HomeMy WebLinkAbout066-240-0281
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- 66-24-28 _
JOHN MARLER
13531 Wi`c�hilta Drive, Magalia
Permit#2057-84 0. P, ,j,�n`ew single family)
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6-6=2-4-228
Contr: Fraa.,nkks& AC f
Perms1666-85P(solar water heater/SF)
L 11-
66-24=28 . �, 33-90 ,'M
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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—
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FUNKOUSER, PAMELA
13531 WICHITA DR, MAGALIA
CONT: SCREEN & WINDOW SHOP
REP 8 WINDOWSC\��,
0Gc4P-za��-�_
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- 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)
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' BUTTE COUNTY
s BUILDIN 7.DEPARTMENT
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JOB FINALE
Signature
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RESIDENTIAL
-24-28 - 3255-91B,P,E,M
MIGA, Marcus & Elaine
4
13531 Wichita, Magalia
( cont: Robert Coppa
(conv garage to living)
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' BUTTE COUNTY
s BUILDIN 7.DEPARTMENT
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WppR
OVFr)
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JOB FINALE
Signature
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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
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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
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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
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