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HomeMy WebLinkAbout065-540-002I a n -3 -950B 951 iLAUFER-, John 7" N -14983 Coutelend Rd, Magalia r n (garage 'A -shoo) Pormit#1146-91E -(elec for garage) T-1 (newPermi '# t 1810- .91 B; P, U58 - I m ERS,` Johnna S��T9 6 APF �,,I4983 �C u Q e -n wom d a'l ia odst�ove/gert�a 93-685-BPEM LAUF R, -,'JOHN & PATRICIA` 1498 ENC, MAGALIA CONTR: - E ORSILLO MW EVE PA NC UTILITIES 'NEW SF, iC 93-915 P,E LAUFER, JOHN,& P ICIA 14983 CO OL COUTOLENC MAGALIA. TRAVEL L T IL 161 RAVEL TRAILE UTILITIES .ELEC GAS. COMPAOION-TEST REQ, SUPPORT STRUC.T,REQ- INq jo I. -scanne VAU ftri jbhn 'Ta lmjhll.& j �covjR: taMbtrtJA'% kCon* tIC i I 7 ffl�� v uI � °. , RFSIQENTIAL 058-81-0-002 93-685 BPEM LAUFER, JOHN & PATRICIA 14983 COUTOLENC, MAGALIA :CONTR: STEVE ORSILLO NEW SF 7a Ai TI �9 ' leid�" Tra ,e/ -rra,(,&Y- .:.: ,l2Pi vc`� . tJ'•�- . /� ✓i 4✓ clt' STv2�J ---�— � , OFFICE COPY*, -•" + Address 10 'y GAS i Meter By Date ELECTRIC Meter By - Date V JOB FINALED (Date)7" Signature r� � AGREEMENT THIS AGREEMENT made this 15th day of October between "First Party", as identified in item (a) Agreement, and the • ibit by and State of California, herein OFcalled °f Exhibit 1 of this BUTTE• Seco d Pari subdivision of the "Second Party,-. , W I T N E'S S E T H WHEREAS, First Party is the owner of real called the "Property", situated in the Count is described in Item (;) pr°pQrtY� herein - Of Exhibit I of y °f Eutte. which Property this Agreement% and WHEREAS, the Property is now zoned as s Exhibit l;'and pecific in Item (b) of WHEREAS, First Part zoning of the Property Y has applied for a reclassification of being reclassified from pursuant to which application.' classification or its present classification the Property is and its specified in to the Item (c) of Exhibit 1; WHEREAS, public hearings have been held u before the Board of Supervisors of the Count California upon said application been determined thatrcertain havingthe the matteButte, State of Of said real conditions to the zoning r,cl ed, it has inimical to thehealth,Must be imposed so as not to g reclassification of Butte. safety and the create any problems general welfare of the County NOW THEREFORE IT IS MUTUALLY UNDERSTOOD AND AGREED that inasmuch as the reclassification sper_if:ed in Item (c) being granted, the. said reclassification shall be sub conditions specified in of Exhibit 1 is the following paragraphs; subject to the 1'• That Exhibit I, as completed and attached hereto, is incorporated into and made a part of this A r force and effect as if fully set forth herein, g Bement with the same following• That First Party shall construct and cam Owing conditions: ply with all the Soil surfaces activi exposed by construction and _ �P`�r'ticularl Y slopes) to be stabilized by: grading .I, Re—vegetation as season. soon as Possible, prior to the rainy Page 2 Development of perimeter berms. Pr development measeservation of existing vegetation outside of , IjUMStabilization of all road cuts. _ "41, adside drainage and culverts should be part, of a`(Y rtp d construction, constructed as JtStorm water runoff c`anriels to be stabilized with rock I ining ergy-dissipating structures where necessary, . Storm tL outfallmseof oadsideaditches.gy dissipators shall be placed at -itarthwor only (April througheOctoberk.and grading activities to the dry season =Terminate, grading activity prior to the rainy season, Disturt" oil surfaces will be season with tarps or native grasses.ected during the winter rainy Minimize cut and fill excavation and large-scale site clearin` uant to A ppendix 70 of the Uniform Building Code. oadway locations should conform to terrain, followin contouix w rever feasible and avoiding steep embankment cuts, g wheneverib Existing on-site roads'should be upgraded for access rpossible, rather than cutting new roads, Depart " All requirements of the Butte County Fire m %California Division of Forestrymust be met. but is not limited to the following; This includes -Clearing of brush 30 feet from all structures. ;r, Clearing of brush 10 feet adjacent to all roads. fs projects she,' Aof fill re -resistive construction , exposed 9 and building must be Adequate water pressure or water storage facilities Provlde'd on each parcel as a condition of development. PThe-provision of drafting co and water•stge facilities for' BCFD/CDFaccesgctions for all wells. Page- S New wells shall Oct be drilled near slopes of 40% . 7 Future division o4 AP 51-10-106 shall designate the easter-l- acres as a no -building area for residential with the exception of those areas with a slope 0+structures and accessible from Merchant's Har Road. less than 30degrees- W Homesites west of COUtUIenc to be within 300 feet of Coutolerr Road. This condition to tie •voided when the P Gun Club moves to a new location. aradise Rod and applicant must also comply with all other applicable State a" kcal statutes, ordinances, and regulations. 3. In the event First: Party, any successor in interest of First Party, or any person in pcsuession of the property described in Item (f) kf Exhibit I violates or fails to perform any of the conditions of this Agreement within thirty (ZrO) days after notice thereof as Provinstruct in Paragrapt, S, the Board of Supervisors of Second Party may instruct the County Counsel of Second Party to institute legal proceedings to enforce the provisions of Board of Supervisors of this Agreement. The Second Partti may also initiate proceedings to rezone the property to the classification specified in Item (b) of Exhibit I or any other suitable classification. 4• Notice of violation of provisions of this Agreement shall be sent to First Party at the address specified in Item (d) of Exhibit I and to the street address of the property described in Item (d) of Exhibit I. Any subsequent title holder, any lien holder, or party in Possession of the property snall also receive notice of such violation at an address other than as specified in Item (d) of Exhibit I by filing with the Clerk of the Board of Supervisors of address to which the notice is..tSecond Party the Agreement :; be sent, with reference to this and the Resolution authorizing its execution. 5. In the event suit is brought by the County Counsel of Second Party to enforce any of the provisions of this Agreement, First Party agrees to pay to Second Party a reasonable sum to be the Court as attorney's fees.: fixed by b. Each and every one of the provisions of this agreement herein contained shall bind and inure to the benefit of the successor - in interest of each and every party hereto, in the same manner -as -if they had herein been expressly named. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written. V= OK O=Not OK Not Applicable NotMOBILE HOMES Date/Initi®Is MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Test -Wrap: / /" L"ft. / P'Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 8. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures B. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready Date/initials RESIDENTIAL (Single & Duplex) Soils-Elec. Grnd.-/ P' Fig. Del e; Soils-Steel-Elec. Grnd.-/ /" es & Decks; Soils -Steel-/ /Ftg V 6!8temwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors n 1. S1811- Steel -Wrapped 1 .V.; F itting-Test-2 Way C/O -Sewer Test OF as Pipe; Size -Anchors - yard gas piping: size -test Test 42. Electric; Underground 13. Pigwwfns & Ducts; Clearance -Materiel -Su %W. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBI Permit OK except #'s ater Htr.; Vent -Access -Combustion Air -Baffle 1 er Pipe; Test & Anchor -Nail Protection 1§_12-W.V.; Test -Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 8.—Test Tub & Shower, Second Floor -Tub Access es Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'s 22. Fixtu nsformer Clearance -Ins. Protection Vic. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 26.E , round made up w/Meth. Fastners-Bond Gas & Water r V1 2 Appliance Circuts in Kitchen & Conductor Size/GFI --28r-6ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. /V Ins Neutral ❑ Yes ❑ No 3 e ce-Riser Conductors & Ground -Main Disconnect *'-Equip. Equip. Clearances Panels -Motors -Mach. Equip. 2. lothes Closet Light -Shower Light -Spa Light Se-Tm—oke Detector Date/Initials MECH CAL Permit OK except #'s 3".C_wGucts Insulation & Support e n; Exhaust above insulation sate Drain & Overflow; Size & Grade AFurnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet is Access & Platform if Furnance in Attic Date/Initials FRAMIN Plana OK except #'s 3P!!:!E1s,_ewper Material & Anchors el uds-Nailing, Spacing & Bracing -Plates -Sound as ' a s over Girders & Floor Nailing V� pin Wells (ret proof) 4 ire_§opw Furred Ceilings -Stairs -Chases -Tub 40,11-aaders R Beam -Size & Bearing Date/Initials FRAMING (Continued) 46,44inge wPost Ceps -Anchors -Connectors nhist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. _it ce Ties or Type A Flue -Fireplace Throat clearance flit A Acess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 r ndows or Exiting Doors -Sill Hgt. & Dimensions 04 WI-da—rage Fire Protection Framing A!,-81' Property Line Firewall & ODeninas . Doors -One 3' -Check Garage -3rd Story, 2 Exits irs; Width -Headroom -Rise -Run -Landing -Fire Protection on Roof Overhang -Attic Vents -Rafter Outrig ailing Veneer lesh-Drip Screed -Fd. Vents-Underflr. Access U-GTazi g Area -Glass Protection -Skylights -Plastic 58. S ar Walls; Nailing -Bolts Date/Initials FINA Plana OK except #'a Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector- -In -Garage; Above Floor -Ducts -Mach. Protection 6.jBedroom Exiting fa.F.l. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels 67-S'fairs & Rails Fireplace or Stove; Clearances -Hearth 62=Eles. Outlets at Wood Panel; Int. & Ext. 7 . INt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance K Elec. Outlets & Receptacles at Kit. Counter . Garage Fire Door; Swing -Landing -Closer 99--A-C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 5. Pib., Elec. & Mach. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes Tff--G__erd Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth _Clearance Looked under Floor O Yes Ito Following inatld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Ranters ❑ Yes ❑ No e1 Stucco; Brown -Finish 68CA.C. Unit; Disconnect, Electrical, Plumbing 85. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 6. Ventilation Throughout House Glass Protection 86. erections from Previous Ineoections 89. Gas Test -Meters Tagged; Gas-ElectricAfT. go."Water & Sewer Connected -C/O to Grade -HD Approval at Final: FPARADIS.E p� IF BEARING 1/4 of the N. E. 1/4 of Section-l8 on 50 P. M. 66: _ SITE ---- - ' ? 'ND Q 4 -1 r rodin . octiv;t/es.to the or .•S. 33 6 Limit ea hwo k and g g y - 43346 seasL­ only (April through October)- Location Map' No Sco le. (reel Monument :411 requiren;r-.',r of the Butte County Fire Deportment/ ' L`-S. 2843 per 50:P. M. 66 Co:ilornio.D v sign o1.Foreslrylmust,be„met. This includes' aper; 50 P. M. 66 but is not limild to the following of cleoring.of brush.3O' fr._ n o'•' slruclurres oring_ol brush /Ood%ocenl to all S. 3634 r ---- - - Iy 'vols, �l) ol/ roots, exposed underfloorin and buil�a�o acts 3005 0. R: 197 shall be o1 fire-resistive conslrucli ode quo water-- -I' leywoler/ i r, ressOre or water storage`/acilities musl`be provrded`pn . n t� . --n .�—.. each parte) as o condition o1 AevelopmenJ; and' a the provision of drofting connections 1or_oll wells and water storage focililies for,BCF,D/COF octets. led to County of, Butte, 3005 0. R. 197 ind 4 to 'be within 300 feet of Coutolenc Rood. !d when the Paradise. Rod and-Gun Club moves rr nstruction and grodlrig sites (particularly slopes) SCALE 1 100' - ... ,� n•. n: .:ihlct prior tr the roinv Insulation Certificate Nwnbtt ma Stmom Chy co" s�atlrido� tae r�r Description of Installation ROOF marbi Brand Nam 7bitkneu (inches) Thamd Redumm (R•Value) CEIUNO 62u6rBbn1wtT"w FIBERGLASS BMdt4mw CERTAINTEED Thkkness (imhes) Tkmd Regamm (R -Value) L*= r'dl T)rpe jNRtJj&AFP TZX StandN� Cmtrwtar's minimum imw W we4pwft lb MWa d � Marrurumnc's insealkd welim Pu wlme root m mebcow 7bamW Res1=mce pt-Vahre) EXTERIOR WALL MLtttrial FIBERGLASS BMdN=O 71k t n (inches) i mum MAO& roe (It-Ve:l.�e) � ..—. RAISED FLOOR marcriai 8tatldNatne CERTAINTEED 7111ckness Pacw A Mwmd Reetsw" (t -V") / SLAB FLOOR mmurlal lbkk u (inches) Width (inches) FOUNDATION WALL Band None lum a! R (R•Vw1uA) MswfW FIBERGLASS Brw4N&m CERTAINTEED 71kkeen (inches) lbenpi Relish a (R -VW c) Declaration Illy I hereby cerciry oulft • w Lm Ved In dw bui ft u the above Inradon In confom a= wm the cuumm Bu n $ for new teedoW IAldings conUlWd In lick 24 of ft 5y '103 � Cone ) �\ ■N�ibii ml rich 4 Gets UAWKLNS INDUST-RUE"S r IANC./SHASTA 1NM%&TX0MX6550722 % d �peetwr ..t rw. s COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico; CA - (916) 891-2751 7 Courdy Center Drive, Oroville, CA - (916) 538-7541 747 ®liott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE L,9v�'cgr7 craffam PERMIT NO. AruefoeespecdonknEcates that the following violations of utte County Ordinances exist at the aboae addecc and should he corrected. Please notify �h�s office when correction of work iisco�hlediyou any questions pertaining to this tter, or need additional explanation, ple a flice immediately. oor T U S� `va� �e ti.�'L/C C) &rkC ;5hrij t v w o a2 d3 6 6e 05&2 � 3 v cv S 0,9 G D CLd /lam i Date co'-\ V � Inspector 1a" ill nc w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 93-0685 ASSESSOR PARCEL NUMBER ZONING Au I goo, 058-81-0-002 TM5 BUILDING PERMI OWNER JOHN AND PATRICIA LAUFER TELEPHONE 873-2712 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2088 R 112,752 4983COUTE LENC RD. MAGALIA CA 95954 528 M 9,504 CONTRACTOR'S STEVE ORSILLO TELE PHONE 532-1131 352 C 4,576 CONTRACTOR'S MAILING ADDRESS 3022 OLIVE HWY OROVILLE CA 95966 Fireplace 1 "A" 1,500 CONSTRUCTION LENDER UNKNOWN NONE Total Valuation $ 128 332 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 699.00 ARCHITECT OR ENGINEER LICENSE NO. NONE Plan Checking Fee 349.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 14983 COUTELENC ROAD MAGALIA Permit fee $ 1083.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap L01 5.00 50.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 2 NAME COUTOLENC CANYON EST PARCEL MAP 104-29 Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5-001 5.00 Building sewer 15.00115 00 SF B Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK Newt] Addition❑ Remodel❑ Utilities❑ installation[] Other ❑ Permit Fee $ 99.00 Describe work: 3BR Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): NEW CONST. DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. // 3.6Q sq.ft. I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC', TS @ 5•�0 and Professio C de and my license is in full force and effect. POWER APPARATUS e SINGLE OUTLET CIR. / '/ License No. 7 Classification EX, OCCUp�OUT LETS OR FIXTURES 20 76 I, as the owner, or my employees with wages as their sole compen- EX. Occup. OUTLETS (RESID )REAJ 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 125.05 WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating SPLIT 9. UU 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. Cooling 3T 1.00 ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all Co my Ordinances and State Laws relating to building construction, and hereby ut ori representatives of the Countyot Energy Inspection Fee $ 40.00 Butte to enter upon the ab enti ned p ty for inspection purposes. OCC CONST TYPE I also agree to save, ' em ' ke har less the County of Butte against R3 VN TOTAL FEE $ 1398.05 all liabilities, jud ents os , n xpe es which may in any way accrue against said ue a the ranting of this permi HAz 1 0FEES IMPF�000 coF - X - - - PARCEL Po Ho ISSUE X X X X X Date 7 3 This permit is hereby issue under the applicable provi- Signature opplicant - Owner ❑ ContractorGE1 Agent ❑ de and/or sionsa*UBLIC resolutions to do An OSHA permit is required for excavations over 5'0 'deep and demolition or construct- workhich fees have been paid. ion of structures over 3 stories in height. WORKS Receipt No. 135862-429.50//140553-968.55 BY Date PERMIT EXPIRES Date 44/26/94 WNITE-D.P.W., 1[LLOW-AS8[$$OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP!�RTMEN'(' OF PUBLIC WORKS • 7 County Center Drive - Oroville,y.0 Iornia 95965 - Telephone: 916/538-7541 APPLICATION ANU PERMIT PERM L - ASSESSOPARCEL NUMBS_ ®TM D� " BUILDING PERMIT i OWNER GI TELEPHONE a /2 SO. FT. OCC. BUILDING VALUATION i OWNER'S MAILING A RE G i Qom" I CONTRACTOR'S ME —r/ o�z�i�u7 T35 ELEPHONE s3a /3 I C �J CONTRACTOR'S MAILING AyD/3o E Fireplace p I CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ �0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ f ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ ,, Penalty $ BUILOING ADDRESS //�/) ��%//�� I//�/V Permit fee -71 $- PLUMBING PERMIT Filing Fee 15.00 1 Each TrapOVI Solar or heat pump water heater1 5.001 Q� I 20.00 j I LOT NO. SUBDIVISION NAME ISI'/ G L•�� PARCE MAP Water piping 7.001 Zo Each qas water heater or vent 7.00 I USE.OF•STRUCTURE: SF Duplex❑ Mobilehome❑ Other SPECI FV Gas piping system 1 - 5 outlets 5.00 d Building sewer 15.001 U . Mobile Home TTTG7WJ 615.001 \� TYPE.OF WORK Ne w�j Additionlo Remodel❑ Utilities❑ Installatfonf-i Other ❑ Describe work: Permit Fee Contractor ELECTRICAL. PERMIT' Filing Fee 15.00 Main service 200AORLESS 18.50 :1 CONTRACTORS LICENSE LAW- S"'.�"..v-..,. _ 1 declare under penalty of perjury (check one):;--."'- '•r'''.t�-y=;q ❑ 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 f7 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 200ATOI000Ai 37.50 NEW CONST. DWELLING OCCUP.1ti\ OR AODNS. ACC. BLOCS. 1 3.6d sq.ft. NEW CONSTR I -OUTLET NON-RESID 9RANCH CIRCUITS) @ 5.001 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 20 769 469 FIXE Ex. Occup. OUTLETS P(RESAPNSID IKEA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 ' disc. Wiring 9 15.00 Permit Fee $ 1 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Appilcant: 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 ovcac-/G5 _5f i 67 0 4,/ Cooling g i Hood6.50 , Ventilation ` Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.PE 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 per7171q_:3 X Date Signature of Applicant — Owner t , Contractor j_ Agent �' An OSHA Germs .s required for ehisegn tions over 5.0" -leap n9 demolyl nor construct- ion or structures over J crones .n heignt. Receipt No. ' 7268's -5--13v Mobile Home Installation Fee S Energy Inspection Fee $ o rC) c,or T I V TOTAL FEE $ ! HA OFEES I IMP F1000 CDF I PARCEL I PO I MO ISSUE This permit is hereby issued under the applicable provl- cions of the Butte County Code and/or resolutions to do work indicated above for which fees have been para. I DIRECTOR OF PUBLIC WORKS Date , PERMIT EXPIRES Date TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance a60 Q t qan Owner �ocation Approved for: Sewage Disposal Water Supply: Public Clearance for -3 bedroom m*home. Other COUNTY OF SU Hold final for: RI 1�� � t,t e,r �T Final clearance O.K. for: MAR i w3 NOTE s Environme al ealth pecialist 8/92 G.H. USI- ONLY Plot -flan Auachcd Pleur Plat Attached L Sea to IS. U. 3 / ,--E - B /' o. 2 A P{t Private' Well Date N'."`. }yi--!:Yit`r7t' "o'•"'r"' ..i0'.'q"`r.+e�' +SI+: �"x+Y ' v '�i�i c".Ye'�^'�` _ , F'P';.1b.ry Ly,+`Y.•\`.. COUNTYOF BUTTE - DEPARTMENTOKDEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. -U^-~ Proposed Buildpg�Jse 00 74wd Building Inspector Date AHirrfe"of permit application, I was advised the following da mybtW submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 1. All items h�v�e �� submitted. ..4.4;4 &.�........................ . ��2 PIS€ i�atis, 3/4 sets` sig ed b� MPUrer of plans. ........................ . 3_ Complete op�l�lanse{{s, signed by preparer of plans. . ..................... . 4. dgihe kdd plans and calcs, 3/4 sets, with wet signature on plans. . 5. �azardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. tatement of Intent for Non -Heated and A/C Buildings . ..................... . .8. Engineered truss details and layout in duplicate (required prior to plan check). 9. obilehome data and mapfacturer's installation instructions, 2 sets. ........... SOVFees of $........................................ . 1. Impact fees ass own on attached schedule....................... %A114�— 12. California Department of Forestry plan approval/fees. ....................... . 13Flood elevation letter (100 year floo,d�j �byy California Engineer . ............... . Zell, Sanitation and plot plan approval 619A Health Department . ............ 45- 15. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. . 19: Driveway permit (construction approval required prior to occupancy). . r 20. Pre -inspection for P`�"�P °" ra required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance .......................... 23. Owner Builder Verification (Given to owner Mail to owner . . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ................. .......................... 28. obilehome utility clearance . .......................................... �— 29. Dpbumentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed Vf n5,(B) Parcel meets zoning area and frontage requirements. ............... 31. Exist] g violations/expired permits . ...................................... — j�32. Plan ceck list . ........ ... ...y........ ............... - .................. 33. 34. When you issue the permit, process as follows: Mail to elephone and hold for pickup at _42AOther Parcel Creation Acreage Applic Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: rcle new item _ ove). 1. Index permiffor above items No. Z4. L 2. Additional items required: A` Contractor, designer, owner, was advised of above required Contractor, designer, owner, was advised of above req ired Plans checked by - Date:�q Sets of plans on hold in �-,)py - Department of Public Works y phone _ mail Counter by Date r�92 a by _ phone _ mail Counter by _ Date Plans approved by Date Fil&ccabinet AP folder 3 -ZZ " 3 1JO T?USE'S ft. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER . Je2C 11q A. P. NO .D'81 -e- OG Z PROPOSED BUILDING USE S DATE REC. # DATE REC �1. School District Fees �� s 0'51r (paid.at District Office) �6 2. Sheriff Fees (paid at Building Department) Residential ........... _/ xtt O =$ CJ �_ k 3 unit amt. /fiS53 Commercial(per- sq.ft.) X =$ sq.ft. amt. &/�_ 3. Urban.Area Fees. (paid at Building Department Residential (per-unit) X_ =$ # units amt.. Commerical(per- sq . f t-. ) X_ =$ sq.ft. amt. &T 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7: Other At time of permit applicat' , I was advised the. above fees are .required to be paid prior to issuance of the ' perm4 APPLICANT DATE TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit `l Z — C s �� has been issued for the above property. si ature date P Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of, the Butte County Code requires this acknowledgement be recorded1992 ,p?r•br`'to issuance of a building permit. JUN 2 The property described herein is adjacent'GOMpARE�1WAENS to - land or included • ;within an area zoned. IO .SOON cU for,agricultural purposes,' and residents %G of this property may be subject to incon- veniences or discomfort arising from the 024359 use of agricultural chemicals, 'including, 92- but not limited to herbicides, -pesticides, 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 agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte, State of California, described as follows: LOT 2, as shown on that certain Map entitled, "COUTOLENC CANYON ESTATES UNIT NO. I ", which. ! Map was recorded in the Office of the Recorder of the County of Butte, State of California, on October 10, 1986, in Book 104 of Maps, at page(s) 28 and 29. 1 it F F 1 J Date: 2_/jiL,/ -L"I. PROPERTY OWNERS:. J0 iw 4i4LUFS*_ ' F 7i6? FurcK6,� view AR, N�c�u�un �f q� 7161 E�� Q►EuJ at (A;9.- 346 State of California) On this the 2nd day of July 19 91,,'before me, the SS. undersigned Notary Public, personally appeared County of San .Be.rnar)dino John Laufer and Pat Laufer F] Personally known to me.3E] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) are _ subscribed to the within instrument and acknowledged that they JOAN 0. ROMANS OFFICIAL OF executed the same for the purposes therein contained. IN WITNESS O Notary Public — Californiala unmy WHEREOF, I hereto set hand and official seal. SAN BERNARDINO COUNTY My Comm. Expires APR 05,1995 Present A.P. No. 5� ��'�� h. Joan DO.VRomahs Notary Public a .,,r.rf "`�'R":` .,.,.._ ..,�.�yr.,.-9y.s.q ..�.--r-•.,..-:....... Jnr-..-•...•n-,..�s+•-..,,•.•r...-.r--...."Y'•p!?irwrrr••►�raa'gc'�'IW'h'Mllrr .E^i'sY'1`.:�+i«Ir'7's Ll BUTTE:COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building 17. Building Department No. A.P. Number, (Jurisdiction City ,. County Property Owner �a ti..� F,#T , /6 / f* LA 0 FCi Property Location/Address I "u 77C 12Z? A4,16 Subdivison '" V K Lot No. g S` Residential Development 0 Sq. Footagef No. of Living MHI Addition (Group R)` Units��� Commercial/Industrial 0 0 Sq. Footage r New Addition t (Floor Plans reviewed by School District Personnel) (Including Exterior 1 Roofed Areas) .3112h'S .--- Date., District , entification No. y�-ogl N�� 4" . �L'J'L-dSchool District certifies' that (Applicant) (Street Address) (phone . -Number)' (City) (State) (Zip Code) has complied with the requirements of Resolution No. rt by payment of $ �/ �• �V representing square feet. School Dis—tric-ttlepresentative Date > Paid by Check NumearA_ Remarks: Bank Number � Paid by Cash If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project 'is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ,BUTTE -COUNTY SCHOOLS'DEVE�OPaMENT FEE CERTIFICATION•FORM (One FormJ"per Building) A. P. Number J`8-8�- G02-,_ -.Building Department No. School Di.stri,ct PA(LA0I5G _ City D County Jurisdiction', . .Property Owner JbFIN L.AUFL-R Project Location/Address Kcf?j3 Subdivision COUh(Ufnc Can(Aay) LFS%,(T0J) -t�) Lot Number Q Residential Development: o a a Sq. Footage `L9 # of Living MHI Addition (Group R) Units 1:re.a--•`,.•4.--.....i-:r�:i+.a:-s.:3,%r+rn:i.i:.•=.'.ti..::,%ac>,4a-:,n=..�.nis.L;s.1y..:"�rt,yu«.... �c.=ri4..;... w,.= _ _..�.f.. -.fie:.- Commercial/Industrial`: Sq. Footage New Addition (Including.Exteriorl. Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District IdNo.• • School District certifies that g 3 .(Applicant me) V(Phone Number) (Street Address) has complied with'the requirements of -.Resolution No. by the ment of $ o�� �- representing square feet. t Sc ool District Representative t (n D to PAID BY CHECK NO. BANK NO' 9! /�� J PAID BY CASH REMARKS: s pro eC is reviewed un er , t 1S project may be subject to additional school fees to fully mitigate its impact. white -applicant, yellow -building -department, pink -school district SCHOOL.FEE (8/88) RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX '& MISC. ONLY) Bldg. Permit OWNER A.P. # e— GENERAL Plan Checker,/__S -TA5• Z r,Y-.��oning requirements: (sideyards and number of permitted living units).. ��,aluation. V Plans signed by designer. • Proper description of work on application. &r Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).- _.7-- Recorded notice of violation. 0.PLOOTT PLAN P mplete parcel size and dimensions. tbacks, sideyards, easements, etc. her buildings or structures. ading, fills, drainage. ood hazard. ecial conditions on creation map, tible, and foundations). U & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN omplete to scale plan with dimensions. /Required windows for light and ventilation -(Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 &'Sec. 5207). t. Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). '•' ,�CIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipmen Locations of water heater, heating and cooling equipment, ther electrical or gas equipment. r—Garage firewall, door size, and closer (Sec. 503(d)(3)). 1' 1 - 3'0" exterior exit door (sec. 3304 (f). eplace and wood stove locations alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances.and shower size., STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) ` Unusual shape, size, or split level house requiring ateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. vations and wall construction details complete enough to construct building Roof construction details complete enough to construct building., Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. arage door or 'porch header sizes. Stud heights. Adobe soils - special foundation design. , Retaining walls requiring design. Special Inspection .required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR —I—." Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). B or stone veneer (Chapter 30). rior plaster - weep screeds (Sec. 4706). per roof pitch for roof convering (Chapter 32). covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). is access and ventilation (Sec. 3205). . U rfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. E rgy design. _FIreshing at all exterior openings. . OF responsible area requirements. e COUNTY OF BUTTE - DEPARTI1ENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 7-2-91 JOHN LAUFER RE: 7167 FLETCHER VIEW HIGHLAND CA 92346 A.P. # 58-81-02 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed. Owner -Builder Verification form. Recorded copy of deed showing xx Recorded copy of agricultural acknowledgement statement. OTHER 1. Driveway permit. required prior to issuance of permit 2. Paradise school fee receipt 3. ecor e ag. acknowledgment statement Should you have any questions concerning the above, please contact Lida Sextep of this office. JFG/aj Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector RESIDENTIAL 058-81-0-002 93-915 P,E LAUFER, JOHN & PATRICIA 14983 COUTOLENC RD, MAGALIA TRAVEL TRAILER UTILITIES i 7"4E7r LLO �/' T a. v�f � vo ze- a i� I-t-WilQa' �Or' iv/ y� %/l V JOB FINALED (Date) z Signature x; V=OK - O = Not OK - =Not Applicable =Not Ready MOBILE HOMES ' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp: Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs -Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane lboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V= OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL jSingle & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: coUNTY OF BUTTE;-. DERANTIVIENT Oi= PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 91,5' - ASSESSOR ASSESSOR PARCEL NUMBER 058-810-002 ZONING TM -5 Z BUILDING PERMIT OWNER John Laufer TELEPHONE 873-2712 SQ.FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS 14983 Coutelenc Rd., Ma glia 95954 CONTRACTOR'S NAME TELEPHONE Owner i CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 14981 Calital enr Rd.. alfa PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION 2 NAME i PARCEL MAP - 104-29 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Travel Trailer SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 15.00 TYPE OF WORK( New ❑ Addition ❑ Remodel ❑ Uti lities u Installation❑ Other ❑ Describe work: Trvel Trailer Utilities Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 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 BUSIn and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, 37.50 NEW CONST. / DWELLING OCCUP.&) OR ADDNS. l ACC. BLDGS. // 3.64 sq.ft. LE' NEW CONSTR- U TI.OUTIRC ITS NON •RES'D BVAC H C � 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLS. OR EX. OCCUp. N OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Uu Misc. Wiring -15.00 Permit Fee s30-00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. XI 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 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again i ount nsequence of the granting of this permit. X Date Signa ur of Applicant owner ❑ Contractor E)Agent❑ An O A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.TOR Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 95.00 HAz 0FEES IMP FLOOD CDF PARCEL PD Ho ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees OF PUBLIC BY PERMIT EXPIRES e applicable provi- resolutions to do have been paid. WORKS ',)� Date6/� 135979 Receipt No. WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t, y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .. _S4. 7 COUNTY CENTER DRIVE - OROVILCE, CA.LIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER C /421 A) ,L, gOrel V A. P. No. d-5"8- 8/d QOZ Proposed Building Use Building Inspector IM Date 93 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ ................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ....................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $................................. . 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year fl oo b California Engineer . ................. . 14. Sanitation and plot plan approval fI MAPI56- Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for Pnranapedi°n requ�- required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ....,: ..... ,� 24. Recorded copy of Agricultural Acknowledgement Statement . ............`„ 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. . ......................................... ` 28. Mobilehome utility clearance... ' ....................................... . 29. Documentation of legal access. .................... 1 .................. 30. Documentation of 50% subdivision developed or (A) Road improvements -completed and (B) Parcel meets zoning area and frontage requirements. ..... (► / r 31. Existing violations/expired permits . ...................................... 32. Plan check list ................................................ 34 When you issue,the permit, process as follows: >!�, Mail to owner. Mail to contractor. ! _ Telephone and hold for pickup at office.Delive'r-wi h'inspector. Other �._ L � � Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by 4,Z_ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F.H. USE ONLY Hot Han Atlachcd • `Y - Hoor'IT.n A"ch.d $Ull w B.D. /- TO: Building Department FROM: Environniental Health SUBJECT: Sanitation Clearance 002- Owner Location AP// / Plan Approved for: Sewage Disposal Water Supply: Public Private Well ✓ Clearance for :3- bedroom n home. Other r jA hI;. "m, to "I'e Pte( NOTE: Environment 1 alth ecialist Date 8/92 o, �L- —_ N ac N z c.a � COUNTY OF BUTTE -'Department of Public Works 7 County Center Drive, Orov.ille, 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 es or no). �.[Es 2.' I ( av have not) J/C signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.. I -plan to provide portions of this work, but I have hired the following person to coordinate,.supervise,.and.provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed.:_ Property Owner Social Security Numb Date Oi o- Va 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. 04166193 TO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �2 — -- ASSESSOR PARCEL NUMBER ^' ZNIN -1w -7 BUILDING PERMIT OWNERTELEPHONE i973-- Z z SQ. FT. OCC. BUILDING VALUATION OWNER'S tYtA LINGDvE /e'WC CONTRACTOR'SNAME CS tied TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 1 -9,049 - Permit Fee $ 20.t--,---, ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS /q? oc, Permit fee $ ZQ_v� PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOTNO. SUBDIVISION NAME I6 0v ' PAgCEL MAP �l% - Z Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTUREop SF ❑ Duplex❑ r �1f1Mobilehome❑ Other fde1Z SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home G @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ UtilitiesN Installation❑ Other❑ Describe work: Permit Fee $ 5-00 Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200V OR LESS 00AORLESS - 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 200ATO10o0A1 37.50 NEW CONST. ( DWELLING OCCUP.Ed\ OR ADONS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTRULTI.OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 8 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 760 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 /5 -cam Misc. lyirin g 15.00 Permit Fee $ p.p� 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 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over S'0" deep and demolition or cons ion of structures over 3 stories height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 759� HAz I DFEES I IMP I FLOOD I CDF PARCEL Po HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date inn ReceiptNo. !3,59 / WNITC-O.P.W., 1E11OW-A39C790R, PINK -INSPECTOR. GOLDENROD -APPLICANT �`k''rf`5'�"`t''r�=� }`"�'° jai.:�a�"��7.�4.- >},;��' �•�rF���.�. y�.���r*,�r:��":3`�F,��i�t,,`�..;;�,�1�3�^f }a��:trNa'��;�.r��:i �,�";s. :i:.... *gra:;'-;;�"'`;�y,�:� 058-81-0-002 ;',- lo.t , '. .� LAUFER;' John. .=y 'a8ovagd °/r •{ ,3st'Couet/eglaernc R, d,---Magali e ;•. � , � Y ,.. y , ,�.S�T' (xJ / �• 1. r�;, •`Y.. �•�Vr 1 1 � _ f �+a..R.�MgwP M'f�ML:"JMEL� ..i.yj�,�,. ,'• 1 , .. jjjr � • -7 '1 .4-^ f...r•�uaco� �. •4- Q COUNTY OF BUTTE - DEF-AR'TPENT OF PUBLIC WORKS PERMIT NO. County'Center Drive - Oroville, California 95965 - Telephone: 915/538-7541 4.P•P' APPLICATION AND PERMIT ASSES R -PAR EL NUMBER 058-810-002 ZONI Z1�I G 5. BUILDING PERMIT OWNER JOW LAUM T P J"L/12 �"'L 1 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14983 001[T MENC ROAD MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ttAtt 1 500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 30.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14983 OOUfELENC ROAD MAGALIA 95954 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME COtP nENC CANYON ESTATES #1 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTUR�p� "ARAGE WORK�� SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home___Ts_J G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: WOODSME Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury lur y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST./ DWELLING OCCUPM 3.64 sq.ft. OR ACDNS, ( ACC. BLDGS. NEWCONSTR. ULTI-OUTLET NON .RESID BRANCH CIRC ITS I @ 5.00 (POWER APPARATUS el SINGLE OUTLET CIR, 0 791 Ex. Occup(OUTLETS OR FIXTURES 120@791— FIXED Ex. Occup. OU LETS P(RESID,)REA.) 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 Coolin g LHood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application•'.artd ,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.OCC I also agree to save, indemnify and keep harmless the County of Butte agains,t all liabilities, judgments, costs, and expenses which may in any way accrue against i o��sequence of the granting of this permit. X t Date SC -P2492— Signapu of Applicant Owner �, Contractor ❑ Agent ❑ An 0 HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i.n height. Mobile Home Installation Fee S Energy Inspection Fee $ CONST TYPE TOTAL FEES 45.00 I I HAz 1 DFEES I IMP FLOOD I CDF PARCEL PD I HD I ISSUE �/ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica ed,Ab,0 for which fees have been paid. �� / I3 CTOR OF PUBLIC_ WORKS By �� �� i Date PE Mit EXPIRES Date (7- Receipt No. L 17 7 7 WHITE-D.P.W., YELLOW -ASSESSOR, 'PIN K -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - UEPARTUENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 058-810-002 ZONING . TM 5 BUILDING PERMIT IPl OWNER JOHN LAUFER TELEPHONE 873-2712 SQ. FT. OCC. BUILDING VALUAT N OWNER'S MAILING ADDRESS 14983 COUTELENC ROAD MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "Alt 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $ 30.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14983 COUTELENC ROAD MAGALIA 95954 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME COUTELENC CANYON ESTATES #1 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE WORKSHOP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G 5. W @ 100 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: WOODSTOVR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR 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 20rATO1000A) 37.50 NEW CONST. / DWELLING OCCUR.&\ 3.6Q sq.tt. OR ADONS. I, ACC. BLDGS. / NEW CONSTR. ULT' -OUTLET @ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATUS 6\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FIXED EX. Occup. OUTLETS ( R RESID )EA.)\\ 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 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie ,judgments, costs, and expenses which may in any way accrue again i ounty I c asequence of the granting of this permit. X Date Soo 24 q2— Signa of Applicant Owner VL Contractor ❑ Agent ❑ An O HA 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 $ 45.00 RAz OFEES IMP FLOOD CDF 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 Indic b for which fees have been paid. w R OR OF PUBLIC WORKS PE MI EXPIRES Date, G'— ¢—�� Receipt No. 7 Y7 y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT N • .YT+.ti .. .. - � :YKrw Y:1c .•� ... +r-.t1:MT�':.. ""Yf1'.fw..-., yI-LYF'.^!•I: +t v.l.�, • T Y. ,- .. l i. • ` Y -Y COUNtI OF BUTTE - DEPARTMENT OPPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLECLIFORNIA 95965 - TELEPHONE (916) 538-7541'; y PERMIT APPLICATION DATA SHEET 1 OWNER J Nn/ `/J U � : b r A. P. No. Proposed Building Use _ 519a& t u o o c� S�� a Building Inspector �'� L Date Tom' At time of p�Fmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley............... Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. ... .. , . Pre -Inspection requ� Pre -inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ........................... Owner -Builder Verification (Given to owner , Mail to owner ). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other , Parcel Creation Acreage Applicant Date `S� 7-1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). \ Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 93 COUNTY OF BUTTE L DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916'5,03-7541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER O c-->' _ ZONING r^-$- BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. —BUILDING VALUATION OW/y'%S MAILING ADDe- v I � /Z/�/ l! CONTRACTOOORR'S3N/A/�MMECnn O �` . TELEPHONE — CONTRACTOR'S MAILING ADDRESS Fireplace /e- CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS $ Penalty Permit fee - $ a 7� BUILDING ADDRESS PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 r Solar or heat pump water h ale, _ Water piping 20.00 7.00 LOT NO. SUBDIVISION NAME .{} Cb J re%e.Je_ CAS rr P ARCEL MAP Each pas heater or vent 7.00 Y.' I USE OF STRUCTURE _water Gas piping systein 1 - 5 outlets 5.00 SF (—] Duplex❑ Mobilehome❑ Other/91Uc1' e iJ06 r".'P Building sewer 15.00 Mobile Home S G W @ 15.00 • PECIFY TYPE OF WORK New`__ Addition[] ReAmodel❑ Utilities[] Installation[JI Other Permit Fee $ Describe work: W JC> 0':1. _ Contractor /O - f' / ELECTRIC L PERMIT Filing Fee 15.00 /Go L / 5�� 1� G, 6 Main service soo OR LESS 200 OR LESS :7 �J Main service 20GA O 1000A, --18.50 _ 37.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP. h\ OR ADDt!S. ACC. BLOCS. / 3.E4 sgft. I declare under penalty of perjury (check one): NEW CONSIR MULI I.O LIT LET @ 5'00 �] I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•RESIO BRANCH CIRCI —( ITS POWER AI'PAHATUS e\ — and Professions Code and my license is in full force and effect. I SINGLE OUTLET CIR. ) License .Jo. Classification Ex.Occup(OIJILEI'SOR FIXTURES -� 20 7Ed `-' (/X'I I, as the owner, or my employees with wages as their sole compen- FI%f_I) APPI J5. OR Ex. Occup. ouTL.ET5 EA.) 1_3.00 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- _.SIu.I Temporary service --- -- - Mobile Home Fa lilies 15.00 — _ 15.00 ors. (Sec. 7044) Misc. Wiring g_ 15.00 Lj I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE — I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ] The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department (-1 a Certificate of Workmen's Compensation Insurance or a Certificate ------- -- -- --- Cooling -- of Consent to Self -Insure. fait I shall not employ an y I p y y person in an manner so as to become subject Hood—___.. 6.50 �V to the W. C. laws of California. - -- _ Ventilation 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 _Permit F e $ provisions or this permit shall be deemed revoked. Contract r I certify that I have read this application and state that the above information Mobile Home Installation Fee S 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 Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes.coNs) I also agree to save, indemnity and keep harmless the County Butte rcpt TOTAL FEE $ `7 of against all liabilities, dgme , costs, and expenses which may in any way accrue Ilnt uie[s IMF rL000 coF PARCEL VD HD IssuE— against ou of the granting of this permit. ��ence W Date .SFP 24?Z- This permit is hereby issued under the applicable provi- —�- 5ignatur (Applicant Owner Contractor 1:1 Agent — ❑ sions of the Butte County Code and/or resolutions to do An OS permit is required forexcavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS L/ By Date Receipt No. _ PERMIT EXPIRES Date WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works Y 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportugity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) i4Av6 signed an application for a building permit for the proposed work. r 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 purtions 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 Numb f Date Z 92 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. 2 Department of Public Work's. ' County of Butte 7 County Center Drive Oroville, CA 95965 Attn: Ann May 19, 1992 RE: BP Appl #1810-91 New Single Family Home AP #58-81-02 f. Dear Ann, .' I retired from the Air Force on 1 March 91, began developing our raw land on Coutolenc Road in Magalia right away. I drew the house plans and submitted them for a plan check in early June, 1991. I have had our residence here in Highland for sale since January, 19911'. The equity from this sale was to start the construction on our retirement home in Magalia. This is almost 16 months later and our home still hasn't sold. I talked with Marty on May 14th, 1992 about getting an extension for the plan approval anek old me I couldn't one. He told me to write to you and request a check for all refundable monies and that I would have to resubmit at a later date. Well, I am requesting a refund and would like to know what my next step will be when I finally sell this home in southern California. We still want to retire in Magalia--only now it's a matter of when. Thank you for your help. ohn Laufer 7167 Fletcher View Drive Highland, Ca., 92346 (714) 764-8389 PBZ/ BZ/,�, .. �1 j99 o9rs PRE -INSPECTION OWNER: DATE( �3 LOCATION: ��� A. P. # -:5Y- d CONTRACTOR: ZONING PRE -INSPECTION FOR: PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY— ` FIELD - INFORMATION BUILDING USAGE: j^ f�C� � Lr�a2, � i G�e : � l%iJt (o 1,A4 TFNANT: l• , OCC. IED HAS ELECTRIC HAS GAS S SANITATION FACILITIES HEATED -COOLED = PERSON CONTACTED m i'% S OTHER COMMENTS: ACTION RECOMMENDED: ISSUE C] HOLD FOR A n V SG S `r fig J- f- GoA.,s OTHER: jA 5�9el,�-y D U UL - 2L . C 6 BY avfflz__ DATE —8 -Cf eounf* -q,." iJ9Utt4e- OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John and Pat Laufer ADDRESS: 14983 Coutolenc Canyon Estates CITY & STATE: 19=211a, LH 95954 IMPORTANT: 1991 SEE INSTRUCTIONS DATE OF CLAIM: December 22, ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY -TO AVOID DELAY) i AMOUNT 12/22/92 Owner has decided not to do work. Permit #1810-91B,P,E,M AP#058-810-002, Receipt #93938, dated 6/5/91. i Total Permit Fees Paid-- -------------------------- $1172.95 Retain Plan Checking Fee-------------- 301.50 i ! Retain Energy Plan Checking Fee------- 15.00 Retain Building Permit Filing Fee----- 10.00 I Retain.Plumbing Permit Filing Fee----- 10.00 Retain Electrical Permit Filing Fee--- 10.00 Retain Mechanical Permit Filing Fee--- 10.00 Total Permit Fees Retained------------------------ 356.50 ' OTA REFUND DUE ---------------------------------- $ 816.45 ! i I TOTAL $816145 I, the undersigned, leclare under penalty of perjury that the services or articles claimed have beenZporrmed delivered, and that this claim is true and correct as stated. Dated this "C�,,,,,,,,,,,,,,, day of •; ( i 19( at / ��-� i �ir Calif. ........... ............ .............. ........r ............. ......:.:......................................... ignature of C1 merit 1. the undersigned• hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval F__J (Check one) for the same -- Dated this 11th day of •January......, 19,9,;.{ at „Oroville Calif ��/� •�%� Dated ......... ....................... ...... : ................... department Heed or Authorized D eputy Dept. 440-002 ExpCod 4210500 Const' r ermits FurrD Code ............................................ Code ................................................PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. AV- .u t Count =� to LAND OF NATURAL WEALTH AND BEAUTY 199 DEPARTMENT OF PUBLIC WORKS ':� `W•d� .,� .,-, WILLIAM (6111) CHEFF, Director 7 COUNTY CENTER DRIVE i OROVILLE, CALIFORNIA 95965 Telephone: (916) 538.7541 ' RONALD D.•McELROY FROM: John Laufer Deputy Director SUBJECT: Building Permit 1810-91 ROM,, john at_Ifez, Due to significant, multiple financial setbacks that arose in 1991 I am unable able to build our retirement home per the plans approved on plan package 058-810-002. f A draftsman is currently redrawing new plans which we hope to submit for review and approval within the next few weeks., I At this time we request reimbursement of all refundad1e fees paid on June 6, 1991. Thank you for your help. John and Pat Laufer 14983 Coutolenc Canyon Estates M808�18p CAr 95954r 873-2712 eaud*�i,..✓tJ OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: .John Laufer ADDRESS: 7167 Fletcher View Dr. CITY & STATE: Highland, CA 92346 IMPORTANT: DATE OF CLAIM: May 29, 1992 - SEE INSTRUCTIONS -_ - ON REVERSE SIDE SUBMIT CLAIM TO -DEPARTMENT RECEIVING GOODS OR SERVICES. DATE DESCRIPTION OF: CLAIM (DESCRIBE FULLY TO AVOID DELAY) ; AMOUNT - Refund due to expiration of permit. Permit #1810-91B,P,E,M, AP#58-81-02, Receipt #93938, dated 6/5/91. Total Permit Fees Paid ---------- =--------------------- $1172.95 Retain Plan Checking Fee------------------- $301.50 Retain Energy Plan Checking -Fee ------------ 15.00 Retain Building Permit FHing Fee---------- 10.00 -� Retain Plumbing Permit Filing Fee---------- 10.00 Retain Electrical Permit Filing Fee-------- 10.00 I Retain Mechanical Permit Filing Fee-------- 10.00 Total Permit Fees Retained=--------------------------- 356.50 i 0TAL REFUND DUE--------------------------------------$ 816.45 i I I i / I . : i I - TOTAL $816 ! 45 I, the undersigned, leclare under penalty of perjury that the services or articles claime h ve been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................:................ Calif Signature of Claim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation[] or Specific Board Approval F__11 (Check one) for the same. - Dated this 29tr .............. day of May 19,?2 et Oroville Calif. Department Head or Authorized Deputy Dept. Exp. �+ D Code ......440,-��2................. Code .......421.QS.Q�.....................PAYABLE FROM.....V.Q.tSt.....+..'rxjplt.!�.............................................. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. V • COUNT1�,-OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 Couhty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PERMIT NO. ASSESSOR PARCEI N MBER '' ZONING TM -5 BUILDING PERMIT DW R fer 714 TELEPHONEJohn 864-8389 SO. FT. OCC. BUILDING VALUATION .0 OWNER'S MAIIILtING ADDRESS 7167 Fletcher View Highland CA 92346 954 M 17,172-00 CONTRACTOR'S NAME Ownpr TELEPHONE 80 IS 1 040.00 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $167,816.00 F111ng Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $603.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $301.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $929.50 PLUMBING PERMIT Filing Fee 10.00 14Q81 Cniit-p1pric Rd., Ma2alia Each Trap 1 2.00 22.00 Solar or heat pump water heater 20.00 LOT NO. Y SUBDIVISION NAME PARCEL MAP f� l - Water piping, 1 5.00 .5,00 Each qas water heater or vent 5.00 5.00 USE O STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 1 5.00 9.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 Bedroom New Single Family Permit Fee $52.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 1000 AMP ORSLESS 1 10.00 10.00 Main service EA. ADD'L 100 AMP 1 2.50 2,50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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 NEW CONST. DWELLING OCCUP.6{OR ACDNS. ACC. eLDGs. ) Y 1/20sgft 96.45 NEW RES'D, NCH C LET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20 030 eAL Ex. OCCUp. OUTLETS PFIXED APLNS. R (RESID )EAJ 2.00 Temporary service 1 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 128.95 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 Cooling Over 3 Ton 1 7.50 7.50 Hood 1 3.00 1 3.00 Ventilation 2 3.00 1 _6._0_0 __ Permit Fee $ 32.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti , judgm ts, costs, and expenses which may in any way accrue again s i ounty n co equence of the granting of this permit. X - �UN �/� Sign a of Applicant - Owner X 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 $ 30.00 CON PE TOTAL EE $ - 1 , 17 '5 HAz. cuA �- PARK SCHL F CDF PAR P I HD. IS; This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date 9 Z - PERPTT EXPIRES Date - Z-231-1 Receipt No. 93938 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i �� :J k .vT^F ---v-.r. �-_•. �.�...�-�.1 ti:�fi.a-. -. �-._r-rZYrry'U7"�y7t`^'a�'i."�*1{{va's�p.� ;r-.ry��„>•f y' r�r.-a.v�..,. -yf'."^r..n":" ..t COUNTY OF BUTTE - DEPARTMENT OF,.PUBLIC WORKS - BUILDING DIVISION f 7 COUNTY CENTER DRIVE - OROVIi LE, CALIF60 ti11'999665 - TELEPHONE: 916/538-7541 h P U / PERMIT ,APPLIL1 CxATION DATA SHEET % 1 Permit No. O OWNER !/A��PI�Z C A. P. No. Proposed Building Use UfM Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ... .... 2. Plot plans in duplicate/triplicate, signed by preparer of plans......:: 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design, Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... ) 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... .110. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park f s paid 13. (d.5 -D School District fees paid . AJ `10' 14. Sanitation approval from PA 04S& Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan.-aland business license approval from City of (se�Cit�or other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway_,Armit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... �f., 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 24. Recorded copy of Agricultural Acknowledgment Statement ......... _.-•' r2� 2— —5 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows:. Mail to owner. Mail to contractor. Telephone 86 - 8387 and hold for pickup at U0 office. Deliver w/inspector. Other i Applicant Date 5Jvy5'1 Copy of Haz-Mat form sent I Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ,_Fire Dept. Other Date By The following data must be submitted prior t it ' nc ircle-new item got checked above). 1. Index permit for above items No. 2. Additional items required: " Contractor, designer, owner, was advised of above required data by_phone-_—mail counter by4-.date Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date �. Plans checkedby S Date '�a� Plans approved by /-71Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO ' Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1488 3fo/vv— 8t`oc �d �oy58- �-:N.� Owfier Location )w AP#R Plan Approved for: Sewage Disposal K- Water Supply x Hold final for: Final clearance O.K. for: Clearance for 3 bedroom majbii2we home. Other NOTE * * * Water Supply v Water Supply S a n i ar n v Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes env) 2. I (have/Y ) H Ave 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 (Ja n�LL Social Security Num 9/ 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. RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 0 0 OWNER d�i� A. -P. # —�D-211 Plan Checker L, S GENERAL Zoning requirements: (sideyards and number of permitted living units). Valuation. -Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). a� Recorded notice of violation. PLOT PLAN Yomplete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. . Flood hazard. Special conditions on creation map, stible, and foundations). FAU & FAS road setback. I (noise, CDF,,,fire sprinklers, non -comb - Building or utilities across lot lines (Record form). PT.nnp PT.AN Complete to scale plan with dimensions. Required windows for light and .ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). j Human impact glass (Sec. 5406). /Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. —Locations of water heater,• heating and cooling equipment, other electrical or gas equipment. 9. -Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. 3-.7,7,'Smoke detectors (Sec. 1210). "lumbing fixtures, water closet clearances and shower size. /STRUCTURAL DETAILS k57 Standard bracing or engineered design (Table 25V) ,217 Unusual shape, size, or split level house requiring lateral design. ii"' -Foundation plan complete enough to construct building. L4`_ loor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. -7-" Fireplace construction details and calcs if necessary. -�-�' Rafter ties or bearing ridge beam. -Garage door or porch header sizes. -k6- Stud heights. --1--1-.--Adobe soils - special foundation design. .1-2 Retaining walls requiring design. -+3-.—Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details:, landings, rise and run, head clearance, handrails . (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. �9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines'- 1716). . Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. Noise requirements on duplexes. JEnergy design. lashing at all exterior openings. CDF responsible area requirements. requirements. 6X1 - D �.t7 z • �, °�� 000 Z= 2/ 1, os•o = s��'o x�-/ 71V6,/ Xr51 '0 A-9 - �o ,kZ X515� G /y/ f''�� I oo 'Z 0 • Z X a15 '0 � Z � I 2 r _ .7 I 6 X60'0 ��l 10 -717M 020'0 = 70 WE? (S/0'4 2 X70' _Zf� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 John Laufer 7167 Fletcher View Highland, CA 92346 With reference to the above subject: / / Attached is: OTHER PHONE: 916-538-7541 DATE June 1 *3, 1991 RE: BP Appl. #1810-91 New Single Family Home A.P. # 58-81-02 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd.,,Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing XXX Recorded copy of agricultural acknowledgement statement. XXX Driveway Permit /XX)V OTHER Paradise School Dist. fee --I am enclosing a school form -if you already have nna, please disregard. I also have questions concerning your plans. Should you have any questions concerning the above, please contact Linda Sexton of this office. (between 3pm & Spm Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector ENCROACHMENT PERMIT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Phone: (91.6) 538-7681 APPLICATION /• — I Permit No. / `� 16 I, WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county ro highways, all in accordance with county ordinances and general laws. (^ NAME ..-----•- --(. ............................ SIGNATURE .. - -�..l..... .. --•------ MAILING ADDRESS Location of work to be done 1. Curb .................................. 2. Driveway (List type) ...... 3. Underground Conduit ...... 4. Other ................................. TYPE OF WORK TO BE DONE Gutter .................................... Sidewalk ............................... -..... .Please check.. PERMIT GRANTED In compliance with your above request, and subject to all terms, conditions, or special conditions written below or printed on the back of this form, permission is hereby granted. SPECIAL CONDITIONS .. /�1��?4e.!f ...� ... ...�i�-�............................................................. w:. •1r.' ............................................................................................ NOTIFY COUNTY r $?i-AJL CONFOP.M TO ATT. sxFTs :x; �Ia1�r�iii ............... VbRIVATE- CONTRACTOR .SHA►,LL ................ .............. ...+..... I�^� 1!??�,'LtlN�, E1N7J AT'Tr�CHI�I� OBTAIN HIS OWN PERMIT., — TO 51= .w r � K. .. __ "I COhTDITIONS. { .. . Y. roil..... ...`.�.......................................... .............. DIRECTOR OF PUBLIC WORKS Date Issued ....... ....... 9 . ................. Surety........... ........................................ Z-3/—yL PERMIT EXPIRES .............. .� BY-•---•-------------•---•---........................... �CL GENERAL CONDITIONS 1: It is understood and agreed: that the County has prior. right to the use of its rights of way.. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an accept- ance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done sub'ect to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any part of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsi- bility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require, the installation provided for herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5.' No material used for fill or" backfill in the construction of the encroachment shall be borrowed or *taken from within the county right of way. 6. At least -one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall he kept open for -travel by the general public at . all times. No public road under the jurisdiction of the..,Board shall 'be closed to travel by the general public - without special permission, in writing, of. the Board,of Supervisors. 7.. The Permittec,lby the acceptance of this permit,shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit. In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim. 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be placed and in com- pacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and 'or paving . a. The relative compaction from the bottom of excavation to a plane five feet (51 below finish surface grades shall be no Les, than ninety percent (90`i•) as determined by Test Method No. Calif. 216-C of the Materials and Research Department. State of California, Transportation Department, Division of Highways, or other approv- ed test method. b. The relative compaction from a plane five feet (5') below the finish surface grade 'to said finish surface grade shall be no less than ninety-five percent (95%) as determined by the above testing method. Permit- tee shall bear all costs and responsibilit' for compaction tests. C. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be placed in 8" lifts, and be compacted to a relative compaction of not less than 955. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compactiori of not less than 905%. Anv pavement cutting shall be, scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations. parallel with road%Na%-. shall be placed as close to the right-of,%ray line as possible. No portion of the backfill(,) shall be compacted b) ponding or jetting. All pavements, curbs. gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of ,.onstruction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon back -7- fi.fljlig�of the; excavation to the.yriginal grades and:cr6ss'.sections,`and to_Ai cgrijition as good as, or better than, .;., existe,d�l;ripr ao.;, ' cpri jrnCti(in. (, .•:a All surfacm'ig�inat�'ri,tl- t rdwa - ,rsc! J tc: aol,rliaches cut of dsi�..u,,rd by or as a result of construe - tion operations, shall be rc placed`\ci[hiu nNE 11LI.f. fol�im, g the, bachfillrn:; of e,xravation, weather permitting, with .compacted layers of surfacing materials at (cast as ;thick as the e,6sting, 'and no less than two inches (2" ).of asphalt concrete over eight inches (8") of aggregate base, according; to current California State Specifi- cations. 9. Whenever necessary to secure pertnission from abutting, property owners, such authority must be secured by the'Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given ever), consideration in the location and type of construction. Permittee shall cause to be placed. erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor• as to the special conditions and requirements contained herein. PRIVATE DRIVEWAY DETAILS EDGE OF EXISTING PAVEMENT FLAW LINE DITCH t 12' MIN. 2T MAX NOTES I. PIPE TO BE C.S.P. OR EQUAL (I2"DIA. MIN.) 2.PAVING SHALL CONSIST OF 4" OF AGGREGATE BASE, MIN., AND 2" OF ASPHALT CONCRETE, MIN. PIPE IF REQUIRED, SIZE AND LENGTH TO BE DETERMINED IN THE FIELD BY ROAD FOREMAN. /0\ t AREA TO BE PAVED PROPERTY LINE T COUNTY OF BUTTE Department of Public Works Z 'County Center Drive Oroville, CA 95965 SPECIAL CONDITIONS FOR ENCROACHMENT PERMITS No ponding and Jetting under any roadway. All pavement removed shall be replaced with a minimum of eight inches of aggregate base and two Inches of asphalt concrete surfacing; or conform to existing structural section; or conform to special trench detail, whichever is greater. All road crossings of pipelines shall be Jacked or otherwise forced underneath pavement without disturbing same, unless specifically approved by the Department of Public Works. Minimum depth of cover. over all facilities shall be 30 inches. Material for use as backfill in any existing or proposed roadway section shall be sand, placed in eight -inch lifts and compacted to a relative compaction of not less than 95%. All drainage ditches and roadside gutters which are disturbed in the course of construction shall be reconstructed to the satisfaction of the . Department of Public Works. Material for use as backfill in roadside gutter excavations shall be the native material, compacted to a relative compaction of not less than 90%. All installations will be placed as close as possible to the right-of-way line. Any pavement cutting shall be scored or saw cut before trenching. If the construction work covered under this permit Is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. A private contractor shall obtain his own permit and have insurance on file with Butte County Department of Public Works. When cable is to be buried in an existing roadside ditch, said ditch shall be paved whenever the road grade exceeds 6% and this paving shall extend down grade to the nearest cross culvert of drainage swale. Asphalt Concrete (AC) shall be Type B, 1/2" maximum, medium grading. Aggregate base (AB) shall be Class 2, 3/4" maximum, grading. 92-24359 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEi`lE1yT FOR RESIDENTIAL DEVELOP%IENT Section 26-8.1 of the Butte County__Code' requires this acknowledgement be recorded name(s) are ir.ibr to issuance of a building permit. The property described herein is adjacent I ��+� to land or included within an area zoned I Ree Fee 5. 00 1 Cash 5.00 for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the " County of use of agricultural chemicals, including, but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 12:33pm 2 -Jun -92 I PUBL XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property situate in the County of Butte, State of California, described as follows: LOT 2, as shown on that certain Map entitled, "COUTOLENC CANYON ESTATES UNIT NO. I", which. Map was recorded in the Office of the Recorder of the County of Butte, State of California, on October 10, 1986, in Book 104 of Maps, at page(s) 28 and 29. Date: 2JJJL,/ 1991 J0 tw �14vpne�- 167 FLercx&&- view AR, N(aNe&un cA, g2pg� State of California) SS. County of San Bernardino On this the 2nd day of _ undersigned Notary Public, PROPERTY OWNERS: "jtb-1 � FLCTCAM V tEyJ ,__ '1C�l�l,/�N� CaH9 3 July 19 911„beq me° the personally appeared John Laufer and Pat Laufer E] Personally known to me.EX Proved to me on the basis " SAN BERNARDINO COUNTY My Comm. Expires APR 05,1995 BMW Present A.P. No. X Joan .Romans 'Notary Public 4-5=95 END OF DOCUMENT of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they OFFICIAL NOTARY SEAL ' :� JOAN D. ROMANS executed the same for the purposes therein contained. IN WITNESS �. Notary Public —California VHEREOr, I hereunto set my hand and official seal. " SAN BERNARDINO COUNTY My Comm. Expires APR 05,1995 BMW Present A.P. No. X Joan .Romans 'Notary Public 4-5=95 END OF DOCUMENT 4 r 8'T Ro 1.233 . � n r f• t 1 ..( �I { � . r 8'T Ro 1.233 . 00 COINTY OF BUTTE - DBPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /// APPLICATION -AND -PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 58-81-02 ZONING ' IN -5 BUILDING PERMIT OWNER . ,r John Laufer� TELEPHONE 873-3653 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7167 Fletcher View Dr., Highland CA 92346 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$' Ener Plan CheckingFee 9y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,FYI Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME Coutolenc Canyon Estates #1 PARCEL MAP 1104-18/79 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P,trageBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [I Installation El Other Describe work: *%JPr•trit- RPA 18 S1 -4f1 j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service e°oV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): a 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification. el, 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 OCCIA OR ADDNS. ( ACC. BLDGS. , h¢sgft q NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES °AL93o SAL031 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and..state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against, diaidfCounty,in6hsequence of the granting of this permit. ' X" X"f`L e_ Date �g � �� /� Sign re of Applicant Owner Contractor ❑ Agent ❑ An OSHA Permit is required For excavations over 5't)" deep and demolition or construct- ion of structures ove'rl3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 41.50 HAZ. CUA I PARK I SCHL I FLD I CDF I PAR PD l HD• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated above for which fees have been paid. ^ , DIF�E �1' OF PU LIQ WORKS �i' A6gghZ By F GReceipt PE MIT EXPIRES Date C' NO. ✓ - WNITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT —COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI Ok ANOPERMIT 06®r ASSESSOR ASSESSOR PARCEL NUMBER 58-81-02 ZOW1NG TM -5 BUILDING PE IT OWNER John Laufer TELEPHONE 873-3653 SQ.FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 7167 Fletcher View Dr. ,Hi hland CA 92346 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS _. Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME Coutolenc Canyon Estates #1 PARCEL MAP 1104-78/79 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: el ectrj r Epi 3851-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 lo no Main service EA. ADD'L 100 AMP 2.50 2 5Q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. _Ex. cense No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6 OR ADDN5. ACC. BLDGS. /zQsgft NEW CONST R. U TLOUTLE NO ESID BRANCH CIRC ITS '2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Occu o p UTLETS OR FIXTURES z00soe eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a 9 artificate of Workmen's Compensation Insurance or a Certificate . onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliflea, judgments costs, and expenses which may in any way accrue again s i o=tisequence of the granting of this permit. JI Date �O�p��. l;� Sign re of Applicant Owner Contractor 1:1Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures dver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 41.50 HAL I cUA PARK SCHL FLD cDF I PAR PD 1 HD• ISSUE; This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for whicff have been paid. DIIOF PU ORKS te PE;1TXPIRES Date �' Receipt No. �� I'—By WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE.- DEPART.METI 7 COUNTY CENTER DRIVE OEiOVILL PERMtT: APPL OWNER_ Proposed Building Use /44 T.OF-PUB•LIC WORKS - BUILDING DIVISION •tALIFDRNIA"95965 -TELEPHONE: 818/538-7541 CATIOI�'DATA SHEET'' Permit No. = Y A P:.No Q� Building Inspector GS✓ Date 47 t At time of p-rmit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ........1 .Fr. ........................ z R 2. Plot plans in duplicate/triplicate, signed by preparer of plans.... . rf� 3. Complete plans in duplicate/triplicate,., by preparer.of plans „ 4. Complete engineered-pla'ns' and calcs,withtwet signature on plans,. ; t 5. Hazardous Material Form ..... . 4.4 . ................. .. i 6. Energy Design Compliance and up sporting documentation ' x f 7. Statement of Intent for Non -Heated and AC Buildings.. .......... f' 8. Engineered truss details and layout in'duplicate (required prior -to plan check) 9. Mobilehome installation data�including•manufacturer's installation nstruction p, . 10. Fees of t '............... ..? { M } `11. Chico Urban Areaifees paid .................................. ` 12. Park fees paid f , kl� 13.`` J+ �' School District fees paid .............. 14. Sanitation approval from Health Department + + 15 City of�Chico plumbing permit. t r � 16. Plot plan and business license approval from Cityof c - r (see City for other requirements) ; 17. Planning approvaljor (A) Use: (B) Parking: 18. Improvements may be •required. Contact Land Development Section DPW 19. Driveway, permit (construction approval required prior to occupancy) ! 20. Pre -Inspection for required ... Pre-Inspec. request to i Building Inspector ` (Date): .. 21. Contractors license information (No., Name Style, Classifications .:. - -'� ' t22., Certificate of Workmans Compensation Insurance .......... *: ,23a Owner -Builder Verification (Given to owner 0, -Mail to owner ❑) ..... ' '4124'.' Recorded copy of Agricultural Acknowledgment Statement ........:' 25. Letter of signature authorization................................... 26. 27. When y issue the permit, process as follows: Mail to owner. 6773^ 3U-' r MAil•-to contractor. ��Telephone andhold for pickup at _�Qb!2C office. Deliver w/inspector. ` Other ApplicantDate Copy of Haz-Mat form sent Health Dept. —FireDept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. Y - 2. Additional items required: I Contractor, designer, owner, was advised of above required data by_phone---tnall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _ma�lI counter by --date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in ` File cabinetj' ,:, AP folder Date ::I. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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 2. I (have/hgil E) 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 ztz�2�, Social Security Num 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. 4�3 �(J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �/ 7 County Center Drive - Orovllle, CaLfornla -35965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER s--S--U'Z . ZONING /7 a BUILDING PERMIT OWNER - z:>,-/—jL� U F� TELEPHONE 47a -365' SO. FT. OCC. BUILDING VALUATION OWNER'S RESS MAILING G DI // O —),0;%QA�J� 16 7 L Tc Hsi rV/ iW a Crr CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $.. 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SU/BOIVISION NAME r G 00T-0 L )r,VC. 62-dYl� trsr.9 � PARCEL MAP %y «- 7g Water piping - 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ECIFV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISI G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 2r Describe work:_'r4cgAle, ZSI - 90 Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00 Main service 10000 AMP V OR LES 10 10.00 Z0 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Oc UP.a OR ADDNS. ACC. BLDGS. �(�! ) , /22sgft if— f—NEW NEWCONSTR U TI.OUTLET NO .RESBRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. Occu o Occup(OUTLETS OR FIXTURES 20®50e eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject YYY��� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee - $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 'udgmen osts, and expenses which may in any way accrue all liabil' 'es?si agaimy i c quence of the granting of this permit. X Date ! �L9/Thls $igncant— Owner Conr.acror ❑ Agent ❑ Ans required for eX avations 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 L,/ TOTAL FEE $ /� RAz. CUA PARK SCHL FLD coF PAR PD I HD. IssuE 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. 91 �) 11-1 WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR., GOLDENROD -APPLICANT J=dK s �` O = Not OK 11 NNotot Applic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity: MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy " Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r 4 MISCELLANEOUS 11,!Sping Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors 7. Electric g its-Anchors-Studs-Rftrs-Trusses . S• mg; Nailing -Veneer -Stucco -Mesh COK.Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 2.t29/3 Card B-1 C,,/ Date?- % Card B- D�at Card B-1 Date ° /S '''S Card B-1 C s� Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 J=OK O = Not OK, - = No yAoplicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -BI ockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17, Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE ' > DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE t., A ✓flit.. - 8 S/- 50 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be c�crdcted. Please notify this office when correction of work is completed. If you have any question pertaining to this It r, or need additional explanation, please contact this office immediately. AIT oJ,A AjtM yQc.c , -s Qti AFl .Ols�t OJ C !� J& ba -4 i8 r ' 4..t9 6 /.•i 00- c r- eR t4>^— i c�c��_ v / � f� —'�" Date Inspector LL\ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. C) ASSESSOR PARCEL NUMBER 58-81-0'2 ZONING TM -5 BUILDING PERMIT OWNER JOHN LAUFER TELEPHONE 73-36 3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS\ 3 L C.�4zAwkw TELEPHONE' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1919-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 6/4-95 Energy Plan Checking Fee E$ . $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14983'Coutolenc Rd, Magalia Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 2 NAME :=:! COutolenc Can on Est #1 L MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other Shop SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00e TYPE OF WORK New [:JX Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: garage & shop Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and -my license is in full force and effect. L' ense No. Classification I, as the owner, Or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.& OR ADONS. ACC. SLOGS. 2/zQsgft NEW CONSRES'. ULTI.OUTLFT NO N•R ESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zo@Dot aAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EAJ 2.00 Temporary service 10.00 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 nsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of nter upon the above-mentioned property for inspection purposes. e to save, Inde and keep harmless the County -of Butte against es, judgment ,cos and expenses which may in any way accrue id County in onseque ce a the granting of this p rmit. f Applicant — Owner ❑ ontractor ❑ Agent POSHA ermit is required for excavations over 5'0" deep and demolition or construct- tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz UA PARK — SCHL — FLD — PAR PD HO ISSUE Th;s permit is hereby issued under sions sions of the Butte County Code and/or work indicated abov for which fees D C OF/"pnQ81)�IC `�V By 2 PERMIT EXPIRES D e the applicable provi- resolutions to do have been paid. WORKS ate Receipt No.- %3 SS21 – WHITE-D.P.W., YELLOW-ASSES90R, PINK -INSPECTOR, GOLDENROD -APPLICANT rr TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance je !itzd�/P/ 2 /QinL l �CL-9z—Qzi owner location AP # . /� Driveway permit �7 � /L �— has been issued for the above property. rill n b - 'r sign re date 7 M'a'` Sig=. �a t ;y�rt i.yA, a�t�h'M` ��� 1.• �, 'r i P COUNTY OF BUTTEC?- DEPARTMENT,O +LIC WORKS -BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE„ CAL-iFORNI'A 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION:DATA SHEET i y Permit No. OWNER � p"IF t JO A. P. No. 5'T — 6 /,j — 002 Proposed Building Use Pi,'IV,9 re- 9 SRA 5 Building Inspector C_S Date / / . G ' a ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. ;. i- 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10., Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. �14. Sanitation approval from 12n(t11" 15 (9— Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Plannirig approval for (A) Use: (B) Parking: ...... :A4 Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) l l 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 2 Certificate of Workmans Compensation Insurance ......... caner -Builder Verification (Given to owner ❑, Mail to owner .... mR�. /7/ ����- Recorded copy of Agricultural Acknowledgment Statement ......... " 25. Letter of signature authori tion ............... 26. a6C!n Yen �c� arr�P.h IDDD 1* US2 � ? X aa� 1,c9 -� r 27. When y issue the permit, process as follows: M +I -to -ower, Mail to contractor. Telephone CJ73- GS 1 and hold for pickup t - Other Appl ican ce. Deliver w/inspector. Date/1/dV—<,,-�7 0 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By r The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. — "`�� 2. Addijional items required: - ,��- �11�, i-lJ�/ '�'f �►.�cr����^��a�Tr UU wVP I Contractor, designer, owner, was advised of above required data byephone_ Mail counter bC date Contractor, designer, owner, was advised of,above required data by ✓phone_Mail_counter by date Plans checked b, Sets of plans on hold in Copy—DPW Plans approved by 13Lt) Date 2- S '91 File cabin&! " `F AP folder r TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance _ til, �lc u %y�� aJCotz'f P�evtc &4mfYCc1 Avner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for`�edroom mobile home. Other ;z Lf X 3 -2- j NOTE * * * r /l %• 4?0 Date Se rian - a TO: Building Department a FROM: Encroachment Permit Section RE: 'Driveway Clearance 4z,A, %93 owner location AP # Driveway permit �D IBJ Z� has been issued for the above property. n b sign re date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your" name and bearing your signature. Please complete and return this information at your earliest opportunity, to avoid unnecessary delay in processing and issuing your building permit. No -building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 1/E.S 2. I (M=have no � signed_ an,,app_lication for.a_bu.ilding 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 portion, of this work, but I have hired the following person to coordinate, sypervise, and provide the major work: Name AMA— 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 Nu r Date !4Q/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541 DATE 11-26-90 -John Laufer RE: garage c..o.: Jim--Dai-ly--....--:---:-.-:_-:--::__... ......... :-.:._.__�....�..--:--.._.._.:-_:-...__,....�::-::----:.,,:-.....__-_:—_._-.:-�--::.::-::-:--:----:--:...------:----:.----.:-:------_--_:�--....,.,.__..,_.,..._.:._..-:-: 7070 Cedar Pines Road A.P. # 58-81-02 Magalia, CA 95954 With reference to.the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Lj We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Q� L-etter of intent for use of 2nd story in garage - habitable space or storage? If storage, please indicate what specifically will e stored. 2. Two copies of floor plan showing location & size ot garage door, with header size (s ecies & rade) indicated ' Owner -builder verification to be complete y owner returned to this /office Driveway permit. Should you have any questionsl�Qncerning the above, please contact ofIoohis office. 0fi, � 2-1-91 r 00 f �oca�- o g- �� �W JJA s�A0L)) g ,) Yours very truly, Barbara Wilding William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector i uji: 1660.2S C- j i = 12 I 2)X( 12 s T(p• J qq u OC) 1-760, 114, - I(v�`de 5/89 RESIDENTIAL PLAN CHECKING GUIDE -- MISCELLANEOUS ITEMS TO LOOK OUT'FOR (CONY D)- _. a 4. Exterior plaster -weep screeds (Sec. 4706). 5. Proper roof pitch for.roof covering (Chapter 32). 6. Roof covering type - (fire hazard).. - 7. Rafter ties or bearing ridge beam. door. or porch header sizes. ! 8. Garage: - 9. Adequate bracing. -complete 1 -hour separation required on garage side 10. Living area over garage including supporting walls and posts, etc. 11. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 12. Attic access and van�ilation ventilation. (Sec. 2516) 13. Underfloor accessappliances. 14. Combustion air for fuel burning app 15. Noise requirements on duplexes. _ 16. Adobe soils -special foundation design.. 17..Retaining walls requiring design.. 18. Unusual shape, size, or split level house requiring lateral .design.: 19.. Flashing at' all exterior openings.YWj , ILJ t, �,' �d��► �„, �� VY d„� Wtftf 1 G, 9 i� �, r'`\� /A/',t � {`✓� n/�F^iyw� ��f� ��J:l%}'� ,9 v���,<� r��-'i�� !`������ eL �� �� S �� RESIDENTIAL PLAN CHECKING GUIDE 5/89 (S.F., DUPLEX &'MISC. ONLY) Bldg. Permit # 10$51 _ 6) OWNER JAAA to (A 96, n_ A.P. # S1- 02 a GENERAL 1. Zoning requirements: (sideyards and number of permitted living units).. 2. Valuation. 3. Plans signed by designer. 4. Energy Design and Compliance. 5. Existing. violations on property. 6. Items on data sheet. PLOT PLAN 1. Complete parcel. size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. 5. Flood hazard. " 6. Special conditions on creation map or compliance.documeit. 7. FAU & FAS road setback. FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 7. GFCIs in baths, garage, and exterior outlets (Article 210-8). 8._ Light -,fixtures,. switches,_ receptacles, and exterior receptacles for maintenance -..:. <' ; of: ,mechanical.` equipment.'.-,-,..*. 9... Locations of water heater,- heating and cooling equipment, other electrical or-' gas equipment, and plumbing fixtures. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit -door (Sec. 3304(e)). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details. and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j)). 3. Brick.._or. stone veneer .(Chapter 30). 16 December 1990 TO: Butte.County Dept of Building'Works FROM: John Laufer SUBJECT: Letter of Intent To whom it may concern: This is a "letter of intent" to establish the intended purpose of the workshop to be constructed on Lot 2, Coutelenc Canyon Estates, 14983 Coutelenc Road, Magalia, California, 95954, AP#058-8.10-002 (zone TIS -5). Mr Jim Daily is my authorized sponsor conducting business in my absence to construct a two story workshop on the above listed parcel. The lower floor will house the power equipment.such as a table saw, drill press and cabinets for storage. Since the cabinets and trim work I am going to do in my future home will be made out of red oak I want the wood to be properly seasoned before I use it. The upper floor of the workshop is intended to serve the purpose of a "drying oven" to cure the wood. Any left over space, if there is any, will be set aside for storage. The overall intention for the building is for construction of home projects. n Laufer Pat LauferV 167 Fletcher View Drive -__- Highland, CA, 92346` (714) 864-8389 �. Calc CLS h'1- I � J� G. 2- 1- 91 � Fk�r- load► 40 1. ort or p-rL V 0-k Sused Tor co-Asl,ua In i5 aw-n cab vu -1C8 - n k ,. 9 Oct 1990 To whom it may concern: I, John Laufer and my wife Pat hereby authorize Mr. Jim L. Daily of 7070 Cedar Pines Road, Magalia, California, 95954, to act as our personal agent for the sole purpose of improving and developing our property known as Lot 2, Coutolenc Canyon Estates, 14983 Coutolenc Road, Magalia, California, 95954. AP#058-810-002 (zone TM -5) n Laufe Pat Laufer \, 167 Fletcher View Drive Highland, Ca. 92346 (714)864-8389 0 nUCTION LENDQq ILINO ADO rE 7 Uounty Uenler Urlve - Uloville, Calllornia 95965 - Telephone: 916/538-7541 r 11111 IIv. APPLICAT1011 AND PERMIT Z"11r/i— — BUILDING PERMIT T ' PHONE 7 —?,--53 'SO. FT. I OCC. IBUILDING VALUATION I'�in`cii(%€c I"oFi'eNo(Neeri�3'iiXiLiNo i►voiieii ;Uil:6i53 �ooiJRi� LOTSUDOIVISION NAME Jq O. Flreplacce UNKNOWN Total vuluat Ion Filing Fee Permll Fee ICENSE No. Plan Cl,ccking Fee Enolgy Plan Checkl Penalty Permit lee USE OF STR TURE SF ❑ Duplex❑ Mobllehome❑ 0I or S ECIFY nCEL M TYPE OF WORK New[ Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Cf RAN 56 Sf%Dro /In CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. ecense No. Classification l,as the owner, or my employees will, wages as their sole compen- satlon. will do the work, and lire 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 WORKMEN'S COMPENSATION INSURANCE I declare under penally of perjury (check one): ❑ The permit Is for $100.00 (valuation) or less. ❑ 1 have placed on file will, the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling ET I shall not employ any person In any manner so as to become subject Flood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation 10 the W. C. provisions of the Labor Code, you must forthwith comply will, such Permll Fee provisions or this pernll shall be deemed revoked. Contractor Mobile Rome Installation Fee Energy Inspection Fee OCC j CONST TYPE I Fee PLUMBING PERMIT Each Trap Solar or heal pump water healer Water piping Each qns water healer or nt Gas piping system 1 - 5 utlets Building sewer Mobile Holne A S I r w Permit Fee / Contractor ELECTRICAL PERMIT Mair, service poov ort LESS 00 AMP 011 LE S Main service EA. AOD'L 10 AMP NEW COt7ST. / DWFLLING' COUP, O _n_A _ODNS. % ACC. SLOG . NEW COrI$—TFZ T.TLU)- .-Fi1J '1 FT ��oWen rPA"ATUS e SINGLE UTLET Cin. EX. OCCUp OUTLET On FIXTVnE3 Ex. OCCU FIXt7n AVP HSS pn Occup. OUTL TS ,nESID.I EJ Temporary servl e Mobile Horne F cililles ` MIse. Wirinp Permit Fee Contractor i MECHANICAL PERIT Heating I certify that I have read this applicnlion rind 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 tite Countot Butte to enter upon the above-mentioned property for Inspection purposes. y I also agree to save. Indemnity and keep harmless the County of Butte against all Iia g costs, and expenses wl,Icl, may (n any way accrue agalns s d Count In cons uence of the granting of this permit. 1-11 Date C7 Signature of Applicant — Owner ❑ onlroctor ❑ Agent -(SJ - 9n OSIIA permit is rSin, quired for ellcavolions over 5'0" deep and demolition or construct - 'on 61 structures over i stories in height. Li $ $ Fl ling Fee _ 2.00 _ 20A0 5.00 —1101,)O 5.00 10.00 e u Flling Fee 10.00 2.50 2'/:dsq II 2.00 10.00 15.00 15.00 10.00 bz.7s 10.00 10.00 TOTAL HAZ CUA PAIIK SCHL FLO PAn PD HD ISSUE This permit Is hereby Issued under the applicable provf- sions of lite Butte County Code and/or resolutions to do work Indicated above for which lees have been paid. DIRECTOR OF PUBLIC WORKS lecelpt No. 735-5'Z— By Date YnI T E•o. r. W.. YCLLow- ASS C3Son. rl n R•IN Sr EC Ton. COL n ENnOn•APrL I CA" T PERMIT EXPIRES Dnte 1. Ceiling Insulation Insulation In Floor na Number of stories Single R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value 0 R-13 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 0 0 0.08 2. Wall Insulation Insulation In Floor na %Glass Single- Single 18 R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-1 l 0 0 0 R-13 2 2 1 U -value 8 -.,....a...6 -_4 _ ,U -value.. -144 -70 -46 ~ 0.80 .... s-153 = ::.--114_... -..-76 . 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 _ 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 1 0.00' 10 ...3. Raised Floor Insulation S. Infiltration (Air Leakage) specification Points Standard 0 6. Glass Heat Loss Total Insulation In Floor na %Glass North Number of stories 18 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 4 U -value -90 37 -26 -- .---.0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 46 30 0.30 -69 -34 -22 0.20 -1.3 -21 -14 0.10 -17 -8 -5 0.08 -11 3 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00' 10 5 3 Controlled Ventilation Crawispace 25 -46 Number of stories -7 R -value. One Two Three R-0 -11 -1 -5 R-5 -4 -4 3 R-1 t -2 -2 -2 R-19 .-1 -2 -2 4. Slab Edge Insulation . _ 3 - - Number of Stories 34 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 11 16 --18 ...-26 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) specification Points Standard 0 6. Glass Heat Loss Total 1 na %Glass North 1.1 -value 18 Percent 1 16- .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39' -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 ..-a -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 3 0 5 10 16 19 -29 -4 1 6 11 16 --18 ...-26 ----3 -- 2 - 7 - 12 .16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 :' 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 2199 mdiev, SG None 0 . 0 0 7. Shading (Shade Open) --Effective Percent Class (percent glass x SC) Effective 1 na %Glass North East 18 5 1 16- 4.. ,.,. 2 14 . 4 na 12 3 3 11 3 3 10 2 3 9 2 3 8 2 3 7 1 3 6 1 3 5. 1 2 4 0 2 3 0 1 2 0 0 1 -1 -1 0 -1 -2 na = not allowed �B. South West Skylight 4 1 na 5 1na Mass 5 stores na 5 2 _ na 5 2 na 5 2 1 5 2 2 S 2 2 4 2 2 4` 2 3 4,:,. 2 3 3 1 3 2 1 3 1 0 3 -1 -1 2 -4 -2 0 Shading (Shade Closed) Single- . Slab Floor Effective Percent Class Raised Floor Mass (Percent gWa xSC� stores Effective Detached Stories Family /CFA One %Gfec6 Nabi Etut South West %y6pltl 18 -14 -48 39 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 .46 na 12 -8 -29 -40 -37 na 11 -7 -26 36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 .2 .9 • -11 -10 -30 4 -1 3 -8 -7 .23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not allowed 3 7 8 10 9. Interior Thermal Mass Interior Single- . Slab Floor Sum of 1.6 Raised Floor Mass Family stores Mass Detached Stories Family /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 -1. 1 2 0.7 -5 -2 -1- " t 2 2 0.9 -5 -1 0 2 3 • 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 .7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single. Sum of 1.6 Wall Family Family Multi Mass Detached Attached Family 0.00 0' 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. . 1.80 10 12 12 ' 200 10 11 13 11. Heating System SE orKSPF ' (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.:m SEER (assaatel ducts In attic) Sim of 7-10 -25 or -24 b 1.14 In -4 b Sum of 1.6 16 or _ less .15 t -6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 ' 11 9 7 0.95 8.71 20 18 .' 15 13 11 8 20 17 14 Effective SE or HSPF 9 6 12 (SE or HSPF x duct efficiency) ERed ive SEER 5 Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.:m SEER (assaatel ducts In attic) Sim of 7-10 Interior MasslCFA i rnz 2 PASS -25 or -24 b 1.14 In -4 b +6 to 16 or SEER less .15 t -6 +5 +15 more 8.0 -14 -12 -10 -8 3 -4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 _13.0 20 17 14 12 9 6 12 8 ERed ive SEER 5 4 - HP (SEER xduet efflclenc7) 8 5 4 wl of 7-10 3 40% Effective -25 or -24 to -1410 -4 b -.+6 b 16 or SEER leu -15 -5 +5 +15 more 5.0 30 -25 -21 -17 -13 .9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 4 -4 3 .. -2 -2 , 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 i 9.016 POU 14 12 9 7 5 10.6 - 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Interior MasslCFA i rnz 2 PASS Zonal Control Adjustment 2. Wall Insulation 10 8 7 6 4 3 6. No Cooler; System Installed 7. Shading (Shade Open) -Stories ' b. East c. South One -5 -4 -4 3 -2 -2 Two +. 3 3 :; 2 2 2 1 single-FampY �e Detached and Attached zlabl iUnit Size [sl) Water '109 W-* 1700 2200 2700 Healer Uredd or • In to to :or TYPO TYPO less 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 - HP HWR 8 5 4 3 3 40% WS8 5 3 3 2 2 75% POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 1.3 Solar -1 -1 -1 0 0 27 HWR -18 -12 -9 -7 -6 4.2 WS8. -25 -16 -12 -10' -8 0.2 POU -18 _-12 -9 -7 -6 IG None -5 -3 -2 -2 .2 11 Solar 7 5 4 3 2 4.6 POU 3_ 2 1 1 1 IE None -28 -19 -14 .11 -9 2 Solar 8 5 4. 3 3 15 POU -10 3 -5 -4 -3 S Muld-Family (Indlvfdual units) 56 30% 0.S 0.1 •+ Unit Size (sit 1.1 Water 1.6 699 700 1200 1700 2200 Heater Cred'd or b In, b or TYPO TYPO less 1199 1699 2199 mdiev, SG None 0 . 0 0 0 •-0 or Solar 14 7 5 4 3 ' HP HWR 9 5 3 2 2 4.7 WSB 9 4 32 5.7 2 50% POU 9 5 3 2 2�' SE None -45 -23 -15 -11 -91 33 Solar 2 1 1 0 0 5.1 HWR -23 -12 -8 -6 '-5 0.9 WS8 -25 -13 -8 -6 -5 24 _ POU _23 _12_8. 12 ..-6 -5 IG None -8 -4 -3 -2 -2 5.3 Solar 6 3 2 1 1 POU 1 0 0 0 0 IE None 30 15 -10 -8 -6 42 Solar 18 9 6 4 4 5.6 POU -8 4 -3 -2 -2 Interior MasslCFA i rnz 2 PASS Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) 11. 7.otK°4.21 t TYPE 1 MASS (UIIK a 4.2° le: exsed zlabl teaty.t.A ._b1 _�- - 0% 5% 107E /5% 207: 25% 30% 35% 40% 45% 50% W1. 607E $06 70% 75% 80% MY. 90% 95% 100% 10S% 110Y. 115% 120% 12S�, OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 21 23 25 27 29 3.2 14 16 3.8 4 4.2 4.4 4.6 4.8 S 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2S 21 2.9 11 43 15 3.7 4 4.2 4.4 4.6 '7.8_ S 5.2 5.4 20% 0.3 aS 0.8 1 1.2 1.4 1.6 1.8 2 22 24 U 29 3.1 13 15 17 A9 4.1 4.3 4.5 4.8 S 5.2 5.4 56 30% 0.S 0.1 0.9 1.1 1.4 1.6 1.8 2 22 24 28 28 3 32 3.5 17 33 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 S 8 40Y. 01 0.9 1.1 13 1.5 1.7 1.9 22 24 26 2.8 3 12 3.4 15 18 4 4.3 4.5 4.7 4.9 5.1 5.3 S.S 5.7 5.9 50% 0.9 1.1 1.3 1S 1.7 1.9 21 23 25 27 3 32 14 33 16 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.8 1.8 2 22 24 26 28 3 12 3.S 3.7 3.9 4.1 43 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 112 1.4 1.7 1.9 21 23 2S 27 29 11 13 3.5 3.8 4 42 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 26 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5 5 5.7 5.9 6.1 6.4 701. 1.2 1.4 1.6 1.8 2 22 IS 27 29 11 13 15 17 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6 4 75% 1.3 15 1.7 19 21 23 2S 27 3 12 14 16 3.8 4 4.2 4,4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 5.3 6.5 80% 1.4 1.6 1.8 2 22 2.4 26 28 3 13 3.5 17 12 4.1 ' 4.3 4.5 4.1 4.9 5.1 5.4 S.6 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 6S 67 907." 1.5 1.7 2 2.2 Z4 26 2.8 3 3.2 14 3.6 14 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 • 1.8 2 22 ZS27 29 11 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 S.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 i9 Z9 23 IS 28 3 12 3.4 16 18 4 4.2 4.4 4.6 4.9 Sf 5.3 5S 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 22 2.4 26 28 3 13 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 8 6.2 6.4 6.6 6 8 7 110% 1.9 21 23 25 27 29 11 13 16 3.8 4 4.2 4.4 4.6 4.8 S S2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 Z4 28 2.8 3 3.2 14 15 3.8 4.1 4.3 4.5 4.7 4.9 S.1 S3 5.5 5.7 5.9 6.2 6.4 6.8 6.8 7 7.2 120% 2 23 2S 2.7 29 3.1 13 1S 17 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 12S% 21 23 2S 28 3 12 14 16 18 4 4.2 4,4 4.6 4.9 5.1 5.3 SS 57 5.9 6.1 6.3 6.5 6.7 7 7.2 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass '10. Exterior Wall Mass ';11. Heating System 1 ' Zonal Control? (Y / N) 12. Cooling'System Zonal ContTl? ( Y /nN ) 13. Water Heating Measures 3b or R -v ue(381 U -value [0.030) or slue I I i] 1.1 -value 10.0981 I or R -value [ i 11 -value (0.0371 or R -value (01 F2 famor (0.771 Standard Type (doable] U -value [0.65] Point Scores T / 0 9bTotai Masi (16] Sum 1-6 % Glass SC EffEff. % Glass - X = v(, Q 2( X b X = O /,% Glass S /C ' _ Eff. % /Gl/ass _X �_� . X = ---� � =` 3 -9 X D X '97 = n TYi'E 1 MASS AREA _ $ Nus/CFA COND. FLOOR AREA Interior TYPE 2 MASS AREA $ Exterior Wall Mass COND. FLOOR AREA . 7a X- SE or HSPF Duct Effictency (0.78] Effective SE or [0.72!6-6]' , �' HSPFFF 10/ -*5.15] SEER 19.51 Duct Efficiency [0.74] Effective SEER 17.03] V . , Type SG] Credit (none] Point Total: Sum 7-10 4a Certiricace of 4.Ompijanc:e: Aesidentiai Climate Gone 11 Project Title ' SD Building tamiL# Project Address ' / (, /� �'7'�0 3 WiJ1� / f�%l� rnaq L. S ChedtedBy/ Date Documentation Author Tekpho Fnfomen a tt Agency Use Only BUILDING DATAGlass Area % Glass North f-? —5 -a Conditioned Floor Area �q� Number of Stories �_ East Z P_ a-- 7 " SlaWFWFeUTgP Number of .Units _L Addition South Z— West [Sin a Family Detached (SFD) [ J Alone Skylight [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (NM [ ] Existing -Plus -Addition Total _ /o� •. BUILDING SHELL INSULATION Component Insulation LocaflonlComments Type R -Value (atdc, to garagts, CMi=4 etc.) Wall .............. (� l Wall .............. Roof ............. Roof ............. Floor ............. Floor....:....... Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single. double) tyoller blind. etc.) (shadescreerr, etc.) (yes/no) (maalhtrood) North ( )_ North ( ) East East South South West (') West ( ) Skylight....... THERMAL MASS i Type/Covering Area Thickness . (slab/exposed, tile. etc.) (SO Ti (inches) L.oeationi'Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # a ' conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved eaual) 7 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # �\v System T (storage gas. etc.) Capacity or approved equal) iWSpecial SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NOTE. Lowrise residential buildings subject to the Standards must contain these measures mpr<.ik= of the-cornpliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requuanem listed on the Cuufmate of Compliance. When this chocklist is incorporated into the permit documents, 0a features noted sbalt be considered by all parties as binding minimum component poior m&= specifications for the mandatory measures whether they are shown elsewhere in the documents or on this raock)ia only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(br Loose full insulation manufacturer's labeled R.Va1ue- • §2.5352(cr Minimum wail insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352 ft Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pemhtinch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f) Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfiloatiavExfrinration Controls i Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certiried. c Doors and windows weatherstripped: all joints and penetrations caulked and sealed 12- 5352(c): Special infiltration barrier installed to comply with 02-5351 tncets CFC quality standards 12.5352(dr Installation of Fireplaces 1. Masonry and factory -built rueplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No conunuas burning gas pilots allowed. HVAC and Ptum bin g System Measures 52.5352(8) and 2-5303: Space conditioning equipment sizing: attach raleutations. 02-5352(h) and 2-5315: Setback thermostats on all applicable heating systems. §2.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316 ft Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition deviem 12-5314: HVAC equipment, water heaters, showerheads and fauces certified by the CFC. 42.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R.16 or greater): fust 5 fee of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping §2-5318(d) Swimming Pool Heating 1. System has. a. Orloff switch on heater. b. Weatherproof instnxtion plate on heater: - c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directiorul water inlet Lighting and Appliance Measures §-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c)- Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers. freezes and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT 'Iris certificate of compliance lists tit_ building features and performance specifications needed to comply with. Title 24. Chapter 2-53 and Title 20, Qmptrr 2. Subctupter4. Article 1 of the Califomia Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. Designer Name: ruWFimL Address: Tekphorse: Lic. 8: (signature) (data) Building Owner Name Address: Tekphone: • � • y1 l `ZJ (si6na (datc) Documentation Author Enforcement Agency Name: Name: i itkJFirm Agar - Address: Tekphone: ' , _ Point System Summary: Climate Zone 11 1. Ceiling Insulation 103Y or R -value (38 U -value (0.0281 2. Wail Insulation _ or R -value 19 U -value 10.0651 3. Raised Floor Insulation or R -value 1191 U -value 10.0371 4. Slab Edge Insulation 5. Infiltration S. Fenestration Heat Loss Point Scores or R -value 101 F2 tactor 10.751 Any Ducts in Unconditioned Space? (Y // N ) / [Y] �/L 7� ype U -vel Total X Fetes. [16] Su 7. Fenestration Heat Gain • %, Fene on SCshade open Eff. % Fenes. North x 7-7 - East / . 5 x South -t.. * x = .. West / _ x Skylight ��_ x = Overhangs? ( Y / N ) 8. Interior Thermal Mass or % Exp. Slab 1201 Int MasslCFA 9. Exterior Wall Mass Shade Elf. Ratio 10- Heating System Ext. Wall • 7- x • S 3 R -value One AFUE or HSPF Duct Effie. 11 story: Effective AFUE 11. Cooling System [78% or 6.81 /_ 0.83; 2+ sto 0.68] P, x ar SPF -5 -4 . R-30 -1 SEER (10.0] Duct Effic. (i story: Effective SEER 0 0 0.81; 2+ story: 0.871 . 2. Wall Insulation 12. Water Heating Nurro r of stomas .61 R -value System 1� • -S f (� -14 -9 eater Type (SG501 Energy Facto 10.531 Ext Ins. R -value (121 Auxiliary Input (None( System 2 0 0 0 R-30 Heater Type (None( Energy Factor Est Ins. R-vaute Auxiliary Input 1. Ceiling Insulation R-0 Number of stones -43 R -value One Two Three - R -0 -74 -48 -27 R-19 -5 -4 -2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation .71 Nurro r of stomas .61 R -value Single• single - R-0 -14 -9 Family Family wmi- R-0 -72 -57 -43 R-11 -7 -6 -4 R-13 •5 -4 -3 R-15 -4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation 1.01 .91 Insulation in Floor .76 .71 Nurro r of stomas .61 R -value One Two Three R-0 -14 -9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 1. 4. Slab Edge Insulation Number of Stones Sum 7-9 Zonal Control Adjustment (0] Zonal.c woad Adjustment 101 Distribution ISTDi CIL Oistniwtion Point Total: R-0 0 0 0 5. Infiltration (Duct Air Leakage) R-5 6 4 2 Ducts to Unconditioned Space 0 R-7 7 4 2 No Ducts in Unconartio red Soace 3 6. Fenestration Heat Loss 7. Fenestration Heat Gain (baseo on Snaoe Effeictrveness Ratio) Eff -% Fen- arse- tion North .87 .67 52 .51 or to 10 or more 96 .66 -less East .87 .67 .52 or to to more .86 .66 .51 or less South .87 .67 -52 or to to more .86 .66 .51 or less West .87 .67 .52 or to to more .86 .66 .51 or less U hralus is'- -5 -4 -3 -2 -21 -20 Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to to to to to to or Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 55 .50 45 40 less SOY. -100 -76 -69 -62. -55 48 -41 -38 -34 -31 -27 -24 -20 -.17 •13 -10 401. -77 -58 -52 -47 -41 -36 -30 -27 '-25 -22 -19 •i6 •13 -11 -8 -5 35% -66 49 -44 -39 -34 -29 -25 -22 •20 •17 •15 -12 -10 -7 -5 -3 301Y. -54 -40 -36 -31 -27 .23 -19 -17 -15 -13 -it -8 -6 -4 -2 0 28% -50 -36 -32 -28 -25 -21 -17 -15 -13 -11 -9 -7 .5 .3 -1 1 260. -45 -33 •29 -25 -22 -18 -14 -13 •it -9 -7 -5 -4 -2 0 2 24% -41 •29 -26 -22 -19 •i6 -12 -11 -9 •7 -6 -1 -2 •i 1 3 221. -36 -25 -22 -19 -16 -13 -10 -8 -7 -5 -4 -2 •1 1 2 4 20% -31 -22 -19 -16 -13 -11 -8 -6 .5 -t -2 -1 1 2 3 5 18% -27 -18 •i6 -13 -11 -8 -0 -4 -3 -2 -1 1 2 3 4 6 16% -22 -14 -12 -40 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 •it -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -t •2 .1 1 2 3 4 4 5 6 7 8 9 1011. -0 -4 •2 -1 1 2 3 4 5 5 6 7 8 8 9 10 8% •4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (baseo on Snaoe Effeictrveness Ratio) Eff -% Fen- arse- tion North .87 .67 52 .51 or to 10 or more 96 .66 -less East .87 .67 .52 or to to more .86 .66 .51 or less South .87 .67 -52 or to to more .86 .66 .51 or less West .87 .67 .52 or to to more .86 .66 .51 or less Skylight .67 .66 or or more less is'- -5 -4 -3 -2 -21 -20 •15 •12 -26 •23 •i6 -12 -36 •32 -23 -16 -75 -50 16% -4 -4 .2 -1 -18 -16 -13 •10 -21 -19 -13 -9 -31 -27 •19 -14 45 • 14 14;. -4 -3 -2 -1 -14 -13 •11 -8 -16 -14 •10 -7 -26 -23 -16 -11 •55 -38 120. -3 -2 •1 -1 •11 -10 -8 -6 -12 -10 -7 -4 -21 -18 -13 -8 -46 -31 it% -2 -2 .1 0 -10 -9 •7 -6 -10 -8 -5 -3 -19 -16 -11 -7 -41 -28 10% -2 -2 -1 0 -8 -8 -6 -5 -0 -7 -4 -2 •16 -1d -9 -6 -37 -25 9Y. '-2 -1 -1 0 -7 -7 -5 -4 -6 •5 •3 -t -14 -12 -8 -5 -32 -22 8% -1 •1 .1 0 -6 •5 -4 -4 -4 -4 -2 0 •11 -10 -6 -4 -28 •19 7% -1 -i 0 0 -5 -4 -4 •3 •3 -3 -1 0 •10 -8 -5 -3 •24 -17 6% -1 -t 0 0 -4 -4 -3 -2 -2 .2 .1 0 •8 -7 .4 .2 .20 -14 5% -1 0 0 0 -3 -3 -2 -2 -2 -t 0 0 -6 -5 -3 :1 -16 -12 4% 0 0 0 0 -2 -2 -1 -1 i •1 0 1 -4 -4 -2 0 -12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 •2 -2 0 1 •9 -7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 -6 •5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Houses With Ducts (R-4-2) Extmor Method A (Slab -on -grade Construction Only) Peteel Wall One Family Two Three Exomed Ston -25 or Stones Stones 0 0 -3 3 .2 2 -1 10 5 -2 0.60 -1 8 1 20 12 0 7 0 14 0 30 1.20 1 /3 1 1.40 1 . 40 11 3 21 2 13 1 50 18 4 2.00 3 19 2 60 0 5 85% 3 7.2. 2 70 3 6 2 4 9D% 2 80 8 8 5 5 3 3 90 8.3 9 11 6 7 3 100 2 10 8.7 6 13 4 9 7 Method B +6 to 16 or Int AC so PAW -15 Raised Floor Mau EHerxlve Stories One Story House 1 Stones /CFA One Two Three One Two Three 0.0 -11 -8 -6 -1 -1 0 0.1 -10 -7 -6 0 0 0 0.3 A -6 -5 1 1 1 0,5 -8 -5 .4 2 2 2. 1.0 -6 -3 -1 4 4 5 1.5 -4 -1 1 6 6 6 2.0 -2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 1 5 11 10 10 4.0 4 6 7 13 13 13 S.0 4 6 8 i4 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 i6 8.0 8 9 11 .18 17 17 9. Exterior Wall Thermal Mass Houses With Ducts (R-4-2) Extmor Single- Single- mufti Wall Family - Family Family Mass Detached Attacned -25 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 - 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 /3 10 1.40 16 14 11 1.60 21 17 13 1.80 -23 18 14 2.00 24 19 14 10. Heating -System Houses With Ducts (R-4-2) 1000 WMr!"wit g man SEER Pimm Seam Houses With Ducts (R4.2) Sum of 7-9 JO -17 Split Prig -25 or -24 to Sum of 1.6 -4 to +6 to Gas Split Pkg -25 -24 -14 .4 +6 16 AFUE HP HP or to to to to or - HsPF HSPF less -15 -5 +5 +15 more 78% 6.8 6.6 - 0 0 0 0 0 0 80Y. 7.0 6.8 1 1 1 1 0 0 85% 7.4 7.2. 5 4 3 2 2 -1 9D% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 +6 to 16 or Effecdve AFUE or HSPF AC less -15 (AFUE or HSPF x duct efficiency) +5 EHerxlve more One Story House 1 Sum of 1.6 0.73 Gas Split Pkg :25 •24 -14 -0 +6 16 AFUE HP HP or to to to to or . HSPF HW less -15 '-5 +5 +15 more One Story House 7.8 -1 0 0 0 0 33% Z9 Z.8 -62- -53 -44 -34 -25 -16 406/. 3.5 3.4 _40 -34 -28 -22 -16 -10 50Y. 4.4 4.2 -19 -16. -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1' 5.9 6 5 4 3 2 1 SM. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -8 -3 0 7.0 6.8 33% 2.9 Z8 a -58 -48 -37 -26 -15 40% 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -i6 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8. 6 5 3 2 90Y. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Adjustment System Type Resistance 6 4 3 2 1 0 Omer 3 3 2 1 1 0 11. Cooling System Adjustment for No Tank ins"tloa Number of Water Masten water Heiner Tvoe One Two SGSO •2 -5 SG75 •3 •6 SE -5 -4 HP •2 .4 House Sha Adjustment Hans Site (ft2) Subtotal Houses With Ducts (R-4-2) 1000 WMr!"wit g man SEER Pimm Seam 1000 Sum of 7-9 JO -17 Split Prig -25 or -24 to -1410 -4 to +6 to 16 or AC AC less -15 •5 +5 .15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.1 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 093 -21 Effective SEER HP (SEER x duct efficiency) 1.80 4 Eft SEER 5 -1 Sum of 7.9 Two Www Heaters - No wamdnary Crodmt Split Pckg -25 or -24 to -14 to -4 to +6 to 16 or AC AC less -15 -5 +5 .15 more One Story House 1 0.73 6 5.0 4.9 -29 •23 •17 -11 -4 0 6.0 5.8 -16 •13 -9 -6 -2 0 7.0 6.8 -7 -6 -4 •3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0' 11.0 10.7 12 10 7 4 2 0 IZO 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 •12 -8 -3 0 7.0 6.8 -11 A •7 -4 -2 0 8.0 7.8 -0 -3 -2 -1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 IZ6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Tank ins"tloa Number of Water Masten water Heiner Tvoe One Two SGSO •2 -5 SG75 •3 •6 SE -5 -4 HP •2 .4 House Sha Adjustment Hans Site (ft2) Subtotal less 1000 WMr!"wit g man to Pimm Seam 1000 1499 JO -17 •5 -25 -14 1 -20 -it •3 -15 -0 -0 -10 -6 •2 . -5 3 -1 0 0 0 5 3 1 10 6 2 1s 9 3 20 11 3 25 14 4 Hasse Size Adjustment SG50 Al Mouse sae (It-) sutlmpl 15M 2000 VPater Hslmtg to or Paso Sears 1999 more 30 0 3 -25 0 2 .20 0 2 -15 a 1 -10 0 1 .5 0 0 0 0 0 5 0 0 10 0 -1 15 0 -1 20 0 -2 25 0 -2 Zonal Control Adjustment All 6 5 4 2 1 0 I2- Water Heating One Water Heaw - No AuxULary Ctodlts Dlontutan Syatant2 Rewe Svstema water tXimass EraV STD HWR Rpe Nb Timer Demd Hester Tvoel Zones Factor POU Insul Cut SG50 Al am 0 3 1 -0 -5 0 am 5 a 6 1 0 5 0.73 8 11 9 0 4 a SG75 Al 0.48 -2 1 -1 -12 -7 -2 as 3 6 5 -5 -1 4 0.68 7 10 8 -1 3 7 SE Al 087 -20 -12 -17 -41 32 -19 OM -17 -8 -13 38 -25 -i6 IC All 080 2 5 3 IE Al 093 -21 -12 HP 6.11.13.15 1.80 4 7 5 5 -1 4 Two Www Heaters - No wamdnary Crodmt SG50 Aa am -7 -4 •6 -17 -12 -7 0.63 1 5 3 -0 -0 1 0.73 6 10 8 -2 2 7 SG -95 Al 0.48 -12 -0 -11 -22 -17 -12 am -1 3 0 -11 -0 -1 0.68 6 to 7 -0 1 6 SE Al 0.87 -22 -14 -19 •46 -25 -22 OM -16 -7 -12 -39 -28 -15 :G Al am -4 -1 -3 IE Al QM -21 -12 HP 6.11.13.15 1.80 1 3 1 -10 -6 0 Mandatory Measures Checklist: Residential. MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be suoerseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). ' §150(d): Minimum R.13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pemvinO. §118: Insulation soecified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and seated. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration bather installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §1110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or comoined intenouextenor insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping Delow 55OF insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(m): Ducts and Fans 1. Ducts constructed, installed and seated to comply with UMC Sections 1002 and 1004: duan insulated to a minimum instailea value of R4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust tan systems nave backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible. manually operated dampers.. §114: Pool and Soa Heating Systems and Equipment t. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions. no electric resistance neafing and no pilot light. 2. System is installed with: a. At least 36' ctoe oetween filter and heater for future solar healing. b. Cover for outdoor pools or outdoor spa. 3. Pool system has arectionai inlets ano a circulation Dump time switch. §115: Gas-iireo central furnace. pool heater, spa neater or household cooking appliance have no continuously bunno pilot light. (Exception: Non-eiectncal cooking appliance with pilot c 150 Btwhr.) Lighting Measures § 150(kl: 40 lumenswac or greater for general lighting in kitchens and rooms with water closets: and recessed teeing fixtures iC (insulation ccvern approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply -with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the irmdividtral with overall design responsibility. When this certificate of compliance is sube tted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Profeesions code) TidWFum: Address: Telephone: tic. a: (signaoue) (date) Enforcement Agency Name: Title: Agency: Telephone: _ (srgnaturaistamp) (date) Documentation Addirm: In /'5"A .i//%..�/1.�i�i1 Certificate of Compliance: Residential Climate Zone 11 pro,ectTitle 'L` / ut /4r • IL BuildinLog M project Address 66S Checked Ely / Date Documentation Author Teleph5ft Enforcement Agency Use Only Fenestration BUILDING DATA / Area % e� Contiitio r Area /� Jr • O �i Number of Stories North East Slab Floo Number Of .Units _ South • to a Amily Detached (SFD) [ ] Addition Alone West (] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [ l Existing -Plus -Addition Total �s •-� B UU,DING SHELL INSULATION Cornponent Insulation Locatiioo/Comments Type R -Value (Wic, to gwage, td- e=JI Roof ............. 3 W_ Roof............. Wall.............. Wall...........». Floor ............. Z/ Floor ............. _ Slab Edge....: FENESTRATION Shading Devices fenestration Area Type Interior Exterior Overhang Framing Type Orientation Sf) (single, double) ciHa blin(, etc.) (andescre M eta) elmo) (meW/wood North ( ) North East ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... —- THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc) (sf) (inches) LOcatiorl/Description (kitchen. bath. etc.) Jim HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Heat Pump conditioner, heat icuinn) (A uE SEER.HSPF) (attic, eta.)etc.)) R -Value Thermost — �, — 'Z � IIOT WATER SYSTEMS Tank/� Svstem T (storage as, etc.) Capacity Number FnerFacr� to SPECIAL FEATURES/REMARKS 9 e 7 17 4 --7 INA 6-1b aQ ,mss i �'�' l 4#Z reoTa4391a Mon. c'TXZ6 S!i . I 71-rjb r 40:), 17, 7 Saulloc) Onq, q 10 4TIOT'n" ITT "-TOAX r7r"T., 4ZI lad 07 Q0 tro 1duir Pt. e jo Qj O Z!