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HomeMy WebLinkAbout066-240-0281 e _- r � - 66-24-28 _ JOHN MARLER 13531 Wi`c�hilta Drive, Magalia Permit#2057-84 0. P, ,j,�n`ew single family) i aL 6-6=2-4-228 Contr: Fraa.,nkks& AC f Perms1666-85P(solar water heater/SF) L 11- 66-24=28 . �, 33-90 ,'M i MARLER-,;.-John•. / �; •' ' ''` Conte.- , Bilis, Htg. & t Air Co .i. ; 13531•, Wich ta;.. Magalia j (install wall furnace*',&r gas�li e) -, 66-24-28 3255-91B,P,E,M r ` 20gIGA, Marcus &,Elaine 13531 Wichita, Magalia cont: Robert Coppa (conv garage to living) a0,92�- 066-240-028 05-0-595— H FUNKOUSER, PAMELA 13531 WICHITA DR, MAGALIA CONT: SCREEN & WINDOW SHOP REP 8 WINDOWSC\��, 0Gc4P-za��-�_ � ho� J� I e _- r � - 66-24-28 _ JOHN MARLER 13531 Wi`c�hilta Drive, Magalia Permit#2057-84 0. P, ,j,�n`ew single family) i aL 6-6=2-4-228 Contr: Fraa.,nkks& AC f Perms1666-85P(solar water heater/SF) L 11- 66-24=28 . �, 33-90 ,'M i MARLER-,;.-John•. / �; •' ' ''` Conte.- , Bilis, Htg. & t Air Co .i. ; 13531•, Wich ta;.. Magalia j (install wall furnace*',&r gas�li e) -, 66-24-28 3255-91B,P,E,M r ` 20gIGA, Marcus &,Elaine 13531 Wichita, Magalia cont: Robert Coppa (conv garage to living) a0,92�- 066-240-028 05-0-595— H FUNKOUSER, PAMELA 13531 WICHITA DR, MAGALIA CONT: SCREEN & WINDOW SHOP REP 8 WINDOWSC\��, 0Gc4P-za��-�_ � ho� 5, RESIDENTIAL -24-28 - 3255-91B,P,E,M MIGA, Marcus & Elaine 4 13531 Wichita, Magalia ( cont: Robert Coppa (conv garage to living) i r ' BUTTE COUNTY s BUILDIN 7.DEPARTMENT r WppR OVFr) i,. rs. Y i1 t r 1 JOB FINALE Signature e .i 5, RESIDENTIAL -24-28 - 3255-91B,P,E,M MIGA, Marcus & Elaine 4 13531 Wichita, Magalia ( cont: Robert Coppa (conv garage to living) i r ' BUTTE COUNTY s BUILDIN 7.DEPARTMENT r WppR OVFr) i,. rs. Y i1 t r 1 JOB FINALE Signature e J 'OK O = Not OK Nat = Not 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 t 4. Water; Location -Test -Easement Needed (Sketch) " 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /•'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date, Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing Slum. Awn.; Columns-Cor4fe gtions-Splice-Decal-Enclosures 7. Elec 'c Sils- ch rs- es idn V neer-Stucco-Mesh 1 . of; Sht - g 11. Ex .; S ps- oors-L ings � M Date Car B-1 Date Card B-1 Date C rd B-1 Date Card B-1 Date POOL 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 6-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except ti'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 I 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pier Fireplace Ftg.-Steel 9 W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11 X12. ater Pipe; Test -Anchor -Regulator -Service Test Electric; Underground , . 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date% *- Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's = 1$--iNater-1 Itr.: Vent -Access -Combustion Air -Baffle ---------------- ----------------------- 17. Water Pipe; Test & Anchor -Nail P n --------- - - -- -------------- W.V., Test -Fittings & Anch r -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 ft's _ 2� fix�ture & Transformer Clearance -Ins. Protection -- -- 23!Elec.. Receptacles Spacing -Lights & Switches at Doors - - --- - - --- --------- -- -- ----- - ------ ------ - - - --- --- -- ze Boxes & No. of Conductors -Stapled _ 2 omex Installed Close to Edge of Studs & C.J. ---------`�-------------------------------------- ---------------- uip. Ground made up w/Meth. Fastners-Bond Gas & Water -------- ---------------------- ---------------------------------------- Appliance Circuts in Kitchen & Conductor SizerGFI -------------- - - ------------------ ---'------------- - - ----- ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI ange Grc / I ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -- -- - rwce-Riser Conductors & Ground -Main Disconnect -------- ---------- - - - quip. Clearances Panels-Motors-Mech. Equip. ( othes Closet Light -Shower Light -Spa Light ----------- ------ -- --- - -- ---- -- -- - � 3. Smoke Detector --------------------------------------------------------------------------------- -Date ----Date Card B-1 Date Card B-1 ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except ft's 34. E. Ducts Insulation & Support --------- --------- ---- ------ -- --- --- --- -- ---- --- Vent Fan: Exhaust above insulation --------- 36. Condensate Drain & Overflow: Size & Grade - 37. Furnance_Vent_ Access_Comb_- Air -Return Air Vent-116outlet 38Attic Access & Platform if Furnance in Attic Date%/� c� Card B-1 Date Card B-1 -- --- - ----------------------------------------- - --------- ---- ---------------- ---------------------- -- - -- -- - - - --- ----- --- - - -------------- -- - -- - - ---- ---- -- ------------------------ Date - Card B-1 Date Card B-1 Date FRAM (Plans) OK except #'s Sils oper Material & Anchors ------- --- - - - - -- - ------------------------------------------ --------- alts tuds-Nailing. Spacing & Bracing -Plates -Sound ----------- - - - - ----------------------------------------------------- 4 Bari g Walls over Girders & Floor Nailing --------------------- ---------------------------------------------------------- 4 raft Stop in Walls (rat proof) - ----- --------- rred ---------------- - - ------------ re ops: Furred Ceilings Stairs -Chas- -T eaders & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) jangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ce Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing roperty Line Firewall '& Openings 15.2.�Ext_Doors_One 3' -Check Garage -3rd Story, 2 Exits ----------- -- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6,4.`plywood on.Roof Overhang -Attic Vents -Rafter Outriggers ---------------- - _ . Siding -Nailing Veneer - -- - -_- Wcco Mesh -Drip Screed -Fd. Vents-Underflr. Access a,5.7 -`Glazing Area -Glass Protection=Skylights-Plastic ----- hear Walls: Nailing -Bolts =-- 59. Insulation -Walls -Ceilings - 60. Infiltration -Walls -Windows ----------------------- / ------ -----,---------- --- - Date`1 - Card B_1 Date - Card B-1 Date d Card B-1 Date Card B-1 Date FI AL (Plans) OK except ti's xt. Steps -Door & Sidelight Protection -Landings y? ( 62. Smoke Detector Furnace: Vents -Clearance -Comb. Air -Connector - In Garage- Above Floor -Ducts -Meeh. Protection t ee rdom Exiting -------------- ------ 61. G.F I. & Bath Fixtures & Tub Access -Spa 66. Trim & Subpanel; Breaker Sizes & Labels -------------------- -68--------- --Stairs-s-& Rails ---- - --F e1-Tce or Stove: CIearances-Hearth -- ---------------- - - - - - Elec. Outlets at Wood Panel_Int. & Ext. T - --- - 6-Ki1-Fixt-& Appliance: Grnd.-Air Gap -Cooking Clearance T-i-Etec7Outlets & Receptacles at Kit. Counter -- _�7 arage Fire Door Swing -Landing -Closer J3"A:C�'Du�ct in Garage -Damper X7.4-W1r. Htr...: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75 -CP b., Elec. & Mech._Equip. Listed for Location 7 , fir -Receptacles in Garage: (G.F.I.)-Romex Protection ---------- 7[,;e, Insulation -Foam -Looked in Attic ❑ Yes ---- - -------- uard Rails & Deck Construction -Post Caps 79- Fdn-Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------------ 843-Foliowing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes - ❑ No €31-StaL�o: Brown -Finish ------------------------- 42--A-0-Unit: ------------- - ----42 A -C: Unit: Disconnect. Electrical, Plumbing . -------------------------------- --& ------------------------------- ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to - - Openings _-- ------ -nin ------------------------ 84­Water Well: Disconnect_ Electrical_ Plumbing 85. �Elec. Trim: G.F.I. Receptacle -Underground -------- dv,,eiflilation Throughout House - ------ - - - 8V GIs------------ aVCorrections from Previous Inspections ---------=-----------ged: G-------------------- - - as Test -Meters Tagged; Gas -Electric - e- -90-*taut"& Sewer Connected -C/O to Grade -HD Approval ----91.- Energy Compliance -Certificate -Other Certificates - Date h 7 Card B-1 - Date Card B-1 -- -- -- ----------------------------------------- Date Card B-1 -Date --- Card B-1 ------------------------------- - - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEP,ARTMENT OF PUBLIC WORKS 7 County Center Drlve - Oroville,"California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 6:9A /I ASSESSOR PARCEL NUMBER I ZONING RT BUILDING PERMIT OWNER TE PHONE MARCUS ELAINE ANIGA ------873-0127355 SQ. FT. OCG`, BUILDING VALUA ION R 10,650 OWNER'S MAILING ADDRESS 13531 WICHITA MAGALIA CONTRACTOR'S NAME ROBERT COPPA TELEPHONE 873-2248 CONTRACTOR'S MAILING ADDRESS 13524 WICHITA MAGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 86.50 ARCHITECT OR ENGINEER ENSE NO. Plan Checking Fee $ 43.25 Energy Plan Checking Fee $ 15,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 154.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 4 1 2.00 8.00 Solar or heat pump water heater 20.00 LOT NO. 280 SUBDIVISION NAME PARADISE PINES C.C. UNIT 4 PARCEL MAP 66-24 Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer__ _ 5.00 Mobile Home S G W O.00ea TYPE OF WORK New F-1 Addition Remodel❑ Utilities❑ Installation❑ Other [I Describe work: GARAGE CONY. 1BD/1BTH Permit Fee $ 28,00 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. G1(���.� Classification. w?Nnk I, as the owner, or my employees with wages as their sole compe sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81 OR AODNS. ACC. BLOGS. ( , /zOsgft ,00 NEW CONSTR. MULTI -OUTLET NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 eAL030 FIXED APPLNS.❑ Ex. OCCUp. OUTLETS (RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ 19.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation l HEAT 1 3.00 3.00 Permit Fee $ 13.00 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 Iia ilities, ju gments, costs, and expenses which may in any way accrue again s unt in consequence of the granting of this permit. X Date 9'�Z _% Signature of AP Icant - Owner ❑ Contractors 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 Insp 'ction Fee $ 30.00 c T PE V TOTAL FE $ & HAZ. ,�- cuA PARK SCHL FLD PA PD I HD• SSU , This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. D OIR F -PUBLIC WORKS ' �j BYZ //%� nRte .0 - �- ! PERMIT EXPIRE Date `�/~`-.-C2- Receipt No. "7 �.� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . , � n , ... . � -r ♦r .'R rid; � �i��-�T ��` �,t.}ti�,^a�i(fL:...'�.r .. .- ,r •. -. ww - s,j;,$eta..-r......y7:,r��t^..�,yyrf. «.. COUNTY OF BUTTE - DEPARTME&T-N LIC;WOR S -BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OR OVILL CAILIFORNiA 95965'- TELEPHONE: 916/538-7541 PERMIT -!.APPLICATION DATA SHEET �- Permit No. V / OWNER An 0,5 02 EL,9.�v•1lb/d _ A. P. No. �'6 ' 2L/ 26 Proposed Building Use 6A RAG,G 6a V- 0,0 Re "Building Inspector cs" � 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 suorrVtted......... :: , , r . 2. Plot plans in duplicate/triplicate; signed by preparer of plans ........ 3. Complete plans in duplicate/tripli'cate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, wfj� 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 ....................................... # . Park fees paid .................................................... Pea & a/ S e - Sc ool District fees paid .............. _ 14. Sanitation approval from -_ Pi4A.4,0/S a Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ti (see City for other requirements) 17. Planning approval for' (A) Use: (B) Parking: ...... , 18.E 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 Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization`....... .,'.". 26. 27. When y u issue the permit, process as folio s: Mail to owner. Mail to contractor. Telephone Q75-22 Y&nd hold for pickup at office. Deliver w/inspector. Other q Applicant �— .Date Copy of Hdz-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: (C. cle new ' em no jheeked above), 1. Index permit for above items No. 2. "Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked by _L Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date �4 1 TO Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance "- Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for:, Water Supply Final clearance O.R. for: Water Supply clearance for 'Z- bedroom.tier home. Other NOTE * * * Date Sanitjan BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form -per Building) A.P. Number b� �y �g Building Department No. to, ��- School District A&/a,o- fC City D County Jurisdiction Property Owner �� G ✓J 04 rL4114` V„i Project Location/Address' ���% W / E f-/ i P"d�5�� Subdivision yAIr,-V Lot Number �e Residential Development: Sq. Footage ass # of Living MHI Addition (Group R) Units ,-Commercial/Industrial:. Sq. Footage New Addition (Including Exterior"' Roofed Areas)'" ilding Department Representative Date (Floor Plans reviewed by School District Personnel) District No. 1I ` -3 25 --� School District certifies that (City) (State) (Zip Code) has complied with the requirements of Resolution No - by the ayment of., representing '1J�square feet. S hool District Representative ilDat6 PAID BY CHECK NO. REMARKS: (/�Jl% CK7t l X77- 1 U BANK NO �— PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) } --�.���.r �._ �V+wi./►��N���-ti'Ya+.�'.rrr.(l.-rti ira �n l� eYw i COUNTY OF BUTTE 1✓_ - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r + 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 a CORRECTION NOTICE R 5 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Inspector r ENERGY INSTALLATION CERTIFICATE /"�(tC %yC/d-'/' 32� ' Building Owner r � a � ll Cr/BBuilding Permit # Building Location 53 �J fe-r/ r r�-y22V DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Materials QTS Brand Name Thickness(inches) Thermal Resistance(R Value) CEILING -- Batt or Blanket Typec'�fl'�i"S - Brand Name Thickness(inches) V-- 3 0 Thermal.Resistance(R Value). Loose Fill Type Brand Name . Minimum Thickness(Inches) Area Number of Bags Wt. per bag lb. covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED — Material / Brand Name Thickness(inchesr Thermal. -Re 3 tance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) - FOUNDATION WALL - Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, __._-_ _-:2s..consisten.t_with ..approved-building-.depar--tment -plans- and attachments and -con- forms with requirements of Chapter 2-53 of State of California Energy Requirement . FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE - STATE CONTRACTOR'S LICENSE NO. " PO X126 �2 SIGNATURE OF HVA CONTRAC-' R/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillllee, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR L NUMBER ®;LS ZONING BUILDING PERMIT OWNER Mz�,�JkGA�-c2�Z`r TELEPHONE SO. FT. OCC, BUILDING VALUATION O OWNER'S MAILING ADDRESS 31S3� L,3 t c.N Pr C�if�, GA 4S SIH CONTRACTOR'S NAMELEPHONE Ro � 973- q6 CONTRACTOR'S MAILI G ADDRESS 13S` -LI W' Cin . (��.q 54 Fra 4 Fireplace CONSTRUCTION LENDER j UNKNOWN Total Valuation $ O Filing Fee t Gro $Y� 10.00 LENDER'S MAILING ADDRESS _ ARCHITECT OR ENGINEER ';,•, .,17 LICENSE NO. Permit Fee Plan Checking Fee $ $ y .�5`' Energy Plan Checking Fee Penalty $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1BUILDING ADDRESS . �3i (.�JtLNb`CA 41nt'���c--tf� GR �pSgSy Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap ` 2.00 _ Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION So NAME /' '/ r( � (! fi Dl A' Jcs ca L, VN/(r. ;� PARCEL MAP "— Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 1 SF V� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer I 5.00 s';- ' Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition iRemodel[] Utilities ❑ Installation❑ Other ❑ Describe work: A��IJE �-���> /L II Permit Fee $ B ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&), OR ADONS, l ACC. BLDGS. /1(tsgft NEW CONSTR U TI.OUTLET' NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 61 (SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES e� 090 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation —P ermit Fee $ Contractor 1 certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating 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 liabi 'fes, judgments, costs, and expenses which may in any way accrue against id C unty in c quence, f the granting of this pe7DA?1_ X Datesions SignattrJ. of Applicant — Owner Contractor E] Agent ❑ Vok 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 $to occ CONST TYPE �— TOTAL FEE $ HAz CUA I PARK I SCHL I FLO I CDF I PAR PD I HD. ISSUE This permit is hereby issued under the applicable provi- 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. % ZZ /1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A'' (Additions) Owners (/ Climate Zone _ Permit # - FloorArea The following data showing.mandatory and required features of Package "A'' shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned, space that is converted to conditioned space., Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA �9 CEILING WALL FLOOR SLAB O GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 R-30 R-11 R-11 R-7 U-.65 (Dual) or 1..36 Shading'Coefficient WEST - .36 Shading Coefficient ZONE 116 R R-. R-19 R J7 Ur.65 ( ual) LOOSE FILL INSULATION (Density) O INFILTRATION CONTROL (Weatherstrip. -doors, certified windows, caulking) VAPOR BARRIER (Zone 16) ® DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 ® LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT Q MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. . J J a 7Y \ y OTHER �- 12/85 *1 HEATING. VENTIIATING,y AIR CONDITI.ONING SYSTEM (A) Heating ❑ Central Gas Furnace 7 (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1' (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) • ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation I ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ',cooling load BTU *2 Submit T.I.P.S.E. chart"or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Ca4SIGIA Admnistration Code. 1200FIRBUIANGrNER 0 APPLICANT q �7I4� V 2057-84B,P,E,M PERMIT NO. PERMIT EXPIRES— OWNER JOHN MARLER CONTR. owner ASSESSOR PARCEL 66-24-28 LOCATION 13531 Wichita Drive, Magalia OFFICE COPY 4 1 Address G AS Meter B Date ELECT _ i Meter B OFFICE Y— Addnss ELECT i�l 1 TE, T GAS Meter ByDate ELECTRICS Meter By Dat k) I Temp. Gas Service Called PG&E JOB FINALED (Date) Signature— J=OK- O = Not OK - = Not4Applicable = Not Ready MOBILEHOMES MISCELLANEOUS 4% .P Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except ti's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 11 V = OK s O = Not OK - = Not Applicable SIE = Not Ready_ RESIDENTIAL (Single and Duplex) f Date UNDE LOOK Plans OK except #'s Date FRAMING Continued oning requirements -Seib ents Property Line Firewall & Openings 2. Ftg., , Soils -Steel lec. Grnd: /' " Ftg. Depth W. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- Ftg. Depth •-3B--3ta1r9 Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" t . Depth t< PI wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrappe -S iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. S ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers-Firepla -Steel Glazing Area -Glass Protection -Skylights -Plastic .: Fall i -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bol Gas Pipe; Size- c ors N - 10. Water Pipe; Test-Anchors-Regulator-Servi -6-a-MY Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date — Card -BI Date — Date FIN tans) OK except q's Card -BI Dat _ - Card -BI Date Date P MBING (Permit) OK except N's . E t. Steps -Door & Sidelight Protection -Landings ke Detector 4. Water Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector- I arage; Above Floor-Ducts-Mech. Protection W ter Pipe; Test & AnckbK Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection _• @Aroom Exiting 17. Shower Pan; Test, First Floor -Tub Access F.I.fegt& Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access e% Eoc. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors Stairs & Rails Ui d 63. fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 't. Fixt. & Appliance; Grnd.-Air, a-_Cooki Clearance Card -BI Date Card -BI Date 6W'Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's Swing -Landing -C loser 68. am er Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Jp Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection � . Elec. Receptacles Spacing -Lights &Switches at Doors fie Boxes & No. of Conductors -Stapled ag!plb., Elec. &Mech. Equip. Listed for Location 74&.Romex Installed Close to Edge of Studs & C.J. 71 sin Garage; (G. F.I.)-Romex Protec. quip. Ground made up w./Mech. Fasteners -Bond Gas & Water sulation-Foam-Looked in Attic E] Yes .26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. gtkor AI-A.C. Wire Size / / ga. Cu or At 7 eck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 27. Range Circ. / ga. o A ' Oven circ. / / ga. Cu or Al, insulated Neutral es Ho 75. Following instld.: Drive es Ti No; Walks es Planters 11 Yes M-eo Service -Riser Conductors & Gr • nd-Main Disconnect 76. ish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77,Irnces-Brkr. & Cond. Size -115V Outlet Ms (Clothes Closet Light -Shower Light 7 Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. c Electrical, Plumbing • , Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 -• Date Card -BI Date 8 entilation throughout House a s Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's -79=3C. Ducts; Insulation &Support Corrections from Previous Inspections 84. - Tagged; Gas -Electric 8t' Wa r & Sewer Connected -C/O to Grade -HD Approval 33. Vent Fan; Exhaust above Insulationd&.--Energy Condensate Drain & Overflow; Size & Grade Compliance Certificate -Other Certificates '147 -Vent; Access -Comb. Air -Return Air Vent -115V outlet 96--*tTfc Access & Platform if Furnace in Attic Card -BI ate . Car I Date Card -B Dat Card -BI Date Card-BIate rd BI Date Card -BI XU4ate W K Card -BI Date omments at final: Card -BI Date Card -BI Date Date FR ING(Plans) OK except p's W. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Alo"Header & Beam -Size & Bearing 4g. ongers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. fireplace Ties or Type A Flue -Fireplace Throat A 'c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Ze,"Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions t4*--8aa-ge Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need add itioporexplanation, please contact this office immediately. ,A TI`i7 V 1`'?I\/1"4 1.A" ,ten 4 ]FJ Nil/. 0-, rte%, ,-P -T-V . _- / ' ' , V �O�Inspector�2 Date COUNTY OF BUTTZ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE z A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Oyi7) r()14') QUE Inspectors ������ Date C > COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. . A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. / � r Inspector Date — ` __ _ COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califc.�rviia 95965 - Telephone 916/534-4541 APPLICATION ANDYERMIT PERMIT U�✓—O. ASSESSOR PARCEL NU ER 1^ zo Dwy-_1 BUILDING PERMIT OWNER TMEPHONE SQ. FT. OCC. BUILDING VALUA ON 02 OWNER'S Vr/AILING ADDRREESS Z2 ' /J CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS - Fireplace i 06> CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $07 BUILD NG ADDRESS - �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q C90 Solar Water Heater 20.00 Water piping 5.00 _51(9iJ L No. sus IVISION N E ARCEL MAP r� j QS Each qas water heater or vent 5.00 - iEo Gas piping system 1 - 5 outlets 5.00 _C0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 S Mobile Home S GW 10-00e . , TYPE OF WORK New*_ Addition ❑ Remodel ❑ U t i Iities ❑ •Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST OR ADDNS. ( ACC DWELLING OC 2y20sgft &0 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) ❑ 1, 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 CONSTR UL TI -OUTLET - 2,50 ea NON -RE ID, BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 20050C Ex. Occup(ou TLETS OR FIXTURES BAL®300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 .o Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. , ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00�� Ventilation 1% eQ permit Fee $ B� 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 sai County in consequence of the ranting of this permit. X Date ature of Applicant — Owne Contractor ❑ Age60C n OSHA permit is required far ex a tions over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ j � TOTAL PERMIT FEE /r. $ ZV 0ccuP ROUP 3 I TYPE OF CONST. v—h L4 PARC PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %/ Z__ F, 7-1 ,ion Receipt No. i c7 . / "'Tl. WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPEC TO/ GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND ,PERMIT PERMIT NO. ASSESSO P CEt2llR� ZONING Ili 4 17 BUILDING PERMIT OWNERELEPHONE T r SO. FT. OCC, BUILDING VALUATION OW 'S MAJG ADDRESS P CO RA OR'ST,i C& TQEPH.NE CONTRACTOR'S MAILING DURESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME P EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFEDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New ❑ AdditionC.Remodel ❑i ' �Uti ities ❑ stallation ❑ Ot Describe work: W —_ll — ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r-1 Business I am licensed under provisions of Chapt. 9, Div. 3 of the and Professions Code and my license is in full force and ef 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 NEW CONSTR ULTI.OUTLET NON -RE SID BRANCH CIRC ITS 2,50 ea NEW -CONSTR. POWER APPARATUS .&) & NON RESID. SINGLE OUTLET CIR Ex. Occu /o z0@8oa Occup(OUTLETS OR FIXTURES &AL®3o FIXEEDD AXPPLNS. 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. ❑ 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. 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 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 agains s id County in c nsequ nce Of he granting of this permit. �(This Date Signature of Applicant — Owner V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � occUP. GROUP I TYPE OF CONST. PARCEL PD I ND 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. OF PUBLIC WORKS BY Date EXPIRES D to /'� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICANTPERMIT NOTES RESIDENTIAL � P PERMIT NO._, 066-240-028 _ ._ _ . _ 05-0595 FUNKHOUSL'R, PAMELA 13531 WICHITA DR, MAGALIA 2 CONT: SCREEN & WINDOW SHOP REP 8 WINDOWS { G -3 CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED � r Signature) e. 0m� y f. . i 1 I S f I r } f G -3 CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED � r Signature) e. 0m� y f. J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete Electricity; MH Test -Crossovers -Breakers -Clearances 4. Water; Location -Test -Easement Needed (Sketch) Drain; MH Test -Fall -Flex Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Water; MH Test -Regulator -Connector 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / . /" L "ft./ P LPG Water and Sewer Connected -C/O to Grade -.HD Approval 7. Well Clearance & Disconnect Gas and Electricity Tagged 8. Utility Clearance Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch . 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -.HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch . 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6, Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with C Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings;.Soils-Size-Depth-Spacing-Connectors-Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors 5. Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 52. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 53. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. 6a. Hold Downs and Special Anchors 55. 7. Slab, Steel -Wrapped 56. 8. Piers -Fireplace Ftg.-Steel 57. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 58. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: UU I I t c;UUN I Y rtKIVII 1 IVU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BPO50595 OFFICE #: (530) 538-7541 B. C. buiwmp Fermn 0i -t6-04 uu i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 03/04/2005 APN: 066-240-028-000 effect. 2 c,n License Class : � License Number: q ?�)V Site Address: 13531 WICHITA DR MAG S Contractor: SYl �1�.(>�CQ�PF� f Date: `iib%-_ Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: REPLACE 8 WINDOWS Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, after, Improve, demolish, or repair any structure, prior Owner: FUNKHOUSER PAMELA E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13531 WICHITA DR the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95954-8808 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does. not apply to an Applicant: THE SCREEN AND WINDOW SHOP owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 7654 A SKYWAY sale. If however, the building or improvements are sold within one PARADISE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of 95969 sale.). 530-877-4561 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: THE SCREEN AND WINDOW SHOP pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 7654 A SKYWAY Dale: owner: PARADISE, CA 95969 5330-870-87 7-4561 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 436380 Labor Code, for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: O Policy #:�� Z Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers 00 compensation provisions of Section 3700 of the Labor Code, I shall /fes forthwith comply with those provisions. Z Dale: Applicant: OC.,u� � Z. - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit lsp6reby Issul3 the p rcab provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do w rk-Ifii�lca abov for qy fees have been paid. performance of the work for which this permit Is issued (Sec 3097 CIV.) '— BY Date: Name: PERMIT EXPIRES ON: Z/ Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize re nI fives of Bull ty to enter upon the above mentioned property for inspectioryperposle s: CQ Signature: `x ` Priht Name L`� Ik I(_� lT� l Y_� Date:�f� ❑Owner ❑ Contractor ❑ Agent for Owner 1Q.Agent for Contractor \. B. C. buiwmp Fermn 0i -t6-04 uu i BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BPO50595 OFFICE #: (530) 538-7541 u. G. ttluiiainq Hermit ul-lb-V9 pq -i LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 03/04/2005 APN: 066-240-028-000 effect. License Class : License Number:43LMOSite Address: 13531 WICHITA DR MAG Date: � Contractor` m sig--a�QcQP� l Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: REPLACE 8 WINDOWS Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: FUNKHOUSER PAMELA E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13531 WICHITA DR the Contractor's Stale License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95954-8808 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does. not apply to an Applicant: THE SCREEN AND WINDOW SHOP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 7654 A SKYWAY sale. If however, the building or improvements are sold within one PARADISE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 95969 sale.). 530-877-4561 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: THE SCREEN AND WINDOW SHOP ❑ I am Exempt under Article 3 of the Business and Professions Code 7654 A SKYWAY Date: owner: PARADISE, CA 95969 530-877-4561 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the License #: 436380 Labor Code, for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: �`(1 Ci1 Carrier: 5c�70±-Zl) l S`k O Policy #: / 0 Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall /tom forthwith comply with those provisions. Z Date: Applicant: Z i WARNING; Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby Issu the p fcab provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do work i ica abov for W fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) — BY Date: Name: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize re nlal`ives of Butt ty to(enterupon the above mentioned property for inspection s. � 0`L-JQ_ Cro 7 Signature• Y _r ---e14 Print Name LT�,cr� "I 0 Date: —,2))A ❑ Owner ❑ Contractor ❑ Agent for Owner Fj_Agent for Contractor u. G. ttluiiainq Hermit ul-lb-V9 pq -i BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS�� G� 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 $PUS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" ' Name`_7 1 ^ OWNER Last Name_- -- �n�r City C'a�Q t Name A Address 2 f'— City Lic. # Class State A Zip �S Phone,� Z� Z W Fax E-mail CONTRACTOR Name`_7 1 ^ 2�' kn Address �-1 (o S k City C'a�Q StateC ZIp�tS� 6 Phone � `lfl _Llsb Fax E-mail Lic. # Class APPLICANT SIGNATURE X ` For office use only: ARCHITECT/ENGINEER Name Flood Zone Address �r - City No State Zip Phone ap'Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X ` For office use only: APPLICANT NAME Nam Flood Zone Address �r - Ci No State P, ip �l Phone ap'Book Fax E-mail Planner APPLICANT SIGNATURE X ` For office use only: Zoning Property Address S1 koich,4'A'a Flood Zone Cross Stree �Ai2L SRA I Yes No Occ. Type Const, -- Subdivision Name ap'Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION AP# a G 6 - Property Address S1 koich,4'A'a City 'a Cross Stree �Ai2L WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: L�c P WI N✓d""J S Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. L Received by: Amount: 7L- Bldg CN� SRA Receipt #: Sheriff SUP Other (� Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information.'(Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only -be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 I DATE 11111z97 FROM: Name: Coldwell Banker Ponderosa Real Estate Address: 7020 Skyway Paradise, CA 95969 Attn: Steve Williams Phone:' 877-6244 Pax: 377-54GO T0: Autte County Building Division 7 County Center Drive Orovillc, CA 95965 'Phone (916) 533-7541 Fax (916) 533-2140 SUBJ: Request for Building Permit Information Request you research the building permit records for the following parcel: A.P. # ADDRESS 1:55-31 Al,, ce 14�' OWNT;R'S NAME Please research any building permits applied for, issued and finalcd on this property. I understand a research fee of $23.00 (minimum) is required by the Building Division. Research and report time in cxccss'of 30 minutes will be billed at $46.00/hour in 30 minute intervals. (Butte County Ordinance'//3075, effective 7/12/93, requires payment of this fee.) Please;Mail 0 Pax report to me at address/Pax // above. n 'Signature of Requester J Atch: Check for $23.00 (Payable to Butte County Treasurer) " / LT PERMIT NO. 3446-85B ,E , PERMIT EXPIRES -/0/4�h& If r OWNER JOHN MARLER CONTR. owner ASSESSOR PARCEL 66-24-28 LOCATION 13531 Witchita Dr, Magalia i. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) .0 ell Signature J=OK 0= Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements 2• Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Conner.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater S. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane [boards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date I • .c V = OK O = Not OK t - Not yable Read Not Ready RESIDENTIAL (Singld and Duplex) � = Date UND OOR Plans OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements ain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Or Ext. Doors -One 3' -Che arage-3rd-dory,Taxies Ftg., Garage; Soils -Steel- / /" Ftg. Depth -Rise-Run-Landing-Fire Protection a Ftn P^°^hes & Decks; Soils -Steel- / /" Ftg. Depth -8lernw _ Main; Steel -B lockouts -Wrapped -Slab . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ai11n o es -Drip Screed-Fdn. Vents-Underflr. Access 6 mwalls, Garage; Steel-Blockouts-Wrapped- 7. Piers -Fir lace Fig. -Steel Glazing AreT-Glass Protection -Skylights -Plastic 8. D.W.V.: 1 -Fittings -Test -2 way C/O -Sewer Test .&5- VMns; Nailing -Bolts 9. Gas Pipe, -r.> -Anchors 10. Water Pi • Test -Anchors -Regulator -Service Test 11. Electric; U erground 12. Plenums ts; Clearance -Material -Support -Ins. 13. Girders -Si l -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat —/D,, Card -BI Date Card -BI ADate Card -BI Date .A / Card -BI Date Card -BI Date Card-B)K r___Datef�,( Card -BI Date Date FINA6 (PLansJZK except N's Card -BI Date Card -BI Date Date PLUMBING (Perm' K except N's r2 ep Door gs or 14. Water Ht.; Ven Access -Combustion Air Clearance -Comb. Air -Connector - loor-Ducts-Mech. Protection 15. Water Pip est &Anchors -Nail Protection 16. D.W.V.; Test -Fit gs & Anchors -Nail Protection m g 17. Shower Pan; JAC, First Floor -Tub Access Access 18. Test Tub 42iftower, 2nd Floor -Tub Access fleElem & Ubpawl; Breaker Sizes -Labels 19. Gas Pipe; Siz Anchors 6 rth & Ext. Card -BI Date Card -BI Date Gap Cooking Clearance Card -BI Date Card -BI Dates at K' . Counter Date ELECTRICAL Permit OK except Ws- Garage Fire Door; &wiwg=LAdIng -C mer D/Fi e & TraaWowwr-��nce-1 I c. Recept es Spacing -Lights-&- es at Doors tr. tr.; en s- earance-Comb. Air-Connector-P.R.V.- loor-Mech. Protection _ & No. of Con ors-Stagled—" , & -Equip. Listed for Location _ . 5pmerTnstalled Close to a of Studs & C.J. ZW�let. Receptacles in Garage; p 9 ( • -Ro otec. Equip. Ground ed in Attic C] Yes 'sin Kitchen &Conductor Size 781 6Wk06R8iIq & MR truction-Post Caps c. tifeA+ w / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No oor-Drainage - arth Clearance LQgked "drr Floer _CI Yes ��ollowing instld.: Drive s Walks E] Yes �� Planters El Yes ZLwa-r �Conductors & Ground -Main Disconnect 7 6. Panels-Motors-Mech. Equip. i Light -Shower Light Irnces-Brkr. & Cond. Size -115V Outlet �1^ntc Alleve Ibg.-Appliance-Firepl.-Clearance to Opn s. 7 nett, Electrical, Plumbing Card B-1 Dat 1��% Card -BI Date xterio ec. Trim F t co o^rte tt�+e and ouse on Previous Inspections Card B -I Date%y 6 Card -BI Date Date MECHANICAL (Pe OK except q's - ged; Gas -Electric 31. A.C. Ducts; Insulati n & Support Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhauskibove Insulation 33. Condensate D in & Overflow; Size & Grade ante Certificate -Other Certificates 34. Furnace -Ven , ess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & PI tform if Furnace in Attic Card -BI AD Dat .L4i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR NG(Plans) OK except q's Comments at Final: Si ; Proper Material & Anchors ails; Studs -Nailing, Spacing & Bracing-Plates-Sound ---A9r-BeaMrq-Walls over Girders & Floor Nailing e9"�Breit-SYbp in Walls (rat proof) Furred Ceilings -Stairs -Chases -Tub _ Bader & Beam -Size & Bearing 42! oast - AeaffSrdC.-T s- g• g, Type A Flue -Fireplace Throat 46 ID98FS-90+160t. 9; B me Inion 47 --'Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt , or need additional//explanation, please contact this office immediately. Gr/7 a- //C - l/2 xc/ are., ax (9.p y �srW-r� �,� ��� / - 2( Inspector_ C� �7// �.G/ Date_' M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT WORKS PERMIT NO. 916/534-4541 ASSES R PARCEL NUMBER j — ZONING , BUILDING PERMIT OWNER IIELEPHONE SO. FT. OCC. BUILDING VALUATIOW !/ / a I ING DDRESS `_ OWNER SZZ V CONTR C OR' NAME TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Z17 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER `�� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR CHITE T OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS ,. ` Permit fee $ 75-1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �t Solar or heat pump water heater 20.00 LOT NO. Z SUBDI I ON NAME ' / �i�i (/ 1 PARCEL MAP -% Water piping 5,00 Each qas water heater or vent 5.00 USE OF,STRUCTURE SF. Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK ,,---TYPE New ❑ Addition lE ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: le A'/ '�C�irt C�G:�G Cyf W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): • El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Of 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 O N �� � OR ADDNS. ( ACC. BLD , /20sq ft NEW CONSTR. ULTI.OVTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050C eAL030 FIXED APPLES. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 15r Q WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and -keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons quence of the granting of this permit. X Date -P-� 3 5 �naturef Applicant — Owner � Contractor El Agent ❑ n 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 $ TOTAL PERMIT FEE $ S OCcu P. CONST,TYP1J FLOOD;' RCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRTOR 0 UBLIC ro By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. f yz � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .t r COUNTY OF BUTTE - DEPARTMEPPT"OF�PUMLIC WORKS - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVIOEE C'AtlPORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION _DATA SHEET Permit No. / y OWNER rcJU/AI/�� _ �� A. P. No. eProposed Building Use /_-. t7/ y 'Of eco- /,� S% Permit Fee Based Upon: Complete Contract Price DPW Valuation r (Explain)), Building Inspector /'�..ti�%///�� Date %.7 At time of permit application, I was advised the foIIdWWi°ng dat—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. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorizaattion. . . . . 4-, 110..Sanitation approval from 041.1+/ Health Dept..G_Ieloe4fd 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) b�C 4. Owner -Builder Verification (Given to ownerniMaaiil to ownerE] /a..7 aR-- onw 15. Improvements may be required. . . . . . . . . . . . ' 16. Mobilehome Installation Data. . . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other D atea, When you issue the permit, process as follows: 'Mail to owner'. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant Date -,6-0, Copy of plans sent Health Dept., Fire Dept.,% Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above ltems No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date - Plans approved by r✓fit Date Other: Copy—DPW TO: Building Department FROM: Environmental Health SUBJECT: SANITATION.CLEARANCE OWNER Plans approved for: Hold final for: r) L LOCATION AP # Sewage Disposal Water Supply (10 Final Clearance O.K. for: Clearance for bedroom mobile home. Other Clearance for addition of (q iq 2tq- G E Note** a SANITARIAN k-Z— Water Supply Water Supply 2 � 8 - DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name "and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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)"!Q11.4 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name V 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 Y 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 -X Signed: Property=urity er Social S umber 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 permitted to issue the permit. ,,,.. COUNTY OF BUTT.E - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center*Deive - Oroville, California 95965 -Telephone 916/534-4541 APPLICA`riMAND' REWIT ASSESSOR PARCEL NUM ER ZO !' �. ' BUILDING. PERMIT OWNER TME OHONE / SO. FT. OCC. BUILDING VALUATION a .OWNErrAAR��'S AILING ADDRESS - CONTRACTOR'S N AME • - TELEPHONE ,MAILING ' CONTRACTOR'S ADDRESS Fireplace / i76) ' CONSTRUCTION LENDER UNKNOWN Total Valuation 7"it Filing Fee Q $_ 10.00 L'ENDER'S MAILING ADDRESS - •, c 'Permii.Fee 3 ARCHITECT OR ENGINEER :LICENSE NO. Plan Checking Fee -$ ' rG ARCHITECT OR ENGINEER'S MAILING ADDRESS . Permit fee $ BUILDING ADDRESS --1, ' j % y - PLUMeLNGPERMIT Filing Fee 10.00 Each Trap 2.00 Q c9j ... Solar Water Heater 20.00 kl Water piping.. 5.00 �5/C3iD L N.O. _ SU IVISION NA EARCEL e S I? e L. MAP A Each .gas water heater or vent 5.00 ' iGO ' Gas piping system l - 5 outlets 5.00. e:0 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home . S GW0.00 e TYPE OF WORK Ne µ Addition ❑ Remodel[:]Utilities❑ Installation[:] Other EJ. Describe work: — t -! J �) Permit Fee Contractor ELECTRICAL PERMIT. Filing Fee. 10:00 00V OR LESS Main service 100 AMP OR LESS 1 �.y7� 10..00 Vim! ' - Main Service EA.. ADD -L 100 AMP 2.50 ORYADONST ( ACCLBLDGS. C //���''yy 1A0sgft I.WCI .. 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 m license is in full force and effect. y License* NO. CIaS$IfICatlOn 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 exept under Sec. . Business and Professions Code for this reason NEw CONSTR ULTI-OUTL T 'NON.RESID. BRANCH CIRC ITS _ 2.50 ea NEW CONST R. f POWER APPARATUS &1 NON'-RESID- SINGLE OUTLET. CIR. I Ex. Occup(zo®sae OUTLETS OR FIXTURES SALO 30C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Li Mobile Home Facilities 15.00 Misc. Wiring. 15.00 Permit Fee $ j Contractor MECHANICAL PERMIT Filing Fee 10.00, WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): ❑ The permit is for `;100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall no.t employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant:. If after making th.is 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. Heating Cooling Hood 3.00 60 Ventilation? permit Fee $ Contractor I certify that 1 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 agreeto save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County inconsequence of the ranting of this permit. X /y(_ .��. �t r� Date V afore of Applicant — Owner Contracror ❑ Age. n OSHA permit is required for ea D tions over 5'0" deep and 'demolition or construct- ion of structures over 3 stories in'height. - Mobile Home Installation Fee $ TOTAL PERMIT FEE ,. occOP. Roue �3 TYPE OF CONST. tTN PARC PO ND 55uE This permit is hereby issued under cions of the Butte y Code and/or Wo Indic vee Or hlch DIR vE3i�UF PUBLIC By C PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - --- Receipt No. Y/NiTE-D.P',W.. YELLOW -ASSESSOR• PINK-IN5PEC'rOR. GOLDEN P.OD-APPLICANT GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing :QUANTITY SIZE AREA (SQ.FT. (a) x SZ 4`0 = IS -6 (b) xZ— (c) x = (d) x = (e) x _ Total North Glazing = 7!y (SQ.FT. (a+b-lc+d+e ) TOTAL NORTH TOTAL BLDG CONVERSION TOTAL GLAZING FLOOR AREA. FACTOR NORTH GLAZING !� X f x 100 SQ.FT. SQ.FT. 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.; (a) _�_ x 3 C. = --/!4- (b) �_ x Q'7rcea = (c) / x 303a = (d) x _ (e) x = .,..,Total South Glazing_ V13 (SQ.FT.; (a+b+c+d+e) TOTAL SOUTH . TOTAL BLDG, CONVERSION TOTAL % GLAZING ° FLOOR AREA. FACTOR SOUTH GLAZING x 100 o�"�d % SQ'.FT. SQ.FT.. ;. 3-y SKYLIgnts QUANTITY SIZE AREA (SQ.FT.) (a) x _ (b) x = (c) x Total Skylig _ (SQ.FT.) (a+b+c) . TOTAL SKYLIGHT TOTAL G GLAZING FLO AREA SQ.FT-. SQ.FT. OWNER PERMIT NO. 7/83 FOR M 6 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT;) (a) x (b) x (c) x = ,•'`� (e) x Total East lazing ._ (SQ.FT.) (a+b+c4d`+e ) TOTAL 1-_,� EAST '` r0TAL BLDG CONVERSION TOTAL % GLAZINGLOOR AREA FACTOR EAST GLAZING 100 = % SQ.FT. SQ.FT. 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) P(a). x (b) x - (d) x (e) x _ Total West lazing = (SQ.FT.)' (a+b :c= :d+e ) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING./FLOOR AREA FACTOR 'WEST GLAZING x 100 % SQ. FT. SQ.FT. CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING x 100 = % /.?/j 1.100 6;13:11 (10 Table 3-3a. Ceiling Insulation ZONE 11 Souch-FacingGlazing Pte OWNER POINTS Table 3-1. Slab Floor Po in able 3-2. Raised Floor Points PERMIT N0. ,�'%0 ASSIGNED ^-�-� ACTUAL 1. SLAB - INSULATION NONE -5 j Inches i 0-2 1 3-4 i 5-6 i' 7+ i I I Glazing Type 1 2. RAISED FLOOR - R-19 i• Total 3. CEILING - R-30 I 4. WALL - R-19 _7 5. NORTH GLAZING - 2.4-3.6% I Trpl, 6. EAST GLAZING - 2.5-3.6% t2{ 7. SOUTH GLAZING - 1.6-3.6% d -2- 28. S. WEST GLAZING - 2.9-3.6% I Area 9. SKYLIGHT - 0-1.3% - 10. SHADING (Exclude Overhang) 1 I oints EAST - .67-.82 --� ^-- I 30 SOUTH - 5(o.19-.42 o +3 WEST - .13-.36 -- 4-3--T 1 38 .SKYLIGHT - .37-.57 1 up to 1.5 11. HORIZONTAL SOUTH OVERHANG 2' +2 1 12. MOVABLE INSULATION - NONE I 1.6- 3.6 - 13. INFILTRATION (Standard=O)(Tight=+12) 0 1 14: THERMAL MASS SF I 3.7- 5.2 15. GAS FURNACE (SE) 71-76% -2 1 16. HEAT PU1fP (EER) 7.5-7.9% 5.3- 6. S -6 17. DUAL PACK(SE, SEER) 8.0-8.3/71-76% I 13. ACTIVE SOLAR 60% NIN (NONE) 1 -9 19. ZONALLY CONTROLLED ELECTRIC �- 20. SOLAR WITH GAS BACKUP (H14) 1 -11 21. OTHER - NO ELECTRIC (HW) O Table 3-3a. Ceiling Insulation Table 3-7. Souch-FacingGlazing Pte Points Table 3-1. Slab Floor Po in able 3-2. Raised Floor Points I Tn�ila- I R -Value of Insu stion I I R -Value of i 1 1 tion f ulation Points _f i Depth, i j Inches i 0-2 1 3-4 i 5-6 i' 7+ i I I Glazing Type 1 I•A-Value of Insulation 1 Points I i• Total I I 8 - 12 116 - 19 1 -3 1 -2 1 -1 1 0 1 I Z of ( Sngl, I Dbl, I Trpl, 0-3.1 I Floor I (U - I (U - I (U - I 1 19 I -4' I I Area 11.10) 10.65) 1 0.41)1 1 22 1 =2 1 1 I oints 1 oints I ointsl I 30 01 o +3 +! 4-3--T 1 38 +2 i 1 up to 1.5 1 +2 1 +2 1 +2 1 I 49 f +4 ( I 1.6- 3.6 1 -1 1 0 I 0 1 1 i I I 3.7- 5.2 1 -412 I -2 1 1 0 1 3.2 5.3- 6. S -6 I-" E- I -3 ! I I to 1 6.6- 7.7 1 -9 I -6 I -S 1 13.1 1 7.8- 8.9 1 -11 1 -8 I -7 1 I 0 -.18 1 0 1 9.0-10.0 1 -13 1 -10 -9 1 Table 3-4a. Wall Insulation Points 110.1-11.5 1 -17 .1 1 -13 1 -11 1 I 0 ! 43-.66 1 111.6-13.0 1 -21 1 =16 1 -14 I I R -Value of Insulation 1 Points I 113.1-14.5 1 -25 1 -19 1 -16 i I I I 1 14.6-16.0 I 1 -28 I 1 -22 1 1 I -'.9 I I ( 19 0 Table 3-8. West -Facing Glazing Pts. 1 3.2 1 6.4 19.0 I to I to 30 +3 I up Glazing Type 1.5 13.1 i i I Total I I 0-.12 1 0 1 +1 +3 1 I I of I Sngl, I Dbl, Trpl, Table 3-5. North -Facing 1---- Glazing Pts -�� 1 Floor I Area 1 - 1. 11.10) f - 1 10 0.. 65) 1 (U - 1 0.41)1 1 ! Glazing Type I _Ipoints 1points Ipointsl -1 1 / Shading Coefficient Points -�n S ITERS SHOWN - ZERO POINT LG� Table 3-1. Slab Floor Po in able 3-2. Raised Floor Points I Tn�ila- I R -Value of Insu stion I I R -Value of i 1 1 tion f ulation Points _f i Depth, i j Inches i 0-2 1 3-4 i 5-6 i' 7+ i -r I below 3 I -12 I i 3 12 - 13 -S -3 I -2 I -1 I I 8 - 12 116 - 19 1 -3 1 -2 1 -1 1 0 1 I 13 - 18 i r I 20 + 1 -s 1 -1 1 0 1 +1 I I 19+ I 0 I 7/7/83 - J I Total I I I of I ST. Dbl, Trpl, ! Floor I U- I U- I U- 1 Area 10.66 1 0.42- 1 0.41 I f 1 1.10 10.65 1 down I o ♦4 a4 +d 1 0.1- 1.2 1 +4 ! +4 I +4 1 1.3- 2.3 I +1 i +2 I +2 1 1 2.4- 3.6 ( -2 1 0 i +1 1 1 3.7- 4.8 1 -4 1 -2 I -1 I 1 4.9- 6.1 I -7 ! -4 ( -3 I 1 6.2- 7.3 I -9 I -6 1 -5 I 1 7.4- 8.2 1 -12 1 -8 1 -7 ! 8.3- 9.7I -14 I _to 1 -8 I 9.8-10.8 I -17 I -12 1 -10 110.9-12.0 1 -19 I -14 1 -12 1 112.1-13.2 I -22 ! -16 1 -13 I 1 13.3-14.5 I -24 ! -18 1 -15 I j14.6-15.3 i -27 i -20 1 -17 Table 3-6. East-Facine G I Glazing Type I Total I I I of I Sngl, I Dbl, Trp_. Floor I (U - I (U - I (U - I Area ( 1.10) 1 0.65).1 0.41)1 Iloints I oints I ointsl 9,4 up to r-7 1 +3 M1 +4 I 1.&- 2.4 I +1 . I +2 1 +2 1 2.3- 3.6 1 -2 I 0 1 0 1 3.7- 4.6 I -5 I -2 1 -1 1 4.7- 5.6 1 -8 I -4 1 -3 1 5.7- 6.7 1 -10 i -6 1 -S 1 6.8- 7.7 1 -13 1 -8 1 -7 1 7.8- 8.7 1 -15 1 -10 1 -8 ') 8.8- 9.7 1 -17 1 -12 I -10 I 9.8-11.2 I -21 I .-13 I -13 I 11.3-12.7 1 -25 1 -18 1 -15 I 12.8-14.0 1 -2S 1 -21 I -18 14.1-15.3 1 -32 1 -24 I1 -20 I I up to 1.7 1 +5 1 +6 1 +6 I 1 1.4- 2.2 1 +3 1 +4 1 +5 1 I 2.]- 2.8 1 0 1 +2 I +3 I 1 2.9- 3.6 1 -3 1 0 1 +1 I 1 3.7- 4.2 1 -5 1 -2 1 0 1 4.3- 5.0 1 -8 1 -4 1 -2 1 1 3.1- 5.6 1 -10 1 -6 1 -4 1 5.7- 6.2 1 -13 1 -8 1 -6 1 1 6.3- 6.9 1 -15 1 -10 f -7 I 1 7.0- 7.6 1 -18 1 -12 1 -9 1 1 7.7- 8.2 1 -20 I -14 1 -11 1 1 8.3- 8.8 1 -22 I -16 i -13 1 8.9- 9.5 1 -25 I -18 I -15 I 1 9.6-10.1 1 -27 -20 1 -16 I 1 10.2-11.0 1 -29 I -23 1 -17 I 1 11.1-11.8 1 -35 1 -26 1 -21 I 1 11.9-12.7 1 -38 1 -29 1 -24. 1 1 12.8-13.5 1 -42 1 -32 1 -27 1 13.6-14.3 1 -46 1 -35 1 -29 f 1 14.4-15.2 1 -50 1 -33 1 -32 I Table 3-10. Shading Coefficient Points I SC by I 1 Orten- I Z Floor Area tation I i I 3.2 I 0-3.1 toi 6.4 up I ( I 3 I I i 0 -.19 1 0 I+I +2 I .20-.36 I 0 1 0 -1 I .37-.66 I 0 1 0 I I .67-.82 I 0 ( 0 1 -1 .83 up 1 0 i -1 i -2 I South 1 0 1 3.2 1 6.4 1 8:0 1 9.6 I I to I to I' to i to I up 13.1 i 6.3 17.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I +2 I +3 i .19-.42 1 01 0 1 y 0 I 0 ! 43-.66 1 n I -t -0 I i -2 I -3 ( .67 up 1 0 1 -2 I -4-1 -4 I -6 tet I .1 11.6 1 3.2 1 6.4 19.0 I to I to ( to I to I up 1 1.5 13.1 16.3 1 I 1 7.9 I I 0-.12 1 0 1 +1 +3 1 +6 I +7 .13-.36 I 0 1 O I 0 1 0 .37-.57 I 0 1 -1 I -3 1 1 -7 .58-.82 I -1 1 -3 i .-6 1 -12 .83 up I I -2 1 I -4 1 -8 1 I I -16 I 70 I Skylight .1 1 .8 1 1.6 1 3.2 1 4.0 It to to to to 1 .7 .5 13.1 13.9 15.2 0-.12 1 0 1 +1 1 I +6 +7 .13-.36 1 0 1 0 1 0 0 1 0 .37-.57 1 0 1 -1 1 -3 I- - .58-.82 1 -1 1 -3 1 -6 I -12 1 .83 up 1 1 -2 1 1 -4 1 -8 1 1 1 -16 1 -20 1 I I 1 I Table 3-11. Horizontal South Overhane Points Table 3-9. Skylight Points I South Glazing I Length Out I Area, I of Floor 1 Itel Glazing Type i i from Wall I ! 1 Z �fSngl. Dbl, Trpl,ft 7 I 10-6.3 I 6:4 up I I Floc I U- I U- I U - I I I I ' 1 1 Area 1 0.66- 1 0.42- 1 0.41 i 1 0 - 0.5 -2 -4 I ( 1.10 10.65 I down 1 10.6 - 1.0 1 -2 1 -3 1 ( 1.1 - 1.9 1 -1 1 -2 I 1 up to 1.3 I\-14 0 1 0 1 I 2.0 up I 0 I 0 I I 1.4--2 I -1 1 2.3- 2.8 1-4 1 -3 I Table 3-12. Hovable Insulation 1 2.9- 3.6 (-6 I -5 I Points ( 3.7- 4.2 I-8 I -6 I 1 4.3- 5.0 110 1 -8 I I Nov ableInsulat_oo-1 I S.1- 5.6 112 1 -10 I I Area Z of Floor (' Points 1 1 5.7- 6.2 14 1 -12 I f 1 1 6.3- 6.9 1 -21 1 -1 1 -13 I 1 7.0- 7.6 1 -24 1 -1s 1 -15 I 1 0- S.S I 0 -� T.7- 8.2 I -26 1 -20 -11 I I S.6 - 11.5 +2 I I 8.3- e.e I -28 1 -22 1�21 I I 11.6 - 17.s I +4 I I 8.9- 9.5 1 -31 1 -24 I I 1 17.6 - 23.5 I +� 1 9.6-10.1 1 -33 1 -26 1I I >23.6+ I +D \1 Table 3-13. Infllttatlon Control -Features Points r -- -- i i Control Features I Points I - I I I Standard I 0 I 1 1 1 1 4.9 air changes per hr ( 1 1 I 1 Tight i +12 1 0.6 air changes per hr I' I ! I f Table 3-15. Cas Furnace Without RefrfReratlon Cool!mR Points I Seas - l Efficiency I Poiats I I I 71-76 I 0 1 1 77 - 82 +2 1 I 83 - 88 I rd I I 89 - 94 ! I I 95 up 1 +8 I I I I Table 3-16. Peat Pump Points r I Ergy Efficiency I Points I I tlo (EER) 1 1 I i I I 7.5 - T.9 I +3 I I 9.0 - 8. 1 +6 1 I 9.4 - 8.7 I +9 I { 8.8 - 9.1 I +12 1 I 9.2 - 9.6 +15 I I 9.7 - 10.2 1 +18 I I 10.3 -10.9 0 I 21 I 10.9 - 11.5 I + 1 I 11.6 - 12.3 I +27 I 12.4 - 13.2 i +30 Table 3-17. Cas Furnace With Refrlveration Cooling Points .R rlgerationl Gas Furnace I I Dung 1 SE -,I 1- 7-183-1 597-93-T 1 8.0 - 8.\0-1+121+141+16 1 4.41 +61 +8 1 1 8.4 - 8.1 +61 +81+10 1 1 8.8 - 9.1 +81+101+12 1 I 9.: - 9.1+101+121+14 1 I 9.8 - 10,+121+141+16 f 1 10.4 - 10. :I+161+18 1 1 11.0 - 11.+1 +•181+20 1 1 1 1 1 1 7/7/83 TABLE 3-14 (ADAPTED) 4ASS AREA 1,000 SQ. FT. I A 8 C 50 too. ISO 200 253 300 350 400 500 600 703 i3D 900 1,0.0 1.:00 1.200 1. JOB 1,400 1.500 2,300 2.500 J. 1.00 3.500 4.700 4.500 ZONE 11 INTEkIOR THERMAL MASS POINTS DWELLING ARFA SQUARE FOOT 1.500 2,000 2,500 I 3.000 1 3,500 4.000 I 4,5005,000 6 C D A 6 C D A B C 0 A B C D I A B C D A 6 C D I A 8 C D S B C 2 2 2 2 2 2 2.0 2 2 2 0 1 0 0 0 0 0 0 0 0 0. 0 0' 0 0 0 0 0 0 0 0 0 1 0, a 0 01' +8 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0I 0' 0 o 0 +9 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2'? 2 0 2 2 2 o l' 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2. 2 2 2 .2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2' 2 2 o f •} 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 Z'' 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4.4 2 2 2 2 2 2 2 2 2 2 2. 7 2 2 14 14 12 8 10 10 8 6 5 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6-6 4 2 4 4 4 24 1 { Z 4 4 2 2 3 4 2 2 2 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 2 4 / 4 2 4 / 4 1 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 6 6 4 2 6 6 J 2 1 24 24 20 14 18 16 18 10 14 14 12 8 10 10 10 6 10 10 8 6 8 8 6 4 8 6. 6 4 6 6 6 0 6 6 6 7 1 i 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 6 4 I ? 6 6 4 8 6 60� 6 6 6 4 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 a 110 8 ' 8 4 e 8 6 4 B 8 6 e 30 )0 26 IS ?Z 20 20 14 18 18 16 10 14 14 12 8 12 17 10 6 12 10 10 6 f0 8 6 8 8 0 4 1 ^ B C 4 i 32 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 10 10 8 t) 1J Q B 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 �12 12 10 6 10 10 B 6i In in 8 6 34 34 32 22 28 26 24 16 22 22 20 12 18 18 I 10 15 14 14 6 14 12 12 8 12 12 10 6 12 10 10 LI 10 :0 F. o 34 34 32 24 28 28 26 18 24 24 20 1G 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 12 :G 6; 10 10 17 J6 34 34 21 30 30 26 18 24 24 22 14 13'0') 22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 8 17 12 10 1.1 12 12 1;. 6 i 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 16 i4 LI 14 14 13 B 1 34 34 30 22 30 26 18 26 26 24 16 24 24 22. 14 22 22 13 :2 20 20 18 I: 1S 13 1, :0 : 34 32 30 22 30 30 26 18 28 26 24 16 �24 24 22 14 22 27 20 141 :2 2J 1= It 32 32 30 20 30 30 26 ld 28 28 24 16 26 24 27 141 74 24 20 1 14 32 32 30 20 130 30 26 18 129 28 24 if l 26 26 ZZ if 132 32 28 20 1 30 30 26 It! 2b .n ? ;E i - 32 t7 2i i 201 iJ ;G .6 Id A) 1. 3y Concrete Slab: HC -8.93; R-.29; Factor -7.3 2. 3 3/4' Thick Common Brick: IIC=7.125; R-.13; Factor -1.3 81 1. SS. Concrete Slab: HC -14.106; 8-.45B; Factor -7.1 C 1. 8" Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 2. 8' Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal',Nass Area: HC -10.164; R-.965; Factor -6.1 0) 1' Thick Concrete/Tile: KC -2.55; R-.083; Factor -3.7 Table 3-19. Zonally Controlled Electric Reststanes Space Heating Points I Points forthis measure v11^1? Table 3-20. Solar hater Heating With Cas 8acku Paint 1 bemplece4 after the CEC I 1 has a wed an Alternative 1 I Component Pac for Resistance I I Beat. 1 Table 3-15. Active Solar Spn Heatlne with Cas Poll I Net Solar Fraction (NSF), Z wood stove #33 oints'(no back up) casaDianca ran T I point Multifamily (er unitpoints) Floor Area Set Solar Fraction (NSF). Z I 0-6 1 0 I I 7 - 14 I +2 I I 15 - 23 i +4 I I 24 - 30 I +6 I I 31 - 39 20-29 I +8 f I 40 - 47 50-59 I ; +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I I. 64 - 71 1 +18 . I' 72 up I +20 I +5 +8 wood stove #33 oints'(no back up) casaDianca ran T I point Multifamily (er unitpoints) Floor Area Set Solar Fraction (NSF). Z per unit. ft2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 .70-79 , 600-79 0 +3 +7 +10 +14 +17 +21 +24 800-999+3 +5 +8 +11 +14 +16 +19 1,000-1,499 0+2 +4 +6 +8 +10 +12 +14 1,500-1.999 2 C00 and up 0 0' + +1 +3 +4 +4 +6 +5 +7 +6 +8 1 +7 1 +10 +9 All others (pe z build ng points) 8U0-899 0 +5 +10 +14+24 +29 +34 900-999 0 +4 +9 +13 +17 +11 +26 +30 I.00D•-1.199 00- 1,2,1,499 1,500-1.999 2,1)110-:,999 0 0 0 0 +4 +3 +2 +2 +7 +6 +5 +3 +11 +9 +7 +5 +15 +12 +9 +7 +15 +12 +8 +22 +26 18 +21 +1 +16 +10 +11 3,060 nr.d up I . 0 +1 +3 +4 +5 +7 +S +10 � 1 Table 3-21. Other Water @eating Pts. 1 System Type I Points -I f I I --"T I Gas Only 1 0 1 I Beat Pump I 0 1 , I I I I Solar with Electric f Resistance Backup I I I MeecinK the Require- 1 I sent! Sit Part 2 ; 0 I Eleecrie Resistance I I I Oaly i -40 1 t I 1 (6) DOMESTIC WATER SYSTEM -(A) Gas Only (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup Gallons 2 (tank size) ❑ * Active Solar FORK 1 Gallons ZAP (brand and model number) (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft '(backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) ® (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new .appliance efficiency standards and shall 'be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Cooling: Winter design temperature elevation ', heating load "_BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Summer design temperature °, cooling load 1y! BTU JlPAL Alo4L *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. Dl DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 S ATURE OF BUILDING DESIGNER OR APPLICANT 3 - : FARM 1 ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) 'Heating ❑ Central Gas Furnace % ' (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) ACOP Collector brand and . ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope JOther /A� C,t t4t ' (describe) • *1 (B) Cooling. ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive -tape or mastic to prevent air loss and shall be insulated to conform to • the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 l RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner , Y Climate Zone �_ Permit No. Floor Area o _. tf Compliance path: Package ❑ A ❑ B ❑ C f Point System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling ��}s Wall ❑- Slab Floor Perimeter ❑ Raised Floor 13 13 13 13 ❑ X 7/83 (2) INFILTRATION• (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: BUTTE COUNTY (D) Continuous infiltration barrier (E) Electrical outlet plate gasket BUILDING DSPA R-TIVIENT (F) Air-to-air heat exchanger �� - (3) (LAZING: P A) Location HU L Area Glazing %Floor Area Single Double Triple Total Bldg North qtr/ X East South West Skylights (B) Shading Shading Coefficient Description East South West Skylights (C) South Overhang Length of projection __aL&___ft. Description (D) Moveable insulation: Area ft1 Description (E) Thermal mass Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location Type* - Area Ft.Z HC= R= MC= Location OWNER A. GENERAL v Zoning requirements 2. Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F.,. DUPLEX,& MISC. ONLY) Bldg. Permit # A.P. # .2-4/ - (sideyards and parking). or Architect (if required). S �o d B. PLOT PLAN oYi Complete parcel size and dimensions. ��✓ 0 62: Setbackq, sideyards, easements, etc. Other buildings or structures. ` Grading, fills, drainage. `. C. FLOOR PLAN . Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). ®. Allowable glazing for energy requirements (20% max. per.State law). ,a"- Human impact glass (Sec. 5406). ,C^ Required room sizes, ceiling heights (Sec. 1407). -7!' G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8""Light fixtures, switches, receptacles, and exterior receptacles mechanical equipment. 16 Ay C�7/ for maintenance of Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). �i�eplace location. sZ-3� Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. ,2'. --'Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building. ,4 ----Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. �. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). p` �Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Aarage door or porch header sizes. dequate bracing. Living area over garage - complete 1 -hour separation walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). required including supporting .....�.-..-..-....-.•..-.-....�...-AII 'rvnCy r Vrrns ...._ .... �.-.__..+--... �.-..-.�-.�_ ... ��.. ....�.,.. �.. _...._�...__ _�_ _ _.' _ •' - .4 -.... _. ... _. _ _ —• �.���._. SCHEDULE C The land referred to in this policy is situated in the State of 'California — �— County of Butte and is described as follows: . PARCEL I: Lot 280, as shown on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNIT 4", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 27, 1971, in Book 38 of Maps, at pages 69, 70, 71, 72 and 73. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances,' with provision that any a•nd all- mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to surface of said land. PARCEL I1: A non-exclusive easement over Lots A, B, C, D, E, F, G, H, I, J, K, L, and M, (the common area) of said Paradise Pines Country Club Estates Unit 4 and the lots designated for common and recreational areas as described in the Declaration of Annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV, XV and Country Club Estates Units No. 1, 2, 3, and 4. ENO Of DOCUMENT 08 4" -Yo . ✓�°J�2o Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL.DEVELOPMENT +` OFFICIAL, RE,00Pbs" OBD 1// r 6 `4 l• Tc COUNTY- CGI.I, Section.26-8.1 of the Butte County Code requires -this acknowledgement H��irsf�''R` be recorded prior to issuance of a building permit. OW SUNS 2 12 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this OURX-RrCu;;0e property may be subject to inconveniences or discomfort arising from¢� �IrE the use of agricultural chemicals, including, but not limited to herbicides, pe's it ides, -- and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise; and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Ap Atlp(p -;2f1 _;2 g Date: �� 6 PROPERTY OWNERS: 11 HIV S. /YIA.PG�R State of ��r ) On this the . day of19:?�f , before SS. me, the undersigned Notary Public, personally appeared County of F�adoeeae�oeeea�eraeaeeeeeseeoocoeaeooeveeeeerea9ueeaooee�® E7 Personally known to me. Proved to me on the basis rFICIAL SEAL m, NPA. ION L. BECKER g of satisfactory evidence. Nit `"i9LIC -CALIFORNIA o to be the person(s) whose names) subscribed to couNnr of surra My Commision Eapirea February 1, 1984 the within instrument and acknowledged that hile wL:au7f�ivaacceaseuraueebebeoeaeaceetSela¢fidge�4n executed the same for the purposes therein contained. o IN WITNESS WHEREOF, I hereunto set my hand and official seal CM -o a rn 1 RAoN ,�� 8� dry Public CM Present A.P. No. d56--228 03 Owner: Mr _ • R, Mr.S. J.nhn_ Marl Pr Permit No. a, ENERGY C E'R T I F ICATION 135.31 Wichita Drive, Magalia, CA 95954 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material N/A Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 CEILING Batt or Blanket Type Fiberyiass Thickness(inches) 1011 Loose Fill Type Minimum Thicknesis(Inches) Area covered(ft. ) FLOOR; ELEVATED Material N/A Thickness(inches) FLOOR; SLAB Material N/A Thickness(inches) Wid'th(inches) FOUNDATION WALL Material N/A Thickness(inches) Brand Name 'Thermal Resistance (R Value) Brand Name Certainteed Thermal Resistance(R Value) R-11 Brand Name Certainteed Thermal Resistance(R Value) R-90 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name . Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the.above insu on -was installed in the above building in conformance with the State alifornia-Energy Requirements. sulat OF YNSTALLAT.ION APPLICATOR 378407 STATE CONTRACTOR'S LICENSE NO. 1/2/85 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy -Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 3 -79 Von FIRM NAME/OWNER (Please print) `STATE CONTRACTOR'S LICENSE NO. -2 -85 - SIGNATURE OF GENERAL CONTRACTO OWNER D DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPEdt ION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 AO y COUNTY OF BUTTE cP��,R.��MENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Orovi(ne.•'Cofifornia 95965 - Telephone: 916'/.538-7541 ? !, APPLICAT0, AND PERMIT ASSESSOR PARCEL NUMB, ` ZONINGS .- `BUILDING PERMIT OWNER TELEPHONE ,SQA FT. OCC.1 BUILDING VALUATION OWNER'S MAI—LING ADORE,,S 1 31 GtJ=, )a 4,4"1_91731ikbc TOR':S 7a—L4 oll 0 ��J7 CONTRACTOR'S AILING ADDRESS -'L,p+ CG • Fireplace e CONSTRUCTION L NDER + I UNKNOWN i! Total ValuetlOn $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ? Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS l Penalty $ BUILDING ADDRESS ,. 3S1t WIcHorA PenTlt fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 USolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 -outlets 5.00 S, dp Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation[] Other® Describe work: 4,44_4_1411 w�'� cs--eu � !R0, 1 Permit Fee $ Z Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ 7. Main service '100 00vAMP OROR SLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 0'++ 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) ❑ orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP.& OR ACDNS. ACC. BLDGS. , /zQsgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CRC ITS 2.50 ea POWER APPAIRATUS e (SINGLE OUTLET CIR. / EX. OCcup(OUTLETS OR FIXTURES z0930C e ALO 30 Ex. Occup. OUTLETS IIRESID.)REA.) 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. jo 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. R. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating .30 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 P ` k/-��— �- —� 0 Date Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of strutures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 3b. dO AL HqZ CUA PARK FLD PAR Po HD Issue This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �.{ By A Date PERMIT EXPIRES Date - rReceipt,No-5�� 7�� NIT!-D..W.. TCLLOW-ASS LSSOR. PINK-INSPCCTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE �DEPARTMENT OF PUBLIC WORKS -K - 1116x; 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541; 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Wz-lkQ GPS MiriG vfl An M Ii c W2A P . Inspector �doj--'4 Date (— S -q0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califoit#a 95%5 - Telephone: 916/538-7541 APPLICATION RIND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - Z.Q ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWR'S MAI -LING ADDR�S t l!t ' a al9 5 9 51� OI�,TRACTOR' 7 �(J)JL /�C�,Q l 7 / 9 0 2 —1 97 I CONTRACTOR'S AILING ADDRESS Ca . -159 (v �/ Fireplace CONSTRUCTION L NDER r IUNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3S3t IA) 1C �+f�r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 0 Water piping 5,00 Each qas water heater or vent 5.00 j USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 00 Building sewer 5.00 Mobile Home S I G I W 0.00e . TYPE OF WORK New❑ Addition% Remodel❑ Utilities[] Installation❑ Other® Describe work: W&J-P 9 Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADD -L 100 AMP- 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professions Code and my license is in full force and effect. License No. D Classification % 3 ❑ 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.& OR ADDNS. 1, ACC, BLOGS. , vosq it NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH .CIRCQ ITS 2.50 eaPOWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 20@500 SAL030 Ex. Occup. OUTLETS P(RESID,)LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 00 Cooling g Hood 3,00 Ventilation. Permit Fee $-OO 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. 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 t said County in consequence of the granting of this permit. /� %�T�oI — -� Date �— —� Signature of Applicant — Owner ❑ Contractor QC Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection;Fee $ occ CONST TYPE TOTAL FEE $ 3.06 E HAz CUA PARK SCHL I PAR PD I HD I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 1-76 Date —T Receipt NO. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR; GOLDEN RO -APPLICANT — ; ­ .. � A5, 3? ,Wllkl:mv;_6_,��"_,� _� - - _.-'t -, ,'Z��_� - -­��4�'_* - . ,.�_ OR - - - .! -.,,* - PSF, CF. Llk . ED 11, ,? - - � � - ,* I - q _ i'_ I A - r�o _Z:�,'-�; .�.;", , - - - I - � ,tew ��_ _:;� -�. - ,,l., � �l - ,--- i 1;iT.. 1;:_4 ,4 1­,,,,�Z'�,:�!'!'t;�:�:4. � - .�§ -, 1�% '.'-,.!L ­_�-�7�,w_- . .. 1!'� _i� _', , ;,, �4�-,_�--*, -r,:,� - _�_ _ : - '', , - . , - . _ I- .11 " - - - - - :� - ­ I- , 1. L.­._,�:� . - I - ��- --`4 - , - I �l I ,,�.-- � , - - - - . 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