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065-190-101
65-1'9-101 .1130-9 - 1B,P,E,m 1BROWER, Gary'.& Br'ooke 1 Pin'es'Dr,Magalia 2ND DWELLING W10 PERMITS-CONV GARAGE 6585Tail 6/17/98 (new,4., sf U 1,6 LM/ .65-19 101 02-1164B A.V Gary. &• Brook 14P �//yyl e1,� 16585 Tall -'Pines: Dr,",Magalia 1st;rehewal/9'1-'1,l30,,, j 65-19-0-101 93-1020.B BROWER, GARY &"BROOKE 6585 TALL PINES'L MAGALIA' 2ND RENEWAL /L917.113_0 93-1021 BROWER,-GARY &BROOKE 6585 TALL PINES DR, MAGALIA0 V� ADD TO DECK; C.ONV CARPORT TO G A E *065 '93-3557 -BPEM' BROWER', GARY & BROOKE - 6585 TALL. -PINES,' MAGA'LIA,* DETACHED -WORKSHOP - 0 ,65=190-10 'PERMIT#97=04QQ- 9 - BROWER,.Gary .& Brooke 6585' Tall -Pihes. Dr..,L Magal Remove Kitqihen.from.'Garag 065`00"01"x'^--0=042" 0 7 "10 BROWER,' -W, GARY, BROOKE 6585 SK-VWA-r, , PARADISE. COINTR: RELIANCE PROPANE"' INTALL TANK&.PIPING ,31/3/Lo 0 6' w I-) Via7er je4G pre jec l 1 on �131°folo scah,�y� fl� hilt Dei �aq-.I�t�,1L 0 Fj t �,OuTrF.� Butte County Department of Development Services PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 QNB Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax(530)538-2140 AFFIDAVIT REQUESTING DUPLICATE PLANS (California Health and Safety Code Section 19851-19853) FORM NO IC'I The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner: **I hereby request duplicate copies of the building plans on file with the Butte County Department of Development Services, Building Division for: q 2 1 Assessor's Parcel Number: 06 5-1 0 — 0 Permit Number(s): 1 J + 7 5 7 Located at: l 5 V 5 7%�LL 1 0l V M46411- 1.515 (Address) (City) (Zip Code) I am aware of the following three provisions of the California Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That the drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local government agencies, are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not unreasonably withheld by the architect and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. Current Building Owner:44ON PL�%ly� � N°D sign Profession of Record: BUTTE Signature of person requesting copies: I►�G�i— COUNTY Printed name of person requesting copies: AI PON Kir M �No"/k MAY 17 2012 OSc )r�7 DEVELOPMENT -1 _ �a I Date: Contact Phone Number: \2 i) f SERVICES --- Address: G S ®S %9G P! NES On , fY16414 -- CA r?Sr15 Reason for requesting duplicate set of plans: FOR BUILDING DIVISION USE ONLY *Owner Permission- Date Sent: �J (r] ' a— Date Received 13 Professional Permission- Date Sent: Date Received K:\NEW_WEBSIMBuildin_\Building Forms K Documents\Approved 2011 forms -handouts and m lisi\Affidavit Requesting Duplicate Plans DBP -07 10.5.1 I.doc Page 1 of 2 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Brower Residence Date........ 03/02/93 Project Address........ 6585 Tall Pines Drive Magalia Documentation Author.... Marty Runnells Company ................ Energy Calculation Srvcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method ....... MICROPAS3 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Field Check Date MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Srvcs. Run -784' S.F. Res.- Base Case 0 GENERAL INFORMATION Conditioned Floor Area..... Building Type.. ..... ... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Infiltration Control....... 784 sf Single Family Detached Front Facing 180 deg (S)- 1 1 Raised Floor (Package E)' Standard BUILDING SHELL INSULATION Component Insul Type R -value Location/Comments Wall R-13 FRONT, LEFT, KNEE WALL, BACK, RIGHT Door R-0 FRONT, LEFT Roof R-30 ATTIC, VAULT Floor R-19 RAISED FLOOR Glazing Duct Duct Area Orientation R -value 0.720 SE (sf) Window Front (S) 40.5 Door Front (S) 6.0 Door Left (W) 6.0 Window Back (N) 40.0 Window Right (E) 40.0 GLAZING # of Interior Panes Shading 2 Drapes 2 0.78 2 0.78 2 Drapes 2 Drapes Assumed System Gas AirCond Exterior Framing Shading Overhang Type 50% BUG SCREEN None None None None Yes 50% BUG SCREEN None_,. 50o BUG SCREEN None ASSUMED HVAC SYSTEMS Assumed Duct Duct Efficiency Location R -value 0.720 SE None R-2.1 8.90 SEER Attic R-2.1 BUILDINGt BUTT COUNTY oft A IfAPPKVVH Special Wood Wood Special Special CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... The Brower Residence Date........ 03/02/93 MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Srvcs. Run -784 S.F. Res.- Base Case ACTUAL HVAC SYSTEMS Actual Output Manufacturer and Model # 4__- In -4-06% / __ _�VT'MA orrnal Heating Cooling Cooling Coil CEC Maximum output for Gas Central Furnaces: 52000 Btuh WATER HEATING SYSTEMS System Type Storage, HeatPump Tank R-12 or # of Vol Greater Manufacturer and Model # Heat (gal.) Blanket (or approved equal) 1 n/a n/a SPECIAL FEATURES/REMARKS Energy Credits None CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Proiect Title.......... The Brower Residence Date........ 03/02/93 MICROPA93 v3.11 File-93O50B Wth-CTZ11 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Srvcs. Run -784 S:F. Res.- Base Case COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser.of the building.. When this certificate of compliance.is submitted for a single building plan to be built in multiple orientations, all building .conservation features which vary are. indicated in the Special Features/Remarks section. DESIGNER Name.... Company. - Address. Phone... License. Signed date DOCUMENTATION AUTHOR Name.... Marty•Runnells Company. Energy Calculation Srvcs. Address. 1907 Mangrove Ave. Ste D Chico, California 95926 Phone... (916) 894-8466 / 246-9522 Signed 310 3 - .3 ate Name.... Company Address Phone.. Signed OWNER Gary & Brooke Brower ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed ate. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Brower Residence Date........ 03/02/93 Project Address........ 6585 Tall Pines Drive Magalia Documentation Author... Marty Runnells Company... Energy Calculation Srvcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method....... MICROPAS3 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Field Check Date MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Srvcs. Run -784 S.F. Res.- Base Case Lowrise'residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an .asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment * 2-5352(a): Minimum ceiling insulation R-19 weighted average. Imo_ 2-5352(b): Loose fill insulation manufacturers labeled R -Value._ * 2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 2-5352(k): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 2-5311: Insulation specified or installed meets CEC quality V/standards. Indicate type and form. 2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16._ 2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. 2-5352(e): Special infiltration barrier installed to comply with Sec. 2-5351 meets CEC quality standards.! 2-5352(d): Installation of Fireplaces .1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control ✓ 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title...... .. The Brower Residence Date.. .... 03/02/93 MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Srvcs. Run -784 S.F. Res.- Base Case HVAC AND PLUMBING SYSTEM MEASURES 2-5352(g)' acid 2-5303: Space conditioning equipment sizing: attach calculations. 2-53'52(h) and 2-5315: Setback thermostat on all applicable heating systems. * 2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. 2-5316(b): Exhaust systems have damper controls. 2-5314(c): Gas-fired space.heating equipment has intermittent ignition devices. 2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. Design- Enforce- er ment N.A 2-5352(i): Water heater insulation blanket (R-12 or greater).for storage and backup tanks.for solar water heating systems.:(first 5 feet of pipes closest to tank insulated to R-3 or.greater). 2=5312(Exception I): Pipe insulation on steam and steam condensate return and recirculating piping. 2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. LIGHTING AND APPLIANCE MEASURES 2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 2-5314(c): Gas fired appliances equipped with intermittent ignition devices. N �4 Design- Enforce- er ment 2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title........... The Brower Residence Date........ 03/02/93 Project Address........ 6585 Tall Pines Drive Magalia Documentation Author... Marty Runnells Company....., ........... Energy Calculation Srvcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS3 by Enercomp, Inca Climate Zone........... 11 Building Permit Plan Check Date Field Check Date MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -FORM C -2R User#-MP1333 User=Energy Calculation Srvcs. Run -784 S.F. Res.- Base Case MICROPAS3 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 29.26 21.64 7.62 Space Cooling.......... 27.35 37.14 -9.79 Water Heating.......... 26.02 18.82 7.20 Total 82.63 77.60 5.03 *** Building complies with Computer Performance *** Zone Type HOUSE Residence GENERAL INFORMATION Conditioned Floor Area..... 784 sf Building Type.... ..... ... Single Family Detached Building Front Orientation. Front Facing 180 deg (S). Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data.Type.......... ReducedYear Floor Construction.Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume......... 6958 cf Footprint Area..... ...... 784 sf Slab -On -Grade Area........ 0 sf Glazing, Percentage......... 16.9 % of FA Average Ceiling Height..... 8.9 ft BUILDING ZONE INFORMATION Floor Cond- Area Volume itioned (sf) (cf) Yes 784.. 6958 (Package E) # of Dwell Thermostat Units Type 1.00 NoSetback Vent Special Height Vent Area (ft) (sf) 2.0 n/a •COMPUTER METHOD SUMMARY Page 2 C -2R Project Title...,....... The Brower Residence Date........ 03/02/93 MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -FORM C -2R User#-MP1333 User -Energy Calculation Srvcs. Run -784 S.F. Res.- Base Case Surface HOUSE 1 Wall 2 Door 3 Wall 4 Wall 5.. Door 6 Wall 7 Wall• 8 Roof 9 Roof 10 Roof 11 Floor Surface HOUSE 1 Window 2 Door 3 Window 4 Door 5 Window 6 Window 7 Window Surface HOUSE 4 Door OPAQUE SURFACES .Area U- Insul Act, Solar Location/ (sf) value R-val Azmth Tilt Gains Comments Form 3 Reference 172 0.089 R-13 180 90 Yes FRONT 0.88 None 14 0.330 R-0 180 90 Yes FRONT 90 None 222 0.089 R-13 270 90 Yes LEFT 180 None 49 0.089 R-13 270 90 No KNEE WALL, 0.57 None 12 0.330 R-0 270 90 Yes LEFT Slider None 192 0.089 R-13 0. 90 Yes BACK Special None 249 0.089 R-13 90 90 Yes RIGHT 2 None 392 0.031 R-30 0 0 Yes ATTIC None 201. 0.031 R-30 180 14 Yes VAULT None 201 0.031 R-30 0 14 Yes VAULT Area None 784 0.037 R-19 0 0 No RAISED FLOOR None GLAZING SURFACES SC Interior Area # of Frame Open U- Act Glass Shade (sf) Panes Type Type value Azmth Tilt Only Type SC Gls+ Shade 30.0 2 Special Slider 0.60 180 90 0.88 Drapes 0.77 6.0 2 Wood Hinged 0.57 180 90 0.76 0.78 0.00 10.5 2 Special Slider 0.60 180 90 0.88 Drapes 0.77 6.0 2 Wood Hinged 0.57 270 90 0.76 0.78 0.00 20.0 2 Special Slider 0.60 0 90 0.88 Drapes 0.77 20.0 2 Special Slider 0.60 0 90 0.88 Drapes 0.77 40.0 2 Special Slider 0.60 90 90 0.88 Drapes 0.77 OVERHANGS AND SIDE FINS Window- - Overhang Left Fin Right Fin - Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 6.0 3.25 n/a 2 1.33 n/a n/a EXTERIOR SHADING Area Shading. Surface (sf) Type, n/a n/a n/a n/a n/a n/a SC of Ext Shade. HOUSE, 1 Window 30.0 50% BUG SCREEN 0.84 3 Window 10.5 50% BUG SCREEN 0.84 5 Window. 20.0, 5,0 % B,U.G. SCREEN, 0.84 6 Window 20.0 50% BUG SCREEN 0.84' 7 Window 40.0 50% BUG. SCREEN 0.8,4 COMPUTER METHOD SUMMARY Page 3 C -2R. MICROPAS3 v3.11 File=93050B Wth-CTZ11 Program -FORM C -2R User#-MP1333 User -Energy Calculation Srvcs. Run-784,S.F. Res.- Base Case, WATER HEATING SYSTEMS Capa- R -1Z or System # of city Greater Effic- Standby Input Type Heat (gal) Blanket iency Loss Rating Stoirage� HeatPump 1 n/a n/a 2.6 EF n/a n/a SPECIAL FEATURES/REMARKS Pilot Size (Btuh) Credits n/a None HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE' Gas .0.720 SE None .R-2.1 1.000 AirCond 8.90 SEER Attic R-2.1 0.740 WATER HEATING SYSTEMS Capa- R -1Z or System # of city Greater Effic- Standby Input Type Heat (gal) Blanket iency Loss Rating Stoirage� HeatPump 1 n/a n/a 2.6 EF n/a n/a SPECIAL FEATURES/REMARKS Pilot Size (Btuh) Credits n/a None WATER HEATING Page 1 DHW Project Title.......... The Brower Residence Date........ 03/02/93 6585 1 Project Address........ Ta 1 Pines Drive Magalia Documentation Author... Marty Runnells Company ................ Energy Calculation Srvcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS3 by Enercomp, Inc. Climate Zone...... 11 Field Check Date MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -WATER HEATING User#-MP1333 User -Energy Calculation Srvcs.. Run -784 S.F. Res.- Base Case WORKSHEET THREE: HEATPUMP WATER HEATERS A. EQUIPMENT DATA 1. Water heater type....... 2. Manufacturer..:......... 3. Model number............ 4. Ignition device......... 5. Energy factor........... 6. Number of Heaters....... Storage, HeatPump n a 2.6 1 B. OPERATING DATA 1. Climate Zone.. ....... 2. Water heating budget.... 3. Tank set temp........... 4. Water main temp..:.. ... 5. Daily hot water 6. Ambient air temp........ 7. No. dwelling units...... 8. Pump power............ 9. Pumping energy.......... 10.Adj energy factor....... 11 20400 kBtu/yr/unit 140 F 65 F 50 gal n/a F 1 0 Watts (0 Watts controller) 0 Watt-hr/yr (24 hr per day) 2.296 C. WATER HEATING ENERGY CREDITS 1. Credit Name ............. None 2. Annual sav,ings.......... 0 kBtu/yr/unit D. ANNUAL WATER HEATING ENERGY 1. Recovery load........... 2. Recovery energy......... 3. Pumping energy......:... 4. Total energy..... ..... 5. Comparison....... ...... 6. Points.... ........... 7. Water Heating.Energy Use (D4 x B7) / 784 sf 11292 kBtu/yr 4918 kBtu/yr 0 kBtu/yr source 14755 kBtu/yr/unit source 5645 kBtu/yr/unit source 14 18.82 kBtu/yr/sf HVAC SIZING Page 1 HVAC Project Title.......... The Brower Residence Date........ 03/02/93 Project -Address 6585 Tall Pine D ......•• s rive Magalia Documentation'Author... Marty Runnells Company ................ Energy Calculation Srvcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS3 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Field Check Date MICROPAS3 v3.11 File -93050B Wth-CTZ11 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Srvcs. Run -784 S.F. Res.- Base Case 'GENERAL INFORMATION Floor Area..... .......... 784 sf Volume.. ..... 6958 cf Front Orientation.......... Front Facing Sizing Location............ PARADISE Latitude.. . 39.8 degrees Winter OutsideDesign.. ..'30 F Winter Inside Design....... 70 F Summer Outside Design...... 99 F Summer Inside Design....... 78 F Summer Range ............... 34 F Shading Used ............... Yes Latent Load Fraction........ 0.20 HEATING AND COOLING.LOAD SUMMARY Sensible Load .................... 12757 Latent Load ...................... n/a. 180 deg (S) Cooling (Btuh) 2656 1662 4375 1194 1875 1176 12939 2-588 Total Load 12757 15527 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as ' air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. CEC Maximum output for gas central furnaces. only (area weighted SE): 45000 + (100.0 x (0.720 - 0.71) x 7000) = 52000 Btuh Heating(Btuh) Description Opaque Conduction and Solar...... 5633 Glazing Conduction ............... 3166 Glazing Solar .................... n/a Infiltration ..................... 3958 InternalGain...... ............ n/a Ducts............................ 0 Sensible Load .................... 12757 Latent Load ...................... n/a. 180 deg (S) Cooling (Btuh) 2656 1662 4375 1194 1875 1176 12939 2-588 Total Load 12757 15527 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as ' air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. CEC Maximum output for gas central furnaces. only (area weighted SE): 45000 + (100.0 x (0.720 - 0.71) x 7000) = 52000 Btuh --an.,.a p�—^p7�.+��1�.,`fd7{�'�`';.._. �,..... ..•sq,,..+.��:;R 'iT�n' r .. �rfi' ._7..� ..�,,.G—r-v c-'�a�•..�;.,.�,�..•'-ixw. r..-• 1• 065-190-101" PERMIT#97 x.0499' ..4 -BROWER, Gary & ..Brooke 6585 Tall Pine`s Dr , rMagal1a,'.' *` Remove`Kitcheri from Gara 902 98 t { 41 q I � { 3 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-190-101 ZONING BUILOING PERMIT OWNER GARY & BROOKE BRINER TELEPHONE 873-0271 SO. FT. OCC. BUILDING VALUATION EST. S00 OWNERS MAILING ADDRESS PO BOX 1724, MAGALIA CONTRACTOR'S NAME MI ER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER FlrepleCe LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6 Energy Plan Checking Fee $ $ PERMIT FEE s 35.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE; SPECIFY Each Trap 7.00 Solar or heat pump water heateF 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO KITMEN Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service %O.A . LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less) wOCC I certify that in the performance of the'work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation • provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��� �< ,�,.�----- Date/ Signature of Applicant -Owner ❑ Contractor ❑ nt An OSHA permit is required for excavations over 60" deep and demolition or construction6 of structures over 3 stories in height. Main Service 200A To 1000A. 46.00 NEW CONST. / DWELLING OCCUP. OR ADDNS. \ & ACC. BLDS. SO 3.50FT. CONS9 NON•R ES RANCH CMULTI.OIRCUI @7,50 TS 8PSIONGLEWER APOUTPARALET TUS CIR. oLrrLEr OR FOcruREs Ex. Occup.BAL 20 @ 1'00 @ .50 Ex. Occup. ourlEt°TSA flews o.GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t , MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONS T. TYPE TOTAL FEE $ 35.00 HAZ, 1 D. FEES IMP I F-OOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whichfeeshave been paid. ' By Date PERMIT EXPIRES ON 3 7� Date ReceiptNo. 209951 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIZION 7 County Center Drive - Oroville,'California -35965 Telephone (916) 538-7PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT 2 ASSESSOR PARCEL NUMBER 065-190-101 ZONING BUI ING PERMIT OWNER GARY & BROOKE BROWER TELEPHONE 873-0271 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 1724, MAGALTA EST. 500 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6585 TAIL PINtS, DR, MAGALTA Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat.pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO KITCHEN Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 800VOR LES Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La�or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( g ACC. BLD.. SO 3.50FT. NEW CONST. MULTI -OUTLET NON-FIESID. qNC C 97.50 APPARATUS 8 SINGLE OUTLET CR. Ex. Occu OUTLET ORFocruREs ens@'.w Ex. Occup. G LE�°sA A� NS ,6.0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo rs' compensation provisions of section 3700 of the Labor Code, I shallmply f with cowith those provisions. X Date i Slgnat a Applicant- Owner ❑Contractor ❑ g n An OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for whic fees have By PERMIT EXPIRES ON ( the applicable provisions Resolutions to do work been paid. z Date J 1 ( (jp— Date ReceiptNo. 209951 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,-Celifofiis 95:65_95:65_- Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT AssEssO(vc MSER 9 _ l D ZONING BUILDING PERMIT owN R (!moo ro �� TELEPHONE 073-02.7 1 SO. FT, OCC. BUILDING VALUATION i? ER'S MMLIADDRE S 'D• O 21 '� 0.l �l S r a1_&, CONTRA R NAME ONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ' [Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER - ~. LICENSE NO. Filing Fee . $ 20.00 Permit Fee $ �— ARCHITECT OR ENGWEER'S MAILING ADDRESS Plan Checking Fee $ 7U l t K -2S Z L Gi– Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other �L SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑! LOther ❑ Describe Work: K_C 1 jT���� Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov OR LEss 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service YOGA TO 1000A 46,00 NEW CONST. DWELLING DOCUP. so OR ADDNS. ( a ACC. sLDS. 3.50Fr. NON-AEOSDT MULTI.OLm Er @7.50 POWERAPPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTUgEs aA� 0 .50 Ex. Occup. DFlxuT ETS A OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. nK TOTAL FEE $ ^— "Az' D. FEES IMP FLOOD CDF PARCEL PD HD 55UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT RESIDENTIAL 065-19-0-101 93-1021 B,E BROWER, GARY & BROOKE 6585 TALL PINES DR, MAGALIA ADD TO DECK, CONV CARPORT TO GARAGE JOB FINALED (Date) 3--2a Signature z-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .. PERMIT 10. ASSESSOR PARCEL NUMBER 065-190-101 ZONING RT -1A BUILDING PERMIT OWNER & Brooke Brower TELEPHONE 872-0369 SO. FT. OCC. BUILDING VALUATION OWNEar R' MAILING ADDRESS P.O.Box 1724 Ma alfa 95954 873-4410 CONTRACTOR'S N AME Unknown TELEPHONE 2ND RENEWAL CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee @ i Fee $ 116.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 131.75 Alia PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other Newi nSle Family SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: _ 2nd Renewal of B P #1130-91 (lst Renewal was B P #92-1164) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 --y—CONTRACTORS LICENSE LAW I declare under perflilty of perjury El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for T is reason Main service 200ATO1000A1 NEW CONST ( DWELLING OCCUPq OR ADDNS. ACC, BLDGS. _37.50 3.64 sq.ft. NEW CONSTR U TI -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. FIXED APPLNSOR OUTLETS IRESI.O.1 EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare uner enalty of perjury (check one ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id County in cons ence of the granting of this permit. Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 3'0" deep and demo ition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $131.75 HAZ 0FEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or `^cork ' d' ated abov for which DI I OF PUB By PERMI PIR S Da e applicable provi resolutions to do s have been paid. ORKS ate % Re,eipt No. WHITC•D.P. W., LLO W -A58[9 R, OPINK-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF91EVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,-CALIF0RN1A95965 -TELEPHONE (916),538-7541 PERMIT APPLICATION DATA SHEET OWNER 4 it o vlte_ lfx pw<..ti A. p Proposed Building Use /fG.� Building Inspector �- Date zz At timeof pe A)it 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. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by.California Engineer ............. ..... 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy) ............... - 20. Pre -inspection for required. .. e�°� r a" (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 ). ........... t 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: ail to owner. ...-.Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other . Parcel C Acreage Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Departmen&-of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been.applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ma" labor and materials for construction of the proposed property improvement, yes or no) 2. I (have/have-not) signed an application for a building permit' for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 4. Address City. Phone Contractors Lice o. I --plan to prow-Ide to coordinate, su Name Address Phone tions of this work, but'l have hired the following person ls•e;, a d provide the major work: Contractors License City 5. I will provide some of the work but I have contracted (hired) the following persons to p_oovide the work indicated: Name \ Address Phone Type of Work Signed: Property Owner Social Security �Nf-�m er Date 'Y %— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i, . 4 • k, COUNTY OF BUTTE.- DEPARTMENT OF.,PUSL' :C 'NORKS PERMIT N0. 7 County Canter Orive - Oroville. Calitom1a.95969 - Teleanane: 916%538-7541 APPLICATION AND PERMIT` " 365LOR PAgCEL NUMB R ZONrNG go-io/ � BUILDING PERMIT I X'•r'� 'NswE /� LriPI+ONe 30. F I . i OCC. I BUILOING VALUATION , 22 iN6R'S IAAr L1N(i AO, R6S3 ' N AIiA E �• � � c Al AILING AOOR ESS _ . AOOR AOORHSS p -z.�- ,fir- / / //r .iL ..f F [ OuatexQ MobflehtimeQ Other ,t .SPECT FY TYPE -.OF -WORK dew(:Addition Remadei(a UttlftiesQ .InstaliationQ OtherLJ�! 7escriba work: 41mAll S'd r°T '7-c), )CONTRACTORS UCENSE•LAW- dec3are under penatty'ot perjury (check one): Q .I am licensed under provisions at Chaot. 9. Div. 3 at .the Business and Professions Code and my license is in full force and effect. License No. Classification Q I. as the owner, or my employees with wages as their sole compen- sation. will do toe work. and the structure is not. intended or offered for sate. (Sec..7044) Q I, as the owner. am exclusively contracting with licensed contract- ors.. (Sec. 7044) 0( I am exempt under Sec. Business and Professions Code - for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty at perjury (cneck one). C The oermt: is for 5100.00 (valuation) or less. CI have-piacea on rile with the County of Butte Building Oeoartment a Cartificate of workmen's Compensation Insurance or a Cartificate of Consent to Sett -Insure. I snail not employ any person- in any manner so as. to become- subject to the W. C. laws of Catitomta- Nptfce-to Applicant:- It atter making this statement. should you become -subject to the W. C. provisions at the Labor Coca. you must forthwith comaty with such provisions or this oermit Snall be aeemea revoked. Permit Fee \ ,- �' S • ~ti , % 5e I ( • Fireolace F-HINF-ee•j 15.0c Totat valuation I S 44 '63, Filing Fee- - - I S 15.00 Permit Fee Plan Checking Fee-' S 4 p I S r Energy Plan Checking Fee• S P enai tv 5 Permit fee- I S- `p PLUMSING1PERMIT• `FilingFee j 15.00 Eacn T'rao % -11 1 1 1 5.001 Solar or heat primp water heater Water piping `, 20.001 7.001 - Each aas water heater`or'vent- 7.001 Gas piping system 1 - 5 outlets I I f Building sewer � 15.00!,, Mobi ie Hame I S I Gill W I I i 5.001 -k Permit Fee \ ,- �' S • ~ti , % 5e Contractor -- ontractor-ELECTRICAL.PERMIT- ELECTS I CALL. PERMIT- F-HINF-ee•j 15.0c Main service - Zoo •OORLESS Main service 200ATO1000Ar I 37.501 NEW CONST -I OWELLING OCCUP-8' OR A00145.ACC- SLOGS. I - 1 54. 3.6a tt.1 NEW CONSTR. .AUL. -OUTLET NON-RESIO. 914ANCI-i CIRCUITS - /POWER APPARATUS a1 1 9NGL£ OUTLET CIR. I EX. OCCUO( OUTLETS OR FIXTURES I a4L r] 46a =IXEO dPPLNS. OR Ex. Occuo. OUTLETS IRF -SIO.) EA.) I . I 3.001 Temoorary service- I I 15.001 Mobile Home Facilities I 15.00 Misc. '.Miring .I •15.001 I I f Permit Fee- S Contractor MECHANICAL PERMIT" FiIingFee') is -C- - Heating I I ! Cooling { I I I P IHooa �•-,J , ; 5.50 ventilation I I Permit F•�e \ S r Contractor N., I certify that I have read tuts application and state that tne-above-into rmatIon Mocile Hame Installanan„Foe 5 s correct: I agree- to comoly to alt Countv Ordinances and State Laws relating to building construction, and hereby authorize representatives or the Countyof=nergy"i,nsoecvon Fee- s Butte to enter upon the aoave-mentionea property tar lnsoectton purposes- 'JCC r CONST TYPE I I also aoree to save. i naemniry and keeo harmless the County at. Suite against I TOTAL FEE $ ' `• ----- al l I iabllities. judgments, casts. and exoenses wmcn may in any way accrue I I -At 1 O FEES 1 —-7 FLOOD i COF I PARCEL I1 r,o against said County In consequence or the granting of this permit. I i ! X Cate -his nermtt Is nereov Issues unser the ao0ucaote orc: - ..,on oi,Tne-Eutte Counry Coae and/or resolutions to C= :�gnater--ot Aoo/icont - 13—f f— _infractor %•pen, i� :rorK inarcatea Soave for :vnlcn leeS,have oeen 0311. OSHA oermrr ..-urreo In♦+cor-rrom a+ -r 7'0 ' :eeovnaa-molrnon or convruet• - pIRECTOR OF PUBL1Ca'1VORKS ~ -Inor ♦rry ctures o+..r .ion n+ -wnr. '' ��, Date COUIJTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 065-190-101 ZONING RT -1A BUILDING PERMIT , OWNER Gary Brower TELEPHONE 872-0369 SO. FT. OCC. BUILDING VALUAT N./' , OWNER'S MAILING ADDRESS . P.O. Box 1724, Ma alfa 95954t CONTRACTOR'S NAME TELEPHONE Owner 249 0 1,74T-.00 2 40.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4,183.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER -ONO. Filing Fee $ 155.00 Permit Fee $ 60.00 Plan Checking Fee $ 30.00 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 0 6585 Tall Pines Dr . �1a�alia PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP F20.00 Water piping Each pas water heater or vent USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑X Describe work: _ Additional Sq. Ft. to Deck and Convert Carport to Garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under enalt of p v P er Iur y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license Is In full force and effect. License No. Classification i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, 37.50 NEW CONST. DWELLING OCCUP"") X 3.64sq.ft. 17,00 OR ADDNS. ACC. BLDGS. / NEWCONSTR U TI.OUTLET N ON.R ESID BRANCH CIRC ITS @ 5.00 APPARATUS 6� SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 @ T5 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.)EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 32.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. Not tI shall not employ any person in any manner so as to become subject 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 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai dCounty in cons(�Rc9of the granting of this per it. ate "Z40-9& of Applicant — Owner Contractor ❑ Agent 1:1 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 I TOTAL FEE $ 137.00 HAz 1 0FEES I IMP �— I FLOOD I CDF PARCEL I PD I HD ISS This permit is hereby issued under the applicable provi- sionsSignature of the B e Coun ode and/or resolutions to do work Indic e a r which fees have been p 'd. I OF PUBLIC W 7/e, By /y 9 PERMIT EXPIRES Date Receipt No. 129786 WNITC-D.P.W., YELLOW-A59C930R, PINK -INSPECTOR, GOLDENROD -APPLICANT 4 %. COUNTYOFBUTTE -DEPARTMENT OFDE IEdOPMENTSERVICES-BUILDINGDIVISION 7 COUNTY CENTER DRIVE - OROVILL"E, CALIFORNIA95965 -TELEPHONE (916) 538-7541, ). - PERMIT APPLICATION DATASHEET ` • i OWNER / WjOC/L- A. P. No. 19 5 - Proposed Building Use P ,G4ve-r. Imej . 42r-7/"Building Inspector Date S 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., -,._.-.s ` 2. Plot ilan��4 sets, s� den by prepare ,of lans. ................ ;....-,.., ..... 2- G 171 3_ Complete Ian sets si ne Tyfp , Z p p c prepare, of plans. .......... . A..Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5f Hazardous Material Form . ......... ....................--****-- 6. . . . . .. . .. . . . . . 6. Energy Design Compliance and supporting documentation . .................. f 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . - 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 4. Sanitation and plot plan approval A0.A41,Health Department. ........... 1, 15. City of Chico plumbing permit . ......................................... 11 x`16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: r 18. Contact Land Development about (A) Improvements (B) Drainage. ...........� l 19. Driveway permit (construction approval required prior to occupancy). . . sp - -20. Pre -inspection for required. .. csui�din9lnspedor- - (Date) 21. Contractor's license information. (No., Name.Style, Classification). --» ---�� 22. Certificate of Workmans Compensation Insurance . ................ ".-!`.Y..R. . 23. Owner -Builder Verification (Given to owner , Mail to owner ). :............ �.� 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ t, 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 1 -h 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 . ...................................... x/32. Plan check list . ..................................................... 33. -34. / When you issue the permit, process as follows: , e/ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 4 Parcel Creation s Acreage Applica t Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked+aliove). 1. Index permit for above items No. t ~ 2. Additional items required: 'Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _Date Cont actor, designer, owner, was advised of above re uired data by -phone _ mail Counter by _ Date ' Plans checked by �j Date a /4 Plans -approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works 46(h WkeA '(J1Bt1AD. CBYvA- Uy► COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541 APPLICATION AND PERMIT ADDEDDOR PARCEL NUMBER 10-10 ZONING r,T 4 BUILDING PERMIT OWNER GARY R tt'-1y,,*T TELEPHONE SO. FT. occ.1 BUILDING VALUATION OWNER'S MAILING ADDRESS PO WV 4 13Afw4O MU G CONTRACTOR' S NAME 1IN"01H s - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filin Fee c g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee , rvr $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home IS1G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Rem_odeI F! Utilities [:]Installation❑ Other Q Describe work: IrT r- D4" AT, OF FINT130-93 _ LI I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.R OR AODNS. ( ACC. BLDGS. 3.6d sq.ft. NEW C0NSTFL ULTI-OUTLET @ 5 00 BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIS. Ex. Occup(OUTLETS OR FIXTURES AO 76d Ex. Occup. OUTLETS RESID )REA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant – Owner g pp ❑ 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 I TOTAL FEE 531,75 HAz 1 11 FEES I IMP I FLOOD I COF I PARCEL PO HD I ISSUE This permit is hereby issued under the applicable provi- I 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 �o�_n� Date i PERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT W COUNTY OF BUTTE -vDEPARTMENT OF PUBLIC WORKS 7 County Center Drlve • Orovllle, Cellfornla 95965 • Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCWL NUMBER 65-19-101 ZqNING `% i?Tla BUILDING PERMIT OWNER & BROOKEBZOr,ER TELEPHONE 372-0369 SO. FT. OCC. BUILDING VALUATIONG.Rl T IST RENEWAL OWNER'S MAILING ADDRESS PO BOY 1724 KA"'JALIA 95954 bf $13-44to CONTRACTOR TELEPHONE ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE i UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee 3 F3E $ 116.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6535 TALL PINES DR i1.�GALIA Permit fee $ 131.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FG W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ' r Describe work: 1ST RTIBiEWAL OF 3P#1130-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A To 1000A1 37.50 OCCUP.&\ 3.6Qsq.ft. NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. II 1 NEW CONST R. ULTI.OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 A ED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.0000 (valu�) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 II Iia ' Mies, judgments, costs, and expenses which may in any way accrue a st s d County in conse nce of the granting of this perm't. Date — S gnature of Applicant I� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or aonstrucr- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP 13 I COF I PARCEL JPDM ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do `Mork indica boWfoich fees have been paid. D EBLIC WORKS By ' Date PERMIT EXPIRES Date —25-93 Receipt No. ,. I d % S % WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,iVV�M.fT—.WAfi'.. r� � � ,.; r..j .. y.r„�.. T'F" ti�n� • ,tsr.^-. ..� ; w �y.... . 7 • : COUNTY OF BUTTE - D P VIENT,OF PUBLIC WORKS-:,BUI.LDING DIVISION // 7 COUNTY CENTER DRIVE - OROVILI_6CA .IFORNIA �09y5*41_�PHONE: 916/538-7541 PERMIT APU,CATION DATA SHEET y� �' \� � '• Permit No. OWNER ��Q oLIG ���w A. P. No. Proposed Builaing Use %Si' /?&,W Building Inspector Date y_ Z-- At time of €rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed.by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... . 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ................... ................. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl i Copy of ! Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, wa.s advised of above required data by_phone--jnail—counter by .date Contractor, derggner, owner, was advised of above required data by—phone _mail—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing, your signature. y. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) eS 2. I (have/have not) (j,i�.� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name A)V_ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: . Name Address Phone Type of Work Signed: Property Owner cz, Social Security Nd—mifer Date NOTE: This Owner -Builder Verification is sent to you as required -by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. V=OK - O=NotOK Not = Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg -Rfd.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -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 -Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/initials UNDERFLOOR (Plans) OK except #'s 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. O.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 -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii 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 #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing /. P j Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -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 Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. 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. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: ��.. ,ra-• � ,.,a. .. �.r..Y . . .'enf::..�.�.. --r'r✓"�a''a�'TJrr��5!: o^G.:�;�'Dt'aAy!i.'}`_"7�^hci7�'.Y-'[t,, _^v! rr��3. _j'a. 065-190 10T' r * 00-0420: BROWER; GARY & BROOKE 6585 PARADISE. CONTR: RELIANCE PROPANE INTALL TANK & PIPING r • I Address j, p ay ,GAS eter BY r�r a�N .pace,- t M r Meter x - # y • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSES=101 Z°"NNO BUILDING PERMIT OWNER rAry VT 11R TtF' REPIM TELEPHONE Sp. Fr, OCC. BUILDING VALUATION OWNERS MAULING ADDRESS CONTRACTOR'S NAME - 4'k' F TYROPVTV TELEPHONE CONTRACTORS MAILING ADDRESS 1 T1 /1: CV ' P n Sr - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGAyRSsfhTL PTNT: DRIVV, t-ACALTAEnergy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF�Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lities ❑ Installation ❑ Other 13'' Describe //5 aWork: ��. Tn�S�+i T t / ," � ✓L.r%1 - f :f F/• 7 �✓� t /P / r Gas piping system 1 - 5 outlets 15.00 5, � Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ..AORUESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full Orce and effect. License Class Lic. No. 7 �� �/� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. OWEWNG OCCUP. DWE200ALLING Or-0000AUP. OR ADDNS. ( a ACC. BUDS. S° 3.5¢FT. NON RCS °ESIpT. MULTI -OUTLET H CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR . Ex. Occup.OST OR FIXTURES SAL ®L:w Ex. Occup. °u�ns�°rs ga1D °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. fiave and will maintain workers' compensation insurance, as required by Section � 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carr er and policy number are: Carrier h'i*6'1'� MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ i r nf1 Policy Number ?,/ ; V /7- 6 OGOts `1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply withthose provisions. _ X //' �_/� Date �/ [' /� Signature of Applicant - ❑ Winer ❑ Contractor Agent ' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE 7� TOTAL FEE $ D FEES IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Byi( PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 4 - 0 1 PAW Receipt No. !'VI I I I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . �.�,�{�+- �.i'i+l�gtc ;�:+i.�i :� f�.,'n` ' cC,•_ i as" z . _ fi-.s'st'.i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA •. (530)-538-7541 CORRECTION NOTICE OWNER PERMIT NO A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 o Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)APPLICATIQsiV AND PERMIT ao® ASSES$gARDQ.)jUM�R 101 j`J 11 ZONING BUILDING PERMIT OWNERl1�J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6589 TAIT PINE DRIVE, MAGA-1-1-A CONTRACTOR'S NAME RELIANCE PROPANE TELEPHONE CONTRACTORS MAILING ADDRESS AA9A -,JAY, PARADISE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIW�rShLL PINE DRIVE, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF>("Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Vrl- Describe Work: r/5 CJe9 sGye_ �LI P Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.ea ELECTRICAL PERMIT Fling Fee 20.00 VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full orce and effect.POWER License Class Lic. NO. 7 313/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens do insurance carr er and policy number are: Carrier ! -AG n LY Main Service TO ,CCU000A 46.00 NEW CONST. DWELLING OCCUP. SO W: OR ADDNS. ( a ACC. stns. 3.5QFT: =RESIDTMULT ' I -OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CSI R. Ex. Occup. OUTLET OR FUTURES 20@''00 BAL @ .SO Ex. Occup. DUritDrs PPM.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 9-? , UV / Qoc oo (rhe above sections need not be completed 0 the permit is for ork of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisjons of section 3700 of the Labor Code, I shall forth ply wit hisions. X / ate 3/6/00 _ SigDa6re of Applicant - ❑ Q<ner ❑ ContractorJR-Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ' Occ CONST. TYPE TOTAL FEE $ 70.00 HA2. I D. FEES IMP I FLOOD I CDF' PARCEL PD I HD I ISYE This permit is hereby issued under the applicable provisions of the Butte County C de and/or Resolutions to do work indica d above for w fees have been paid. )) d B Dated 61 PERMIT EXPIRES ON Date Receipt No. 286111 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .� 7 County Center Drive • Oroville, California, 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT &0 —01�Z6 ASSESSOR PAACELNUMM m/_5__ ZOMNQ BUILDING PERMIT OWNER vT� e r TELt»awE SO. FT. OCC. At VALUATION owmmv MAAJNO ADDRESS CONTRACTOR's NAME,/ {.—/ , N ► tzi %� n✓I A ✓%n "c -4 TEUP LENDER'S MAILING ADDRESS Total Valuation is ' ARCNRECT OR ENGINEER I PERMIT FEE ...... Filin Fee $ 20.00 Permit Fee S 23.00 ARCWMCT OR ENOWEERS MAUNO ADDRESS Plan Checking Fee b oWELLliO OCX:UP. BUILMOADORES9 6 72 0 Energy Plan Checking Fee S MW GUM 1. NO"ESID. MULTI -C ET Mo _. $ I PERMIT FEE S IDT NO. NE SUBONEigNSAM PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 + SF Duplex ❑ I USEOFSTRUCTURE Mobilehome ❑ Other SPECiY Solar or hent pump water heater 23.00 Water piping 15.00 Each gas water heeler or vent 15.00 New ❑ Addition Describe Work:a� TYPE OF WORK ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �i� S Gas piping system 1 - 5 outlets 1 15.00 , Building sewer 15.00 S Mobile Home G W @20.00 EX. OCCU OUTLET OR WTURES PERMIT FEE $ ,Q U ELECTRICAL PERMIT Fling Fee 20.00 Main Service pw o�R LEss 23.00 Main Service 200A TO L000w 46.00 NEW CONST. oWELLliO OCX:UP. s0 3.50FT. OR ADDNS. i ACC:. albs. MW GUM 1. NO"ESID. MULTI -C ET Mo _. @7.50 EX. OCCU OUTLET OR WTURES Ex. Occup. o m is�n o SEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinsa 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 PERMIT FEt S OU Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CO, NST. nroE TOTAL FEE $ 720, (� NAZ D, fEES WP I FLOOD I COF I PARCEL I PO ND 6SUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1.469 Humboldt Road, Chico, CA - (916) 891-2751 7 Co mty Center Drive, Oroville, CA - (916) 538-751 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE `4 HO 401 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. , / H G VIOLATION CHECK LIST A.P. # ��9D` �� Address Owner Owner's Address ' Owner's Phone. No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted __yes no -Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination hvq� An q -T 9-7. 410 v _ 19, Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) RESIDENTIAL - _ �---- - 193-3557 BPEM . 'i 065-19-0-101 �� BROWER, GARY & BROOKE 6585 TALL PINES, MAGALIA DETACHED WORKSHOP OFFICE COPY Address 6;,P,5 Q44, GAS �. Date— ELECTRIC at Meter By j ELECTRIC. e�����• Meter By 1 .1 — ate' e� i% CO P r Address`% Date GAS 6y Date J . Meter Meter JOB FINALED (Date) _q_ j j'9 — . Signature V=OK O=Not OK = NotNot Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a ' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. -Sewer; Locatlon-Teat-Fell-C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. _Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy I ,. MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs -Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boa rds-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - =Noteble Ready 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.; Fell -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. Plenums & Ducts; Clears nce-Material-Support- Ins. 14. Girders -Sills -Anchor Bolts-Joista-Vents-Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nell 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 #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/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 ❑ Yes ❑ 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 #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (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. 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 59. Insu lation-Wells-Celli nas 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-Hsarth 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. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 CounfS Cenier Drive - Oroville, 9aflf®r�ia 95965 - APPLICATION AND PE SERVICE-16')538-7541 LDING DIVISION Telephon � � -LERM_IT N0. RMIT ASSESSOR PARCEL NUMBER 065-190-101 ZONING RT -1A BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P-0- Box 17969 Magalia 99994 56 C. 728 CONTRACTOR'S NAME Ownpr TELEPHONE 1 -nn CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 11,U96.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 135.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 7.75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 242.75 6585 Tall Pines alia " PLUMBING PERMIT Filing Fee 20.00 Each Trap 4 7.00 28.00 Solar or heat pump water heater 1 23.00 Water piping 1 15,00 15.00 L NO. J� SUBDIVISION'S NAME pA E qp d lo Each gas water heater or vent 1 15.00 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome ❑ Other Worksho P SPECIFY Gas piping system 1 5 outlets 1 15.00 1 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New X) Addition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑ Describe Work: Detached Shop PERMIT FEE $ 108.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 000v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) so' 3.50 FT. go I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am licensed under provisions of Chapter 9, Division 3 of the Business and P ess)ons Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occu FIXED APPLNS. OR p (OUTLETS (RESID.) 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 p rmit is for $100.00 (valuation) or less. ❑ I h e placed on file with the County of Butte Dept. of Development Services, ilding Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 40. 15 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 4.50 4.50 PERMIT FEE $ 24.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, 'u gments, c ts, and expenses which may in any way accrue against said County - nseq Of the gran ' of this permit. X Date ��- / S We o Ap cant - Owner ❑ Contractor ❑ Agent An OS A 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 $ coJ ���/ TOTAL FEE $ 415.40 � D. FEES IMP ^� % COF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTQR 0F PUBLIC By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. -WORKS q� Date /J c� �6 A� (Date Receipt No. _148251 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFbWtLOPMENT SER I ES -BUILDING DIVISION r 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATASHEET OWNER Proposed Building Use `QIO124� /� Building Inspector DateZZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 11 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 . ............................................ . 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. ..... ... .42 12. California Department of Forestry plan approval/ es ...... 13. Flood elevation letter (100 year flood b California ngineer................. 14. Sanitation and plot plan approval 2 Health Department . - 5. City of Chico plumbing permit . ......................................... r_ j6. 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. .. P s4",�9iopd- (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..........A........................... . 32. Plan check list . ..................................................... 33. 34. When yo T. issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 2 A office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date L1 / %3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire D t. Other : Date By The following data must be submitted prior to r i ' su nce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by - Date Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by - Date Plans checked by Date Plans approved byDate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works • ,. �=�► '��� JLC . ENVIRO'iWRIF,mAL HEALTH N 0 V - 2 1993 PARADISE, CALIFORNIA n EA IIIS I N LY - Phi ilkii Awidied V TO 8midHig De-,13aftim-nt FROM: E.rlvifonniontal Health S0818 -CT:; Sanitation Clearance 4nxAc - I ��E 3zI&,Rv--S - -- no - /O/ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: I'Llblic Private Well Clearance for bedroom mobile home. Other a6 Y Hold final for: Final clearance O.K. for: NOTE: ocef- /,//7 Environmental Health' Specialist 8/92 \1 �t IrZ � Date J � .i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico* Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE (Lo tj'rL q3-3 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �r��i I y Inspector Jt—L 1---- _ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your, name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and Materials for construction of the proposed property improvement (yes or no) 2. I (have/have notsigned'an application for a building permit for thero osed wdfk.. P P 3. I have contracted with the following person (firm) to provide the proposed. construction: / Name yc1GC`� Address City Phone Contractors License No. 4.-.I plan to provide portions of this work, but I have hired the following person to coordinate,su rvise, and provide the major work: Name Address, City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of_Work Signed: Property Owner Social Security Number Date . NOTE: This Owner -Builder Verification is sent to. -,you as-;re.quired" by Sections '1983.1 and 19832 of the California Health and Safety Code.._::_. This verification must be completed and returned to our office before we are per-_ mitted to issue the permit. i i y11ts .k'Y/ s RESIDENTIAL— rtjol,rr yy , N 5f r,x e r 14 r • a • - 4 r Y -OF TICE COPY , h rµ Address r t GAS Meter By Date ELECTRIC '+ ' Meter By Date AR OFFICE COPY Address IDS Date ,.:ELECTRIC �• Meter By Date�� JOB FINALED (Date) Signature i i y11ts .k'Y/ s RESIDENTIAL— rtjol,rr yy , N 5f r,x e r 14 r • a • - 4 r Y -OF TICE COPY , h rµ Address r t GAS Meter By Date ELECTRIC '+ ' Meter By Date AR OFFICE COPY Address IDS Date ,.:ELECTRIC �• Meter By Date�� JOB FINALED (Date) Signature i �_Y it OK '0 = Not OK =NoApplicable Not Ready I91� MOBILE HOMES = t 9� Date MOBILE HOME UTILITIES (Plans) OK except $rs 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance ./ . F Is MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric CL 16 Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements �. Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 9 3. Pool Structure; Steel -Connections -Thickness P Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval ' 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting. Distances-GFI 9. Exits: Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Can. of Occupancy 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. Date Card B-1 Date Card B-1 Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card 8=1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 d=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (; • = Date UND FLOOR (Plans) OK except #'s a —� oning-Setbacks-Easements-Flood-Slope . �1g., Main; Soils-Elec. Gr .-//2/" Ftg. Depth . Fig., Garage; Soils-Steel-Elec. Grnd.-//(/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth emwalls, Main; Steel -Bloc kouts-Wrapped 6.'Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors Slab; Steel -Wrapped 1 rs-Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. G2 Pipe; Size -Anchors 144'Water Pipe; Test -Anchor-; lator-Service Test _ 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date 5- L 5 -7/Card B-1 L Date f 7/ Card B-1 t �' Date i_;9/ 92ard Date Card B-1 Date PLUMBIN-0 (2ey`ffii0 OK except #'s Watej Htr.; Vent -Access -Combustion Air -Baffle atp Pipe: TW'& Anchor -Nail Protection V.; .4m%t-Fittings & Anchor -Na Pr&Ccti n /19: -Shower Pan; Test. First Floor -Tub Acce _20. --Test Tub & Shower. Second Floor -Tub Access _21,rGes Pipe; Size & Anchors Date Z and B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date ELECTRICAL (Permit) OK except #'s 2 Fixture & Transformer Clearance -Ins. Protection 23.Eiec. Receptacles Spacing -Lights & Switches at Doors 24.,,Size Boxes & No. of Conductors -Stapled 25,06mex Installed Close to Edge of Studs & C.J. Y4uip. Ground made up w/Mech. Fastners-Bond Gas & Water 27VAppiiance Circuts in Kitchen & Conductor Size/GFI _ 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / ga. (SWr±l-qven Circ. / / ga. Cu or Al. Insulated Neutral - es ❑ No Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Sir oke Detector Date 2 / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34/A.C. Ducts Insulation & Support ,35 -Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet UZttic Access & Platform if Furnance in Attic Date L S Card B-1 Date Card B-1 Date f Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Wills. Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4L.8earingWalls over Girders & Floor Nailing tr D. t Stop in Walls (rat proof) Firp Stops; Furred Ceilings -Stairs -Chases - Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 4 . Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 4J,—Fireplace Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. dim. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing S1. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits h9 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, .plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5r5, etaing-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57tZraz g Area -Glass Protection -Skylights -Plastic. 58. ear Walls; Nailing -Bolts 9. 'Insulation -Walls -Ceilings 11 60. Infiltration-Walrs-Windows Date Z ] Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Broom Exiting F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels e?.-5rairs & Rails ireplace or St ; Cleatfn`ces-H rth 7_/ZA j LQ 47_72 fcTod Alec. Outlets at Wood Panel; Int. & Ext. Xf Ki ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 7 Garage Fire Door; Swing -Landing -Closer -73. .C. Duct in Garage-Damaer Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 7 Plb.. Elec. & Mech. Equip. Listed for Location 7&.-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7ii.'lnsulation-Foam-Looked in Attic ❑ Yes ZO.."Guard Rails & Deck Construction -Post Caps . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes No; Walks ❑ Yes No; Planters ❑ Yes P_<0 6+r5Tucco; Brown -Finish 432 -A -C. Unit: Disconnect, Electrical, Plumbing Vents Above Roof; Pibg.-Appliance-Firep lace: Clearance to Openings B4 -Water Well; Disconnect, Electrical, Plumbing ,y�Zxterior Elec. Trim; G.F.I. Receptacle -Underground ✓P"Ventilation Throughout House yf Glass Protection Corrections from Previous Inspections 89 -Oas Test -Meters Tagged; Gas -Electric Or W ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date 2 _13-.t Card B-1 (r:r, Date Card B-1 Date -gt/Card e 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) �c,.� c,n+-xe s: s��y�:tk;.•. •v 'm'i�+`� r�+^.L.ur:.a�.,,q.�.x;.�ya•,,,w��wYN _ ..r,�.n,, �� ,� _ f s. .t 1 a _.� ,. , t 5. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 65-19-101 ZING t BUILDING PERMIT OWNER Gary & Brook rower 10-2 TELEPHONE 872-0369 S0. FT. OCC. BUILDING VALUATION p 784 R 31,360 OWNER'S MAILING AD RESS P.O. Box 1724 Ma alfa 95954 44 M 616 CONTRACTOR'S NAMETELEPHONE Unknown 488 car rt 4,880 105 en 525 CONTRACTOR'S MAILING ADDRESS Fireplace 1PAtt CONSTRUCTION LENDER None UNKNOWN p1,0000 Total Valuation $ 38,381 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 233.50 ARCHITECT OR ENGINEER Jim Randall 877-5912 LICENSE NO. Plan Checking Fee $ 116.75 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS 5439 Black Olive, Paradise Penalty $ BUILDING ADDRESS 6585 Tall Pines Drive Ma alfa Permit fee $ 375.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1, 2.00 10. Solar or heat pump water heater 20.00 4(1-40 LOT NO. 1 2 3 SUBDIVISION NAME Fir Haven PARCEL MAP a 7-/ Water piping 5.00 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF EK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 1 9-00 Mobile Home S G W 0.00ea TYPE OF WORK New gg Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:2jI Permit Fee $ Contractor , ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under perjury p y of p erjy (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OC y�P.�\ '/z2sgft OR ACDNS. ACC. BLDGS. / NEW CONSTR MULTI -OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q SINGLE OUTLET C'R. Ex. OCcup(OUTLETS OR FIXTURES .2ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 100,000 BTU 16.00 6.00 heat pump 111.50 11.50 Cooling 31 TON Hood 1 3.00 3.00 Ventilation 1 3.00 3.00 permit Fee $ 33.50 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and 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 County in cons!of the granting of this permit. _ 9� X ��'�- Date / Signature of Applicant - Owner Contractor 11Agent❑ 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 $ 30.00 o CONST TYP TO L F E $ 5V2.25 qZ -_ CUA PARK sc FL coF PAR PD H Iss This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORQF PUBLIC WORKS By Date _ Z � � PER EXPIRES Date Receipt No. /Z G� WHITE-D.P.W., YELLOW -ASSESSOR. PI -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE v DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 74Z,Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE lS ot1� // 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office s k when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 AM e C ' � 3 ems- /N.0 ✓/2 /ti{,�,/ � / C� Date `( �-1'--1"nspector I COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 El?iott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE e -o wf a- 10 Zy -cl-3 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed.rlf,you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. yf�or �f t\ �d.E' .�1 S rn� a �� Vel �I� <'� ��N� `i� rL. M � N •f� Date �L� �� �� Inspector Owner: ` ENERGY CER-TIFIdATION LOCATION ROOF MATERIAL THICKNESS EXTERIOR WALL DESCRIPTIO`! OF INS"!LATI011 BRAND NAME THERMAL RES. M Permit#'. ..# MATERIAL Fiberglass BRAND .NAME Certineed THICKNESS �,;Z THERMAL RES. 1_3 CEILING BATT OR BLANKET TYPE -FIBERGLASS BRAND NAME Certineed THICKNESS /Q THERMAL RES. LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR -ELEVATED MATERIAL Fiberglass THICKNESS FLOOR -SLAB INTERIOR WALL MATERIAL. Fiberglass THICKNESS BRAND NAME Certineed THERMAL RES. BRAND NAME Certineed THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE 'STATE OF CALIF. ENERGY REQULREMENTS. HAWKINS IND.IN,_QJdba SHASTA INSULATION LIC.#650722 Ihereby certify the above insulation and all required items as shown on the building department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment,devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -- --------------------------------- -------------------------------- -_FIRM NAME./OWNER (PLEASE._PRINT) STATE CONT. LIC# "- - --SIGNATURE OF GENERAL CONVOWNER DATE n� This certificate must be on file with the Building Dept prior to Final x�;aadGpostedwithin.wthe building. x INVOICE # 1 t Custom Sawing;d Retail Lumber Sales SpeclallzingirtSolidana-PeckyCedar %-j 1v & LUMBER 6633PENTZROAD��n s}'�i+ PARADISE, CA 95969 "` (916) 877-3395 NAME: GWs DATE.7_`_ DELIVER To:.0'OTHH,I-ILLM CHARGE: COD PREPAY ON ACCT. MDSE. RET'D PAID OUT DEL. BY P.O. = PHONE = DEL. DATE SPECIAL ORDERS. OPEN ROOFING -AND GOODS CUT TO ORDER ARE NON-REFUNDABLE PIECES SIZE I LENGTH DESCRIPTION FEET PRICE AMOUNT y 3/ E=Lo�2S udk' Ie— `a u 1 iStA 9 f �x.c;4'�r aa.a _s �v`' _ « e .,.,.. •...i �.,P-�:1}lr..?�f.�': :S iLxtl�'. .�= a w L. o� t&n I I THE UNDERSIGNED 15 THE OWNER. FOREMA.\ OR PERSON SUB TOTAL DELIVERY CHARGE OF JOB AND HEREIN ACA RIALiDGES ALL CLAIMS MUST BE MADE WITHIN FIVE DAYS AFTER RECEIPT OF GOODS. ALL MATERIALS RETURNED HAbIAND RECEIPT E THE ABOVE MATERIALS. THAT WHICH SHOW NO EVIDENCE OF HAVING BEEN USED OR REGRADED WILL BE CREDITED AT INVOICE TAX ME HAS INSPECTED SAME: AND THAT THEY ARE IN GOOD CONDITION PRICE LESS 15% HANDLING CHARGES. NOT PAID BYALL A 0TH OF MONTH CONSIDERED PAST DUE. THS DUE AND PAYABLE FIRST OF E FINANCE CHARGENG RS COMPUTED OACCOUNTS TOTAL PERIODIC RATE OF I%% PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. Lam/ .a +1?s::'�'x+,ar �x.c;4'�r aa.a _s �v`' _ « e .,.,.. •...i �.,P-�:1}lr..?�f.�': :S iLxtl�'. .�= O 0 D APAK.Vro Certificate of Conformance Certificate --- — ° THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. IN ANSI Standard A190.1-1983, for Structural Glued Laminated Timber„__. U-----._._.... _..... _ _..__._...... _... - Job Name .SEQUOIA SUPPLY Job Location FAIMIELD ` CA -- Customer's Order No 90-42313 Date 10-08-'91 Mfgr's Order No. 9262-C PROOF .LOADED END JOINTS er = Title __._QVAI1t�Eontr0J� Signature - ---- -- --` — company itagbe>co L ►tuber Co._— Address .._.Sp-rl,n.8f.ield,- QR-.---- Date IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit -by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verity the quality of glulam construction and the adequacy of glue bond. 4' �►EAL J* WASHtN���� by Michael R. O'Halloran Executive Vice President T * d AMERICAN WOOD SYSTLMS - A G 1� ' ` q� t - i "7%1 A [ 5 t h L t J' T ..1d�1 l'`,..F+II_!I II �3'= � tS :6 TF, ` c 1"J�� TO Buildina Department Cco�� FROM: Environmental'Health SUBJECT: Sanitation Clearance Oyvner Location AP# Plan Approved for: Sewage Disposal Water Supply '4L— Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom atilt home. Other - NOTE Date Sant is .. - .-.- .�.,+ .-� .-�-•'r.,�,.:.�xN.R"'-'I-.+-;,e 4+nC'li`�s�fi^'c'ii'I'i7`T+�?it/Yi�l'l'+�Ti7`_'.s-�""Fi`1.cr..r.�r yw•,,.V...y(y.r-. '�+^5„w • - COUNTY OF BUTTE - D A T, ENT OF,'PUBLIC WORKS - BUILDING DIVISION .. T ,. r 7 COUNTY CENTER DRIVE - OROVILEE"," ` At ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER, _c iJrZ O ke RA 6 �� � A. P. No. 6 �" / f' / o� Proposed Building Use SAIL %Ve Bui lding Inspector �� Date—Y 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, si ned by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4: Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation _aKlinstructions. of) ............................. . Fees of $ n ........................ 11. Chico Urban Area fees paid ....................................... 12. Park feesd................................ �3. �`%�t� /d 41 f C School District fees paid .............. 4. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 0�4. Recorded copy of Agricultural Acknowledgment Statement ......... C=- y� S ` 25. Letter of signature authorization ...................... 26. Z 27. 0-11 0 When you issue the permit, process as follows: fV'Mail to owner. Mail to contractor. Telephone X2-0'Yo�_and hold for pickup at office. Deliver w/inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit 1. Index permit for above items No. 2. Additional items required: e: (Ci--cle/ new item not checked above). Contractor, designer, owner, was advised of above required data by phone_mall_counter byL) ..date �IZ� Contractor, designer, owner, was advised of above required data by— phone-mall- Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder by date tF— Date �o RESIDENTIAL'PLAN CHECKING GUIDE -12/90 (S.F., DUPLEX & MISC. ONLY) • Bldg. Permit #_3 D OWNER � � A.P. # �U- / 1U1�1 Plan Checker GENERAL oning requirements: (sideyards and number of permitted living units). Valuation. lans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN P lete parcel size and dimensions. acks, sideyards, easements, etc. r buildings or structures. ing, fills, drainage. d hazard. ial conditi.ons on creation map, ble, and foundations). YAV & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN plete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). -Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs 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. Garage firewall, door size, and closer (Sec. 503(d)(3)). t-.-1 - 3'0" exterior exit door (sec. 3304 (f). 'Fireplace and wood stove location, alcoves, and clearance. E- Smoke detectors (Sec. 1210). ,-'Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 'Standard bracing or engineered design (Table 25V) rn-usual shape, size, or split level house requiring lateral design. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct hoof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. 'Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building. 12/90 RESIDENTIAL PLAN CHEG`KING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR St irway details: landings, rise and run, head clearance, handrails r 3306). drail details (Sec. 1711 & 3306(j). k or stone veneer (Chapter 30). rior plaster - weep screeds (Sec. 4706). er roof pitch for roof convering (Chapter 32). covering type - (fire hazard). insulation - protection. halls and stairways. ng area over garage - complete 1 -hour separation required on garage side uding supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 11-.-9t-tic access and ventilation (Sec. 3205). 421-�nderfloor access and ventilation (Sec. 2516). 43 -.-Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. 15. Energy design. 4—Flashing at all exterior openings. CDF responsible area requirements. I Rettrn to DPW AGRICULTI,JRAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDFINTIALT DEVELOPMENT Section 26-8.1 of the Butte County Code reouires this acknowledgement be recorded r prior to issuance of a building permit. The .property described herein is adjacent I 91-015024 to land or included within an area zoned f: for agricultural purposes, and residents Recorded of this property may be subject to incon- I Official Records venience.s or discomfort arising from the County of use of agricultural chemicals, including, But but not limited to herbicides, pesticides, Candace J . Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 11 :26am 18-.-Apr-91 but not limited to cultivation plowing 9'1 -Ef 5.f 24 Rec Fee 5.00 Check 5.00, XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property:' situate in the County of Butte, State of California, described as follows: OF .,/OT X*vim Ju -6 J Date: - / % jG'� PROPERTY OWNERS: State ofawi V-/U/l ) On this the 1L day of /�/.e/, 19 t& , before me, the SS. undersigned Notary Public, personally appeared County of /f P m ♦♦♦♦ Q CPP�eOJ°CP � ♦♦♦ e ♦♦♦ice�♦♦♦♦ P went A.P. No. ©Personally known to me. El Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s)� subscribed to the within instrument and acknowledged that — executed the same for the purposes therein contained. IN WITN S II WHEREOF, I hereunto set my hand and official seal. o - Notary Public END OF DOCUMENT COUNTY OF BUTT DEPT. OF PUBLIC WORKS APR 2 4 1991 L BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one -Form per Building) .. r A.P.—Number Building -Department -No... School District A600101jy City County Ezf Jurisdiction -Property Owner Project Location/Address%%%CcGat//Q ,--� .t. Subdivision /`-/ �-�� �/�.n Lot Number . Residential Development:E:1 Sq. Footage' / # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) - S B_qA-lam Tang Departmen Representative Date ***************************************************************** (Floor Plans reviewed by School District Personnel) District. •Id No. 0 �Xd s School District certifies that (Applicant Name) (Phone'Number) ' ujuii (Street Address) t -- (City) (State) (Zip Code) has complied with the requirements of Resolution No. by thePyl ent of .$ �,:JO,� representing square feet. School District Representative Date PAID. BY CHECK NO. � REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) OWNERS NAME: � �� 64"O'644—RECEIVED BY : DATE: A. P. # b S % �7 , t PERMIT #,. TIME: 3 ESIDENTIAL NON RESIDENTIAL RECEIPT # CHECK #: REQUIRED PRIOR TO PERMIT ISSUANCE _ZKOM DATA REQUESTED. BY PLAN CHECKER ENGINEERING OTHER --------------------------- .,� REQUESTED BY CORRECTION YES NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: ------------------------------------- -------------------------------- WHEN APPROVED, PROCESS AS.FOLLOWS: Mail to owner Mail to contractor Call ` and hold for pickup at the office. Deliver w• nest inspection. REVISED PLAN CHECK FEES PAID: �' $15.00 $30.00 Additional Fees Not Required TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance V.11. tisk ()NI.Y "" """ Plot 19wt Attached y-P9S Flour Phm Atumhcd Sent w B.D. Owner Location AP// Plan Approved for: -ewage Disposal Water Supply: Public Private Well p Clear for be o01 vl u,b e home. OtherfDGj ( �(�� �i; (�-- Hold final for: Final clearance O.K. for: NOTE C::� ""4ro 1P j �, Environmental Health Specialist 8/92 -_�[ 2 7� Date i COUNTY OF BUTTE - Department of Public Works 7 County Center Dritte;.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity bo avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials..for construction of the proposed property improvement (yes or no). 2. I (have/have not)signed an application fo"r ' a building permit for the proposed work . 3. I have contracted with the following person (firm) to provide the proposed construction: Name . Address City Phone Contractors License No. 4. I plan to provide portions of this work,'but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.. I will provide some of the work but I.have contracted (hired) the following .persons to provide the work indicated: Name Address . Phone -Type of Work Signed: &_ Property Ownel(o:�_�L Social Security Number Date Z0 - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of.the California Health and Safety.Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1. Ceiling Insulation -4 3 -1 0.80 Number of stories .1 0 R -value One Two Three R -O -103 -49 .32 R.19 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value 50 -121 -53 -39 0.50 -176 -84 -54 0.30 -102 -49 32 0:10 -26 -13 -8 O.C8 -18 -9 -6 O.C6 -11 -5 -4 O.C4 -4 -2 -1 0.02 4 2 1 O.CO 11 5 3 2. Wall Insulation 27 -52 -17 -9 Single- Single - 13 26 Family Family Multi - R -value Detached Attached Family R -O -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 22 -37 -9 3 0.80 -153 -114 -76 0.50 -91 -68 46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 13 17 Insulation in Floor 6 10 14 Number of stories 14 R -value One Two Three R -O -17 -8 -5 R-11 _ -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U-vaiue 16 19 10 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -43 -21 -14 0:10 -17 -8 -5 0.08 -11 3 -4 0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawlspace Sum of 1.6 WS -3 Number of stories 4 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 .2 R-19 -1 -2 -2 .t. Slab Edge Insulation 4 3 -. Number of Stories 13 11 10 8 R -value One Two Three R-0 0 0 0. R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 040 12 8 4 5. Infiltration (Air Leakage) 7..Shading (Shade Open) Etreetive Percent Clot (percent glass x SC) affective Specification Standard -48 -69 Points 0 (.Glass North 6. Glass Heat Loss South West Skylight Total 1 4 1 U -value 16 4 Percent 5 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 '35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 .28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17. 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 to 1.60 or 10 13 11 less 7..Shading (Shade Open) Etreetive Percent Clot (percent glass x SC) affective -14 -48 -69 -64 (.Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -i -1 -1 2 0 -1 -2 -4 -2 0 a = not allowed 2 3 4 3 !3. Shading (Shade Closed) Erfeetive Percent Class (percent &las• x SC) Effective %Gins NoM Eats South West Skylight 18 -14 -48 -69 -64 na 16 .12 .42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 .26 -36 -33 na 10 -6 -23 -31 . -29 -74 9 -5 .20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -i .14 -19 -18 -47 6 -3 -11 -15 .14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 ` -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 8 9 11 12 12 6.0 5 8 10 12 9. Interior Thermal Mass I� Eff. % Glass Interior Measures Slab Floor Raised Floor . Mass One Stories Stories -4 (CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 .2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 1 4 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 ' 8.0 7 10 11 13 14 14 , 8.5 7 10 .12 13 14 15 ' 10. Exterior Wall Thermal Mass 16 14 12 Exterior Single- Single - 5 10.0 Wall 13 Family Family Multi 11.0 Mass 15 Detached Attached Famly 0.00 30 ' 26 22 0 0 0 9 0.20 33 I 29 24 3 2 1 10 0.40 1 Zunal Control Adjustment 5 4 3 1.5 0.60 6 8 6 4 . 0.80 Installed 10 8 5 4.1 1.00 Unit Size (so 13 10 7 5.1 1.20 700 13 12 8 2200 1.40 Cre til 12 13 9 to 1.60 or 10 13 11 less 1.80 1699 10 12 12 SG 2o0 0 10 11 13 1 0:. -► 0 11. Heating System Sc:a: 14 7 5 SE or HSPF 0.9 HP HV!R (assumes ducts In attic) 5 3 2 2` Sum of 1.6 WS -3 9 4 3 .25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8' 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 58 EQU EKective SE or HSPF -12 .8 (SE or HSPF x duct eMciency) -5 Effective -25 or -24 to -14 to -4to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.d1 -45. -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -t8 -14 _ 0.50 4.58 -10 -9 -8 -7 -5 .4 0.56 5.13 0 0 0 0 0 0, 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 „ 0.80 7.33 25 22 19 16 13 10" 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 1.8 Zonal Control Adjustment 22 System Type 2.9 11 a3 Resisance 10 9 7 6 4 3 Other 4.6 6 5 4 3 2 2 Stories I� Eff. % Glass Measures : 12. Coolilig Syst!sn 30 or One -5, -4 SEER -3 -2 -2 Two + (&=met ducts In attic) 2 2 j Stm of 7-10 1 Singfe-Family Iletached and Attached -25 a -24 to 1.14 to -4 b +6 to 16 or SEER lass -15 i -6 ' +5 +15 more 8.0 1 -14 -12 -10 -8 •6 .4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -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 17 14 12 9 6 3 Motive SEER Nona -37 -24 (SEER xifuct of iclency) -15 -12 Stln of 7-10 �,- -1 " -1 Effoctive-25 cr -24 to -14 b -4 to +6 to 16 or SEER lest -15 -5 +5 +15 more 5.0 30 .25 -21 -17 ? -13 -9 6.0-12,1 -11. -9 -7 -6 4 6.6 5 -4 -4 3 -2 2 7.0 0 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 12.0 30 ' 26 22 18 14 9 13.0 33 I 29 24 20 15 10 1.1 1 Zunal Control Adjustment -10 " -6 1.5 10,, 8 7 6 4 3 (Individual N6 Cooling System Installed 17 19 Stories SCORE CARD Eff. % Glass Measures 1. Ceiling Insulation 30 or One -5, -4 -4 -3 -2 -2 Two + 3 1 3 2 2 2 1 Singfe-Family Iletached and Attached % Glass SC Unit Size (SQ 1c..9.tM .I.b) Water , ;09 12M. 1700 2200 2700 Heater crerfit or 1 to to to or Type Typo less ,1699 2199 2699 more SG Nona 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWfl ' 8 5 4 3 3 0 ME 5 3 3 2 2 1.5 POU 8 5 4 3 3 SE Nona -37 -24 -18 -15 -12 4.4 Solar -1 " -1 -1 0 0 04 HWH -18 -12 -9 .7 .6 1.9 WSn -25 -16 -12 -10 -8 3.3 POIJ .18 -12 -9 -7 -6 IG Nonti -5 -3 .2 .2 -2 0.8 Sofa' 1.2 5 4 3 2 22 POU 3 2 1 1 1 IE Nonni -28 -19 -14 -11 -9 52 Sofa: 8 5 4 3 3 1.1 POI; -10 " -6 1.5 d .3 26 Kilt] -Family (Individual 3.2 units) 17 19 4.1 4.3 Unit Size (so 4.7 Water 5.1 6S9 700 1200 1700 2200 Heater Cre til or to to to or Type Ty; -j less 1199 1699 ,2199 more ) SG Nona 0 0 0 1 0:. -► 0 or Sc:a: 14 7 5 +4 0.9 HP HV!R 9 5 3 2 2` 2.5 WS -3 9 4 3 2 2 4 PCU 9 5 3 2 -j2, SE Nona -4 -23 -15 11 l -9 1.4 Solar 2 1 1 0" 0 -� 28 HY4, .23 -12 -8 1 -5 4.3 'NSC, -25 -13 -8 -6 -5 58 EQU -23 -12 .8 -6 -5 IG Nene -8 _ 3 .2 .2 11 Sofa,, 6 3 2 1 1 4.6 Pt,U 1 -0 0 C 0 IE None -30 -15 -10 -8 -6 1.9 Sour 18 9 6 4 4 14 GU -8 - -3 -2 -2 Interior Mass/CFA .tris 2 Mss 41.1N91wC'+.21 SCORE CARD Eff. % Glass Measures 1. Ceiling Insulation 30 or R -value [381 U -value (0.0301 2. Wall Insulation or R-va ue[11] U -value (0.0981 3. Raised Floor Insulation or R -value 1191 U -value (0.0371 X = y % Glass SC Eff. % Glass 1c..9.tM .I.b) 5�X ` X = 4 TYPE I MASS (UtMC s 4.2, Le: exposed slab) 0 X = O TYPE 1 MASS AREA literiorW,sslCFA 0% 5% 1(W. 15% 20% 25% 30% 35% 40% 4S% 50% 56% 60X. 0k 70% 75% W% 85% 90% 95% 100Y. 105% 1toy. 115% 120% 125` OT. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7. 1.9 21 23 25 27 29 3.2 3.4 3.6 3.8 4 4.2 ' 4.4 4.6 4.8 5 53 10Y. 0.2 04 0.6 0.8 1 1.2 1.4 1.8 1.9 21 23 25 27 2.9 3.1 3.3 3.S 17 4 4.2 4.4 4.6 4.8 5 52 54 20% 0.3 06 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 11 13 15 17 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 3t7% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 3.5 17 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 5.5 -5 7 59 SOY. 0.9 1.1 1.3 1S 1.7 1.9 21 23 2.5 27 9 32 14 3.6 16 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.5 28 3 12 3.5 3.7 3,111 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 62 60% 111 1.4 1.1 1.9 21 23 2.5 2.7 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 61 63 65% 1.1 1.3 1.5 7.7 1.9 2.2 24 2.6 2.8 3 3.2 14 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 11 a3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 56 58 6 62 75% 1.3 1.5 1.I 1.9 21 23 23 27 3 12 14 16 18 4 4.2 4.4 4.6 4.8 5.1 5.3 S.5 5.7 5.9 6.1 6.3 .64 6.5 801: 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 54 56 58 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 67 907. 1.5 1.7 2 2.2 • 24. 262.8 3 32 3.4 3.8 18 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 62 64 66 68 95% 1.6 1.8 2 22 2.5 27 2.9 3.133 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 6 7 69 100% 1.7 1.9 21 2.3 2S 28 3 3.2 3.4 3.5 18 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 41 6.3 6.5 6.1 7 105% 1.8 2 22 2.4 26 28 3 3.3 3.5 3.1 19 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 MY. 1.9 21 23 2.5 27 29 11 13 3.8 38 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 61 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.628 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2S 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 59 6 6.2 6.S 6.7 6.9 7.1 �' 73 125% 21 23 2S 28 3 3.2 14 3.6 3.8 1 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 R3 6.5 6.7 7 7.2 - 7.4' Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass Measures 1. Ceiling Insulation 30 or R -value [381 U -value (0.0301 2. Wall Insulation or R-va ue[11] U -value (0.0981 3. Raised Floor Insulation or R -value 1191 U -value (0.0371 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. . South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight x'9.1 Interior Thermal Mass 10 Exterior Will Mass t 11. Heating System ' t.+'� "`1 +.Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value (01 F2 factor 10.771 Standard Type (double] U -value (0.651 90 Total Glass (161 Point Scores * I 0 / Sum 1.6 % Glass SC Eff. % Glass S l X 77 _ 3. ci3 i • / X = 3.93 S.oZ X O X X = y % Glass SC Eff. % Glass 5�X ` X = X =_ 0 X = O TYPE 1 MASS AREA literiorW,sslCFA COND. FLOOR TYPE 2 MASS. AREA AREA 8 Exterior Wall Mass ND. FLOOR AREA / Sum 7.10 / '(V? SE or HSPF Duct Efficiency 10.781 Effecti (0.72/6.61 HSPF [i F X SEER [9.51 Duct Efficiency (0.741 Effective 7 ype [SGI Credit [nonel A `�PninlTntnl� Certificate of Compliance: Residential Climate Zone 11 - Mandatory Measures Checklist: Residential MF -IR - — - ' i' - - NOTE. Lowrise residential buildingssub' uta the Standards must contain these measures rc Pro jest Title _ //3 b ' 9� _ gardless of the compliance h used. I ark�, 6 5 P5 approac terns m with an astuuk t )May be superseded by mere strtngou complu mee Meluurmemm fisted Building Permit # on the Certificate of Compliance. When Nis checklist is incorporated into the permit documents, the features need shalt be considered by all parties as binding minimum componentnce performaspecifrations for the mandatory MeasuresiC 5 ' �� whether they are shown elsewhere in the documents or on this checklist only. Checked By/ Date Enforcement Agency Use Only DESCRIPnON DESIGNER e4mitcewim HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # t conditioner, hent uln) (SE, SEER, SPF) (attic, etc.) R -Value tui ora roved equal) Maximum Furnace Heating Output: Btuh Al HOT WATER SYSTEMS Tank Manufacturer/Model # L S stem T (storage as, etc.) Capacity ora roved equal) S SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists ter. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4, Article I of the California Administrative code. This cci ificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Nam, ritle/Firm: Address: TekphortC tic. M: (signantre) (datc) Documentation Author TiQcJl-trrs>: Addricate Building Owner Name T k/Fum Address: Telephone 7Z -03C 9 st6 attae) (date) Enforcement Agency Name; Agency: Tcico etc Building Envelope Measures B UII.DING DATA Nonh Glass Area % Glass S./ ' §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation Floor Area Number of Stories / East 40 5.1 manufacturer's labeled R.Vahw- ' §2.5352(c): Minimum wall insulation in framed walls R -I I weighted not Conditioned Sla sed Floor Number of Units South 5•a average (does apply 10 § e5352(xmnor mass bedswalls). j,rSingle Family Detached (SFD) [ ] Addition Alone West � d transmission nrendroe ten to than 2.ulation - 0 absorption r,.- � ®� than 0>A+, water vapor penrlmch. [ ] Single Family Attached (SFA) [ ] Existing Building Skylight �— b §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality [ l Multi -Family (M) [ ] Existing -Plus -Addition TOW ,a I /S• standards. Indicate: type and form. 12.5352(1): Vapor barriers mandatory in Climate Innes 14 and 16 only. f §2!5317: Infdtration/Eafiltntion Controls B UII. DII�IG SHELL INSULATIOiV a Doors and wutdows between condnwned and unconditiorned spaces designed to limit air leakage. Component Insulation Location/Comments �. b. Doors and windows certified. c. ;Doors and windows weatherscripped, all joints and puKauions caulked and sealed. Type R -Value (attic, to g8S3ge. CipiCCL etc.) �19.�✓�. §2-5 Special infiltration barrier installed tocomply with 42-5351 moetsCECquality Wall .............. §21..53Mn)r: na factory-builtpLvcs Wall .............. U,y yI 1.53Mnrylaa nd fuealaces have Tight fitting. metal Roof ............. a closeable or glass door b. Outside air intake with damper and control _ Root ............. c Flue damper and control 2. No continuous burning gat pilots allowed. Floor ............. _ HVAC and Plumbing System Measures Floor ............. 12-5352(8) and 2-5303: space conditioning equipment siring: attach calculations. Slab Edge ..... §2-5352(h) and 2-5315: Setback Owffr stat cn all applieable heating systems GLAZING Shading Devices ' §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Ealtaust systems have dam per controls. Glazing Area Glass Type Interior Exterior Overhang Framing Type §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC Orientation (SO (single, double) (roller blind etc.) (shadescreem etc.) (yes/no) (metal/wood) equipment. water heaters. showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12orgrcater) orcombinod interior/exterior No ( ) �/ ,� �0 —r }�% / r! insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon Ile Pipe insulation on steam and steam condensate mum & recirculating North ( ) piping. East ( ) fo t (1 §2.5318(d): Swimming Pool Heating East ( ) 1. System has a On/off switch on hearer. �y�/— South ( ) / t _ /t c. Plumb. bherproof ed lb al ow for so� ate on heater. SOU (h ( ) 2.75 percent thermal efficiency. Weft ( f l .. 3. Pool cover. 4. Time clolock. West ( ) 5. Directional water inlet r Skylight....... 6— t Lighting and Appliance Mewures THERMAL MASS N 12-53526): Lighting - ZS lumens/watt or greater for gement lighting in kitchens and bathrooms. Type/Covering - Area Thickness §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. (slab/exposed, tile, etc.) (sf) A (inches) Location/Description (kitchen. bath, etc.) 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # t conditioner, hent uln) (SE, SEER, SPF) (attic, etc.) R -Value tui ora roved equal) Maximum Furnace Heating Output: Btuh Al HOT WATER SYSTEMS Tank Manufacturer/Model # L S stem T (storage as, etc.) Capacity ora roved equal) S SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists ter. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4, Article I of the California Administrative code. This cci ificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Nam, ritle/Firm: Address: TekphortC tic. M: (signantre) (datc) Documentation Author TiQcJl-trrs>: Addricate Building Owner Name T k/Fum Address: Telephone 7Z -03C 9 st6 attae) (date) Enforcement Agency Name; Agency: Tcico etc PRINTED ON CLEARPRINT 1000H -' 1