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Home My WebLink About065-230-009/ 14 r ~~ oil(VU-)-Z'5U-UUq .06792 RANCHO OAKS RD, MAGALIATRACTOR,IBACKHOE,, TILLER, MOWER,u; ~ ^F .65-23-09 2069-90B P, eE,M ~ 6792 Rancho Oaks Rd, Magalia (new single family'j 65-23-09 3897-89,.- .BALKEN; Ma qc- Rd, gai-::i.,,,a 65-23-09 DOUD Herbert 92-2978 BPEM Wks, Magal cb.nv unfinished :La Jsf PEM ,cRd ag 065 -23 -0 -bog 2-- 6792 RANCHO OAKS, MAGAL DECKS, SCREEN'PORCH/S. ` � * / / 14 r ~~ oil(VU-)-Z'5U-UUq .06792 RANCHO OAKS RD, MAGALIATRACTOR,IBACKHOE,, TILLER, MOWER,u; ~ ^F .65-23-09 2069-90B P, eE,M ~ 6792 Rancho Oaks Rd, Magalia (new single family'j 65-23-09 3897-89,.- .BALKEN; Ma qc- Rd, gai-::i.,,,a 65-23-09 DOUD Herbert 92-2978 BPEM Wks, Magal cb.nv unfinished :La Jsf PEM ,cRd ag 065 -23 -0 -bog 2-- 6792 RANCHO OAKS, MAGAL DECKS, SCREEN'PORCH/S. ` � * RESIDENTIAL Zgby " j �� ,,q cs✓ . 5 S N cc t-A-r7l W,/f" 6 - 65-23-09 2069-90B,P,E,M ! DHerbert 6792 Rancho Oaks Rd, Magalia (new single family) / �dru-7i5r�/- en i k / }i OFFICE COPY I Address Me� d Date Me�ELECTRIC Date Meter By r OFFICE COPY # Address V GAS J Meter By Dat i ELEC + Me er By ate GAS Fi Meter By D to ELECTRIC j Meter By `�' Dat ' JOB FINALED (Date) Signature •1 7AA-3-�. c Oa 3 7AA-3-�. c Oa te';.•. •• �� L , iet.: Lt `� 1 y ti'a�`';. y,'t;c.F yr?+ a.. t. , ,tab X n i•},X, El. t- � , fr � ! �- ��,., t,i+ �4`1��4 r t'r r!'Y.i 'S�+ •'i��' � t�.a1+Ye�°� S r'y ✓ (�� i � K'� r S ,r %-0•" .,`- r +•�. � •r1 i � .ms's i � "t:•l. L t } c>, �, . O 4� �pr. ; t+ � �.; r t •,�°', r w i• f F: C w w r ',7•�4 ti7 7�M _ •r ,K s .t A��•a i'•• .fir /J. . 1 r. r• .'4.t' � 3. �j a ++_'�`_. ,u4 ^� ' r T' ,' (• r �. `•�')S.•1-•ruy •� 1' \. � , *F ` ' �, -••. `C' J _ � •u ,yF ,ry �, 1, 1 . r t � '� * �tl !a 1. i1y .- ,r ` f '.,,� � 4 yJ` ♦ a '}' . 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Y 5 tis Y�.r •x + ��; 'Fa'+•: i. -eir` ro.• O Cw v• a ' r!t is '� a • R 44 zo t W �.: r't•ft •, y ,f.1,7 ' �`?'.r'� Ij R . tt,� l (• 4 _ � s, , ' t: - t' t ?? •G tie ' i' �+ •w t 3 J r� '�' t as , +v ,.,�, .a. .. }. J' Y y, �<{� � ,- i ;r wt+ .t iW`r2'yt• ["•'y X14+h � th T �+i � •! .[ "i .r � a Y-. f,,:! }. 1 :`... .. �-•,n :t� .. ,.. ��rur.., r,..•.- t .ys. ,r' -tl.. ,.ri`.�i'S .1rJ.uY_a.. "'... .M -� �....,... - - '` I 40 -777- -17 r • S Owner Permit No. ENERGY CERTIFICATION &;'77 !7z. LOCATION ROOF MATERIAL THICKNESS DESCRIPTION OF INSULATION BRAND NAME THERMAL RES. A. P. NO. EXTERIOR WALL d� �•� MATERIAL " •RGLASS BRAND NAME C AINTEED THICKNESS THERMAL RE CEILING BATT OR BLANKET TYPE-FiberglasBRAND NAME CERTAINTEED THICKNESS THERMAL RES. LOOSE FILLTYPE IISUL-SAFE IIIBRAND NAME CE INTEED THICKNESS lZ' L" THERMAL RES.. �- FLOOR,ELEVATED MATERIAL F B LASS THICKNESS s! FLOOR, SLAB MATERIAL THICKNESS WIDTH BRAND NAME RTAINTEED THERMAL RES. / BRAND NAME THERMAL RES. FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY'CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #62.2184 FIRM NAME OWNE STATE CONTR. LICENSE NO. I hereby certify the above insulation and all required items as shown on the Building Depart. approved p.lansand 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 spec fical( aapprov d by the State of.Calif. ----- ---�1 -- - ----------------------- ------ FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE.;b- Thiso certif icate fine " inspection must be on file with the BUILDING DEPARTMENT prior to approval.and a copy shall be posted with -..the building. JANUARY 1984 �TE Oi_11M�� cz V D K es E W � tT 4Az CONFORMANCE N"W. /HE UNDERSIGNED MANUFACTURER HEREB Y CERT/F/ES that the products identified below and on attached sheets Nos. art marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, S6uciural lued Laminated Timber, and that such manufacture has been at our plant in raLn, 0� , P ,� ,which plant has a quality con}rol system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAIVE: Keller Lumber Sales for Stock JOB LOCATION: I Redding, CA CUSTOMER'S OROEb 140. ° PO#8014 oaT�7-18-70 MFGR'S ORDER NO, 24F -V4, WP Gliie, Arch App, Indv Wrap SIGNATURE TITLE Quality Control ADDRESS COMPANY Duro-1,am POB 297, Drain, OR 7911-D GATE 8-8-90 AI TC HEREB Y CERTIFIES that the said company at its said plant it lii:6hted by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of §aid Standard, that the adequacy of th6 quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting tho said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC Certificate No. 67351 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION v>: AUG 10 19c0 T) 15REe�rAIC,;A STI T OF TIMBER CONSTRUCTION COUNTY OF BUTTE ,)EPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Z d6 9 - PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances eiost 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 additionalexplarwtiaay plea9p contact this office immediately. 7� kfirvi Lo di --I '0 - GAG a CO (% L'1-( 17""0 r1PC! - /cP� Cmc AP S ��. -P, ..�♦ ��61C•tt tikrniiS .d T DCl.Ullecl Lltn able - V' /nakt <_0 C Date -IZ. Inspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 3-409' I A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �matter, or need additional explanation, please contact this office immediately. Y f�roU ke Ss / 1 god o (Iro4 d— J r�" J 0 P t U trt dt 7r�/v� riF J11ri4ffrij Date —7, i �c) Inspector f r". � -✓t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r® 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 947 Elliott Road, Paradise — Phone: 872-6307 CORRECTION_ NOTICE 02 '0�4-'l ERMIT 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 matters or need additional explanation, please contact this office immediately. f Date ii IZ/— Inspector 'r . �r.►s.»..-,,,s•-y�6�...10-r.b�.�:•i�S�7.:'^'ru�F.Fnd`�--f..C'L..."•.-�-,-.-+-�..;.-s.....w-�.++s.�+... COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307, CORRECTION NOTICE AJ'�. 90 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 o work is ompleted. If you have any question pertaining to this matter, or need a(lditiona explanation, please contact this office immediately. vk� C.�ItA-R—C-" Date Inspector/�v a�'►� ri/ H,�..:. �:�.+� ..�ra�jt..�-,r �^Y^a•+.zas+w.ct��?'�"'si,,Fi'•arrT.r'�Pt:r+,,^r e..ra sa�+ll.,x� K-..y�:ii: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER \ ! PERMIT NC 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 meed additional explanation, please contact this office immediately. I?W / ti oJ4 f ( )Age-crzo,✓ Po L'Ir -- �,� I - 1 yg1 p - - IC>iSr L./-14-1 .. Date / /�/�� Inspector�T�� 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 0.14 Zoo9o:. OWNER PERMIT NO. �Pz c,n I c 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. r Cor�,D�er� a le -Cf -Ai -C Date ��1 Inspector e S 1 ,00v4Ie COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 ,,CORRECTION NOTICE L 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 / v Inspector rar�:,ns. r•s+�-3�•y4+.r--.cr... ;::. ...ys•, w iy.. y.;v; s.r._.,;ry,.-�.m „e;v, COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS + ! 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Orovi Ile — Phone: 538-7541 a! 747,tElIiott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Za(�'5;-9') 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. r Date A/1'rp Inspector awv i 'J OK s O=Not OK - = Not Applicable Not Ready REST DENTtAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s 1. Z ing-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-YgHtg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.- " Ftg. De h _I-Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped L,fQtemvvpl4s, Garage; Steel- Bloc kouts-Wrapped H Downs and Special Anchors Slab; Steel -Wrapped 8. Pie s -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/ -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground kt.34ienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Insulation Dat and B -N Date �-ljCard B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Wa tr.; Vent -Access -Combustion ' -Baffle vater Pipe; T & Ancho Nail otectio 1l D.W,y/, Test -Fittings &Anchor -Nail Protection Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date f 11_4 f l Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s fixture & Transformer Clearance -Ins. Protection 2T.' Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI 28 feed Wire Size / / ga. Cu or AI-A.C. Wire Size / ga. r AI Range Circ. / u ga. or AI -Oven Circ. / / ga. Cu or Al. t Insulated Neutral O Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date 1 Card B-1 G5 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3ge-1.C. Ducts Insulation & Support 3 . ent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date (. �,� �( Card B-1 G fl Date Card B-1 Date T Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39 Sils, Proper Material & Anchors 40 ails Studs -Nailing, Spacing & Bracing -Plates -Sound 41 earing Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Fi a Stops; Furred Ceilings- -Chases Headers & Beam -Size & Date P2AMING (Continued) 45. ngers-Post Caps -Anchors -Connectors 04]00,99. Joist-Rftr. ties -Pullin -roof Bra - r Shthng.-Rfng. 4 . 'replace Ties or Ty 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. t. Doors -One 3'- arage-3rd Story, 2 Exits Stairs; Wk adr ise-Run-Landing-Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 56. Stuc Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. VziW Area- lass Protection Skylights -Plastic. 58 a a Is; Nailin s - Insulation -Walls -Ceilings 60: Infiltration -Walls -Windows Date o2 -Gj and B-1,-� -- ' Date Card B-1 Date @rd B-1 Date Card B-1 Date FINAL Plans OK except #'s 61. E,gt. Steps -Door & Sidelight Protection anding . Smoke Detector 63. Furnace; Vents -Clearance -Comb: Air -Connector- v,.J V. Bedroom Exiting F. 1. & Bath Fixtures & Tub Ac ss -915 -- . Elec. Trim & Subpanel; Breaker Sizes & Labels 67. fireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. !A I. �Fixt. & Appliance; Grnd.-Air ap-C mg Clearance Elec. Outlets & Receptacles at Kit. Count arage Fire Door; Swing- and' CI r Duct in Garage -Damper Vif'Wtr. Htr.; Vents -Clearance -Comb. Air -Connector -P. I Garage; Above Floor-Mech. Protection Plb lec. & Mech. Equip. Listed for cation 70,06ec. Receptacles in Garage; ( .l.)-Ro P tection 7 nsulation-Foam-Looked in Attic GlPfes Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drains a Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive Yes Azto, Walks 11Yes o; Planters No 81. cco; n -F fish A. . Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. JWiarior Elec. Trim; G.F.I. Receptacle -Underground Vpntilation Throughout House G!pss Protection VIlf-rections from Previous Inspections G est -Meters Tagged; Gas -Electric 9. ater & Sewer Connected -C/O to Grade-Ht34pp-*--0 . Energy Compliance Certificate -Other Certificates Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK O=Not OK = Not Applicable MOBILE HOMES ' Not Ready , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements , 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .f MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Coilnty Center Drive - Orovllle, Call!ornIA5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB'R 65-23-09 ZONING TM3 BUILDING PERMIT OWNER HERBERT DOUR 61 TELEPHONE 728-9485 SQ. FT. OCC. BUILDING VALUATION 1ST RENEWAL OWNER'S MAILING ADDRESS P.O. BOX 1007 MAGALIA 95954 CONT RACTTTODDR•S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER . UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ i FEE $ 264.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 67 2 RANCHO OAKS RD MAGALIA Permit fee $ 274.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Othe(,�t Describe work: IST RENEWAL OF BP#2069-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ADDNS. ACC. BLOGS. , /2¢sq ft NEW RESID, RANCH CIRCUITS) NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OccU OUTLETS OR FIXTURES P 2AL130 eLvso FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ I Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 s my in co7uence of th granting of this pe it. _/c�/ r�,� Date Signature of Applicant — Owner Lip Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ LHAZ. CONST TYPE TOTAL FEE $ 274.00 CUA-1PARK scHL FLD coF PAR PD ) HD• ISSU This permit is hereby issued unser the applicable provi- sions of the Butte County -Code and/or resolutions to do work indi ted above forwhich f s have been paid. D1 OF PU WORKS BY p Date Wn PE .EXPIRES Date8 — —7-92 Receipt No. / �O I WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY ,OF.:BUTTE Department of Public Works 7 Codaty 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. X11. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 12. I (have/have not) ffA(/C signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 wort; indicated: Name Address . Phone Type of Work Signed: Property Owner i4jAA 80 Social Security Numbe- Date - / q — �'/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTS - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California;5965 - Telephone: 916/538-7541 2069-90 .APPL4CATION AND PERMIT ASSESSOR PARCEL NUMBER 65-23-09 ZONING TM3 BUILDING PER T OWNER Herbert Doud 619 TELEPHONE 728-9485 SO. FT. OCC. BUILDING_VAL66J4N 2645 R 105,800 706 M 9,884 OWNER'S MAILING ADDRESS Ff�Z%�O P.O. Box 1007 Ma?alia 95954 �J CONTRACTOR'S NAME Owne TELEPHONE 668 `; 14 9,352 unfin 380 11,400 RNT CNT O CORACTOR'S MAILING ADDRESS Fireplace I "At' 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation Is 137 436 Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ 528.(00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 264.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6792 Rancho Oaks Rd. Permit fee $ 817.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 14 2.00 28.00 Ma alia Solar or heat pump water heater ee 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 hdrm Permit Fee $ 58.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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. 70441 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( ACC. SLOGS. I DWELLING OCCUP.Ii` OR ADDNS. /2esgft 100.00 NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@60C e AL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 132.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen'.s Compensation Insurance or a Certificate of Consent to Self -Insure. 1)41 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Over 7.50 Cooling over 3 ton 11.00 Hood 3.00 3.00 Ventilation 4 3.00 12.00 p Permit Fee $ 43.50 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 s i County i consequen 'e of the granting of this permit. X A Date -g0 Signature of Applicant - OwherContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and de o ' i struct- ion of structures over 3 t"ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 QQ&L5LTTYPE TOTAL FEE $ 1 opo .0 HAzCUA PARK S HT F D P ' P D Issy This permit is nereby issued under sions of the Butte County Code and/or work indicated abo for which DI R F UBLIC By PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No.66615 �- / b UU WHITE -D. W.. YELLOW -A SCSSOR. PINK -INSPECTOR. GOLDENROD PLI A COUNTYOF BUTTE.- DEPART I4 NT'0. F.PUBLIC WORKS -BUILDING DIVISION : x.77 COUNTY CENTER DF 4VE ROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 q RMIT APPLICATION DATA SHEET <� \ Permit No. p OWNER O (n A. P. No. Proposed Building Use Building Inspector Date Co ^2-1 yd. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ ` 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... 10. Fees of $ ........................ { 11. Chico Urban Area fees paid ............... . ...................... 2. -,Park fees.....: 1Pa `ra dj sy" RSchool District fees paid .............. - ��a ^�► 4. Sanitation approval from r f' C�� ° v Health Department ' cz�ia 'C] 15. City of Chico plumbing, permit F....... ............... _ . 16. Plot••plan and business' license approval from City of -��"-- (see City -for otAer 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 requiredPre-Inspec.request to ' Building Inspector. (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of si nature authorization :&2 - tri.Gs7- s?g,. Agit, sem. oF*hMS 27. When you issue the permit, process as follows: Mail to owne.,r., Mail to contractor. Telephone and hold for pickup at office. " D•eliver w/inspector. Other Applicant_44d 1�c� Q. � _<--''fi .Date (=q o; 16 t Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By �I The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. Zcv 2. Additional items required: Contractor, designq,r, as advised of above required data by_phone_�nail_counter by�`'�--.date Contractor, designas advised of above required data by�phone_mall_counte1r by� date --6/20 Plans checked by� Date 7---31- 94lans approved by I: Date Z Sets of plans on hold in,,_ —filp ine't � P folder A15, 0 Copy—DPW l� G TO Buildinq Department FROM: Environmental' Health- SUBJECT:. ealth-SUBJECT:. Sanitation Clearance Owner Location App Plan Approved for: Sewage Disposal Water Supply �--- Hold final for:. ', Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom ale home. Other NOTE *r Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 county Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 "APPLICATION AND PERMIT , PERMIT NO. V 9_0I 9 ASSESSOR PARCEL NUMBER 6s— -2 3- o ZONING M 3 UILDING PERMIT QJ Ot�J 26 17� / 8 OWNER 1--(-e r b -e 14 Z)U- A TELEPHONE 2- Ft9 zs� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 Q o 0 0 7 Ps s ys- y 0 6 8 y CONTRACTOR'S NAME TELEPHONE 9 W60"k-CA o / F3 S 2— G6 d 0 N P^ CONTRACTOR'S MAILING ADDRESS CONTRACTOR'S Fireplace A toQ CONSTRUCTION LENDER UNKNOWN Total Valuation Is 36 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S2, g, ARCHITECT OR ENGINEERE LICENSNO. Plan Checking Fee $ 2 6 Energy Plan Checking Fee $ S O-�• ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �i2 D2 ��o o ,es d Permit fee $ S/ •-- PLUMBING PERMIT Filing Fee 10.00 Each Trap /y 2.00 4;114- yry �i lli Solar or heat pump water heater L 20.00 LOT NO. SUBDIVISION NAME I PARCEL MAP I Water piping 5.00 s� Each qas water heater or vent 5.00 f USE OF STRUCTURE SFT� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 g Mobile Home I S I G I W 10.00e TYPE OF WORK Nel)6 Addition ❑ Remodel[:] Utilities[:] Installation❑ Other ❑ Describe work: _ 3— 13,ed Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 rs= CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed cont ors. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADDNST OACCLBLDGS.CCUP. \ / 2y20sgft d0 co NEW CONSTR ULTI-OUTL T NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR, / Ex. Occup( OUTLETS OR FIXTURES 200902 eALeso FIXED APLNS. EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $3 Z WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I.have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating ® c^ v— Cooling 6L_, 4.- � Hood / 3.00 9-0— Ventilationpo- s O0 �G permit Fee $ •''y Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE o0 TOTAL FEE $ �Q�r HAz I CUA PARK SCHL FLo I PAR PD HD I ISSUE This permit is hereby issued under sions or the Butte County Code and/or work Indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ( 661-S' ( WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY .O1' .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) - S 2. I (have/have not)....MU 2 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. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner 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. CERiIFICATE OF�' - y`\""TE OF TI1411�� Z c ITO CONFORMANCE �QUAEI 191 F 0: /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIF/ES that the products identified below and on attached sheets Nos. art marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, SRuctural GRued Laminated Timber, and that such manufacture has been at our plant in rain, OK , P _ ,which plant has a quality con}rol system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME: Keller Lunber Sales for Stock JOB LOCATION: Redding, CA o CUSTOMER'S ORDEb NO. ' P0#8014 DATE 7-18-90 , MFGR'S ORDER NO. 7911-D 24F -V4, WP Gltie, Arch App, Indv Wrap SIGNATURE TITLE Quality Control ADDRESS COMPANY Duca-a" POB 297, Drain, OR DATE 8-8-90 AI TC HEREB Y CERTIFIES that the said company at its said plant it hC6rited by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions df §aid Standard, that the adequacy of th6 quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complyirij with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the "said Standard and that its plant is periodically inspected and verified by the AITC Insoection Rureat, AITC FORM IBCA AITC Certificate No. 67351 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION IE�EjVED AUG 10 1950 O i5REtrEnll; INSTII UTC,E OF TIMBER CONSTRUCTION r Cau Ov.A 5--tie Ai N .t ... .....,.......... , .,,........ , ..., ,fcjvi - �• NJ _ Gv�Jc2�rG Ga�1� • " , . 1 •• y ' .tisP�-cTa # 206 �o 7?��7/7'//�- T/ 6XP4A/S/01l 867M 00UNTY BUOINGCPAMMEW-rS ,+12 E 'ISW1P /2 APPROVED 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 A00'10 7C)0 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. I C 0' ),0 /ore B �e6 rat 11 L Y. Aw-Jrz u e ..'�rr^tc.. _ ?.SVA:ate, t:T►:j.' r1{,, ,.-3,q�._.�%i V1 • —rte Ate- J+� 1 f 2, R A( r y r Vic- d,J�'ter- Y. to o- 5 Y.+'t. C iA n Date_ �'1`P,�,.PC9 � Inspector ' V `0 a1-✓ & a 0410-0� e C V7 0.✓ i7 eJ 65 ona�.)'Jc ry Pe-AR.'1 &.4 ��MS Sl db e 0 n t j 7 /Ci +`L_" L/ 111 ti ly / �/Y i� s I�✓fY / �I �O ' �i de' ai'0"J eta -,,N S'd'�c �2f J .8 .-J— Ae m 4': V W.'00 //j b El Vi? �'� sSes geti d Imo,,/ 7-3 r -s 1 f 2, R A( r y r Vic- d,J�'ter- Y. to o- 5 Y.+'t. C iA n Date_ �'1`P,�,.PC9 � Inspector ' V Es -Patrick J. Taylor PROFESSIONAL ENGINEERING CIVIL/ STRUCTURAL 7447 NEW SALEM STREET SAN DIEGO, CALIFORNIA 92126 (619) 578-6809 isfogg 1014L� -ro ; O Lo G PeWT .il E : •J7ov� F►�slp6�C� Scas Coe f t o w� s H,bst+A �lb•S 's t.""t o ook wore. tAaidver �1 00 V�' 5 '-r W Gb Kr usl 4aa fv0. 35 •�;;; Exp.. �'�/ / <',%. OF G^1,c�; BUTTE COUNTY SCHOOLS DEVELdPMENT,FEE CERTIFICATION FORM (One Form per Building) Building Department No. School District �Qr�Q0�4r,Q City D County jurisdiction Property Owner /7 • /f'J . Z) p CA- d Project Location/Address �% �� , 194 h ,: �i „ �,j�S �.� Subdivision Lot Number Residential'Development: L o a a Sq. Footage°,2. 6 /s # of Living MHI Addition (Group R) Units Commercial/Industrial: O Sq. Footage New Addition (Including Exterior Roofed Areas) Building >epartment Representative Date (Floor Plans reviewed by School District Personnel) District d No.B a� School .District certifies that ( Applicant ame ) ( Phone Number) , /OD�7 (Street Address) a ,a4a__ e X9.5 ity) (State) (.Zip Code) has complied with the requirements of Resolution No. ,y the payment of $ 1;;20representing Alp _ square feet. /School District Representative Date PAID.BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE, (8/88) 4 r BUTTE COUNTY SCHOOLS DFrVEL6PMENT FEE CERTIFICATION FORM Q ,� (One Form per Building) A.P:...Num"er•�j r�_ Building Department No. School District4City County jurisdiction Property Owner Project Location/Address w' Subdivision Lot Number Residential Development: n �-i—� a a Sq. Footage # of L1vi.ng MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Applicant Name) (Phone Number) • 1e� ( treet Address) • (City) (State) Zip Code) - has complied with the re//q��uirements of Resolution No. by the payment of $/o��p� representing square feet. School District Representative Dat PAID BY CHECK NO.- REMARKS-- BANK EMARKS:BANK NO PAID BY CASH white -applicant, yellow -building department,,pink-school district SCHOOL . FEE (,8._/88). ' ' a I:C%'Lur-n,to UPW Section requires prior to JkUl<It, UL1 UKt►L J 1 t111U%VLLI,DUL1 ILIA A _ FOR RESIDENTIAL DEVELOPMENT 1 V00-26946 16-8,.1, of the Butte County Code this (acknowledgement be recorded issuance" of a building_ permit. I All that real property situate in the County of Butte, State of California, described as follows: SEE EXHIBIT "A", attached hereto and made a part hereof Date: June 21, 1990 PROPERTY OWNERS: V State of California) On this the 21st.day of June 19ga_, before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) HERBERT DO TD OFFICIAL SEAL DEBIILUCERO Notary Public-Califomla p BUTTE COUNTY o. My Comm. EM. Dec. 26, 1991 E] Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNI?SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 065-23-0-009-0 Notary Public ell 90-026946 : Rec Fee 7.00 The property. described herein is adjacent ; Cash 7.00 to land or included within an area zoned Recorded ' for agricultural purposes, and residents Official Records of this property may be- subject to incon- County of veni.ences or discomfort arising from the Butte use of agricultural chemicals, including, 1 Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 11:52am 27 -Jun -90 2 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE EXHIBIT "A", attached hereto and made a part hereof Date: June 21, 1990 PROPERTY OWNERS: V State of California) On this the 21st.day of June 19ga_, before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) HERBERT DO TD OFFICIAL SEAL DEBIILUCERO Notary Public-Califomla p BUTTE COUNTY o. My Comm. EM. Dec. 26, 1991 E] Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNI?SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 065-23-0-009-0 Notary Public ell ' The land referred to herein is described as follows: All that certain real.property situate in the County of Butte, Unincorporated, State of California, described as follows: PARCEL 1: Parcel 1, as shown on that certain Parcel Map of a portion of the Northeast quarter of Section 25, Township 23 North, Range 3 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte,. State of California, August 19, 1983 in Book 93 of Parcel Maps, at pages 48 and 49. EXCEPTING THEREFROM all minerals lying below a depth of 200.0 feet from the surface of said land, together with the right to mine below said 200.0 foot level, so that any.mining operations shall be conducted in such manner that the surface and all building, foundations, roads and other fixtures now located thereon, shall not be disturbed. Parcel 4, as shown on that certain Parcel Map of a portion of the East half of the Northeast quarter of Section 25, Township 21 North, Range 3 East, M.D.B. & M.,'and a.portion of the Northwest quarter of Section 30, Township 23. North, Range 4 East, M.D.B.&M. , which Parcel Map was filed'in the office of the Recorder of the County of Butte, State of California, July 27, 1972, in Book 42 of Parcel Maps, at page 65. PARCEL II: Easement for road purposes to Coutolenc Road 'over a strip of land 60.0 feet in width, as shown on that certain Parcel Map of a portion of the East half of the Northeast quarter of Section 25, Township 23 North, Range 3 East, M.D.B. & M., and a portion of the Northwest quarter of Section 30, Township 23 North, Range 4 East, M.D.B.& M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, July 27, 1972, in Book 42 of Parcel Maps r at ,page 65. `SND OF DOCUMENT ~ RESIDENTIAL 065-23-0-009 93-1281 B DOUD, HERBERT &'ALICE 6792.RANCHO OAKS, MAGALIA 1 DECKS, SCREEN PORCH/SF V= OK O=Not OK Not = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans). OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete • 8. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 8. 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 #'a 3. Decks; Griders and/or Joists-Decking-Bracir 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors \ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 9.1'rrmg; Sils-Anchors-Studs-Rftrs-Truases 9. Ming; Nailing -Veneer -Stucco -Mesh 10,�Roof; Shthg-Roofing 1a!�xt.; Steps -Doors -Landings ► L Lr 7 S,,) C 6J 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 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip: Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) 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 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -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 -Nell Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'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 -Mein 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 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root 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-Flre 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. 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 -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Mr. 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-Drainagge & Wood -Earth Clearance Looked under Floor O 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 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1- 0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _/z W ASSESSOR PARCEL NUMBER ZONING TM -3 BUILDING PERMIT OWNER Herbert & Alice Doud TELEPHONE 873-0226 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 1007, Ma alfa 95954 121 M 2,178.00 53 C 689.00 CONTRACTOR'SNAME Owner TELEPHONE 69 0 483.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ f LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ -')Z.Plan ARCHITECT OR ENGINEER LICENSE NO. Checking Fee $26. 25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 93.75 6799 Rnnrho Oaks Rd. Ma 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 SFEJ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: screened Porch, ('nvpr & 1Tnrovprpd _ Pe6)r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON 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) El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 7 .50 3.50 NEW CONST. ( DWELLING OCCUP.&) 3.3 OR ADDNS. ACC. BLDGS. // NEW CONSTR ULTI-OUTLET @ 5.00 .RESID BRANCH CIRC ITS POWER APPARATUS If (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (REST D.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Permit Fee $ 30.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 against s d County ' con,,sLequce of the granting of this permit. X ( v'� ' Date — Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FE $,123 .75 HAz DFEES IMP FL00 Df ARCEL PD HD Iss E This permit is hereby issued° -under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I E PUBLIC WORKS BY Dates /7 PERMIT EXPIRES Date Receipt No. 135508 WHITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .�.-5-3�•. !}•.,.-`. <wr *`lU+Frim .r.^.'(�1'Sii'";`.X'1i'''' ■'ffi..r. `.s�c' ,/�•cY-"^ri'S4y': .-�+�.V«y f.C'{.:'vIt ""7 COUNTYOF BUTTE - DEPARTMENTOt DEVELOPMENTSERVICES BUILDING DIVISION ../7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER # 6 if � /e Proposed Building Use Inspector PAO. ��i "�•� Date ;1; -vv9 At time" ofermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. A)1'items have been submitted . ............ . ... 2. lot plans, 3/4 sets, signed by preparer of plans. j /'! 0.46 ............... 3_ Complete plans, 3/4 sets, signed by preparer of p ans. ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........ .......I........................... . 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 floodl by,California Engineer. . 4. Sanitation and plot plan approval //[� Health Department`.P/lVT-_S .. 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 Pia" ding Inspector required. .. to Bu id "9 ,"apactor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the ermit, process as follows: Mail -to owner. Mail to contractor. Telephone nd hold for pickup at .�/� /7, office. Deliver with inspector. Other ' i Parcel Creation r ,r , ■� Acreage Applicant c� `� ! li,� <I' ��(il'� 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 ,Cod/nter 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 F". 11. Ilsli ONLY I'I„I Plan Anarhed . .. Floor flan AlL,chvd—_ — /^j� sent to 11.1). TO: Buildin-,Department FROM: Env Iroil Alen tal Health SUBJECT: Sanitation Clearance Owner Location AP# Plan App for: SeNva,,e Disposal Hold Final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Water Supply: Public Private Well icr , 7--,- -) ((/q - �, ate 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) - 5' 2. I (have/have 'not)' �F- 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. L plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security _Number Date�- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. _ This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEP.HQNE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION�PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. b _ ZONING Iv ` �- OWNERPHONE �� Lm --re m Dowr) NO. 73- 0,;zA6 OWNER'S ADDRESS ®p 71679 c P • LOCATION OF BUILDING ISA) C /2,D. USE OF BUILDING s Rac26L� T2 GTD2 c3�ck �oC T,'/ -2 /�%u> -R c SIZE OF STRUCTURE cc,^,�, ' X � SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME --X— STEEL_ CONCRETE OTHER'(Specify) TYPE OF SIDING ROOF COVERING I FLOOR TYPE 1 S —7— PI C--rA-L G L 5/f T —7 L 6 vC-1 lAZT DNe ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR '" AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. a I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Doul, Date v2 7 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt fy6m a building permit. Receipt No. FL PARC P.D I ROOFINV ISS Manager Building Division By r Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant `('--.eYr"^`�.d�ir.4"�n,.��Y'ti..�..�a�,,�-�..r�'�.-,r.-�n �.�„lt,e'i�•vr.�"1--"�{�v'�y"•�,r...{�1,X3"'�y„�'�.r""v..r.�"r-t.'�"1-.,^.fj�....,.,,.:.'^1"'r"1-r.; �.�'1 ��^�v.---- .. COUNTYOF BUTTE -DEPARTMENT OF DFVELOPMENTSERVICES -BUILDING DIVISION A» }y 7 COUNTY CENTER DRIVE - OROVILLE, QALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building PERMIT APPLICATION DATASHEET Do D Building Inspector Date At time of per 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 . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ...... ............ . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ....................... ............... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. s�i,� B �spa��- (oace) 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. t! 26. Copy of recorded deed of parcel creation and 60 right of way to ,a . public -road . 27. Letter of intent on building use. ........... 1 28. Mobilehome utility clearance. f 29. Documentation of legal access. \ !� . {" `. .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets .zoning area and frontage requirements . ............... i 31. Existing violations/expired permitsrsY'.. ..r ... i f� .............................. . 32. Plan check list. 33 I'J � b .. .............................. -34. When you issue, the permit, process as follows:-_..-M�ail to owner. Mail to contractor. Telephone"' and hold for pick-up at office. Deliver with inspector. Other Parcel Creation 11,^, // Acreage Applicant . V` �� 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 RESIDENTIAL 065-23-0-009 92-2978 BPEM ' DOUD, Herbert 6792 Rancho Oaks, Magalia conv unfinished area to living/sf fF f r i U JOB FINALE Signature R Y=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy �• 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosu res- Panelboards- Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card -13-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (#ans)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.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosu res- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable - Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLCjDR (Plans) OK except #'s/ ' 1. Zoving-Setbacks-Easements-Flg d -Slope 2. 'Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg.,•Garage; Soils-Steel-El/c. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; S ils-Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel 6 lockouts -Wrapped 6. Stemwalls, Garage; teel-Blockouts-Wrapped 6a. Hold Downs and pecial Anchors 7. Slab; Steel-Wra ped 8. Piers-Firepla Ftg.-Steel 9. D.W.V.; Fal Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas ipe; Size -Anchors - yard gas piping: size -test 11. Water ipe; Test -Anchor -Regulator -Service Test 12. Elec ic; Underground 13. Pi nums & Ducts; Clearance -Material -Support -Ins. 14. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 1 Access & Ventilation 6. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. WajW Htr.: Vent -Access -Combustion Air-Baff7_e _ -- - - 17. r Pipe; Test & Anchor -Nail Protection ---------- --- 1 W.V.: Test -Fittings & Anchor -Nail Protection- - 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access --------------------------------- 21. Gas Pipe: Size & Anchors --------- ------------------ - - - -- -- - - --- - --- - - -- Date 9 /L ( Card B-1 C- Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Transformer Clearance -Ins. Protection ---------- 23,�1ec,. Receptacles Spacing -Lights & Switches at Doors "Size--------=------------------ ----------------------------- 2 v Boxes & No. of Conductors Stapled --------------- ----------------------------------------------------------- U omex Installed Close to Edge of Studs & C.J. ---------------------------------------------------- 2t5"'E21uip. Ground made"up w/Mech. Fastners-Bond-Gas-&- Water ----- - ------------------------- _?7� �nce Circuts in Kitchen & Conductor Size/GFI --------- - ---- - ---------------------------------------------------------- P8 c,r row Wire Size i r ga. Cu or AI-A.C. Wire Size r / ga. _ Cu or AI 29 rc / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No ------ ------------------------------------------ ---------------------------- - --9@--3erme-Riser Conductors & Ground -Main Disconnect -------------------------------------- afp. Clearances Panels-Motors-Mech. Equip. 32'." (Toihes Closet Light -Shower Light -Spa Light ----------------------------------------------------- ---- --- -- --- ------ ke Detector �� ----------- --------------------- -------------------------------------- - Date -------- - - - - -- -- -- - -- Card B-1 G b Date Card B-1 ---� f--------------- ------------------- ------------------------------ Date Cad B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s 3 A.C. Ducls 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 --j�/d C� Card B-1 Date -------------Card B-1 ------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3 its. Proper Material & Anchors --- ---------- --------- --------- --- - --- -- - ------ -- 4- . Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------------------------------ 4gBearing Walls over Girders & Floor Nailing - -- - ------------------------------------------- ------------------------ 42- Draft Stop in Walls (rat proof) ---------- - - ------------------------------------------------------------------- 4� Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ ------------------------------------------- Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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 do Roof Overhang -Attic Vents -Rafter Outriggers 55. Siddiinng-- ailing Veneer 56. SttyEco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------- 57. Glazing Area -Glass Protection -Skylights -Plastic 5 S ar Walls: Nailing -Bolts 5 nsulation-Walls-Ceilings ,MAC 60. Infiltration -Walls -Windows (� -------- ------- fl --------- -- ---------------- Date 711 4 Card B-1 G� Date Card B-1 ------------ ----------- ----- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings 62. - mo etector urnace; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor-Ducts-Mech. Protection ----------------------------- _edroom_Exiting - ---- 65. G_F.I Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes & Labels ----------- --------------------- 6q-5tairs & Rails ---------------------------------- --- - --aga-l'" lane or Stove: Clearances -Hearth ------------ - - - - 6 ma ec. Outlets at Wood Panel; Int. & Ext. - - ----------------------------- .--W-B-*it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance c--' I1'Elec. Outlets & Receptacles at Kit. Counter 2-garageFire Door Swing -Landing -Closer -------------------------- ^-- 7T.-A.C.-Duct in Garage -Damper 4`Wtr. Htf Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ---------------- ------------------ Plb.. Elec. & Mech. Equip. Listed for Location �Elec. ceptacles n Garage: (G.F.I.)-Romex Protection lsjy�C7_ nsulation- Foam- Looked in Attic ❑ Yes -- "- -----7 ---------------- --- ---- - Fft.-Guard Rails & Deck Construction -Post Caps --------------------------------------- - -+9:-P6n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes lowin instld.; Drive ID Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes ❑ No --------------- -- --&,I-- cco: Brown -Finish -- i1 C. sconnect. Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - ---------- ------ ----- ---------- r--Bd--YVater Well; Disconnect, Electrical, Plumbing -BS--Exterior Elec. Trim; G.F.I. Receptacle -Underground - ---------- ---------------------------- ------------------ Ventilation Throughout Throughout House - - - - - - -- - - - - - -------------------------------------- - Tio�. lass Protection ----------------- 4& - - --------------------- 4& Corrections from Previous Inspections ------- ------------------------------------------ r$lS'Gas. Test -Meters Tagged; Gas-Electric ------------------------------------------------- .►B9-Water & Sewer Connected -C/O to Grade -HD Approval energy Compliance Certificate -Other Certificates ---------------------(-------•--------- ----- Date Card B-1 Date Card B-1 _Date _ _____ Card B_1 - Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY•OF BUTTE DEPARTMENT OF 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 Doo Q ui Z-z'�7 8 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. g A0 20c) .Q.c C > 1wo o" 5 Date �� 1 Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllef California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. 92-2978 it ASSESSOR PARCEL NUMB R , 065-230-009 ZONING TM 3 BUILDING PERMIT OWNERELE�P HERBERT DOUD �NE & �"CJ SQ. FT. OCC. BUILDING VALUATION 380 R 120 OWNER'S MAILING ADDRESS P.O. BOX 1007 MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 9,120 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 43.75 Energy Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6792 RANCHO OAKS ROAD MAGALIA 95954 Permit fee $ 176.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 15.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION VAME PARCEL MAP 93-49 Water piping 7.00 7.00 Each pas 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 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New Lj Addition ❑ Remodel U Utilities ❑ Installation ❑ Other ❑ Describe work: rnNVFRT UNFINISHED TO 1Rn REIRM _ Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ense 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.N) OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. 13.30 NEW CONS ULT' -OUTLET NON-RESI BRANCH CIRC ITS @ 5•00 POWER APPARATUS SINGLE OUTLET CIR.6 ) EX. OCCU p OUTLETS OR FIXTURES zo 76d FIXED APLNS. Ex. Occup. OU LETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 28.30 - 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 onsent 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 Coolin g Hood 6.50 Ventilation 1 4,50 Permit Fee $ 19,50 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.c 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 sad ounty in c sequence of t e granting of this permit. X Date -2. 3 signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 con, TYPE I? TOTAL FEE $ 316.05 r'Az DFE IMP F,QQD V cDF PARCEL '- PD ,s E This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees rD CTOR OF PUBLIC By PE IT EXPIRES Date applicable provi- i � resolutions to do have been paid. WORKS Date?-/ Z /3 Receipt No. // WNITE•D.P. W., YELLOW-A33E930R, PINK -INSPECTOR. GOLDENROD -APPLICANT 'DduiT�) F7 PI P,59 t-1 (7; ivu o 0, 6L �0� cn :1 n 1 .7. xI, .41 nj 1-11 A. :;W.- :I::, IT' X. n.,) a) al IXJ -:A -.L.4 .31 "T, lTl = --4 --1 . . : r.. - 01 X� m rij :A :.X7. .,.rA 1:71 r1l)M.071 1:1-, C." , tx., Mr I-) a,: Pry -r. n -I L.: 3:" 75 m ri Fri C-) 'r -j ..,Zj In, .— —1 X. --4 :X. -4 C) C'. IJ I -_l) ZE zz C.) I Cf) C= I= M 7. .3- X. --A ---4 I = cn ZZ :Z) I::) C3 :P. AL: X, 1-7 Y) m m r— r,3 C-) ...... . ..... ... ... rl rn I"n -C7 1.:J"i ;T rn.-U3 l ..J7 . -.I --A lJ -4 CO I' 1 -::7, rl rl C -J C, r� I mr 4 m "V: COUNTY. QF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINQ DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER &4AX,1r - OJ d A. P. No. 6 Z3 O Proposed Building Use CONUe-V- V14F- fO ABuilding Inspector C-'��--- Date 182� �Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans;"3/4 sets, signed by preparer of plans . ....................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 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. ........... m. 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 to Bui ding Ins request required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance ...................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: 6r Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other A , Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item 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 b Date Plans checked by Date Plans approved by K� Date - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY,OF BUTTE - DJ E' PAR MrLNOF PUBLIC WORKS PERMIT N0. 7 -Rd my Center Drive : OrovIIIe Call,ornla."9595 ) • � Tulnplu!nu• !)tf !;;lfl-'7!,�1 ��-��`%�6, APPLICATION AND, PIRMIT ASSESSOR PARCEL NUMBERV r -� > r Y L Z'?NING - - ----- �`''+:,TMT BUILDING PERMIT • OWNER ..� r "r iY k• V^q ''C iny» •.� - TEL EPHONE;!� lIerber y' ud-fit+ `ry"`"'� `� y S0. FT. OCC. `BUILDING VALUATION .... r.r > 61� ✓7 5-9485 ' .1 . O'WNER'S It ADORE?S :i7',� --=•-ti + J.r: ., r� *' ty iN t it el+l l,1 3 O Z lr% P 0 ` x' ` 0000WA607 Me alis _ .RS 54 :.-'.. _ r CONTRACTORS , s.«a'h. IPP .r'f vt .ti•._,.' a:' .[s..,-,�'�'S?t`':a:i: T ✓ S pp t3 MAILIACTORCONTRNGrADDRES3 }y SJ "k/xA7 W1•y yy ✓}.�,, •y ,t, 1 �;� wl�t+�c ,v,�ij 33r'7r.,.. --I ----- I;x F ireplace —CO Uy TION f END ER^i Y Acti �.' �'kt .+"'i.kC '+t f� �''rf; UNKNOWN,. �y Total Valuation- LENDER S MfAl Llk GtADORE53 -'r r.+>♦r_p �:r +i 5 r L.a tr l •: t ,�•, �.-�a cis; ti�f FilingFee $ 15.0,• Permit Fee $ 7 g o S.A �4RCHATECT ORsaENGINEERrI^?-yyLICENSE NO.� ,+ is i �.:., k r`z. H.w x�r.s.l fi7 nd- yt:., Plan Checking Fee - .--- — $ --- 3_ % '{ �AIICHLTECT OR EN41NEER S MAILING ADDRESS i + J s r L:Mrk • :�, T;Y +��r ,�' f� t ;* o- �;��'•- Energy Plan Checking —I-Ee $' 2�J. 1 <rxailr '' r j s•'{n Fri r., C�'� i i %,r— 'y`i' a"BUILDING ADDRESS -7*. ..��. b s. _. }a r �- :�-•j3'rT� t z.l Penalty --- ---- _ _-- --------.-- -- $ - r+•}y x'';a' - '' 6� 2 =.It�ncho 0i�k Rd• , /:'tea=?"s t.. Permit fee $ 7 ZS' `;'+� �K r ]� E , r,✓: �. 's� k ry., — Filin Fee 15.00 y �x ` s �r >z, t_.:4�.y PLUMBING PERMIT 9 �- Each Tra 5.00 �S• `•.r` .. 1 v r ' .y - + it .,,.F`•". r i+ t p _ 1, ft`±• JI -ti.- .j.v' n ^.y. 81�tl rr ti�?..F,x a`•.,•...f.----- :LOTNO.'+,'>`�L SUBDIVISION NAME Ir'� -1t.. >: PARCEh'MAP@-3 Solar or -heat pump water heater- 20.00 Water piping 7.00 USE OF STRUC Eachgas water heater or vent _ - 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF Duplex Mobilehome❑ Other Building sewer 15.00 S SPECIFY Mobile Home S I G W @ 15.00 TYPE WORK r' New!-- Addition i -j Remodel Utilities ❑ InstallationC Other ❑ Permit Fee Describe work: G D ei V" C Urp— Contractor 3�r� �� ELECTRICAL PERMIT Filing Fee' 15.00 Main service 600V OR LESS 18,50 200A OR LESS Main service 200A TO Io00A1 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING oC vP✓�r Q,qn• OR ADONS. \ ACC. BLDGS. N ) I :149 I declare under penalty of perjury (Check One): NEW CONST r2 BRANCH FLET @5 5.00 NO N•RESI _ BRANCH CIRC ITS) - I am licensed under provisions of Chapl. 9, Div. 3 Of the Business POWER OUTLET LIS A and Professions Code and my license is in full force and effect. ___(SINGLE OUTLET cR. ) Ex. Occup(o1JTLETS OR FIXTURES 20 76 (cense ;Jo. Classification —A ti FIXFt� AF`PLtl s. OA j I, as the owner, or my employees with wages as their sole compen_ Ex. Occup. OUTLETS IREsiD.l EA.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) Mobile Horne Facilities 15.00 H I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 11 ors. (Sec. 7044) — I am exempt under Sec. , Business and Professions Code for this reason Permit Fee _ $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury '(check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department --- -__ -- a Certificate of Workmen's Compensation Insurance or a CertificateCooling Consent to Self -Insure. -- - -- --- ----- — — �1 shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 1 `� Notice to Applicant: If after making this statement, should you become subject Penult Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such -------...-... - --- -- ----- provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information -Mobile Home Installation Fee 5 is correct. I agree to comply to all County Ordinances and Slate Laws relating Ener Inspection Fee $ to building construction, and hereby authorize representatives of the County of 9Y p _ _ __— - Butte to enter upon the above-mentioned property for inspection purposes. occ - torsi TYPE I also agree to save, indemnify and keep harmless the County of Butte against f I TOTAL FEE $ 3 J b all liabilities, judgments, costs, and expenses which may in any way accrue l oTus u+P tE000 cur PAncEI PD 116 SSUi against sap/County in c sequence of a granting of this permit. X Date 1 his permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to 0 u Signature of Applicant - Owner Controctor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over S'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. / By _ - _Date ` IR ,eiot No. 0 PERMIT EXPIRES Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ((?ne Form Per Building) School District + �/® fl,Q S �L Building Department No. A.P. Number 6s Z 3 �� Jurisdiction City =___C1 0unty Property Owner _ _ �com &g e-, boy U - Property Location/Address 47911 /1 /a, -%C HD 0,/✓,,t1 Subdivison Residential Development Commercial/Industrial 0 0 No. of Living MHI Units 0 New w _Lot No. f 1z""Sq. Footage 3.8.0 Addition (Group R) 0 Sq. Footage Addition rtment Representative - Date (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) Q - 23 • 9Z_ District Identification No. School District certifies that (Applicant) (Street Address) ' (Phone Number) (C has complied with the requirements of Resolution No. representing square feet. School DistricVAepresentative Paid by Check Number z Bank Number Paid by Cash (State) (Zip dodej by payment of Date - Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (build'ng department), Pink (school district) feeform.wkl (4/92) 6. Other 7. Other I was advised the above fees are required to be paid prior At time of permit appl.Ic ation, to issuance of the permit. DATE APPLICANT _-L s DI'.I'AICI111:In, OF 1'11111.1 C WI)RR S - UII I I'D i m; DIVISION t:()IIN I'Y OF ILII I'I'I: - " � URUVILLEP, CAL,IF'URN.IA 95965 - 'I'EI.Isl'IIULII; (916)53815'l 7 Nl'Y CENTER DRIVE' - (,UU , v NO OIJtJL'R��3.z A.P. ' r �� . PROPOSED BUILDING USE G UJ`� `ems DATE DATE EC REC. X. District Fees School (paid at District Office) ...................•.•..... 2. Sheriff Fees (paid at Building Department) , Residential..••••• unit amt. Conunercial(per s(I•ft') - sq t.amt. 3, Urban Area Fees (paid at But Department Residential (per e r unit)—______.__X-----_ units amt. $-------- Conunerical(per sq.ft.) s_ f amt. 4.. Recreation District Fees Office) -- (paid at District .......................... 5. Drainage District Fees lAnd Development) (Contact ......................... 6. Other 7. Other I was advised the above fees are required to be paid prior At time of permit appl.Ic ation, to issuance of the permit. DATE APPLICANT _-L s 3 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) FORM 7 Owner leo U r-> Climate Zone Permit #R2' 2q / 9 Floor Area S TO The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add* footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is no included. ZONE 11 ZONE 1 APPLIES TO NEW A CEILING R-30 R-38 WALL R-19 FLOOR -11 R-19 SLABR- R-7 GLAZ U-.65 ual) U-.65 (Dual) SHADnG SOUTH - OPTIMUM OVERHANG or :.36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 Bubut IF tout ILp�� Tp LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/ ATT DADARTM,�jA1 A Pp MAXIMUM GLAZING 16/, OF -AREA PLUS REMOVED GLAZING �o Vg NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEP IN CONJUNCTION WIAN DITION ALL BE INLLED �,� SHOWN ON BACK OF THIS S STA/ 1� OTHER CF7 / - ATTAC1}ED 12/85 *1 HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating % ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump _ - (brand and model number) ACOP Btu/hr (heating capacity at 47°F) . ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (B) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/ElectricBackup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (ratea y-incercepc) kcaLeu sivpo1 %.-- - --, ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) f *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California dministration Code. SIGNATU OF B G DESIGNER 0 APPLICANT ,l. f C�4�✓��GlC GCST . ��x �'s�C�sfln, �r✓A-SLS . vam-�, 1. �� e5" c�' (folzJV6�� ENVELOPE SUMMARY FORM AND WORKSHEET (Part Iof2) C Project Title; Commercial Building For Enforcement Agency Use'Only Documentation Author; Donna -Wallace Firm; D.H. Slater 6 Son Date; 05/15/90 ____________________________________________________========___________________=__________________________ Plan Checked'B9. Date; ROOF 9XP0SED F L 0 0 R ARBA/SOFFITS A B ---------------------------------------------. C D A B C D ' Roof Type Area Proposed Area/ R -Value --------------------------------------------- Fir/Soffit Proposed Area/ --------------------------------------------- R -Value Type Area R -Value R -Value ROOF -1 11400 20.260 562.685 --------------------------------------------- FLOOR -1 ROOM FLOOR -2 ROOM FLOOR -3 --------------------------------------------- Total 11400 Total 562.69 Average R -Value 20.26 Col B/D --------------------------- ------------------ Total Total 0.00 Average R -Value Col Rik �• /D GLAZING IH ROOF A B C D B F G H I -----------------------7--------------------------------------------------------------------------------- Surface Area ------------------------------------------------------=------------ --- Proposed Propposed Type --North Bast South West Horizontal . Total (At) U -Value SC -------------------------------------------------------------------------------- Total 0 8XT9RI0R WALL ARBA B C D B F ------------------------------------------------------------ Surface Area -------------------------=---------------------------------- North Bast South West Total ------------------------------------------------------------ 1450 898 1450 898 4696 ------------------------------------------------------------ Page S of . 12_ �dEESSI A E c' -1Z N0 35546 ' Gm�i p eAi N ;N 'f x �t �; Esu 4? • ! ' -i► ' '' v .. ..........� . _............... �r� �:ti�` _ OF C ol 1 NltT1 + , BUTTE COUNTY BUILDING DEPARTMENT APPROVED }fit.;.<�a`�� i�#��d' ; � ��+,�,�{j�� ,t� j{ , _.t; � _'�t�.t'z. BY DATE PROJECT 'L>SHEET NO. OF O� 4 r' r MAX m f o' -s 1 5O(< 1 "4 5 X I, 33 =-..SIr3 DfC 4.. 6 T ec� -Q 6 " r7r,JZ- 01 A, Ila s -7o 1, 5T-RAf* x 7S - Z- — :0 /, S-7, cz) T Lo 1 44IL-T-1 4-7 w a -s r 0 Al PL A Lu) Lo (o XA tJ 9 W 5/89 RESIDENTIAL PLAN "CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) +./Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). ,6- Roof covering type - (fire hazard). Z7! Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side /including supporting walls and posts, etc. . Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). _14.Attic access and ventilation (Sec. 3205). .Underfloor access and ventilation (Sec. 2516). 14. Combustion air for fuel burning appliances. 15. Noise requirements on duplexes. L6: Adobe soils - special foundation design.. 1.7- Retaining walls requiring design. 18. Unusual shape, size, or split level house requiring lateral design. _9!Flashing at all exterior openings. J411011001 a:_ - - ice - �, 4i6 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) - Bldg. Permit # OWNER A.P. # X0.5-23- Qc - GENERAL X Zoning requirements: (sideyards Valuation. 3 Plans signed by designer. Energy Design and Compliance. Existing violations on property. 6. Items on data sheet. and number of permitted living units). PLOT PLAN tF omplete parcel size and dimensions. etbacks, sideyards, easements, etc. ther buildings or structures. rading, fills, drainage. lood hazard. pecial conditions on.creation map or compliance document. AU & FAS road setback. PT.nnp PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). 3 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, and exterior outlets (Article 210-8). 8 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9� Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1�. Garage firewall, door size, and closer (Sec. 503(d)(3)). LY. 1 = 3'0" exterior exit door (Sec. 3304(e)). 1-2: Fireplace and wood stove location, alcoves, and clearance. 0' Smoke detectors (Sec. 1210). STRUCTURAL DETAILS *NO.WFoundation plan complete enough to construct building. ,2— Floor construction details complete enough to construct building. -.-a! Elevations and wall construction details complete enough to construct building. �oof construction details complete enough to construct building. ireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 19 Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). 3� Brick or stone veneer (Chapter 30). eat&q ✓ UMC, -i OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: M3;:k Ril kPn ADDRESS: P.O. Box 2185 CITY & STATE:—Para ; cP _ ..CA 99967 IMPORTANT: DATE OF CLAIM: December 26+ 1989 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Building Permit #3897-89B,P, A.P. #65-23-09, dated 11/16/89, Receipt #54224 ,M, Building Permit Fees Paid ----------------------- $252.75 Retain Filing Fee -------------------- 1 10.00 Retain Plan Checking Fee ------------- $227.75 Retain Energy Plan Checking Fee ------ $ 15.00 Amount Retained --------------------------------- $252.75 Refund Due ---------------------------------------------- $ 0.00 Plumbing Permit Fees Paid-----------------------$ 10.00 Retain Filing Fee ------------------------------- $ 10.00 RefundDue---------------------------------------------- 0.0 Electrical Permit Fees Paid --------------------- $ 10.00 Retain Filing Fee ------------------------------- Refund Due -------------- -------------------------------- $ 0.00 Mechanical Permit Fees Paid --------------------- Retain Filing Fee --------------------- '=--------- $ 10.00 Refund Due---------------------------------------------- 0.00 TOTAL REFUND DUE ---------------------------------------- $ 0.00 TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. I Dated this/ day of „C�� 19 ��et pF�JGI Calif. ............ ........... .... Sig nature of Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- I livered and that there is a Budget Appropriation .,t ] or Specific Board Approval ❑ (Check one) for the san ' Dated this........... 2j5th.............. day of .D.e.C�eMbjex..... 1989.., at Qx.Qyill.Pr........ . Calif. ....... ....�. ............................. ........................... apartment Heed or Authorize rY'-• Dept. 440-002 Exp• 4210500 Const ction Permits FUNDCode............................................ Code ................................................PAYABLE FROM .......................................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I I Cpa/c/ � Sof /� iP2fGvic/ O/� ,moi/✓�� P�-� -; Os � 14, p V- e-- - I - - � e 7 - - --: z->, -- " r- - , . g � r, , ': �, � 'P. " .G 5 DEPARTMENT OF PUBLIC WORKS Deposit Sheet Building Division DEPOSIT # APPROV. PERMIT NO. ACCOUNT # (BLDGS.) ACCOUNT # TOTALS $7 $ GRAND TOTAL TO BE DEPOSITED $ COMPILED BY DATE APPROVED BY DATE Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT m 4 6 08 2 . ..FOR RESIDENTIAL DEVELOPMENT / Section 26-8.1 of the Butte County _'Code requires this acknowledgement be recorded prior',to issuance of a building permit. The property described herein is adjacent ; to land or included within an area zoned 89-0460e2 ; Rec Fee ' 5.00 for agricultural purposes, and residents ; Check 5.00 ' of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of ;^��► '�"" 1 but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs ; of agricultural operations including, Recorder but not limited to cultivation, plowing, 9:42am 17 -Nov -89 ; BG 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 disconform from'normal, necessary farm operations,, All that .real property situate in the County of Buttre,'.State of California, described as follows: Parcel 1, as shown on that certain Parcel Map of a portion of the' Northeast quarter of Section 25, Township 23 North, Range.3 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte, State of California, August 19, 1983 in Book 93 of Parcel Maps, at pages 48 and 49. EXCEPTING THEREFROM all minerals lying below a depth of 200.0 feet from the surface of said land, together with the right to mine below said 200.0 foot.level, so tha"`t any mining operations shall be conducted in such manner that tle'surface and all building, foundations,'r6ads and other fixtures now located thereon, shall not be disturbed. Date: ge9 PROPERTY OWNERS: State of /io-,�� ) On this the �(O day of /V0CJ�'7L , 19 before me, SS. the undersigned Notary Public, personally appeared County of �G6 ® • ersonally known to me. ❑ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) /-S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. lD 5 �� 0 Notary Public Y.No OF DOCUMENT O -0 »'it. Vii' ts! : ��."'� •�4� '-�� "�' E t 4 . y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE a 7 County Center.Drive - Oroville, California 95965 - Telephone: 916/538-7541 r� ��/ X 7 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (o — O ZONING q IV BUILDING PERMIT OWNER T LEPHONE % 2 Z� SO. FT. OCC. BUILDING V!A-�LUATION L O V OWNER'S MAILING ADDRESS T- fa INCt, d s -e G Z o CONTRACTOR'S5NAME �22 TELEP ONE 73 V 0 V 00 CONTRACTOR'S MAILING ADDRESS Fireplace All CONSTRUCTION LENDER UNKNOWN Total Valuation $ y LENDER'S MAILING ADDRESS Filing Fee ,� 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee '-s-S-9 $ 2-7 - Energy Plan Checking Fee $ Jr --ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ` rir � r- F 6*. h. c7 4 k5s Permit fe@ O PLUMBING PERMIT Filing Fee 10.00 Kat L"- h �%9 OLE G' Each Trap 2,00 6 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FAF�C E_L MAP aJ'/ " 1/(D Water piping 5.O(] Each pas water heater or vent a= 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 -- Building sewer 5.00 0 Mobile Home S G W 0.00ea TYPE OF WORK New39 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: b"Lot 3 6c -4L, i Permit Fee $ LAG Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 �O Main service EA. ADD'L 100 AMP 2.50 ` 'Zr SO CONTRACTORS LICENSE LAW I declare u er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 5//Ex. Classification ,.� I, as the owner. or my employees with wages as their sole compen- El 1, 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. .DWELLI a` , OR ADDNS. ACC. B / /20sgft '7 NEW CONSTR TI.OUTLET NON -R ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Occup(OUTLETS (OUTLETS OR FIXTURES 200e0tSAL030 FIXED Occup. OUTLETS PRID INS OR (ES 2.00 Temporary service 10.00 ..�� Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee s �j WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): T e permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice o Applicant: If after making this statement,. should you become subjecL to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g h Hood 3,00 00 Ventilation K3eo 9 mo p ermit Fee = f7 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of is permit. %� .��j� ate�� s� Signature of Applicant — Owner F-1ContractorAgent F-1 An OSHA permit. is required for excavations over 5' ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q TOTAL PERMIT FEE ,�3� OCCUP. CONsr.TYP! JSC.00111WO.JPA7LJ PD' ND seu! This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. e/a2 /Z Q 2 ,7 5.1 6 .3 6,04 k, WHIT!-D.P.W.. YELLOW -ASSESSOR. PINK-INePECTOR• GOLDENROD -APPLICANT sp COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRNE`' OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Q LI? IN A. P. No. Proposed Building Use__ �7. Building Inspector Date nff At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . 1 Fees of $....... . ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .............................. r1 S,P� School District fees paid .............. 4. Sanitation approval from en r e dt5,t. Health Department C 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: ...... _!£&�8. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) C 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 2 Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... Recorded copy of Agricultural Acknowledgment Statement .. 25. Letter of sig/n�ature authorization ................................... 6. i 7 When you issue the permit, process as follows: Mail to owner. Mail to contractor. )_ Telephone 272—f►® ,0?.0 and hold for pickup at ter office. Deliver w/inspector. OtherC?Xse�� Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issu nce: (Circle new item not checked above). 1. Index permit for above items No. 0 2 2. Additional items required: tL Contractor, designer own was advised of above required data by m phone ail—counter by date L 2g Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date (� Z '� Plans approved by Date Sets of plans on hold in �Fi le cabinet AP folder Copy—DPW 01 14 lop' -krrIAT I, I IX - TO Building Department- iJ. FROM: Environmental Health SUBJECT: Sanitation Clearance Owner LocationAP# 9 . Plan Approved for: Sewage Disposal ._ VII,Wa Y Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom a home. Other Ice NOTE i sanitarian Date TO: Building Department f. / FROM: Encroachment Permit Section G RE: 'Driveway Clearance Z"7z7�a7le4 u-ham o 6a If R owner location AP # Driveway permit AQkqe li. has been issued for the above property. n b 7�r, vale _...._..._ ..-_. _._. _ 7- Sq ...__.__..._.........-...............__._..._...._... �." sign re date 5/89 RESIDENTIAL.PLAN CHECKING GUIDE MISCELLANEOUS_ITEMS•TO LOOK OUT FOR (CONY D) <_-Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). f� Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. �! Adequate bracing. 1.O: -Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). k2: Attic access and ventilation (Sec. 3205). Li: Underfloor access and ventilation (Sec. 2516). 1,4. Combustion air for fuel burning appliances. 1,9.e Noise requirements on duplexes. 16-. Adobe soils - special foundation design. k7: Retaining walls requiring design. ' .k8: Unusual shape, size, or split level house requiring lateral design. },9: Flashing at all exterior openings: 2, Pc�Ns 3 W�VST". G. 9 NED tAj t4 5/89 RESIDENTIAL . PLAN CHECKINr G?JZDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # �-I e .-7—e9 OWNER �/`��-IG�J� A.P. # 65--- 2.3 - 4 GENERAL A Zoning requirements: (sideyards Valuation. 3 Plans signed by designer. Energy Design and Compliance. Existing violations on property. 6. Items on data sheet. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ,3"., -Other buildings or structures. rading, fills, drainage. lood hazard. pecial conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). Required room sizes, ceiling heights (Sec.. 1207). GcCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance -of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or :gas equipment, and plumbing fixtures. Larage firewall door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). STRUCTURAL DETAILS clearance. 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. /3'�Elevations and wall construction details complete enough to construct building. 4. joof construction details complete enough to construct building. �5/ Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec.'1711 & 3306(j)). Brick or stone veneer (Chapter 30). as It MW rmo and cp=ff!fJMW=I 'kept on the job at an times and it 'W'q Mftj&-m&^O or alteration On f L IJ .to UA&X" WA-jI I v7ritten Permission from tba Public -tla I I VT()rks, COxMty of Butte. -a, e' e, t -o . I. I 0 -Gla-Z , lip 0 k Nom: 1 1 7r OTE: Work3mnanBhWIp Shall _B ReCOgnized-Gobd ;,a 7,4116 Ox of a Prescribed for the Spec!= In the Uarm j Building. Plumbing & Me Cow apd NdUmal BleOU10a Code. Fo imum; Provide I bedroom window with min„ tigh, 20" wide,' open dillemions of End 44!' maximurn S" 6.7 9% % W60, Er h6ght I LiUTTS MUNTV'! 3UILDING DF-PAITNEW APPROVES L? 991% 9 VM- Z661 � Z 9nd ,W40 ONI071n9 Bun� 1 0 AINnoo r(-Oa -'ll"w bG li., -L -� S� Certificate of Compliance: Residential - : r Climate Zone ------------- 11 projectTlue?A gp 1 �(TQ t��%r� �� S Bui]d:ng P=mii # project Address] PAk Checited B y / Date Documentation Author l Telephone Enforcement Agency Use Only BLrMDING DATA Condit. Floor Area •Slab 'sed r __ t Single Family Detached (SFD) [ ]\\Single Family Attached (SFA) [ ] Multi -Family (MF) Number of Stories Z Number of _Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition % Glass �- 0 It -47 BUILDING SHELL INSULATION Component Insulation Locaiion/Cpmments Type R -Value (nixie, to fangs =ia-1 etc.) n Wall .............. Wall .............. a Roof ............. Tom- c Roof ............. Floor ............. Floor ............. Slab Edge ..... -- GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (yolle= blind, etc.) (Shadescreen, etc.) (yes/no) (metaltwood) N. o I-Lh (✓1 �_ A, m4 Nor -,h ( ) East East ( )/ DPAPCs SOUL,h (✓J Q - Sou Lh ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area :-,:Meknes " (slab/exvosed, tile, etc) (sf) '(inches) Lo6don(Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct t Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hest Dumb) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) �'I—'_c S,1 S Maximum Furnace Heating Output: Bich" HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Tvm (storage Ras. etc.) ' Capacity." (or approved equal) t . 3�. Spec.al Features) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) L. Mandatory Measures Checklist: Residential --. MF -1R NOTF— Lowrise msidencW buildings subjeca to the ctrtdards must contain these mrssurts regardless of the ttornPlim= approach ustto Items marked writ+ an astauk (*)may be ,vpasedad'by more stringatt compliance rOquwnests listed on the Certificate of Compliance. Wben this cheeklist is inctxporatcd into the permit doctrnesu. the featw= noted shall be considcrc by all panics as binding minimum componbnt paionnance specfic Adons for the mandatary rnaastrcs whether they are shown dsewherc in the documents or on this checklist only. DESCRIP710H I Building Envelope Measures 12.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(by.. Loose rill insulation man tifamuuer•s Labeled R -Value §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (docs not apply to exterior mass wills). 12.5352ft Slab edge insulation . wirer absorption rate no greater than 03%, water rapor transmission rate no greater than 2.0 P=WV cls. 12.5311- Insulation specified or installed meets cafifomia Energy Commission (CECT quality standards. Indicate type and form. §2.5352(p: vapor barriers mandatory in Climate Zeus 14 and 16 only. 12.5317: lnfilrntion/Exfdcation controls L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windovis certified. e Doors and windows wcaftrstripped: all pints and penernuau caulked and sealed 12.5352(c): Special infiltration barrier inrscallea to comply with 12-5351 meeu CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fucplaces have L Tight-fiuing, closeable meal of glass door b. Outside air intake with damper and control e flue damps and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure ' §2.5352(8) and 2-5303: Space conditioning equipment sizing: attach eek Mations. §2.5352(h) and 2.5315: Setback dsernxmat on all applicable heating systrms. • R -5316(a): Ducts constructed. installed and insulated per Chapwr 10, 1976 UMC §2.5316(b)-- Exhaust rystcrns have damps controls. §2.5314(c): Gu -fired space hating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters. showcnccads and faucets certified by the CEC. 12.5352(7: Water heater insulation blanket (R-12 or grcwcr) or combined interior/camrior insulation (R=16 or grater): fust 5 feet of pipes closest to Lank insulated (R-3 or greater). §2.5312(Haception 7: Pipe insulation on steam and str2m condcns= return & recirculating piping. §2-5318(dr Swimming Pool Heating 1. System har. L On/off switch on heater. b. Wevhcrproof instruction plate on heater. e Plumbed to allow for solar. 2.75 percent themul efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlcL Lighting and Appliance Measures ' 12.535207 Lighting - 25 lumens/watt or greater for general Lighting in kitchens and bathrooms. 12.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(x): Refrigerators. mrrigaator-freezers, fmcaers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. . DESIGNU I EM ItCEUD:r COMPLIANCE STATEMENT This certifieste of compliance lists the building fcatums cold performalxe specificadons needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptc-- 2. SubcsZ.ipter 4. Article 1 of the Cal.fomia Adminisuadve code- This certificate has been signed by the.r)dividual with ova -Z design rtsperuibiliry and the building owner. who shall retain i copy of it and transmit the certificate to ally Subsequent purcliaser of the building. Designer Title�trn Address: Tck—,Ao= Lic. I: (si;naotre) (dare) Documentation Author Nttmc TttkJFu:su Add.2ss: Building Owner Na ,\ Name. a C E � C P- t M. ! (A -b 1 Te nc (signature) (dart) Enforcement Agency Name: AZ—r- Tckpitonc Glass Area North 4-%_ East_ f .�-� South West Skylight Total % Glass �- 0 It -47 BUILDING SHELL INSULATION Component Insulation Locaiion/Cpmments Type R -Value (nixie, to fangs =ia-1 etc.) n Wall .............. Wall .............. a Roof ............. Tom- c Roof ............. Floor ............. Floor ............. Slab Edge ..... -- GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (yolle= blind, etc.) (Shadescreen, etc.) (yes/no) (metaltwood) N. o I-Lh (✓1 �_ A, m4 Nor -,h ( ) East East ( )/ DPAPCs SOUL,h (✓J Q - Sou Lh ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area :-,:Meknes " (slab/exvosed, tile, etc) (sf) '(inches) Lo6don(Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct t Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hest Dumb) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) �'I—'_c S,1 S Maximum Furnace Heating Output: Bich" HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Tvm (storage Ras. etc.) ' Capacity." (or approved equal) t . 3�. Spec.al Features) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) L. Mandatory Measures Checklist: Residential --. MF -1R NOTF— Lowrise msidencW buildings subjeca to the ctrtdards must contain these mrssurts regardless of the ttornPlim= approach ustto Items marked writ+ an astauk (*)may be ,vpasedad'by more stringatt compliance rOquwnests listed on the Certificate of Compliance. Wben this cheeklist is inctxporatcd into the permit doctrnesu. the featw= noted shall be considcrc by all panics as binding minimum componbnt paionnance specfic Adons for the mandatary rnaastrcs whether they are shown dsewherc in the documents or on this checklist only. DESCRIP710H I Building Envelope Measures 12.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(by.. Loose rill insulation man tifamuuer•s Labeled R -Value §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (docs not apply to exterior mass wills). 12.5352ft Slab edge insulation . wirer absorption rate no greater than 03%, water rapor transmission rate no greater than 2.0 P=WV cls. 12.5311- Insulation specified or installed meets cafifomia Energy Commission (CECT quality standards. Indicate type and form. §2.5352(p: vapor barriers mandatory in Climate Zeus 14 and 16 only. 12.5317: lnfilrntion/Exfdcation controls L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windovis certified. e Doors and windows wcaftrstripped: all pints and penernuau caulked and sealed 12.5352(c): Special infiltration barrier inrscallea to comply with 12-5351 meeu CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fucplaces have L Tight-fiuing, closeable meal of glass door b. Outside air intake with damper and control e flue damps and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure ' §2.5352(8) and 2-5303: Space conditioning equipment sizing: attach eek Mations. §2.5352(h) and 2.5315: Setback dsernxmat on all applicable heating systrms. • R -5316(a): Ducts constructed. installed and insulated per Chapwr 10, 1976 UMC §2.5316(b)-- Exhaust rystcrns have damps controls. §2.5314(c): Gu -fired space hating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters. showcnccads and faucets certified by the CEC. 12.5352(7: Water heater insulation blanket (R-12 or grcwcr) or combined interior/camrior insulation (R=16 or grater): fust 5 feet of pipes closest to Lank insulated (R-3 or greater). §2.5312(Haception 7: Pipe insulation on steam and str2m condcns= return & recirculating piping. §2-5318(dr Swimming Pool Heating 1. System har. L On/off switch on heater. b. Wevhcrproof instruction plate on heater. e Plumbed to allow for solar. 2.75 percent themul efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlcL Lighting and Appliance Measures ' 12.535207 Lighting - 25 lumens/watt or greater for general Lighting in kitchens and bathrooms. 12.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(x): Refrigerators. mrrigaator-freezers, fmcaers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. . DESIGNU I EM ItCEUD:r COMPLIANCE STATEMENT This certifieste of compliance lists the building fcatums cold performalxe specificadons needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptc-- 2. SubcsZ.ipter 4. Article 1 of the Cal.fomia Adminisuadve code- This certificate has been signed by the.r)dividual with ova -Z design rtsperuibiliry and the building owner. who shall retain i copy of it and transmit the certificate to ally Subsequent purcliaser of the building. Designer Title�trn Address: Tck—,Ao= Lic. I: (si;naotre) (dare) Documentation Author Nttmc TttkJFu:su Add.2ss: Building Owner Na ,\ Name. a C E � C P- t M. ! (A -b 1 Te nc (signature) (dart) Enforcement Agency Name: AZ—r- Tckpitonc •1. Ceiling Insulation -14 _ ... _ elation Number of stories 16 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 .. R-30 -2 -1 -1 . R38 0 0 0 U -value 1 1 U -value 0.50 -176 -84 -54 0.30 -102 �3 32 0.10 -26 38 0.40 O.C8 -18 -9 -6. O.C6 -.4 2 0.20 O.C4 -21 -1 0.10 O.C2 4 2 1 O.CO it 5 3 -6 -3 -2 2. Wall Insulation -1 0 0 Single-Single- 4 2 1 Famdy Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -2 R-19 -1 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 -14 _ ... _ elation in Floor Ll -value 16 Percent Number of stories -59 R -value One Two Three - R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 3 8 35 ----.0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -13 -21 -14 . 0.10 -17 -8 -5 0.08 -11 -6 -4 - 0.06 -6 -3 -2 0.04 -1 0 0 . 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawtspace 0 7 Number of stories 24 R-vaiue One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R -i t -2 -2 -2 R-19 -1 -2 •2 4. Slab Edge Insulation 34 - -' -2 Number of Stories 10 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 fa=r 3 2 7 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 .69 --Errective Percent C12tsa Ll -value 16 Percent (percent Shan x SC) -59 .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 42 3' 5. 12 28 -55 -18 -10 •2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 • -8 Ti 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 . -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 - 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 • 17 20 _8` 2 - 12 14 16: 18 20 7..Shading (Shade Open) -14 -48 .69 --Errective Percent C12tsa ra 16 -12 (percent Shan x SC) -59 Effective na _ -10 35 %Glass North East South West Skylight 18 5 1 . 4 1 na 16 4 2 5 - '1 na 14 4 2 5 1 na_ 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 .2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 -1 -1 2 0 -1 •2 -4 -2 0 na = not allowed - - Single- . Family �!. Shading (Shade Closed) Erredlve P esrmt Gast (percent Pias x SC) %GWss North East Swh West Skylight 18 -14 -48 .69 34 ra 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 •29 -40 37 na 11 10 -7 -6 -26 -23 36 31 33 -29 na -74 " 9 -5 -20 -27 -25 35 8 -5 -17 23 -21. -56 7 d •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 12 12 5.5 5 8 9 11. 12 12 ' -9 5 8 10 12 13 13 4 ..... 3 0 o,: 2 3 9 11 13 13 14 7.5 9. Interior Thermal Mass .... Interior Slab Floor Raised Floor Mass -2, Stories Stories ICFA One Two Three One Two Three 0.0 -8 .5 .. •4 ....2 -1 -.-4 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 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 , 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 U 7 10 12 13 . 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Family 10.0 Wall 10 Family MOO Mass 12 Detached Attached Family 0.00 14 0 0 0 0.20 15 3 1 1 0.40 E None 5 4 3 0.60 3 8 6 4 0.80 = Stories 10 8 5 . . 1.00 POU 13 10 7 ; 1.20 -4 13 12 8 1.40 4.8 12 13 9 1.60 .02 10 13 :: 11... 1.80 1 10 12 12 2200 200 - 10 _ 11 - 13 10 11. Heating System Type Type less__ ,1199 SE or HSPF 2199 mora SG None (assumes ducts In attic) •. 0" 0 Sum of 1.6 _ _ 14 -25 or -24 to -14 b -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 21 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 '7 025 8.71 20 18 ''15 13 11 8 2 1 EtTective SE or HSPF 0 0 (SE or HSPF x duct eMciencT) - Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -6 +5 +15 more 0.30 275 -73 -64 -56 -47 38 30 na 3.41 -45 -39 .34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 d 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 i 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 . 0.90 825 32 28 ' 24 20 17 13 1.00 9.17 37 32 28 24 19 15 POU ; . 4 Zonal Control Adjustment System Type 2 Resistance 10 9 7 6 4 3' Otter 3 6 5 4 3 2 2 12. Cooling Syst.tm .' .... -4 3 SEER -2, Two + 3 3 (&=met ducts In attic) 2 2 Stm of 7-10 b. East Interior Mass/CFA -25 or .24 b t4 to -4 to +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 . 8.5 -9 -7 -6 -5 .4 3 8.9 -5 -4 4 2 2700 Heater C(edd 9.0 -4 3 - -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 ERedive SEER 5 3 3 (SEER xdua etneieneT) 2 POU Sun of 7-10 5 4 Effective -25 or -24 to •14 to -410 +6 to 16 of SEER less -15 .5 +5 +15 more 5.0 30 -25 •21 -17 -13 .9 . 6.0 -12 -11, -9 -7 3 4 6.6 -5 4 -4 3 .-2 2 7.0 0 0 0 0 0 0 I 8.0 9 8 6 5 4 3 9.0 16 14. 12 9 7 5 ' 10.0 22 19 16 13 10 7 ' 11.0 26 23 19 15. 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 1 Zonal Control Adjustment E None -28 10 8 7 6 4 3 -9 No Cooling System Installed 8 = Stories 4 3 3 One -5 -4 -4 3 -2 -2, Two + 3 3 2 2 2 i b. East Interior Mass/CFA ' R -value [38) U -value [0.030] 2. Single-Famlly Detz*%Ched and Attached i d. West � r, cam. x i Unit Size (SO U-value(0.098] 3. Water ii39 *:0 1700 2200 2700 Heater C(edd or -, ti to to or Type Type fess •1639 2199 2699 more SG None 0 r.0 0 0 0 or Soiar 12 " 8 6 5 4 - HP HWR 8 5 4 3 3 WS3 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 18 -15 -12 '• Solar -1 1 -1 0 0 HWR -18 2 -9 -7 -6 WS3.. -25 i6 -12 -10' -8 -18 _ -12. -9 -7- -6 IG None -5 -3 -2 -2 -2 Scfar 7 5 4 3 2 POU 3 2 1 1 1 E None -28 -19 td -it -9 Solar 8 5 4 3 3 POU -10 .4 -5 -4 -3 Multl-Fami� (Indlvidual units) 4.8 S - 1 Unit Size (s .02 44 water 699700 1 1200 1700 2200 Heater Credit or b to 10 or Type Type less__ ,1199 1689 2199 mora SG None 0 0" 0 0 0 or Solar 14 7 5 4 ' 3HP WS8 1.8 1.8 2 22 24 21 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HW R -.23 -. -12 -8 -6 5 3.5 34 13 -8 -6 5 _WQ8-Z3 -12 -8 3 .5 IG None --8 4 .3 -2 -2 Solar " 6' ( 3 2 1 f 1 POU 1 0 , 0 0 0 E None 30 - -15 -10 -'.$ . ..3 ' Solar "18 .; 9 6 4 4 POU ; . 4 --..-4 -3 2 -2 Point System Summary: Climate Zone 11 SCORE CARD - % Glass SC Measures a. North 1. Ceiling Insulation or b. East Interior Mass/CFA ' R -value [38) U -value [0.030] 2. Wall Insulation Lis or d. West � r, cam. x R-value(11) U-value(0.098] 3. Raised Floor Insulation k- it or 8. Shading (Shade Closed) �4.Slab R-value[191 U -value [0.037) % Glass Edge Insulation `" or a. North i • % x �.G16 R -value (0) FI fa= [0.77) S. Infiltration Standard c. South : x = 1 f35 f d. West tt.7.OM1C"•71 Glass Heat Loss -lam- -- -- - e. Skylight x _ Type [doublet U -value TYPE 1 -Kass l TYPE 1 MASS (AUK . 4.2- ta& exposed COND. FLOOR Slab) - TYPE 2 MASS AREA = s/.j.)�- Exterior Wall Mass � AREA 11. Heating System .-)2 x Zonal Control? ( Y / N) SE or HSPF Due& Effuicncy [0.78] Effective SE or (0.7216..66] _= HSPF 10.5615. 151 12. Cooling System / x .7 _ Zonal Control? ( Y / N) SEER [9.5] Duct Efrici=cy [0.74] Fifective SEER [7.03] F 13. Water Heating _... - . . - .... -- 0% S% ' 10% 15% 207E 25% 30% 3S% 40% 4S% 50% 557E 607E 6SY. 70% 75% 80% 85% 9Q% 95% 100% 105y. 110% Its% 120. 125` O% o 02 0.4 0.8 0.8' 1.1 1.3 1.5 1.7 1.9 21 23 " 25 27 29 32. 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 S 5.3 10% ' .02 44 0.6 0.8 1 1.2 1.4 1.6 1.9 21 . 23 2S 27 2.9' 3.1 3.3 15 17 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.8 1.8 2 22 24 21 29 3.1 3.3 • SS 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 24 25 28 3 32 3.5 34 3.9 4.1 '4.3 4.S 4.7 4.9 5.1 5.3 5.6 58 4o% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 22 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 5n 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 3.4 3.5 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 5.8 6 62 60% 112 1.4 1.7 1.9 21 23 25 2.7 29 11 33 3.S 3.8 4 4.2 4.4 4.8 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1J 1.5 1.7 1.9' 22 24 2.6 2.8 3 3.2 3.4_ 36 3.8 4 4.3 4.5 4.7 4.9' 5.1 53 55 5.1 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 35 3.7 3.9 4.1 4.3 4.6 4.8 5 52 . 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 23 23 27 3 3.2 14 31 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 , a S:5 5.7 5.9 6.1 6.3 65 W% 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.3 3.5 17 19 4.1 4.3 4.S 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 a5% • 1.4 v 1.9 2.1 2.3 25 2.7 29 11 3.3 3.5 It 4 4.2 4.4 4.6 4.0 5 52 54. 56 5.9 6.1 63 6S 67 907: 1.5 1.7 2 22 24 28 2.8 3 3.2 3.4 3.6 3t 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.6 11 2 22 25 27 29 3.1 33 3.5 3.7 3.1 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 67 6.9 way. 1.7 U 21' 2.3 25 28 3 3.2 3.4 3.6 3.8 4 42 4.4 4.5 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 26 28 3 3.3 3.S 3.7 12 4.1 4.3 45 .4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 110% 1.9 21 2.3 2.5 27 29 3.1 3.3 36 3.8 4 42 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 28 28 3 32 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 S.3 5.5 S.7 5.9 6.2 6.4 6.6 6.8 7 - 72 120% 2 23 2.S 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.0 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD - % Glass SC Measures a. North 1. Ceiling Insulation or b. East 7.r7 x ' R -value [38) U -value [0.030] 2. Wall Insulation Lis or d. West � r, cam. x R-value(11) U-value(0.098] 3. Raised Floor Insulation k- it or 8. Shading (Shade Closed) �4.Slab R-value[191 U -value [0.037) % Glass Edge Insulation `" or a. North i • % x �.G16 R -value (0) FI fa= [0.77) S. Infiltration Standard c. South : x = 1 f35 f d. West 6. Glass Heat Loss -lam- -- -- - e. Skylight x _ Type [doublet U -value Point, Scores = 0 90 Total Glass [16] Sum 1-6 7. Shading (Shade Open) - % Glass SC ..Eff. 9'o Glass a. North / • (o x • 7 7 = , �3 b. East 7.r7 x = %, c. South - �. x = 1 30 d. West � r, cam. x e. Skylight - `TiC� x , i'7 = 0 8. Shading (Shade Closed) % Glass SC EM % GIass a. North i • % x �.G16 . D� - .-. b. East Ildo x c. South : x = 1 f35 f d. West ---gf2 5. x -- -- - e. Skylight x 7 = p 9. Interior Thermal Mass TYPE 1 -Kass AREA /� e 1,•L Inteno 4s/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = s/.j.)�- Exterior Wall Mass ND. rL OR AREA 11. Heating System .-)2 x Zonal Control? ( Y / N) SE or HSPF Due& Effuicncy [0.78] Effective SE or (0.7216..66] _= HSPF 10.5615. 151 12. Cooling System / x .7 _ Zonal Control? ( Y / N) SEER [9.5] Duct Efrici=cy [0.74] Fifective SEER [7.03] F 13. Water Heating _... - . . - .... -- Type ISGI Credit (none] CJ Sum 7-10 Point Total: �e '