HomeMy WebLinkAbout065-540-002I
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iLAUFER-, John 7" N
-14983 Coutelend Rd, Magalia
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LAUF R, -,'JOHN & PATRICIA`
1498 ENC, MAGALIA
CONTR: - E ORSILLO
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93-915 P,E
LAUFER, JOHN,& P ICIA
14983 CO OL
COUTOLENC MAGALIA.
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058-81-0-002 93-685 BPEM
LAUFER, JOHN & PATRICIA
14983 COUTOLENC, MAGALIA
:CONTR: STEVE ORSILLO
NEW SF 7a Ai
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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
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�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
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S 0,9 G D CLd /lam i
Date co'-\ V � Inspector
1a" ill
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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
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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
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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!