HomeMy WebLinkAbout065-530-032' A.P.
. & MRS'. C. BADGLEY
o Coutelenc Rd. app. .9 mi. no.'
of Doon Gra-�Paradise
• PErmit•-31-73B; P; E-11o. T•
(new single family)
IMnalld Tompkins X4 1 YI1.(219 ..
S pri.dirt rd. 'Pond'erosa rai,
off S/S Coutolenc ., app.9/10 mi.
r N.of Doon Gr-.ax Rd., Pandise
cont 'ari-John Const., Magalia
P rmit.#3826-79B(new pri.det.garage)
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W.V. GLOWACKI JR. /
15275 Coutolen c Rd, Magalia %IIY/M„
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:GLOWACKI, 'Walter' a
15275 Couteler c Rd,' Magalia
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO
ASSESSOR PARCEL NUMBER
058-480-032
ZONIN
T5 .
BUILDING PERMIT
OWNER
WAITER GLOWACKI
TELEPHONE
873-1891
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
15275 COUTO _,ENC RD..'- MAGALIA 95954
l
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
C�OT/N�"SS�T�i'RUCTION LENDER
UNKNOWN
Total Valuation $
LjENDE 'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCCHH'ITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
15275 COUPOLFYC RD., HAGALIA
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 3 7.00 1 X00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 5.00
Building sewer 15.00
Mobile Home I S I G 1W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [N Installation❑ (Other ❑
Describe work: WATER AND GAS PIPING FM WAM _
HEATER AND SM OW FM DRYER AND STOVE
Permit Fee $ 48.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisionsofChapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A1 37.50
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ADDNS. ACC. BLDGS.NEW
CONSTR. ULT' -OUTLET
NON-RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES L20 @ 7611
Ex. Occup. OUTLETS RESID )REA.1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (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
g
Hood 6.50
Ventilation
penult Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againstsaid County >in consequence of the granting of this permit.
X��+�-` Date 2(4- y z
Signature of Applicant — Owner Lam^ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
1 0FEES I
IMP
FLOOD
I COF
PARCEL
PO
I HD
Iss
This permit is hereby issued under the applicable provi-
sions of the Butte County, Code and/or resolutions to do
work abdicated above"f ��which feeso�iave been paid.
rr r
B DIRErC O F P BL.IG FORKS ///
PERMIT EXPIRES Date �
Receipt No. �� �
WHITE-D.P.W., YELLOW-ASet?330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
058-480-032
ZONINr,
1, - r1 A5
BUILDING PERMIT
OWNER
WALTER GLOWACKI
TELEPHONE
873-1891
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
15275 COUTOLENC RD., MAGALIA 95954
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
NNE
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
15275 COUTOLENC RD., NAGALIA
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00 7 no
Each qas water heater or vent
3 7.00 1 .00
USE OF STRUCTURE
SFEM Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
15.00
Mobile Home S
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtilitiesEN Installation[] Other ❑
Describe work: WATER AND GAS PIPING FOR 14ATER
HEATER AND STUB OUT FOR DRYER AND STOVE
Permit Fee
$ 48.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, DIV. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOAI
37.50
NEW CONST. ( DWELLING OCCUPM
OR ADONS. ACC. SLOGS. /
3.64 sq.ft.
CONSTR ULTI.OUTLET
NEW NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETs OR FIXTURES
20 764
FIXED APLNS.
EX. Occup. OUTLETS PIRESID IREA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
9
Hood
6.50
Ventilation
perrnit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County inco sequence of t granting of this permit.
X �GJ `% �'-�'y�'r� Date 5,
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
I TOTAL FEE $
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
PD
HO
155
This permit is hereby issued under the
utte County Code and/or
sions OZdited
work a f r which f
IR C F P BL
P RES Date
applicable provi-
solutions to do
s ave been aid.
RKS�jB ate /Receipt
No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
-
d -� Al iro -- 032-
ZON1N "
i
BUILDING PERMIT
OWN R I f L
C
ow C
"TELEPHONE
S(]. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AO RESS
` '� —co ens
C TRACTOR'S NAME
TELEPHONE E.
CONTRACTOR'S MAILING ADDRESS
Fireplace
RUCTION LENDER
Min
M
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 155,00
Permit Fee $
ARC TELT OR ENGINEER
nd
OR
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
A HITEC ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
� A
Permit fee $
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 O
Each gas water heater or vent 3 7.00111,.00
USE OF STRUCTURE
SFpf Duplex❑ Mobilehome❑ Other
SPECIFY
Gas, piping system 1 - 5 outlets 5.00 S, O
Building sewer 15.00
Mobile Home I S I G I W @ 15.00
TYPE OF WORK
New ❑//��A��dition❑ ❑ 11Remodel Utilities I allationOther
CI—
Describ@JWo�+1t� � t 1 A r
�r �� f� S
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 15.00
O of, r &r SfOue-
Main service 600VORLESS OR LESS 18.50
Main service 20CATO 1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
OCCUP.al 3.6dsq.ft.
NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. /
l
NEW CON5TR_ ULT' -OUTLET @ 5.00
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 75d
FIXED APLNS.
Ex. Occup. OUTLETS (RESI 0.)REA.) I 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g '15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (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
g
Hood 6.50
Ventilation
Permit Fee $
LContractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X L�� Date
Si nature of Applicant — Owner
9 PP ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
1 0FEES I
IMP
I FLOOD
CDF
I PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date
Receipt No. `�
�jO���
WHITE-O.P.W.. YELLOW-ASSC330R. PI K•INSPECTOR. GOLDENROD•APPLI CANT
COUNTY OF BUTTE - Department,of Public Works
7 County Center Drive,'O,.roville, 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)/ -!!F- S-.
2. I (have/have not) #/ 6 signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate,.supervise, and provide the major work: ,
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and.. Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
PERMIT NUMBER _ B. 31-73B,P,E
P
E.
;u PERMIT EXPIRES / Y:'
fv OWNER Mr • & MrS . C. Badaley
CCONTR: owner
LOCATION (A.P. 5g-09-71
off s1s Coutelenc Rd. app. .9 mi. no. of Doon
Grade Rd.
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning Setback !! 15--2 3 Forms y—/ 5''23
Foundation cy p�� Piers &Girders —/" 73 Fireplace
Rgh. Plumbingg—/— 7 3 Bond Beam Lath & Plaster
Rein. Steel Gas Piping & Test Found. Vents 4 `1K!' -
Framing -%3 �� Plmg. Topout 3._7'"—'73 `'%i Rough Elec. '
Wt.. Htr. _ ����%i g 3' 7�)�
� Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary,3— Z -Z y3 �r Temporary Cert. of Occup.
Final 5--L L-7 // Final Final s=,/ 9-2 3
DATE REMARKS OR CORRECTIONS
WC
7-3
Nor
6,10Y 1;'Cr� �� s o i>'�. '%
Lz--�e it
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Drive - Oroville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
Owner ^ Y AUL C3 4/0
Mai I i ng Address/ 7 3Y' V "-,v 27 U
7 2
Contractor
Mailing Address
Building Address Cr -l-- SC 66,5 --lam C 172
.$ 0
A. P. No. 5?— a 7 Zoning
Fire Zone Fire Dept. Sanitation Planning
Plans v� Fees W. C� R/W Encroachment
NEW ADDITION ❑ OTHER ❑
USE OF STRUCTURE . Single Family R Duplex ❑ Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
License No. Classification
•PS�I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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.
X ")-Date i
Signature of Permitee or A -t7
Receipt No. /o Q 1 - / _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
BUILDING
SQ. FT. OCC. BUILDING VALUATION
D 000
Fireplace
$/ Q C
Q, O d
Total Valuation
FEE
PERMIT FILING FEE
6
Permit Fee
Main service incl. 1 meter
3.410
Plan Checki ng Fee &/or Penalty
1.00
Sub -panel (12 or less) &re than 12)
Permit Fee
$
Range, dryer or water heater
0 G
PLUMBING
No.
@
FEE
PERMIT FILING FEE
$2.00
.2, ,06
Each Trap
%
1.50
16,_5"o
Repair drainage or vent piping
Air conditioner or heat pump
1.50
Water piping
1.50
Misc. wiring
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.50
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$/ Q C
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
.06
Main service incl. 1 meter
3.410
Additional meters, each
1.00
Sub -panel (12 or less) &re than 12)
,5'6
Range, dryer or water heater
1.00
/,60
Oven, Cook -top ors ace heater
1.00
'06
Llahfixtures1j
Rec ps., switches & fix outlets
S
7,
Hood, F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W.
1.00
Air conditioner or heat pump
Water pump
Misc. wiring
Permit Fee U24
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Coo I i
Ventilation
Permit Fee $
State Fee for StrDrg Motion $0.07/$1000 Evaluation $
Incite Fe
S program
TOTAL PERMIT FEE $�
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
By Date /—//- n.
Building Permit Expires Date/
i.
Form of Policy Coverage Requested:C•alif La d 11itie Associatio2i Standard Coverage
In response to the above referenced application for a policy of title insurance, this Company hereby report:
that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy of Title Insurance in the form
specified above, describing the land and .the estate or interest hereinafter set forth, insuring against loss whicl
r may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception belov
or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations of said polic3
form.
This report (and any supplements or amendments thereto) is issued solely for the purpose of facilitating th+
issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumes
prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested.
Subject to a cancellation_ charge as required by Section 12404 of the Insurance Code and Rule 2, of Department
of Insurance Bulletin No. NS -35E.
Dated as of Apr i 1 22, 1970 at 7:30 a.m. By
;) Title Officer
Title of said estate or interest at the date hereof is vested in:
JACOB W. MOREHOUS.E, a married man as his separate property
The estate or interest in the lard hereinafter described or referred to covered by this Report is:
A fee and easement
At the date hereof exceptions to coverage in addition to the printed exceptions and exclusions contained it
said policy form wculd be as follows:
1. General and Spt ci=1 Butte County taxes for the .fiscal year 1970-
1971, a lien but not yet due or payacle.
Iy �'
2. A non -ex', usive easement over t e Easterly!30.00 feet as containLc
in the De f;rcm Jacob 1,7. erehousa and Lnuia- P, Morehouse to Robert ...
(continue")
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�LLl�y�Er c�®w�®���
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ny.
CHICO — OROVILLE — PARADISE
JACK D. BROWNWARREN
Vice -President and Office Manager
All policies of title insieran.ce iss'tied by
BUTTON
Paradise Branch Manager
First American. Title Insitrance Confapanty
CRYSTAL M. HARMON
LINDA LaVOYE
Vice -President
FORREST B. YOUNG
Oroville Branch Manager
and Supervising Escrow Officer
President and County Manager
PRELIMINARY REPORT
ORDER N0. iU 19763
4356.1?
Lucky John Fealty
Paradise, California
i.
Form of Policy Coverage Requested:C•alif La d 11itie Associatio2i Standard Coverage
In response to the above referenced application for a policy of title insurance, this Company hereby report:
that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy of Title Insurance in the form
specified above, describing the land and .the estate or interest hereinafter set forth, insuring against loss whicl
r may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception belov
or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations of said polic3
form.
This report (and any supplements or amendments thereto) is issued solely for the purpose of facilitating th+
issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumes
prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested.
Subject to a cancellation_ charge as required by Section 12404 of the Insurance Code and Rule 2, of Department
of Insurance Bulletin No. NS -35E.
Dated as of Apr i 1 22, 1970 at 7:30 a.m. By
;) Title Officer
Title of said estate or interest at the date hereof is vested in:
JACOB W. MOREHOUS.E, a married man as his separate property
The estate or interest in the lard hereinafter described or referred to covered by this Report is:
A fee and easement
At the date hereof exceptions to coverage in addition to the printed exceptions and exclusions contained it
said policy form wculd be as follows:
1. General and Spt ci=1 Butte County taxes for the .fiscal year 1970-
1971, a lien but not yet due or payacle.
Iy �'
2. A non -ex', usive easement over t e Easterly!30.00 feet as containLc
in the De f;rcm Jacob 1,7. erehousa and Lnuia- P, Morehouse to Robert ...
(continue")
Order No BU 19763 4356 P
Lusk and Helen R. Lusk, recorded August 4, 1966, in Book 1438, of Of
Records, at pare 247.
TAX NOTE: General and Special Butte County taxes for the fiscal yeas
69-70, 1st installm.ant in the amount of $40..70,paid; 2nd i
stallrrient in the amount. of $40.73, paid. Assessed with of
property._ 'ssnit ;43270. AP;058-09-0-061-0. Code Area 09:
PURCHASE : Clyde Ladgley and Dora E. Eadgley
REC:djM June 8, 1970
DESCRIPTIO_Ai :
:la3l that certa._ri reui pro -)-_,r`1 J ici' c ill Coy_.'`_` cf LI:LL-t e" State
. ornia, descriDad as follows:
a a portion of the North half of the Southeast quarter of Sectic
Township 23 _.ort, , Range 4 East, :I.D.B. & M., and More .particularly u
as follo;os :
CONEVIEtiCING at t'.^.a Southl.ics t corner of said i'dorth- half of the Southea
of Section 7; thence along the Sout'_z line thereof, north 88° 13' 50'
396.48 feet; thence leaving said line, iaorth 010 16' 10" 11est, 260.0
to the true point of 'beginning for the parcel herein described; then
said true point of beginning, continuing North 01° 46' 10"West, 271
to a point in tho South line of the Dune -Luce Countv Road;.thence al
said Southerly lire, along the arc of a 330.00 foot radius cur-Ve to
left, hose tangent at this point bears South 71° 03' 50" East throu
central ang1, of 29° 51' 10" an arc distance of 171.94 feet'to the b
ing of an 898.00 foot rafius curve to the right; thence along the ar
said curve, through a central angle of 04' 40' 57", an arc distance. o
feet; thence leaving saiC1 road, South 01° 46' 10" East, 263.59 feet;
South 38° 13' 50" :,;est, 24200 feet to the point,. of beginning.
REST i:VI `G TH :F X0:4 a lnon-exclusive easeMentlfor road purposes nd p
utilities purposes over the East-erly 30.00 feet of said parcel.
TOGETI EIZ "VI'_ a lilon-,':,:clusiv:.'l easeTaent for road purposes and public
purposes over a strip of lana 60.00 feet ir.width lying 30.00 feet o
side of the East line of.the above described oarcel.
JI l
�1 -
:;.
1v' �-
.�
tt
i•
�PERMIT
NO. 3826-79B
PERMIT EXPIRES
Donald Tompkins
OWNER
CONTR.
Mari -John Const., Magalia
58-48-32
LOCATION (A.P. )
E/S pri.dirt rd.,(Ponderosa Trail), off
SIS Coutolenc Rd., app.9/10 mi.N.of Doon
q
Grade Rd., Paradise
1,
�r
x
Pi
j
t�
i,
.Q
{
x
,l
y
d
Temp Power Pole
alled PG&E
tr
Te "p. Elea Serv.
7Called PG&E
Temp. Gas Serv.
„Called PG&E
JOB
FINALED
(Date) A
(Signature
Oona oea
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
�y tea,
BUILDING INSPECTION RECORD
Motors
BUILD
BUILDING (Cont'd)
PLUMBING
Setback —5
-71 Wal
Firewal
Soil kiping
Forms
Grd. Fault Prot.
Parapets
1 st loor
Main Bldg.
Brown
Restroom Finish
2nd lkiloor
Footings
Ducts
Windows
3rd Floor
Stemwall
Permanent
Siding
To out
Slab
MOBILEHOME OtILITIES -----------------
Roof Sheaths , -
Water PI in
Piers
Sewer
Roofing
Sewer
Garage
Elec. Continuity
Fdn. Ven
Fixtures \
Footings
Stemwall
'3 -Z
�'-3 Zit
Garage Vent
Insulation I
Water Htr.
Heaters
Slab
Carport
p
Footings
Slab
Prov. for phys Cally
handica ed
Conformance f X.
structure
Final 1 U✓^
Appliances
Gas PI In Test
Temp. as
Sanitation �
Patio
FIREPLACE
Final
Footings
Footing
r 1ELECTRICAL
Oona oea
FIRE SPRINKLERS
Motors
Framinq
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MVCHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME OtILITIES -----------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
1 E ME INSTALLATION ............
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
j
I
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENTZF PUBLIC WORT! 1%
7 County Center Dri;re - `ir0roviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspe ion purposes.
n
X Date.s
Signature of PPeerlmitee or Agent
Receipt No. � v��
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By— Date 7—(2,7 9
Building permit expires Date %/ a -�o
BUILDI G
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor .ti _
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
5
Checking Fee&/or Penalty
Permit Fee ; CJ0
0C
min
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
_
Ly/j,t(��ZD
Repair drainage or vent piping 1.50
A. P. No. �-�
-�;j/11-
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
y/C.a
' ation
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Impro ements
Each additional outlet .30
Building sewer 5.00
B g. Plans Rec'd
Parcel Approval
PI pproval
Lawn sprinkler system 2.00
NEW gi ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
'
V
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGS.CCUP. Y\ 20sq ft
/
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW RENST" BRANCH CI T
NON-RESID I, BRANCH CIRCUITS/ 12.50ea,
NEW CONSTR. (POWER APPARATUS &
NON -RES,D. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES 5 250 1
L�
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.��D.SS� Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r -1I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ 4z
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspe ion purposes.
n
X Date.s
Signature of PPeerlmitee or Agent
Receipt No. � v��
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By— Date 7—(2,7 9
Building permit expires Date %/ a -�o
-P7
PERMIT NO. 3928-87B, P, E,M
PERMIT EXPIRES Mfe
ll:owNeR W.V. GLOWACKI, Jr.
„,CONTR. Owner
•r '
4', ASSESSOR PARCEL 58-48-32
_LOCATION 15275 C outolenc Rd, MAgalia
v o
.OFFICE COPY
Address ISe,7s CoraL'44C
t GAS —+w -
Meter By -Date
1 u'"
ELECTRIC_ -
p Meter By Date 9 Z7
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az'si r
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r o OOL90 01,90t, .40'86Z £6 1'901 Z
Ni b ./\ T
Z tri a' N I O I Q 9662
O O 01 ^ utp a M �" a\
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�OO'lf 8to
26/
Ma
v low ave �h 10��--I---
ci I b LMLO£ Z �J/�/-7�H ��_ n 1 N �'
= OK
0 = NbVOK Not ,
Not Read�yable MOBILE' HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements '
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks;.Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- -
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG"
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
'8. F.rmg; Sills=Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh "
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
;2. Footings; Size -Spacing -Marriage Line
Card -B1
_
Date Card -81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK,except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements `
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
S. 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- Enc losures-Panel board s -Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
N
Y
I
- nx
0;= ifot OK
- =Not Applicable
= No( Ready
RESIDENTIAL (Single and Duplex)
Date
UNDgff LOOK (PI OK exce t #'s•
Date FRAMING (Continued)
felon in requirements -Set cks-Eas entsCaps-Anchors-Connectors
g., Main; Ftg. Depth
ealng. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng.
3 Rig tQaFagem C, -;I- -
e A Flue -Fireplace Throat
5%l
g., 11=4e94 Dies; Se s-Steei-/ /"Ftg. Depth
. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
,V_StE0mwalls, Main; Stye -BI -
rm. in ow or Exiting Doors -Sill Hgt. &Dimensions
_141rapped
49.16afege-Si otection Framing
7apped
50. Property Cine Firewall & Openings
i - icoplaca-EiQ,-Steel
51. E,*.-DGo;s-One T -Check Garage -3rd story, 2 exits
-7-3
D.W.V.; F i gs w /O -Se st
52. Headroom -Rise -Run -Landing -Fire Protection
-JeW.Plywood
on Roof Overhang -Attic Vents -Rafter Outriggers
i/
1 ater Pipe; -A rs-Test
--5*T- Sidi ng -Nailing Veneer
12XElectric; Underground
5 . cco es - creed -Fd. Vents-Underflr: Access
1
56.-6laaiag-Area=Glass Protection -Skylights -Plastic
-/7
rs- -An r Bolts -Joists en` npp a
57.s; Naili g -Bolts
Ansulation
. ns lation-W
O.-VYaMt s
Card -131
Dat Card -131 Date 4_P_&[-S
Card-131 eZ> Datj?- Card -131 Datq5r.
Card -B1 GG DateQ�,Z.$7Pard-B1 Date
Card -B1 G( Datel,-�-88Card-B1 Date
Date
PLUMBING (Permit) OK except #'s
16.- it
Date FINAL (Plans) OK except #'s
Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
,18'D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. , irs o -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. b Access
21
63. Bedroom Exiting
„64 G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
t;� Date -29 $�ard-B1 Date
66. Stairs & Rails
Card -81
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
4. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
mex Installed Close to Edge of Studs & C.J.
72• A.C. Duct in Garage -Damper
quip. Ground made up w/Mech. Fasteners -Bond Gas
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V:
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
/. Subfeed Wire Size / ga. Cu orVI A.C. Wire Size / /ga.
Cu or Al
75. Pec. Receptacles in Garage; (G.F.I.)-Romex Protec.
e+4ge-6i- / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
Insulation -Foam -Looked in Attic �s
77. Guard Rails & Deck Construction -Post Caps
0. Service -Riser Conductors & Ground -Main Disconnect
. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
Equip. Clearances Panels-Motors-Mech. Equip.
32.a Liht
g
7 ollowing instld.; Drive Yes 0 No; Walks Yes 0 No;
Planters des 0 No
80. Stucco; Brown -Finish
Card -131
Date and -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date _ Card -131 Date
. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permi K except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insula ' & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust aboOp insulation
,85. Ventilation throughout House
35. Condensate Drain & O erflow; Size & Grade
�8'�lass Protection
36. Furnace -Vent; Acce -Comb. Air -Return Air Vent -115 outlet,
. Corrections from Previous Inpections
37. Attic Access & Pia orm if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
8 ater & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Card -B1 Date Card -B1 Date
Card -131
Date Card -131 Date
Card -B1 Date 7-1 and -B1 Date
Date
FRAMING (Plans) OK exce t #'s
Card -B1 &<-s Date -J (! -)and-B1 Date
B. Sills, Proper Material & Anchors
Card -B1 Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
Q. Bearing Walls over Girders & Floor Nailing
1. Draft Stop in Walls (rat proof)
. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
`i 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
\�Dl.owNoo S 17e8-87
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.
Inspector - Date
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi I le — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
_ G U)WACte-i TclzS-c47
OWNER PERMIT N0.
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.
fza)ul (Y\ /\j SeUQT- E2
�- U,- FfZOLi/v r v 3 5 A e-rYc//7c.15---
15---
I; J-0 J-0 Sflu wrz/C A
Tto,\/C, Iivi2t In/S FS 4C ,t�66, -ld
— //.JS► Act, A i TQC U��Js tcA f I OBJ
%r .
Inspector Date �- :<)W0
COUNTY OF BUTTE
j DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2759
W 7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872 -6307 -
CORRECTION NOTICE
OWNER PERMIT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
CU >--// ol�,/;,/DC`e- Creaxy/ S - S'
u
Inspector Date
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
•�10�./G�/moi �yZ�-��
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 co�ored
work is completed. If you have any question pertaining to this
matter, ditionalexplanation, please contact this office Immediately.
A'TS �,v� sz L/sex �/ °-- ���7 ar r
Inspector
Owner. W, U , G(,o „j -cy-( Permit No. 37.?, -3-87
ENERGY CERT IF ICAT ION
/-ot-2S" 6-,9 - Vj - 3 2 -
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches)
CEILING
Batt or Blanket Type — :3 0
Thickness(inches) i
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material fz—L
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
r
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print)
SIGNATURE OF GENERAL CONTRACTOR OWNER
STATE CONTRACTORS LICENSE NO.
7�
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT /
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANDjPERMIT
_00—
ASSES OR PAR EL NUMB R -
ZONI G `
BUILDING PERMIT
OW ER /7 `
V C
E EPHO E
SO. FT. OCC. BUILDING VALUATION
32 t2=
JIVJ Al Sf
OWFIERISMAILING ADD ESS
/0_ ®u fo e..n h'06,954
CO TRA V TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS RUCTION LENDER
UNKNOWN
Total Valuation is
'
Filing Fee
$ 10.00
L NDER'S MAILING ADDRESS
Permit Fee
$
AR TECT OR ENGINEER
IV ih
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS,^J - ^^
/ ` +
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 �� Q
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEP
CEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G
10.00 ea
TYPE OF WORK
New ❑ Addition NRemodej.❑ Utiliti [_1 Installation Other ❑
Describe work: CS K `
cl COL %
Permit Fee
$
Contractor
ELECTRICAL'PERMIT
Filing Fee 10.00
-
Main service 100V OR L00 AMP OE
1 E
10.00
Main service EA. ADD 'L It
2.50
CONTRACTORS LICENSE LAW
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. Classificationz
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.
OR ADONS. ACC. SLOGS.
,h2SQft
NEW CONSTR. U I -OUTLET
ON-RESD .BRA CH CIRC TS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
.Ao L0®90Doe
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,I EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑' The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such,00
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$ ,,3'
Contractor
I certify that, I have read this application and state that the above information
1s 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—,ow,-up.
against said Co my in consequence of the granting of this permit.
X �/� Date ��� —a 7
Signature of Applicant — Owne?� Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" J!6 3a d e olition or construct-
ion of structures over 3 stories in height. �v/J
Mobile Home Installation Fee $
Energy Inspection Fee $ ` 0.
TOTAL PER T FEE $
�o rPc
9�NooL
PLoo ARe
PD No 99UE
This permit is hereby issued under
sions'of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date - L_1/__
/Z, -0/- _
Receipt No. a 3 QS '16.00
WHIT!-D.P.W.. YELLOW-ASelSSOR, PINK-IN9P lCTO-- a LDEHROD-APPLICANT
nr>v�H4}.:':i���,�dr��iA`(t``�ip►{"E�.t`„�w.L'�,k,+E�' YIM'.�: +�L°y}ii:ti: =tAr i�` •�,ra
COUNTY OF BUTTE - DEP,ARTMENTOF'PUBLIC WORKS - Bt11LD'ING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541t/,
PERMIT APPLICATION DATA SHEET
,All '
Permit No.
OWNER A. P. N o.
Proposed Building Use /i C�G�G Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processirig
and/or issuance: DATE RECEIVED APPROVED 'i'
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. Plans with Energy Design Compliance Statement. . . . . .
6. School District ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
�/ 9. Letter of signature author izat= on.
4kf10. Sanitation approval from Health Dept. .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to ownerE])
_.—...._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to
17. Pre -Inspection for_.__...,.___.. _ Required. guilding Inspector (Dote.)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of— _
21.
22.When you issue the permit, process as,.follows: XMail to owner: ,Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other
�L
Applicant Date Z,2—V--q77 r
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
J,l '
S
Contractor, designer, owner, was advised of above required data by—phone---mail counter by date —
Contractor, designer, owner, was advised c' above required data by—phone _maiI—counter by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
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T0; Building Department
FROM:' Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNER
Plans approved for:
Hold final for:
--
LOCATION AP #
Sewage Disposal Water Supply
r �. �! Y
Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
Clearance for addition of
No tef o
ARIAN
DATE
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541.
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) dK.E.5 .
2. I (have/have not)signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name We ,0 G= -
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
loe.-A -9 0 05 -
Signed:
Property Owner
Social Security Number
Date
NOTE:
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.
FORM 7
ADDITIONS TO RESIDENTIAL; BUILDINGS ENERGY SHEET
PACKAGE :.'A',' •(Additions)
Owner W . G/oWnrtsc; Climate Zone /l
Permit # 39a$ — 8i Floor Area
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
CEILING
WALL
R FLOOR
SLAB
GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11 ZONE 16
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
R
R- 9
R 9
U-.65 (Dual)
It INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
r LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
* MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
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
❑ Other
(describe)
*1' (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
• vrn
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ .(A) Gas Only Gallons
(brand and model number) (tank size)
13 Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
(3* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load a maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.$.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 Administration Code.
�f C
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
j• i
+s;
a