floor .
Number of series
Single-
R-vaiva
One
Two
Three
R-0
-103
-19
.72
R-19
_ 8 -,
_ _ _
.2
R30
.2
•1
.1
R38
0
0
0
U -value
....
.. , _... - -
-5
0.50
-176
8a
.54
0.30
-102
-19
32
0.10
-26
.13
-8
0.08
-18
.9
-6 .
US
-11
-5
-4
O.C4
.4
-2
•1
0.02
4
2
1
O.CO
11
5
3
2- Wall Insulation
Stab Floor .
Raised Floor
Single-
Single-
-144
Family
Family
MultF
R -value Defamed
Attached
Family
R-0 -66
-SI
34
R-11 0
0
0
R-13 2
2
1
-43
.21
-14
• . - . U -value .. .. ' _ .
....
.. , _... - -
-5
0.08
_.._-_-.._-153 ......_--114
- - -- 0.50 - " -31
-68
46
0.30 37
V6
-24
0.10 0
3
0
0.08 4
3
2
O.C6 9
7
5
0.04 14
' 1
7
0.02 9
A
10
040
0.90
12
•,i
3. Raised Floor Insulation
Insulation in Floor
Number of stories
R-vaius One Two Three
R-0 -17 -8 .5
R-11 3 .2 -1
R-19 0 0 0
R-30 3 1 ._...=�..1.:
U-vaius
Stab Floor .
Raised Floor
Number of stories
- ---0.60 .
-144
-70
d6
0.50
-120
-58
38
0.40
-95
-46
-M
0.30
89
34
.22
0.20
-43
.21
-14
0.10
-17
8
-5
0.08
-I1
8
-4
0.06
6
3
-2
0.C4
-1
0
0
0.02
a
2
1
0.40
10
5
3
Controlled Ventilation Crawispace
Stab Floor .
Raised Floor
Number of stories
Effective Percent Class
R•valua
One
Two
Three.
R-0
-11
.7
-S
R-5
-4
d
3
R-11
.2
.2
.2
R-19
-t
.2
-2
4. Slab Edge Insulation
40
-90
37
Number of Stones
-14
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2facmr
-58
-20
-12
0.90
-t
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
S.Inriltratioo (Air Leakage)
Speofimoon Points
Standard 0
6. Glass Heat Loss
Total
Stab Floor .
Raised Floor
Mass
Effective Percent Class
13 -value
:Glass
Percent
East
South
S1 'o
.41 to
.91 to 0.30 or
Glass Single
Double
.60
M
.40
less
50
-121
-53
39
-24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
3
5
12
28
-55
-18
-10
•2
5
13
27
-52
-17
-9
-2
6
13
26 �
49
-15
-8
-1
7
14
25
-t6
-14
-7
0
7
14
24
-4
-12
-5
1
8
14
23
-W
-11
-t
2
8
15
22
37
-9
3
3
9
15
11
34
-7
.2
4
10
15
20
31
8
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
1417
15
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15 .
19
11
8
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
5
4
3
HP
HWR
9
7..Shading (Shade Open)
Effective Percent Class
(Percent crass x SC)
Elfec've
Stab Floor .
Raised Floor
Mass
Effective Percent Class
Stories
: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
J
0
1
2
1
3
2
0
0
1
0
3
1
.1
.1
-1
.1
2
0
.1
d
8
.2
0
na = not allowed
11 12
12
5.5
0
1!. Shading (Shade Closed)
Stab Floor .
Raised Floor
Mass
Effective Percent Class
Stories
WN
Slories
(percent gom x SC)
rCFA
Effective
Two
Three
Otte Two
Three
1
Glace
North East
Saudi
West
Skylight
18
-14
-A8
89
84
rte
16
-12
-12
-59
•55
na
14
.10
-JS
-50
-+6
na
12
8
-29
-W
37
ria
11
-7
-26
36
33
na
10
-6
•23
31
-29
•74
9
•S
40
-27
-25
-as
8
•5
-17
•23
-21.
-56
7
-b
.14
-19
•18
.47
6
3
-11
15
.14
38
5
Z
9
11
-i0
M
A
1
a
8
-7
-213
3
0
.4
5
-4
.16
Z
1
• •1
2
•1
•9
4
7
9
11 12
12
5.5
0
8
3
A
3
0
no . not mbrvnd
9. Interior Thermal Mass
Interior
Stab Floor .
Raised Floor
Mass
U2SS
Stories
WN
Slories
.5
rCFA
One
Two
Three
Otte Two
Three
1
0.40
5 4
3
0.60
-
0.t
8
•5
3
-1 0
0
0:3
U
-7
f-6
13 12
8
.
tt
12 13
9
,
3
-1
1
2
0.7
-5
=2
"!1
1 '- 2
2
0.9
-5
-1
0
2 3
3
11.1
-4
-1
1r
3,y : 4
pIj ;
4
1,1.3.`
3•
. 0
Z
%: A r
)rS
1.5
�3
1
2
4 5 5'
4 3
0.85 7.79
13 11 10 8
7 5
0.90 8.25
17 15 13 11
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
65
6
9
10
12 13
13
7.0
6
9
11
13 13
14
75
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
Estenor
wan
Single. Single.
U2SS
FDetact ed Ammied
WN
One
.5
1 aam4
0.00
0 0
0
am
3 2
1
0.40
5 4
3
0.60
8 6
' 4
0.80
10 8
5
1.00
13 10
7
1.20
13 12
8
1.40
12 13
9
1.60
10 13
11•..,
LIN)
10 12
12
200
10 11 _
13
11. Heating
System
-4 -4
3
SE or HSPF
-2
(assume ducts In attfe)
.
-3 -3
Sum of 1-6
•2
.1
-25 or -24 a -14 to -4t*
+6 to 16 or
SE HSPF
less -15 •5 +b
+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
095 8.71
20 18 15 13
11 8
3
Efrective SE or HSPF
(SE or HSPF x duct efliciency)
Edecdve .25 or -24 to .14 lo .4 to •610 16 or
SE HSPF less -15 S +5
+15 mon
0.30 275
-73 84 -56 -17
38 .30
na 3.41
-45 -39 •34 -29
-24 .18
0.40 3.67
-34 30 -26 -22
-is -14
0.50 4.58
-10 -9 8 -7
-5 -4
0.56 5.13
0 0 0 0
0 0
0.60 5.:0
5 5 4 3
3 2
0.70 6.42
17 15 13 11
9 7
0.80 T33 2522 19 X16 13 10
0.90 8.25 32 28 24 c0 17 13
1.00 9.17 37 32 28 24 19 15
Zonal Control Adjustment
System Type
Resismnoe 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst•:m
SEER
One
.5
-t
.4
3
(aaamet ducts
In attic)
Two +
.3
3
Stm of 7-10
-
-
1
-2S or -24 in r14 b
-4 to
+6 In
16 at
SEER
,Is"
•15 1 -d
+5
+15
mon
8.0
-14,
-12 -10
8
•6
-4
8.5
.9
-7 8
-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
120
15
13 11
9
7
5
13.0
20
1714
12
9
6
-
Solar
-t
.1
.1
0
0
26
u
28
21
3
Efradve SEER
-18
-t1
-9
(SEER xdaet eMdency)
-6
It
42
43
43
4.4
WS8
.%is of 7-10
-16
-12
Edecdve-25 or -24 to -14 In
8 b .
+6 U
16 or
SEER
leis
-I5 S
+5
+15
mom
5.0
30
-25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
8
-t
6.6
-5
i -4
3
-2
-2 .
7.0
G
0 0
0
0
0
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
120
•0
26 22
18
14
9
13.0
33
29 24
24
15
10
Zonal Control adjustment
10 8 7 6 d 3
No Coolitr System Installed
..series
One
.5
-t
.4
3
.2
-2
Two +
.3
3
., 2
2
2
1
Single -Fatally Detached and
Attached
I Unit Size (sl)
Water
I 7rre 1
:179
'1200
1700
2200
2700
Heater
Credit
or •
13
to
to
. or
Type
Type
less1699
20%
2199
2699
more
SG
None
0
I 0
0.
0
0
or
Solar
12 '
1 8
6
5
4
HP
HWR
8
5
4
3
3
1.3
IA
. 1.6
1.6
19
It
WS8
5
3
3
2
2
27
29
11
12
14
IS
POU
8
5
4
3
3
SE
None
37
-24
-18
-15
-12
-
Solar
-t
.1
.1
0
0
26
u
28
21
3
HWR
-18
-t1
-9
-7
-6
It
42
43
43
4.4
WS8
-25
-16
-12
-10'
-a
56
S.6
5.1
58
19
p(
-18
_-12
-9
-7
-6
IG
None
-5
-3
-2
.2
-2
15
15
16
11
1t
Solar
7
: 5
.4
3
2
I9
5
51
5.2
13
POU
3
2
1
1
1
IE
None
-28
-19
14
-11
.9
26
29
3
11
12
Solar
8
• 5
4
3
3
4.3
44
45
4.6
l6
POU
-10
• -6
-5
-A
-3
5.6
5.9
S.9
6
S1
Muhl -Fatally (Individual
units)
6.4
6.5
66
6.7
6.7
66
6.7
6.6
6.9
7
64 7
69 7.1
7 7:
7.1 1:
7.2
Unit Size (so
Water
699
700
1200
1700
2200
Heater
Credit
or
to
to
in
ar,
Type
Type
less
1199
1699
2199
more
SG
None
0'
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
WS8
9
A
J
2
2
POU
9
5
3
2
2
SE
Noone
-l5
-23
.15
-11
-9
Solar
Z
1
1
0
0
YiS9
-IR 25
-13
8
-6
-5
_ EQU
_Z3
t 2
-8
8
-5
G .
None
8
-t
•3
.2
; •2
Sciar
6
3
2
1
1
POU
1
^ 0.
IE
None
30
Sour
18
9
5
3
S
POU
-3
-t
;
_
•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
6. GIass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closets)
Measures
3� or
it -value U-vdue (0-0301
ct or
R -value (11] U -value (0.0981,
0 or
R-'value(19 U -value (0.0371
or
R -value 101 F2 factor 10.771
Standard
S�
Type idottbleI U -valise (abs] % Total, Glass (161
170 Glass SC Eff. % Glass
40 x - . 27
/ x
X -
-- x = _
Point Scores
0-
0
Sum 1.6
% GIass SC Eff. % Glass
a- North 1. 0 x • (o% _ (e
b. East xp�-
C. South x =
d. -Wen S • x
e. Skyli ght Q x�
9. Interior Thermal Mass TYPE 1 MASS AREA 3
InteriarNusrCFA COND. FLOOR AREA
10. Exterior Wall Mass _ TYPE 2 MASS AREA =
Exterior Wall Masa ND . i L OR AREA Sum 7 • it
11. Heating System ' . %A x _ �3
Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.781 Effective SE or
(Q771b.6j HSPF (OSbf5.151
12. Cooling System x =
Zonal Control? ( Y / N) SUR (9•51 Duct Efficiency (0.741 EF. -I" SEER (7.031
13. Water Heating =f, &= D
Type(SG1 Crtdu� (omel l
Pninr Tntal: �1 Y
Intmor MasdCFA
-
. rrrs r lues
11. 7MIR-•.. l l
I 7rre 1
nasi
rotiC b 4.2. t.s .a nee
stet
.
- --
-- 0%
S%
10'%
0%
20%
2S%
70%
3S%,
40%
ISYS
-1.9
50%
S75
W%
6i'lt
70%
75%
60%
Ss%
9o%
9S%
10075 105y. I10Y
itsy. 120Z I2
0%
107.
Cott.
30%
40y.
50x.
0
02
113
0.5
0.7
0.9
02
14
24
tU
09
U
0.4
U
0.11
0.1
1.1
1.3
0.6
0.8
1
1.1
1-3
LS
0.6
1
1.2
1.4
•1.S
1.7
1.1
1.2
1.4
1.6
1.7
1.9
1.3
IA
. 1.6
1.6
19
It
13
1.6
i -t
2
22
2.3
1.7
1.9
2
22
24
2S
21
22
24
26
27
21
23
2t
26
IS
3
23
2S
27
26
3
12
2S
27
29
3
'22
14
27
29
11
12
14
IS
21
it
13
15
16
it
32
13
15
17
IS
4
14
15
17
39
4,
11
16
17
19
4.1
43
4.4
18
4
4.1
41
4.S
4.6
4
42
4.3
4S
4.1
4t
42
4.4
4.5
I7
4.9
5.1
4.4
4.6
4.6
49
5.1
13
..4.6
7.6_
5
5.1
5.3
15
4.8
5
52
5.3
53
5.7
5 5:
52 S.
5.4 51
S 5 S 1
S.7 5'.
5.9 6.'.
SS%
60%
65%
70y.
75%
09
1
1.1
1.2
1.3
1.1
12
U
1.4
15
1.4
1.4
1.5
1.6
1.7
1.5
t-7
1.7
1.5
13
1.6
1.9
1.9
2
It
2
21
22
22
2.3
22
23
24
2S
23
24
25
26
21
27
26
u
28
21
3
26
29
3
11
32
3
11
12
13
14
12
33
14
15
16
35
3.3
36
17
IS
17
16
39
11
4
39
4
4
I1
42
It
42
43
43
4.4
43
44
IS
It
4t
4.3
4.6
47
41
It
4.7
4.6 '
4.9
S
5.1
4.9
S
Si
5.2
13
5.1
5.2
53
5.4
IS
-54
53
5.4
55
5.6
5.1
56
S.6
5.1
58
19
S.1
5.9
5.9
6
6.1
6 6 ;
$1 6:
61 6,
62 6
6.3 6
60%
15%
91715'
95%
10075
1.4
1.4
1.S
1.6
1.7
1.1
t.l
1.7
• U
19
1.1
19
2
2
21
2
21
Z2
22
23
22
23
24
2.3
2S
24
25
2s
17
26
26
27
21
29
3
21
29
3
11
12
3
it
32
33
i4
13
13
24
15
10
15
15
16
11
1t
27
11
14
19
4
It
4
41
41
42
41
4.2
4.3
4.3
44
4.3
44
4.S
4.6
46
4,S
46
47
4t
4.1
4.7
4.1
49
S
11
I9
5
51
5.2
13
$.1
52
S3
5.4
SS
S:4
54
. SS
16
17
Sit
S7
S6
S1
5.8
S 9
3.9
6
6.1
6
6.1
62
6.2
6.3
62
63
6s
6.4
6.5
64 6!
6 S 6
66 6
6.7 6
6.7 7
105%
11075
115%
120%
125%
1.6
1.9
2
2
21
2
21
U
23
23
22
23
24
2S
2S
14
25
26
27
2a
26
27
26
29
3
26
29
3
11
12
3
It
12
13
14
13
13
14
1S
16
1S
16
3.6
3.7
11
17
3.6
ib
19
4
19
4
4.1
4.1
42
4.1
42
43
44
44
4.3
44
45
4.6
l6
4.5
46
4.7
4.1
49
47
46
4.9
S
11
49
S
St
52
13
Sf
S2
i3
S4
55
14
5.4
S5
5.6
S7
56
5.7
5.1
58
5.9
5.6
5.9
S.9
6
S1
6
S1
6.2
62
6.3
6.2
6.3
6.4
6.S
6S
6.4
6.5
66
6.7
6.7
66
6.7
6.6
6.9
7
64 7
69 7.1
7 7:
7.1 1:
7.2
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. GIass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closets)
Measures
3� or
it -value U-vdue (0-0301
ct or
R -value (11] U -value (0.0981,
0 or
R-'value(19 U -value (0.0371
or
R -value 101 F2 factor 10.771
Standard
S�
Type idottbleI U -valise (abs] % Total, Glass (161
170 Glass SC Eff. % Glass
40 x - . 27
/ x
X -
-- x = _
Point Scores
0-
0
Sum 1.6
% GIass SC Eff. % Glass
a- North 1. 0 x • (o% _ (e
b. East xp�-
C. South x =
d. -Wen S • x
e. Skyli ght Q x�
9. Interior Thermal Mass TYPE 1 MASS AREA 3
InteriarNusrCFA COND. FLOOR AREA
10. Exterior Wall Mass _ TYPE 2 MASS AREA =
Exterior Wall Masa ND . i L OR AREA Sum 7 • it
11. Heating System ' . %A x _ �3
Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.781 Effective SE or
(Q771b.6j HSPF (OSbf5.151
12. Cooling System x =
Zonal Control? ( Y / N) SUR (9•51 Duct Efficiency (0.741 EF. -I" SEER (7.031
13. Water Heating =f, &= D
Type(SG1 Crtdu� (omel l
Pninr Tntal: �1 Y