HomeMy WebLinkAbout065-440-01165-44-11 --'4LfD
JANES OCK
15176 Jack Wa lot 184 PP#3 Mag
Contr': J Hancock Y3,
Permit#1169-85B,P,E, ew ng e amil
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PERMIT NO. 1469-9-5J3+P,E,M
PERMIT EXPIRES
OWNER JAMES HANCOCK
CONTR.— J Hancock
C ASSESSOR PARCEL 65-44-11
LOCATION 15176 Jack Pine Way, lot 184, PP#3,
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Magalia
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O�FICE COPY,
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A�dreSV6-11
M Date
C
M.
LA,
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
S Signature
'gnatUre
'OK
0 = Not OK
— = Not Applicable MOBILtHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks�Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairi—Rails
"�7
4. Water; Locat I on—Test— Easement Needed (Sketch) —
4. Wood Awn.; Pos ts—Beams—R ftrs. —Con nec.—Shthg.— R fg.— Brac i ng
5. Electricity; Location—Clearances—Grnd.—/ Amp—Concrete
5. Alum. Awn.; Column�—Connections—Splice—Decal—Enclosures
,6. Gas; Location—Test—Wrap: /"L"ft./ /"Nat.or/ /"L"ft./ LPG
6. Carports; Windows—boors
7. Utility Clearance
7. Elec.
7
Card -131
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1 Zoning Requ i rements—Setbac ks— Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
Setbacks—Easements
2 Footings; Size—Spacing—Marriage Line
2. Soils; Compact i on—Structure Stability
3 Gas; MH Test—Demand—Valve—Connector
4 Electricity; MH Test—C rossovers— Brea kers—C learances
3. Pool Structure; Stee I —Connect i ons—Th ickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GF1
5 Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
7. Water and Sewer Connected—C/0 to Grade—HD Approval
6. Elec.; Enclosures;- Conduit Entries—T6rminals—Listed
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electric.Ity Tagged
9. Exits; Insp.—Sketch
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enc I osures— Pane lboards— Ins. to Main in Conduit
10. Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
_j
Pard B -I
-Date Card -BI Date
Card -BI
Date Card -BI -f Date
ard'B-1
Date- Card -BI Date
Card -BI
Date Card -BI Date
"�7
_j
v� -
4
%/ = OK �ri,$
0 = Not OK
=. NofApplicable
'14ot Ready
, RESIDENTIAL (Single and Duplex)
Date
UNDER OR (Plans) OK except#'s _12
Date FRAMING (Continued)
1 ��g requirements-Setback�Gg-lements
*8. Ptap&Ay 6ine-F4Few&H-&-epenings
2F,*-Ftg.,Ma4n; Soils-SteeI-Eleck`Grnd,-_J Ftg. Depth
69t"Ext..,DDors -One X -Check C3arJge-3r6-94ePt-,4-e*+ts
Garage; Soils -Steel- / ��'IiFtg. Depth
irs; Width-Headro?21,ZRise-P�un-Landing-FirLs'Protection
4. Ft_R., Porches & Decks; Soili-Steel- Ftg. Depth
114 4,��ioA-Ov-erhang-AttioeXel�-ts-Rafter-O �iggers
Main; Stee I -B lockouts -Wrapped -S lab
a i ff n-.-.. 'A.
_�walls,
Oe"Stemwalls, Garage; Steel-Blockouts-Wrapped-SIK
56,-OtycM �s- ip Screed-Fdn. Vents-Underfir. Access
(,-'Sl—az "a -Glass Protect ion -Sky I i ghts-Plast ic
-D.W.V.: Fall -Fittings -Test -2 vlay"C/0-Sexiartest
561 lAmtWatts-Miling-Bolts
9. Gas Pipe; Size -Anchors
'&.--�Vater Pipe; Test-Anchors-P�ea!!t!5-r�8ervic;ele-t 'I/-)' I
in o__/
11. Electric; Underground
f
12.,-151enums & Ducts; Clearance -Material -Support -Ins.
Gi%prs-Sil.Is-Anchor Bolts -Joists -Vents -Cripples
Card -BI r,47-) Date!�_-ZZ—^oCard-Bl Date
.1 4:1..
Card -BI Dat2f�_� Card -BI Date
J'A I,/,--
Card -BI Date Card -BI Date
Card -BI
K<knatea ylvo) '_Card -BI Date
Date FINAL ns) OK except #'s
Card-Blf V_,:��atVJA211 qJ Card -BI Date
Date
PLUMWM (P�rpfl r�K exc-o0t A:s
0�e�xt. Steps -Door & Sidelight Proect ion- Land i ngs
'9L,-Imoke Detector
AQ14akr Ht.; Vtnft-Actfis _Mhu
Vent s -C I eara nce-Comb. Air-Connector-
5111-.� �P�om Exiting
&1,11fater Pip2� 1!05C_A S�§i�
Fttngs 8/A.-1_ors-<aiI PPtJCAL;8B�x
O_Z�4.wr Pan; est, First Floor -Tub
F.I. & Bath Fixtures & Tub Access
W<LesL� S���Tub 4p_qA9s-_
§>�'_EIec- Trim & Subpanel; Breaker Sizes -Labels
19,�s ipe; �i�_rs
OX' Fir _BF9ftua,
-eplace - Clearances -Hearth
I . Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
ge'-K' Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date.�2Zk��_, Card -BI Date
Outlets & Receptacles at Kit. Coupt
Date
ELEC_TRICAL,441ermit) OK except #.:3-
WGarage FoeDoor; Swing -L g-Q�Aer( v(10 &04-9!!r�
'�68. A. �2 - —
W?J'FZa&__r
1_57�_��Ins.
62--Wr- Htr.';, V�eakr--Clle�azlfc-�e�-rCoMIr�ir-CAmrector4Zf-R
In
2ze,Slec. Receptacles Spacing -Lights & Switches at Doors
r
70.--'Plb., Elec. & Mech. Equip. Listed for Location
oxes & No. of Conductors -Stapled
71,--erec. Receptacles in Garage; (G_P-.+.J--_Romax-Pr6tec.
1��wex Installed CloseA6 Edge of Studs & C.J
it, 1-1
24�-Equip. GrounciCawffe- up w/Mech. Fasteners Q %�"
L
- let ioq,_Fow- Looked in Attic E] Yes
A;?±—su
pliance Circuits in Kitchen & Conductor Size
) Guaoofra
'($T Capstructloqo�
Ar�Suffleeo wir eSize-r—riju-6�1-A.C. Wire Size
7A,-'5-dn. Vepkd& Crawl Holo-EI06-r-Dra i nage4&-Wo1D-d_-Earth Clearance
LSpked under Floor
Circ. I 'al C - i, -Oven Circ. /J? / ga. Cu o Am,
12� I
In - lated Neutral s El r,
%&.1
Following insQd-%_2five o; Walks N o;
Planters 9_,� '( OP
� El
,g��rvice-Riser Conductors & Go��- ain Disconnect
76-- om-n-F-0
2/8' �quip. Clearances; Pane I s-Motors-Mech. Equip.
&,VA. C. Jgh�- Distarllnect 01,n�0
78;-�ents Above Roof; Plbg.-Applianc-e-Firepi.-Clearance to Opngs.
C -1—t Light-Sbnwex-L-40t
79. Wdle 9
82_,E,%ferior Elec. Trim; G.F.I. Receptacle-b%ndef4Fetmd,4�
8).__V-ertT1'!0on throughout House
Card B -I DatO Card -131 Date
Card B -I
DateS: �r_yt> Card -BI Date
a rotection
Date
MECHANICAL (Permit) OK except #'s
89r�orrectio rom Previous Inspections
84. Sa ]LMeters Tagt' 22 s-Ele t r i c
Ducts; Insulation & Support
.�ffTs
Sewer ClSntte-cted-C/0.�rade-HD Approval
ai-o-yent Fan; Exhaust above Insulation
(3VEnergy Compliance Certificate-G44w-JQak+4es+es
a3--od-ensate Rt:a�A�Overflaw4_e4ze Grade
;n
(%PPooFurnace-\0efit; Aao*&dZpmhLA r �Return AW'V-ent-1 15V-oW4e�-
3 ic
Card -BI Datqj�e,7-1?l Card -BI Date
Card -BI
Date 57-/ Z, -f.6 Card -61 Date
Card -BI Date Card -BI Date
Card -61
Date Card -B I Date
Card -BI Date Card -BI Date
Date
FRAM!�!G(Plans) OK except #'s
Commenut Final:
Vr.,-Sills� Proper Material & Anchors
A..e_'0W1j;P1
U, -Wills; Studs::Nailing, Spacing & Bracing -Plates -Sound
'j§e-150ng Walls over Girders & Floor Nailing
-J�r
Q_W�[Aft Stop in Walls (rat,proof)
57
ff�F-Fire Stops; Furf4d-ee-ilings-6#er-5r-"CR-aoig-tuw'
44&-Iqe-ade & Beam Size & Bearing
4S,--Ilan��-P�s t C-apk-Anchors- _ nnectors
4a_--cTw#--,Toist-R . ies- ' -Rol&f Brac.-TTU!�.-Sh4<Q_f_R_fnq._
or ype ue-FUcaq4aee--fhroat
R -A PYrte,t'�n-DL-*k-l;fop-Ins.AerFe�
4de-ScIrm. Windows or Exiting Doors -Sill Hgjj_&J)�rnensions
AW-G"arage Fire Protection Framing
(NOTE: An entry must be madeeach tim * s ' t job site), or
r1gZar-'r, �
COUNTY OF BUTTE
DEPARTMENT OF PUBLICWORKS�
196 Memorial Way, Chico — Phone: 891-2751.
J C.oUnty Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
'C&I 17C
6- 114 4 ()At 4- fffl 5 14, i/t .5 -
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 MernorialPay, Chico — Phone: 891-275�1�-/
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott RoA, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
1)-176
'�A routine inspection indicates that the following violations of County Ordinance
e 'stat the above address and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter, need additional explanation, please,contact this office immediately.
401ZI 6e /7, F"t /�v� "j/ AO r 14
Wo O'k, '-�/j /'WtI
A/ 7�, �4 " e4J /- IZ 5,..,/;d'
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14 // "-/ 04 6 )( �U Z_ � 4
AA'111
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Inspector— Date.��—Z
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RO&
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/A/C'/r'F 4-1,Y
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
UWNEH 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 co>rrection 0 1 k is completed. It you have any question pertaining to this
matter, or r6ed addZtironal explanation, please contact this office immediately.
1-2
:5--so--l-7
Inspector Date
ER
I COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Oroville - Phone: 534-4541
Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
110-�
PERMIT
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,,4-r-n—eed additional explanation, please contact this office immediately.
3
0"
lnspecto6i5�� Z1 Date -e7--'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, ChiCo — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
L 7(. ff5
0 1 WNER PERMIT NO.
4---0k routine inspection indicates that the following violations of County Ordinance
exist a I e a ve address and should be corrected. Please notify this office
0 of w
when cor n o rk is completed. If you have any question pertaining to this
need additional explanation, please contact this office immediately.
.matter,��5
"/"/ /d g;�
K�51
Inspector
Date—
. e�:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
ra 116 ep -S
A routine inspection indicates that the following violations of County Ordinance
exist at the bove address and should be corrected. Please notify this office
'ti,
when �reti n of work is completed. It you have any question pertaining to this
c"o
Ma or need additional explanation, please contact this office immediately.
J!%7'
UU4 62 ie-fIC 7;F5'7�
Y'$�
I-
Inspecto D ate 4
40
T
7
I
2516 UNIFORM BUILDING CODE
(c) Protection Against Decay and Termites. 1. Wood support embedded in
ground. Wood embedded in the ground or in direct contact with the earth and
used for the support of permanent structures shall be treated wood unless continu-
ously below the groundwater line or continuously submerged in fresh water.
Round or rectangular posts, poles and sawn timber columns supporting perma-
nent structures which are embedded in concrete or masonry in direct contact with
earth or embedded in concrete or masonry exposed to the weather shall be -treated
wood. Treatment shall conform to U.B.C. Standard No. 25-12, Tables. Nos.
25-12-B through 25-12-F, for ground contact.
1 2. Under -floor clearance. When woodjoists or the bottom of wood,structural
floors without joists are located closer than 18 inches or wood girders are located
closer than 12 inches to exposed ground in crawl spaces or unexcavated areas
located within the periphery of the building foundation, the floor assembly
including posts, girders, joists and subfloor, shall be approved wood of natural
resistance to decay as listed in Section 2516 (c) 3 or treated wood.
Accessible under -floor areas shall be provided with an 18 -inch by 24 -inch
access crawl hole. Pipes, ducts and other nonstructural construction shall not
interfere with the accessibility to or within under -floor areas. .
3. Plates, sills and sleepers. All foundatio� pI ' ates or sills and sleepers on a
concrete or masonry slab, which is in direct contact with ea�th, and sills which
rest on concrete or masonry foundations, shall be 6eated wood or Foundation
redwood, all marked or branded by an approved agency. Foundation cedar or
No. 2 Foundation redwood marked or branded �by an'approved agencymay be'.
used for sills in territories subject to moderate hazard, where termite damage is
not frequent and when specifically approved by the building official. In territories
where hazard of termite damage is slight. any species of wood permitted by this
code may be used for sills when specifically approved by the building official.
4. Columns and posts. Columns and posts located on concrete or masonry
floors or decks exposed to the weather or to water splash or in basements and
which support permanent structures shall be supported by concrete piers or metal
pedestals projecting above floors unless approved wood of natural resistance to
decay or treated wood is used. The pedestals shall project at least 6 inches above
exposed earth and at least I inch above such floors.
Individual concrete or masonry piers shall project at least 8 inche& above—
exposed ground unless the columns or posts which they support are of approved
wood of natural resistance to decay or treated wood is used.
5. Girders entering masonry or concrete walls. Ends of wood girders
entering masonry or concrete walls shall be provided with a 1/2 -inch air space on
tops, sides and ends unless approved wood of natural resistance to decay or treated
wood is used.
6. Foundation ventilation. Under -floor areas shall be ventilated by an
approved mechanical means or by openings in exterior foundation walls. Such
openings shall have a net area of not less than I square foot for each 150 square
feet of under -floor area. Openings shall be located as close to comers as practical
and shall provide cross ventilation. The required area of such openings shall be
approximately equally distributed along the length of at least two opposite sides.
212
1982 EDITION 2516
They shall be covered with corrosion -resistant wire mesh with rnesh openings of
'/, inch in dimension. Where moisture due to climate and groundwater conditions
is not considered excessive, the building official may allow operable louvers and
may allow the required net area of vent opening to be reduced to 10 percent of the
above, provided the under -floor ground surface area is covered with an approved
vapor barrier.
7. Wood and earth separation. Protection of wood against deterioration as set
forth in the previous paragraphs forspccified applications is required. In addition,
wood uged in construction of permanent structures and located nearer than 6
inches to earth shall be treated wood or wood of natural resistance to decay, as
defined in Section 2502 (a). Where located on concrete slabs placed on earth,
wood shall be treated wood or wood of natural resistance to decay. Where not
subject to water splash or to exterior moisture and located on concrete having a
minimum thickness of 3 inches with an impervious membrane installed between
concrete and earth, the wood may be untreated and of an� species.
Where planter_b�oxes_-areji n sia I led-adi ace nt-to-wood-franie alls'a-2jnch�wide
u _�jw - - , ,
Lair3p4c4�Ist�all-be-pi_qvide�d-l��tmic�erf:tft-e7plA-nter-and-the�:wall. Flashings shall be
installed when the air space is less than 6 inches in width. Where flashing is used
provisions shall be made to permit circulation of air in the air space. The wood
frame wall shall be provided with an exterior wall covering conforming to the
provision ' s of Subsection (g) of this section. . I
8. Wood,supporting roofs and floors. Wood structural members supportin
4' ag
moisture permeable n,00rs or roofs�'which are exposed to the weather such s
concrete or masonry slabs shall be approved wood of natural resistance to decay,
or treated wood unless separated from such floors or roofs by an impervious
moisture barrier. - . . 1�
9. Moisture content of treated wood. When wood pressure treated ith a
water-bome preservative is * used in enclo ' sed locations where drying in se ice
cannot readily occur, such wood shall be at a moisture content of 19 percent or less
before being covered with insulation, interior wall finish, floor covering or othe
material.
10. Retaining walls. Wood used in retaining or crib walls shall be treated
wood.
11. Weather exposure. In geographical areas where experience has demon-
strated a specific need, approved wood of natural resistance to decay or treated
wood shall be used for those portions of wood members which form the structural
support's of buildings, balconies, porches of similar permanent b I uilding appurte-
nances when such members are exposed to the weather without adequate protec-
tion from a roof, eave, overhang or other covering. to prevent moisture or water
accumulation on the surface or at joints between members. Depending on local
experience, such members may include: horizontal member such a's girders, joists
and decking; or vertical members such as posts,,poles and columns; or both
horizontal and vertical members.
(d) Wall Framing. The framing of exterior and interior walls shall be in
accordance with provisions specified in Section -2517 unless a specific design is
furnished.
213
L\V
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Owner:____ -No. Z S; --
Permit /(c 2�
ENERGiY- C EZRT D'F ICA' ION
11i176 Jack Pine, Ma alia
LOCATION, A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inche8)
EXTERIOR WALL
Material Fiberglass
Thickness(inches)- 6"
CEILING
Batt or Blanket Type Flberglass
Thickness (inches)_ — 7V
Loose Fill Typejiberglass
Minimum Thicknes5(Inches5--1-1-'w-
Area covered(ft. 1 OTO --
FLOOR, ELEVATED.
Material
Thickness(inches)_
FLOOR, SLAB
Materia�l
Thi�kness (inches)
W-idth(inches)
FOUNDA'.','ION,WALL
Material
Thickness(inches)
Brand Name'
Thermal Resistance (R Value)
Brand Name CertainTeed
Thermal Resistance(R Value)
Brand Name Johns Manville
Thermal Resistance(R Value). R-27—
Brand Name Certainteed Insulsafe III
Number of Bags TY Wt. per ba lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resist&nce(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby c6ftify that the above insulation was installed in the above building
in-.��Dia�opnance with the State ,��a -�Ff-o-r-nia Energy Requ . (rements.
H.q,4&�ns In..5u-JA-fifon CoA\ Inc.
SIG NSTALLATION APPLICATOR
#378407
STATE CONTRACTOR'S LICENSE NO.
7-7 86
DATE
I hereby certify the above insulation and all required items..as sho'wn on theA
Building Department approved plans -and attachments have be"en installed as"
required by the State of C"alifornia Energy Requirements.
All @qUIV�eht� devices and materials are of the qu�liily prescribed or are,
1
s06tff3tdlly approved by the State of California.*
'A 40� ec eo 6,�b
F IRM NAME /OWNEIJ X (Please I print) STATE CONTRACTOR'S LICENSS NO.
RA �OROWNE R
S 61L
I KTUR8 OF 04FIRAL CONT
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPAIRDIFNT PRIOR TO F INAL
INSPEcTi6N APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT Nol
a. 7 County Center Drive - Oroville, CalifornLa 95965 - Telephone 916/534-4 541
APPLICATIN AND PERMIT
ASSEC�PA R
- RW ��-"77
Z4&NING
N — I
BUILDING PERMI
OWNEJ—
e a M t 4Q PL C OC_
T ELEP11N E
SQ. FT. OCC. BUILDING.VALUATIbN
OWNER S ILINXDDRESS I
J�'!f I 'S Y_46,ye
p V -o (4 C_ 10 0"
CON
(F)ACTOR'S NAME
On Ir --ij
TELEPHONE
I
ff;q7
kPP1
CONTIRACTOR'S MAILING ADDRESS
L_
- -
Firepikel &VV, _
COtr;,RIICT
A OJ
ON LEN.�%
0 1
UNKNOWN
Total Val-lation ri . $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS V
Permit Fee
$ M&M
ARCMT OR ENGINEER
A &
LICENSE NO.
I
Plan Checking Fee
$ qyo D_
-Penafty 7v7, -v-%
$ Won
ARCHr'rECT OR ENGINEER'S MAILING ADDRESS —
Permit fee
$ Z. on
BUILDING ADDRESS
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00 SITO
LOT NO.
SUBDIV FSN E
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 ,,6r' Do
USE OF STRUCTURE
SFN bu'plexn MobilehomeD Other - SPECIFY
Building sewer
5.00 -'r, DD,
Mobile Home S I G I W 1
1 11P.00 e
TYPE OF WORK
Ne w - Additil, Kmodel [I Utilities [:1 InstallationD Other EJ
Desc �ibe work:
Permit Fee
$ !Opp
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
'Main service 600V OR LESS
100 AMP OR LESS
10.00 & Ar
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWEL
OR ADDNS. ACC 21/20sq it �a, 70
Jq
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of* Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
License No.3cer#4il Classification 06
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)
1, as he owner, am exclusivel'y contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTK MULTI -OUT . LET
NON RESID, BRANCH CIRCUITS) 2.50 ea
NEW CONSTFL POWER APPARATUS IN 1
NON RES 1 0. SINGLE OUTLET CIR. I
20@50C
Ex. Occup( OUTLETS OR FIXTURES 1BAL@ 300
FIXED APPLNS OR
Ex. OCCUP., OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] 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 CeM., , catv
e f Consent to Self-Inslure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating - TO �0 I 1i
I
Coo ing
ling _5
&60
r
Hood
3.00
Venti lation
3 ot) O -D
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree. to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, cos s, and expenses which may in any way accrue
' "' I � cs u e e of t he gr�al i n�
ag st said County in co uence of the gra ting of this permit.
X A,,4
Date
Si n ure of Applicant Owner Contractor E�1' Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee $
;Z.Y\ ea�u L4 miisp 8 moo
TOTAL PERMIT'�Ek /$
0 UP]TYPE
0 CONST.
IEPARCELI
PDT No
A7
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Dlft�IOR
ZVUBL
By A 141azza
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
D a t e —. Aner
epin
Receipt No. -576
WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
M
COUNTY OF BUTTE - DEPARTMENT).'OF.,, P - UBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE,CA,LIFORN.IA95965 - TELEPHONE: 916/534-4�41
PERMIT APPLICATION DATA SHEET Permit No.
OWNER aa6�,o ho/M A. P. No.
Proposed Bui 0 ng Use
Permit Fee Based Upon: —Complete Contract Price W Valuation
Other (Explain)
Building Inspector (7 AZ) Date
At time of permit applicati I was advised the following data must be submitted prior to permit processing
andw/or issuance: DATE RECEIVED. APPROVED
1. All items have been submitted . . . . . . . . . . . .
2.. Plot plans in duplicate./tripli-cate . . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . .. . .
4. Complete engineered plans and cal6s . . . . . . . . . .
5- Plans with Energy Design Compliance Statement . . . . . .
State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ .. .. . . . . . . .
Letter of signature authorizati
lftw'1111�� I
.Sanitation approval from— (?(;F &e a ZIMOD e p t 7t'
I" M/
11. Planning approval for (A) Use:. (B) Parking: -
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerEj)
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . .
111�7� Pre -Inspection for 4 Pre-Inspec. request to
Required- Building Inspector (Dafite)
Recorded copy of Agricultural Acknowledgment Statement.
Other e, 'rAbta4w
When you J.ssue the permit, pr cess as ?f'ZWS-* MaH_0 owner.
0
�a n �dh
lephone , iold �for pickup at 0,zn office.
Other
�z h ex__t
Applica
Mail to contractor.
—Deliver w./inspector.
Date ?,�,
Copy of plans sent -Health Dept., -Fire DepLt"', -Other Date
During the plan checking pro&_6_S_S,Th_e_ foil -owing data mu�itbe submitted prior to permit issuance.
(For required items not checked above at tim o p c n c i rc I e/V.
I `c
1. Index permit for above items No.
2. Additional items required:
(Contractor, Designer, (Owner �was 'advised Tof ab�ove re'quired Fdata by -Telephone
.� �o n e �_�X �Ma i 1 0 �th e r
.�e I e �p
By Date
w
Plans checked by
Plans aDDroved b,
Other:
Date
Mn+n
Copy–DPW
TQ- Building Department
FROM: Environmental Health
SUBJICT: SANITATION CLEARANCE
OWNER LOCATION A F Q
P ans approved for:' Sewage',Disposal Water Supply
Hold final folr: Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroome�� home. Other
Clearance for addition of
No 4
TARIAN DATE
,Returh to DPW AGRICULTURAL STATLPij- jE ACp 'a1p%.,x-zX-'NT
Qw_
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement OV.TTE COUNTY
0
be recorded prior to issuance of a building permit. "AF10ROIS ri
The property described herein is adjacent to land or included APR�l 2 36' PH '81'
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from �CLIAA -
the use of agricultural chemicals, including, but not limited to herbicides, pesticides, FFF.
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Lot 1849 as shown on that certain Map entitled, "PARADISE PINES UNIT
NO� 3", which Map was recorded in the'office of the Recorder of the
County of Butte, State of Cal fornia on June, 17, 1970 in Book -35 of
Maps, at pages 78, 79, 8o, 8ft
and
EXCEPTING AND REStRVING THEREFROM all,of the valuable minerals beneath
the surfdce of the said lands with the right to mine and extract said
minerals, it being agreed and understood that in all mining operations
the surface of said lands will be protected against damage and that
all mining shall be carried on from tunnels, shafts1kor drifts having
their orifices outside of the surface area of the above described real�V9
all as excepted and reserved in the Deed from Magalia,X1.1ining Company, a
corporation , to E. D. Storts I et ux , recorded September .4, 191+7 in Book
1+23 of Butte County Official Records, at page 385.
0.19 Y�C7 A.1 — eS—
State of -Calif—gmia On this the 24
) SS. me, the unders
County of gutte )
DEBI LUCERO an
NOTARY PUBLIC-CAUFORNIA Fn
M
Butte Countl 0
My COmmission Expires Dec. 26,1987 10
Cl a a
James Hancock
El
day of -- April 19 85 before
Notary Public, personally appeared
Ll Personally known.to me. LX1 Promed to me on the basis
of satisfactory evidence.
to be the person(s) whose fiame(s) is — subscribed to
the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
,q
L k(-') U � U (! 6 16
Notary Public
Present A.P. No. .6_57—�K�J/
COUNTY OF BUTTE DEPARTNENTIOF PUBLIC WORKS.
7 -County Center Drive, Orovill�, CA 95965 PHON'E: 9161534-4541,
James -
Hancock
,,441 Roya I Crest Cicle DATE -May 13, 1985'
Rancho Cordova, CA 95670'"'
RE:Buildi�g Permit 1169-85, ne�i single
Dear Mr.- Hancock: family dwelling
A.P. # 65-44-11
44ith reference to the above:subje'
ct:,
Attached is:'
Application for permit Mobilehome Utilities Installation Sheet
-Building Plans -.Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Veiifi�ation`F6rm" List of Codes,Enforced
OTHER
-We need the following inioimafton:
i Permit application -signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensdtion-Insurance,or check exemption statement.
-Contractoris License La� information or check exemption statement'
Complete plan's in including 'plot plans.
Plot plans in
wl? Structural details,,4n
Complete plans and'calcs, in by registered engineer,or architect.
nergy design including L.L., ' ature cin Vorm 1
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in Accordance with the changes marked in red.
_X Sanitation approval from�Butte County Health Department at:
196,1Memorial'Way,*Chico
1k,
-7 County Center Dr., Oroville.:1-
Skyway & Elliott.Rd. Paradis6'
4- ..Planning approval from Butte County Pl�nning Department, 7 County Center Drive,
00, Oroville, for
Completed Owner-Build,er Verification -form.
Recorded copy of deed shc;wing
Recor.ded,copy of agricult.ural acknowledgement statement.
. 41
AV LOTHER&OC.--4a� _i- ^'- -U-@- % -9 V vy
hPam hiptweAn wnrkshop and ga
a. --ffo-vide waamry-black reinfoising details -foo stem
walls as shown on sheet 2.
Should you have any questions concer�iniig* lthie'above;.pl6ase contact this of f ic, e
Yours very'truly,
William Cheff,
Director of Public Works
enclosed Form 1;
F. Glander
C i;f u
JFG/aj Chief Building Inspector
RES IDEW W, - P[Atl CHECKING Gt! IDE
(S.F.$ DUPLEX, & NISC.-ONLY)
Bldg. Permit # //A:: 9- qr�
NER C4 0 �; j< A.P.
GENERAL
-Zoning requirements (side -yards and parking).
Valuation.
Signature by R.C.E. or Arch-itect (if required).
PLOT PLAN
,k'. Complete parcel size and dimensions.
,21. Setbacks, sideyards, easements, etc.
/K.- Other buildings or structures.
,4-.,- Grading, fills, drainage.
FLOOR PLAN
)A. Complete to scale plan with -dimensions.
Required windows for light and ventilation (S.ec. 1405).
o!T.- RequIred windows for second exit (Sec. 1404).
,*.-O"Allow*able glazing for energy requirements .(20% max. per State law).
,K- Human impact glass (Sec. 5406).
Required room sizes, -ceiling heights (Sec. 1407).
C.F.C.l.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
;00.' Garage firewill, door size,.and closer (Sec. 503(d)(4)).
3'0" exterior exit door (Sec. 3303d).
Fireplace*lbcation.
Aog*.'- Smoke detectors (Sec. 141-3),
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
2'. Floor construction details-�ompletc enough to construct bililding.
. E;1;evations and wall construction details com
2lete enough to construct buildin
IZ:5
Lr J)c, Ern-c-r-lon details complete en�ugh to construct buildin . -
1, --and calcs if over one-story �nh�ight.
0 FLre2lace g
_Qnstruction etans
MISCELLANEOUS ITEMS TO LOOK OUT FOR Oe4C
0)
CLCX 'plywood on exposed locations and overhangs.
Ita;LrIC111,111 I
::�uar
r rail detaM (Sec. 1716).
4rick or stone veneer (ChapteT 30).
EMEErfor ptagtUr w-eep 08). -
OW Pr__
A. _%JV%;&.L1&1b JChapter 32).
,0 A: a er ties or earing riage e
qarage door or porch header sizes.
.9.1.*" Adequate bracing.
LO -v- �iving area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.. 0
Two (2) exits on three-story dwellings (Sec. 3302).
ZONE 11
OWNER N,/AO*WAr4g eft6c POINTS
PERMIT NO. AtiblkiNtoij ACTUAL
1. SLAB - INSULATION
2. RAISED FLOOR - R-19
3. CEILING - R-30.
4. WALL - R-19
LE 5. NOrTH GLAZING - 2.4-3.6',
6. EAST GLAZING - 2.5-3.6%
7. SOUTH GLAZING - 1.6-3.6%
3. WEST GLAZING - 2.9-3.6% 7!7
9. SKYLIGHT - 0-1.3%
10. SHADING (Exclude Overhang)
EAST - 45' .66 0
SOUTH - .19-.42
WE 7. 6? .13-.36
.SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 21
12. �IOVABLE INSULATION - NONE 0
13. INFILTRATION (Standard=2j(Tiqht=+l2) p
,*& 0 " 061r.
14. THERMAL MASS �0 SF
15. GAS FURNACE (SE) 71-76%
16. HEAT PUIrP (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% zit/69.
WOOD STOVE
LarrS WATER HEATER
ATTIC
OTHER
TOTAL POI
9-3 7f
7able 3-1. Slab Floor Points
I Tn�ula- R -Value of Insulation
tiun
Depth,
Lncles 0-2 1 3-4 1 5-6 1 7+
0 - It 1 -5 1 -5 1 -5 1 :5
12 - 15 1 -5 1 -3 1 -2 1 1
16 - 19 1 -5 i -2 1 -1 1 0
20 + -5 -1 0 +1
7/7/83
.-2-
Ints
I R -Value of I
I Insulation I Points
I below 3
-12
3 4
-8
5 7
-6
8 12
-4'
13 18
72
.19+
0
Table 3-3a. Ceiling Insulation
Points
R -Value of Insulation I Points
19 -4
12 -2
30 0
38 +2
49 +4
Table 3-4a. Wall Insulation Points
I I
It -Value of Insulation Points
11 1 . -7
"TV- 1 0
24 +2
30 +3
Table 3-5. North-FacinS Glazing P
Glazing Type
I Total
I of Sngl,
Floor U -
Axes 0.66
1.10
0 1 *4
f 0.1- 1.2 1 .+4
1 1.3- 2.3 1 +1
1 2.4- 3.6 1 -2
j-7- 4 1 -4
4.9- 6-.1 1 -7
6.2- 7.3 1 -9
7.4- 8.2 1 -12
8.3- 9.7 1 -14
9.8-10.8 -17
10.9-12.0 -19
12.1-13.2 -22
13.3-14.5 -24
14.6-15.3 -27
-1, 1 ..P",
U - U - 1
0.42- 0.41
0.65 down
.& '4 +'4-1
+4 +4
+2 +2
0 +1
-4 -3
-6 -5
-8 -7
-to -8
-12 -10
-14 -12
-16 -13
-18 -15
-20 -17
Table 3-7. South -Facing Glazing Pro Table 3-10. Shading Coefficient Points
T_ .-I r
I Glazing Type
Total I
I of Sngl, I Dbl, r Trpf�T
Floor (U - (U - (U 1
Area 1.10) 0.65) 0.,,7)1
1POLnts ints
1 '3 PL__
"3 1pointsl
0 43 1
1 up to 1.5 1 +2 +2 1 +2 1
1 1.6- 3.6 1 -1 0 1 0 1
1 7-7-fln -4 -r 1 -2 1
1 5.3- 6.5 1 -6 -4 1 -3 1
1 6.6- 7.7 1 -9 -6 1 -5
1 7.8- 8.9 1 -11 -8 1 -7 1
1 9.0-10.0 -13 -10 -9
10.1-11.5 -17 -13 -11
11.6-13.0 -21 �-16 -14
13.1-14.5 -25 -19 - 16
14.6-16.0 -23 -22' -19
Table 3-8. West-FacinR Glazing Pts.
I Total I -
% of I Sngl. I Dbl. r -Trpl.
Floor (U - (U - I (U -
Area 1.10) 0.65) 1 0.41)
!points jP01 ts 100ints
a
46
1 #79
up to 1.3 1
+5
1 +6
1.4- 2.2 1
+3
1 +4
2-S- 2.8 1
0
1 +2
2.9- 3.6 1
-3
1 0
3.7- 4.2 1
-5
1 -2
4.3- 5.0 1
-8
1 -4
5.1- 5.6 1
-10
1 -6
5.7- 6.2 1
-13
1 -8
6.3- 6.9 1
-15
1 -10
7.0- 7.6 1
-18
1 -12
-7.7--Al-. 2 1
-20 1
-14
F -3-8.8
-22
M
8.9- 9.5
-25
-18
9.6-10.i
-27
-20
10-2-11-0
-29
�-23
11-1-11.8
-35
-26
11.9-12.7
-38
-29
12.8-13.5
-42
-32
13.5-14.3
-46
-35
14.4-15.2
-50
-33
1 +6
+5
+3
+I
0
-2
-4
-6
-7
-9
-11
-13
-15
-16
-17
-21
-2 4'
-27
-29
-32
Table 3-9. jkyll�ht Points
)T ble 3-6. East -Facing Glazing Pts. I
0on I Glazing Type
Glazing Type Total
% of I Sngl. Db!.
Floor U - U Tr!l.
I SnSl. I Dbl, r Trpl,7 U
f
F 1 oor (U - 1 (11 (11 - I Area 0.66- 0.42- 0.41
Area 1.10) 1 0.65).1 0.41)1 1 1 1.10 1 0.65 1 do -n
PLI its 1pol t I I tsl I
2.s 1 _T
T-0 4 4 IP# I up to 1.3 1 -1 1 0
up to 1.3 +3 +4 1 +4 1 1 1.4- 2.2 1 -3 1 -2 -10
1.&- 2.4 +1 1 +2 1 +2 1 1 2.3- 2.8 1 -6 1 -4 -3
2.5- 3.6 -2 1 0 1 0 1 1 2.9- 3.6 1 -9 1 -6 -5
3.7- 4.6 -5 1 ;1 1 -1 1 1 3.7- 4.2 1 -11 1 -8 -6
4.7---" -8 1 -4 1 -3 1 1 4.3- 5.0 1 -14 1 - -10 -8
5.7- 6.7 1 -10 1 -6 1 -5 1 1 5-1-�5.6 1 -16 1 -12 -10
6.8- 7.7 1 -13 1 -8 1 -7 1 1 5.7- 6.2 1 -19 1 -14 -12
7.8- 8.7 1 -15 1 -10 1 -Q 1 1 6.3- 6.9 1 -21 1 -16 -13
8.8- 9.7 1 -1.7 1 2 1 -10- 1 1 7.0- 7.6 1 -24 1 -13 -15
9.8-11.2 1 -21 1 -:115 1 -13 1 1 7.7- 8.2 1 -26 1 -20 -17
11.3-12.7 1 -25 1 -18 -1 -45 1 1 8.3- 8.8 1 -28 1 -22 1 -19
12.8-14.0 -23 1 ' -21 1 -18 1 1 8.9- 9.5 1 -31 1 -24 1 -21
14.1-15.3 -32 -24 1 -20 1 1 9.6-10.1 1 -33 1 -26 1 -22 1
SC by
__T
Orten-
1 Floor Area
t tion
0.5
East
3.2
0.6 -
.1 0-3.1 to 6.4 up
1 -2 1
6.3
.0 -.19
1 0 +1 +2
.20-.36
1 0 0 it
.37 -.*66
0 0 0
-_rr-n
0 -1
.83 up
0 -2
South
1 0 1 3.2 1 6.4 1 9.0 1 9.6
to I to U to I to I up
3.1 1 6.3 1 7.9 f 9.5 1
0 _* 18
1 1 T___T_
1 0 1 +1 1 +2 1 +2 1 +3
.19-.42
1 0 1 0 1 0 1 o o
__4 -3--6k-6
I L 1 -1 1 -2 1 TZ -3
.67 up
1 0 1 -2 1 -4 1 -4 -6
West
1 .1 1 1.6 1 3.2 1 6.4 1 9.0
to to to to up
1.5 3.1 6.3 7.9
0-12
0 +1 +3 +6 +7
.13-36
0 a 0 0 0
.37-57
0 -1 -3 -6 -7
.58-82
-1 -3 -6 1 -12 1 -15
.T -r 'up
-2 -4 -8 1
Skylight
1 .1 .8 1 1.6 1. 3.2 1 4.0
to to to to to
.7 1.5 3.1 3.9 5.2
0-12
1 0 +1 +3 +6 +7
.13-36
1 0 0 0 0 0
.37-57
1 0 -1 -6
.58-82
1 -1 -3 -6 1 -12
.83 up
1 -2 -4 -8 1 -16 1 -20
.L Table 3-11. Horizontal South
Overhang Points
Length Out Area. Z of Floor
from Wall
I I ft -7
Table 3-12. Movable Insulation
Moveable InsulatLon'l
Area. Z of Floor I Points
0 - 5.5
1 0
1 0-6.3 1
6.4 up I
1 0 -
0.5
1 -2 1
+6
0.6 -
1.0
1 -2 1
-.3 1
1.1 -
1.9
-1
-2
2.0
up
0
0
Table 3-12. Movable Insulation
Moveable InsulatLon'l
Area. Z of Floor I Points
0 - 5.5
1 0
5.6 - 11.5
+2
11.6 - 17.5
+4.
17.6 - 23.5
+6
>23.6+
+8
Table 3-13. InVItration Control
Feet9res Points
- 1 7
1 Comtrol Features Points
T_ T
Scandard 0
.1.9 air changes per hr
T_
I Tlg%t +12
0-6 air changes per hr
Tible 3-15. Cos Furnace Without:
Refrigeration Cooling Pointl
I i
I Seasonal Efficiency Points
(SE), X
71 - 76 0 1
77 - 82 +2
83 - 88 +4
89 - 94 +6
95 up +8
Table 3-'0.
Peat Pump
Points
0
7 - 14
+2
Satz-gy Effic!ency
Points
iatlo
(EER)
31 - 39
7.5 -
7.9
+3
S-0 -
8.3
f +6
8.4 -
3.7
+9
8.8 -
9.1
+12
9.2 -
9.6
+13
9.7 -
10.2
+18
10,3 -
10.8
+21
10.9
11.5
+24
U-6
12.3
+27
12.4
13.2
+30
Table 3-17. Cas Furnace With
Refriveration CcolInR Points
:Refelgeraciani Cas Furnace.
Cooling I SE 11
171-177-i a3-1 sg--Fg-5-T
1 761 821 881 941 up I
1 8.0 - 8.3 1 0 1 +21 4-41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +31+10 1
1 8.8 - 9.2 1 +41 +61 +-CI4101+12 I
1 .9.1 - 9.7 1 +61 +81+M�121+14 I
9.8 - 10.3 1 +31i-'r1+I21+I41+l6 I
10.4 - 10.9 j+IG:+I2i+I4,1+'6;+IS I
1 11.0 - 11.6 1+121+141+1614-181420 1
1 1 ! 1 .11
7/7/83
TABLE 3-14 (ADAPTED) ZONE 11
INTERJOR THERMAL MASS POINTS
MASS DWELLING ARFAj2UARE FOOT
AREA
Sn. FT. 1.000 1.500 2.000 2.500 3.000 3.500 4.000 4.500 S.000
A 8 C D A B C D A 6 C 0 A 8 C 0 A B C 0 A 8 C 0 A 8 1 D A - 1-. '" _,7__
50
Do.
)50
200
253
30
350
400
Sol)
60a
Igo
2jo
903
1 Ooo
I .; 00
1.200
1 . JCO
1.�oo
1.500
2. COO
2.500
J. COO
3.500
4.000
4.500
5.003
2 2 2 2 2 2 2 2 2 2 0 0 0 0 0 1 a 0 0 0 1 a a 0 0
: : a 0 a 0 0 C 1 0
4 4 4 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0'2 2 0 0 0 0 2 2 0 0.0 0 o Ili
6 6 6 4 4 4 4 24 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2*? 2 0 12 2 2 01
8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 21z - 2 51
1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
121210 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2
141412 SIOIG 8 6.6 6 & 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 '212 2 1 2
' ' 2
141412 8 1010 8 6 8 8 6 4 6 6 4 4 6-6 4 2 4 4 4 2 4 4 : 214 4 2 214 4 2 2
t2
2
2
18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 4 2 4 4
22 20 18 12 14 14 12 8 12 12 10 & 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 6 6 4 2 6 2
24 24 20 14 18 16 14 10 14 14 12 0 10 10 10 6 10 10 8 6 8 8 6 4 8 6. 6 4 6 1; 6 4 1 6 6
16
. 24 22 16 ?0 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 e 6 6 4 a 4 G 5
U 28 24 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 a 4
30 �O ?6 IS ?2 20 20 14 IS 18 16 10 14 14 12 8 3 6 : 2 : 0 0 0 IS 6 8 a G 4 j n a 6 .1
20 20 18 10 16 16 14 8 4 4 2 8 2 2 0 :
1 12 1 - I 1 0 1 1
32 32 28 20 24 24 22 14 1 1 1 1 '0 . 0 6 111) 10 a .3 e V
34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 1 2 8 '12 12 10 6 10 10 8 6 1 V) 10 8 6
34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 1 Z 14 14 8 14 12 12 6 12 12 10 6 12 1 0 10 6 10 F. 6
34 34 32 24 28 28 26 18 24 24 20 14' 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 1 2 1 ? '. G C.
36 34 34 24 30 30 26 18 i4 24 22 14 22 20 IS 12 IS 18 16 10
;6 ;& 1 4 14 1 Z t! 12 12 10 2 1 z 1 6
34 34 32 22 30 30 26 18 26 2(6 22 0 0 1 : I I
22 22 20 14 8 IS 16 10 1 C 16 i & 14 14 12
I
34 34 30 22 30 3 26 26 26 24 6 284 24 22* 14 2 22 ;3 ! 2 20 r, ; so is 1 16 : u
34 32 30 22 30 30 26 18 2 :6 24 1 6 2' 4 1: 1 14 22 22 14 . -. � -, , 12
32 32 30 ZO 30 30 26 ;a 2 08 2" 16 26 Z 1 22 14 j 4 '
20 14
:12 32 30 0 3 3 1 a 79 2' b 24 1 f 1 22. 1 f
32 32 28 20 30 3 o 26 '. E iti 1 ?.! " E
z i 23 13 -. G 76 1
A) 1. 3's" Concrete Slab: HC�8.93. R-.29*. Factor -7.3
2. 3 3/4" Thick Common Brick: IIC-7.125; R-.13. Factor -7.3
81 1: 5's',Concrtte Slab: HC -14
C I - ;." R � . -!6.,
8: Safld Filled Block: HE!0260*63' ; Fac;.r
2. 8 0 d Filled Block With Both Sides ExPGSed To Conditioned Air.
NOTE: use all square footage directly exposed to conditioned air
for Thermal,Mass Area: IIC-10.164; R-.96;. Factor -6.1
D) I" Thick Concr " te/Tile: KC-2.SS; R-.083; Factor?3.7
Table 3-19. Zonally Controlled
Electric Resl�t.nce
Space ReatIng Points
Points for th? able 3-2n. Solar %later Heatin With ras Backup Points
s measure v - n
I be comp!eted after the CEC
has approved an Alternative
Component Package for Resistance
Ueac.
Table 3-13, Active Solar Space
Heatinq with Gas Points
I Net Solar Fraction
I (NSF), %
wood stove #33 poin�s-(no back up)
.casablanca fan + 1 point
#4
llultlfamil� (per unit
points)
0 - 6
0
7 - 14
+2
15 - 23
+4
24 - 30
+6
31 - 39
+8
40 - 47
+10
48 - 55
4-12
56 - 63
+14
64 - 71
+18
72 up I
1
- +20 f
7 1
wood stove #33 poin�s-(no back up)
.casablanca fan + 1 point
#4
llultlfamil� (per unit
points)
CBS Only
0
Beat Poap
Floor Area
T
Net Solar Fraction (NSF),
per un �E'
ments Itt Part 2
0
ZlEccrtc. Resistance
oz.. 1 Y
ft 2.
0.9
10-19
20-29
30-39
40-49
50-59
6G-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1.499
0
4.2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2X00. and up
0
.1 _
+2
+4 -
+5 1
+6
+7
49
All others (pe
builoinp
points)
_0
-,-14-7
800-899
6-
+5
i
+19
+24
+29 +34
900-999
0
+4
+9
+13
+17
+�l
+26 +30,
1.0 M. -I 199
0
+4
+7
+11
+15
+19
+22 +26
1,20r�1,499
0
+3
+6
+9
+12
+15
1 a +21
1.500-1,999
0
+2
+5
+7
1
+9
+1?
+1 4 +U
2,000- _-- .999
0
42
+3
+5
47
+8
+1 0 +11
3,00-0 .1,,.d up
0
+1
+3
__+!,
+5
4-7
+ 1 0 A
Table 3-21. Othsr Water Heating Pts.
I System Type I
Points I
f
CBS Only
0
Beat Poap
0
Solar with Electric
Resistance Backup
Mencln4 the Require-
ments Itt Part 2
0
ZlEccrtc. Resistance
oz.. 1 Y
FORM
RESIDENTIAL ENERGY PUN-CHECKANSPECTION SUMMARY
Owner
Climate Zone Permit No..//44?—&X-
Floor Area
_7
Compliance
path:
Package 13 A 0 B 0 c 8'�oint System' [3 Budget 4N other
MIN
R -VALUE DESCRIPTION
R.EQ 1 D
INSTALLED
ITEMS
(1) INSUIATION:
Roof/Ceiling
Wall R -It
—Atdl
Slab Floor Perimeter
Raised Floor
(2) INFILTRATION:
(3
(A) A vapor barrier.is required in climate zones, 1, 14 16..
(B) All.manufactured windows and sliding'
.glass doors shall meet the
an
1972 ANSI Air Infiltration Standards' '*d shall be certified and
labeled.
(C).All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus':`
13
(D) Continuous infiltration barrier
13
(E) Electrical outlet plate gasket
13
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double. Triple
Total Bld g
North
East
South
West 7. !E
13'
Skylights
(B) Shading
Shading
Coefficient Description
Cl
East
C3
Sout.h..
West
13
Skylights
(C) South�overhang
Length of projection, A? ft. Description'
(D) Moveable insulation: Area ftz Description
(E) Thermal mass
Type A .- Area &V Ft. 2 HC=j2U. R= .
MC= -2_1_ Location
Type L> Area Ft -Z RC-Z.,%V- R -_.Q"
MC=_g. 7 Location 5F/'&J6
13
Type Area Ft.Z HC= R=
MC= Location
13
Type Area Ft.2 HC= R=
MC= Location
13
Type Area Ft.2 HC=— R=
MC= Location
13
Type Area —Ft—. _H -C=_ R=
MC= Location
7/83
E3
E3
7183
(cooling capacity at 95*F)
other
(describe);'.
(C) A TWO-STAGE THER ' MOSTAT, which controls t he.supplementairy heat on
its second stage, shall be required for.heat pumps.
.....(D) AN AUTOMATIC SETBACK shall be provided....for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENr IGNITION DEVICE shall be provided for all gas-fired
fan type*central furnaces,'gas.-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSUIATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of.Section 1005 of the UMC, 1976 Edition.
2
F��,
'r.A
RM I
..K7
.(4) MASONRY AND FACTORY -BUILT FIkEPLACES shall be equipped
with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a
readily
accessibleX openable, and tight fitting damper to draw
air from the
outside of the building; and a tight.fitting flue damper with a
readily accessible control.
*1 (5) HEATING, VENTUATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number)
SE
Btu/hr
(heating capacity)
13
Heat Pump
(brand and model number)
ACOP
Btu/hr
(heating capacity at 47*F)
Active Solar
type (liquid or air) Collector
brand and
ft2
modelbumber solar fraction collector area
collector
orientation collector tilt rated y -intercept
rated' -slope
Q
other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number)
(seasonal EER)
Btu/hr
(cooling capacity at 950F)
0
Electric Heat Pump
EER
Btu/hr
E3
E3
7183
(cooling capacity at 95*F)
other
(describe);'.
(C) A TWO-STAGE THER ' MOSTAT, which controls t he.supplementairy heat on
its second stage, shall be required for.heat pumps.
.....(D) AN AUTOMATIC SETBACK shall be provided....for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENr IGNITION DEVICE shall be provided for all gas-fired
fan type*central furnaces,'gas.-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSUIATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of.Section 1005 of the UMC, 1976 Edition.
2
Cooling: � Summer. design temperature 7-T cooling load 1&.&,VBTU
*2 (USE ONLY * AS A.SIZING GUIDE, COOLING MAY BE.INADEQUATE) If .
Submit T.1..P.S.E. chart or other approved system (form #5) eb.document sizing of
solar -panels.
0 DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the
7/83
3
FORK I
(65
DOMESTIC WATER SYSTEM
(A) Gas only Gallons
(brand and model number) size)
13
.�(tank
Heat Pump w/ElectricBackup
(brand and model number)
Gallons
(tank size)
2.
(3
Active Solar
(collector,brand and model number)
(rated y -intercept) , �(rated slope) (solar fraction)
ft 2
(backup heater type, brand and model number) (collector areT)
(collectororientation) (collector tilt)
0
Iocatidn of Solar Panels'
[3
other
(Describe)
�(B) TANK INSULATION.' Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSUIATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for'showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission�
(7)
LIGHTING
-
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than. 25 lumens per
watt (usually florescent).
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 0, elevation ',.heating load 67MBTU
elevation
factor Lldf x. heating load maximum outlet capacity gas furnace
BTU
Cooling: � Summer. design temperature 7-T cooling load 1&.&,VBTU
*2 (USE ONLY * AS A.SIZING GUIDE, COOLING MAY BE.INADEQUATE) If .
Submit T.1..P.S.E. chart or other approved system (form #5) eb.document sizing of
solar -panels.
0 DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the
7/83
3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND -PERMIT
PERMIT NO.
ASSESSO R R
_41N I/
2,
BUILDING PERMIT
TELEPHONE
S 7 7-Af 917
SO. FT. OCC.1 BUILDING VALUATION
OWN7E MA G ADDRESS
.� /7
�0 '9 X 11714- �a
I
1 5--'
CONTR NAME ITELEPHONE
x7z;,�,rr
F
r VF_1 f
C 0 N Ty T 0 :�� I L I N G'A 0 6 R E S S
711.
Fireplace
CON C T 10 N_ L E P74 0 E R
04KNOWN
Total Valuation
Filing Fee
$ 10.00
LEiTDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
A,01,14f
LICE SE NO.
I
Plan Checking F6e
$
Energy Plan Checking Fee
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Avr
Permit fee
$ 1,24/0
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME /I
1
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
F,V MobilehomeF_1 Other
S A�UplexE] SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 1
'u
Mobile Home S I G I W I
JE�0�-00ea
TYPE OF WORK
New n Addition [1�eRe ode 1 [:1 Utilities [:1 Ins,tal tionEl Other
If X
Describe work: 2�k��41 Z,;Ve—
;;;`Pe`rmIt Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 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 Busines S
and Professions Code and my license is in ful I fo e and effect.
License No,& Classificatioi,
1, as the owner, or my employees with wages at their sole compen-
sation, wil I do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.k)
OR ADDNS. ACC.BLDGS. 21/20sqft
NEW CONSTF;L MULTI -OUTLET
NON-RESID. 2RAN H C TS .2.50 ea
C 1 1
C UJ
�1� IS
�I
PF _
_ W ER PF R TU
7 1%)
US &
_'R -
SINGLE OUTLET CIR .
20050t
_U R -S
Ex. Occup(OUTLETS OR FIXTURES BAL0300
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (R E SI D.) E A. 1) 2.00
.
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
I I
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): ,
f_� The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation fnsurance or a Certificate
of Consent to Self -insure.
RR. -T shal I not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Neirmit
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, cost , and expenses which may in any way accrue
a�a`in t said County in con ence of the granting of this permit.
X
v
Si no ure of Applicant Owner ontractor Agent
n , A permit 50VOC '
is required for excavations over 5'0" deep and demolition or construct-
;_Oin.fslitructures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
OCC771
Z7
O�Pt�
I
IFLOODIPARCELI
PO_J_H6
-1
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
00
DI 0 PUBLIC
By
PERMIT EXPIR 'ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No.
WHITE-O.P.W.. YELLOW-ASBESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
Oil IIIIIIIIIIII 111111�11,11%111,
Mill!
0 '44o'Zdif -i� �,TERMIT#9542224--'A-,
'RICHMI
d,.&',.,,Bdrbara
DO --'*G�ral
*A�15 1-7 '�Llia I�W
i ag
6( Ja6k jPiVIES NaC� 'M
.8�1 s
C
A- t --:�Wood-'Heat
on,
-rG
0 SFI
ve. n rt,
A
OW.J
copy
Ice
"�7
7
Address
)a
Ps
I
meter
ELEC-TWC,
'meter By
'A
7
X
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO'N
7 County Center Drive - Oroville, CaRornia 95965 - Telephone (916) 538-7%,�, PERMIT NO.
APPLICATION AD PERMIT
ASSESSOR PARCEL NUMBER
065-440-011
ZONING
RT1
BUILD)KGPERMIT
OWNER
GERALD & BARBARA RICHMOND EMILY TRUST
TELEPHONE
873-39M
SQ. Fr. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
1,5176 PAC.9 PINE WAY, NAGALIA 95954
CONTRACTOR'S NAME
WOOD HEAT & SPA ATORE
TELEPHONE
877-0799
CONTRACTOR'S MAILING ADDRESS
,5757 SKYWAY, PARADTRR 95969
Fireplace R 1-500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 36.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 15176 JACK PINE WAY. MAGALIA
PERMITFEE $ 55. 00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
1 1
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF :13 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00 1,5.00
Gas piping system I - 5 outlets 15.00 1.5.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: INSTALL GAS PIPELINE FOR PROPANE STOVE
(FIREPLACE INSERT)
Mobile Home I S I GI W 1 920.00
PERMITFEE $ 30.00
Contractor
ELECTRICAL PERMIT Filinq Fee 2 0.'0 0
a OR LESS
Main Service 20000VA 0 LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio . ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, as ownerof theproperty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors-
to construct the project. I
0 1 am exempt under Sec. Business and Professions Code for this
reason WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:,
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars . $100) or less.)
I certify that in the perform' an6e of the,work for which this permit is issued, I shall
not employ any person in any man�er so as to become subject to workers'
compensation laws o . f California, and abree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code,
forthwith comply with'tho-.66'provisions.
.X -,A - /�I' 1191, Date
Sign`aiu-reof P icant - JWOwner 0 Contractor 0 Agenf
An OSHA permit is required for excavations ove r 60" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUR a
OR ADDNS. & ACC. BUCS. 50 sF,.*
—3.
NEW CONST. LTI-OUTLET
NON-RESID. BRMAUNCH CIRCUITS 97.50
POWER APPARATUS
SINGLE OUTLEr CIR
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA J 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
—
PERMITFEE s
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee is
Energy Inspectic.n Fee Is
-
0
R3cc
ONST. TYPE
cVN.
TOYAL EE$ 105.00
HAZ�
I D. FEES
I IMP FLOOD
I CDF
PARCEL PO HD
This permit is hereby issu ' ed under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which lees have been paid.
BY kd ate c'h /,9
PERMITEXPIRESON
I '(Dte) -
ReceiptNo.
WHITE -D.D.S. 4WD. — 4CANARY_-ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL ICANT
a
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N
7 County Center Drive - Oro-illa., CgilifStnia 95965 - Telephone (916) 538-754 PERMIT 140.
APPLICATION AND PERMIT
ASSESSOR PARCEL -NUMBER
065-440-011
ZONING
RT1
BUILQJ4GPERMIT
OWNER
GERALD & BARBARA RICHMOND FAMILY TRUST
TELEPHONE
873-3908
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
15176 PACK PINE WAY, MAGALIA 95954
CONTRACTOR'S NAME
WOOD HEAT & SPA STORE
TELEPHONE
877-0799
CONTRACTORS MAILING ADDRESS
5757 SKYWAY PAR ADIS SE 99969
Fireplace 1500
CONSTRUCTION LENDER '
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 15176 JACK PINE WAY, MAGALIA
PERMITFEE $
55.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap 1
7.00
LOT NO.
su BDIVISION'S NAME
IPARCEL MAP
Solar or heat pu mp water heater
23.00
USEOFSTRUCTURE
SF F Duplex 0 Mobilehome 0 Other —
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 19.00
Gas piping system 1 - 5 outlets,1
15.00 is -no
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: INSTALL GAS PIPELINE FOR PROPANE STOVE
(FIREPLACE INSERT)
Mobile Home I S I GI W I
(LD20.00
PEF 1 $
DU. 00
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0 0
Main Service 600v OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, asowner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW rON�T. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
so
3.50 FT.__
NEW CONST. LTI-OUTLET
NO. N-RE..S I.D. BRMAUNCH CIRCUITS
97.50
POWER APPARATUS N
& SINGLE OUTLET CIR. I
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
I FIXED APPLNS OR
EX' OCCUP' k OUTLETS (RES16 .) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work �;f a Valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with p visions.
Date
Signature of Applicant - KOwner 0 Co 0 Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
R
—3
CONST. TYPE
VN
TOTALFEE$ 105.00
-
1 1
HAZ.
I D. FEES
COF
PARCEL
This permit is hereby issued under tile applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By rl--- ahak
la 9T
PERMITEXPIRESON.
(Date)
ReceiptNo. /gay's -6
WHITE-D.O.S.-B.D. 'CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I