HomeMy WebLinkAbout066-510-02566-51-25 ..
LUTHER MANDELL sill
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6769 Sioux Ct. .lot. 8., 103, Magalia
Permit#l8 4-83 ,P,E;M(new-single f� o
1;
66-51-25'
''
Cont Brad Memeo, Paradise
�n Permit#-85B�P�E,M(new single -family),
Contr: Brad Memeo
w-
.ermi.t,#.110,3.8 1st re wal/273-85 &
add 1 st a a)"1tt `r
66-51-25
..:... �—.-.
Pet#2122-86P(gas piping/273-85)
66-51-25 -1777-91B,PE
MANDELL, Luther '& Beatrice r
6739 Sioux Ct; Magalia i
(conv•attic'to bedroom/sf) _
066-51 0-025' 92 28098 •e ti i
�MANDELL;: ;Luthe &47.-etrice #
6739 Sioux' Ct, Magalia$`
.complete/91 1777 .,.�,: -��" , • ,,, - �,�;
r " p
066-510-025 .93,2577"-
.14ANDELL, Luther &.Beatrice
.6739: Sioux, 'Magalia
(Permit to`Complete'B.P. #1777-911
why{ , PERMIT#94 .2167 ��''' `�• j t. 'i
066'751042Y 025° w ,i
MANDELL; r LUTHER;;& :BEATRICE
'' 6739,•SIOUX,' .,MAGALIA � a ' {
1ST-RENEWAL�OF6BP#93-2577 Z
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FLO
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
OWNER PERMIT N5.
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__gdditicinal explanation, please contact this office immediately.
(c, r C ZI A.� It
Inspector-s::�",
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-27�1 ,, X-3
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
/,-3 ;�6- 9 5141 Ik-
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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Inspector— Date_ 1-1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS //j
196 Memorial Way, Chico — Phone: 891-27,51 1/? '� X3
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
1161 -7-
A routine inspection indicates that the following violations of Coun'ty Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
16A /Z
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Inspector— Date --Z&-
of
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 89 1 -2751
7 County Center Drive, Oroville — Phone: 534-4541 X3
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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MESSAGE.-,06Q,14g�6.z Z:f
By
COUNTY OF BUTTE
DEPARTIVIENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville 7 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 abovd-address and should be corrected. P14�ase notify this' office
w . hen correction I i �mpleted. If you have any question'oertaining to this
01 40 1
matter, or ne �:.=iqnal expl ation, please contact this office immediately.
A
651 40 4!qS(D 9
Inspector Da
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
-11
T
A routine.lnsoii�ction 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.
X/0 14,
Inspector 6,-PA�-7 /IV/%W Date
y
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS -
891
196 Memorial Way, Chico — Phone -2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 5T
CORRECTI N NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at th ab " address and should be corrected. Please notify this office
when corre: , n of work is completed. It you have any question pertaining to this
matte r
VAor eed agitional explanation, please contact this office immediately.
=Lwar
�nspector
—A, — Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Ch ico — Phone: 891-�75i
7 County Center Drive, Oroville — Phone: 534-4541
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 correctio of ?I is completed. If you have any question pertaining to this
matter, or nee nal explanation, please'dontact this office immediately.
COU NTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2791
7 County Center Drive, Oroville — P.hone: 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 addre ss and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
lz�
lnspectop--� Date
-1/
PERMIT NO. 2F3—$c�DZE;• Sr
PERMIT EXPIRES ��r7
x;
OWNER BEATRICE MANDELL
• `
t, CONTR. Brad Memeo
1, =�
•ASSESSOR PARCEL • 66-51-25 ••
LOCATION 6769 Sioux Ct,. Magalia
FFICORY's-r�`�
AdddressAt
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t. G "�''''�` ,.n ,des �',•,Date� � d
Meter By
YyrYr, OFFICE COPY ,
f r
f
• ` � Address41
�
j N i4.
r Meter, - to
y { > y _ ?, '
� ELECTRI
' Meter By'' Date
• 1; :k Temp. Power Pole
^�14
Called'PG&E•
Temp. Elec.. Service
w •�
Called PG&E
s '=s Temp. Gas Service
<<:' y 'cit •s a ��< .
�h Called PG&E ---�`
41,
' :Y.k JOB FINALED (Date)
' Signature
• .� . r DCS ��'�-'�' G %� ;
V = OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
s
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N'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./ /"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 H's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
2. Soils; Compaction—Structure Stability
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
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed -
7. Water and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
E
f
V OK 1 r
0 = 14ot OK , 1
140t�,pplicable
�lE Not Ready
RESIDENTIAL,(Single and Duplex)
Date
UNDE LOOK Plans OK exce tk's
Date FRADornG (Continued)
1.
on' requ ire men t s-Setbac k5f E ements
X48.
arty Line Firewall & Openings
2
t ., Main; Soils-Steel-Elec. rnd.- / /" Ftg. Depth
4
Ext. oors-One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / /" Ftg. Depth
50.
S rs; Width -Headroom -Rise -Run -Landing -Fire Protection i
t P rches & Decks; Soils -Steel- / /" Ftg. Depth
51
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
5
to Is, Main; Steel-Blockouts-Wrapped-Slab
52'
Siding -Nailing -Veneer J
walls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
P' s -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
D.W.V.: Fall -Fittings -Test -2 way C/O -Sew est
55.
Shear Malls; N ' ing-Bolts
S_
-Anchors
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric Underground
12.
P ums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-BIAft
Card -131
Dateaff4rd-BI Date
ate Card -BI Date
Card -BI
Date Card -BI Date
Card-BID
ate rd -BI Date
Date FINA Plans) OK except q's
Card -BI ate Card -BI Date
Date
PLUMBING (Permit) OK except q'
Ext. Steps -Door & Sidelight Protection -Landings
moke Detector
14.
Water Ht.; Vent -Ac mbustion Air
tor-
la4ocaga;�hnva Floor Ducts- A4esho-Rcetection
15&Iffa-ter Pipe; Test Qncffit Protection
1
.W.V.; Test-Fttngs & Anchors- c n
Bed om Exiting
17.
Shower Pan; T
.F.1ath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor ub Ac s
c. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
6
S & Rails
Fireplace or Stove;arances-Hearttl-
6
ec lets at Wood Pant. & Ext._
Card -BI
to C I Date
it. & -Air -Cooki arance
Card -BI
rd -BI Date
6E#-Erec_0W4ets
& Receptacles at Kit. Counter
Date
I@Z---Ga-rage
EL C AL Permit OK except q's
Fire Dor; Swing-L-eakoj-
-
2
ixtuxe & Transformer Clearance -Ins. Protection
tr. Htr.; MOR s-Chaacamcff--cttmb:-Air-6anneetor-
�ve0_goP-ati;ch. Protection
21
lec. eptacles Spacing -Lights & Switches at Doors�
�Ib.,
g]-, r ch. Equip. Listed for Location
22.
23.
a Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
7
ec. eptacles in Garage; (G.E.L.i®Romex &xotee�
a
24.
Equ' round made up w/Mech. Fasteners -Bo as & W to
ation-Feam=Looked in Attic GLX91S.—
25
A dance Circuits in Kitch Conductor Size
(112
u a r d Rails &Deck Construction -Post Caps
26
ubfeed '-e Size / AI-A.C. W're Size / / ga. Cu or AI
7
Vents &Crawl Dor-Drainage 8d0leed Earth Clearance
Looked under Floor 011--_
27.
Ran Circ. / / ga. Cu or AI -Oven / ga. Cu or Al,
,Lmfulated Neutral Yes
❑
o owing insild.: Drive a es ❑ alk; ❑ Yes ❑ ho
Planters ❑Yes
joeService-Riser
Conductors in Disconnect
76.
SMM 7rown- h
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
t
30.
Clothes Closet Light -Shower Light
..,Z% --Vents
a Roof;ce-Apags.
.
Exterior Elec. Trim; G.F.I. Receptacle-,Uadexgm=d
Card B -I
a Date
8 .
entila ' throughout House
Card B -I
Date rd -BI Date
g
Protection
Date
rmit) OK except N's
orrections from Previous Inspections
as Meters Tagged; Gas-Ele
C cts; Insulation &Support
ter & Sewer Connected -C/0 to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
3 ent Fan; Exhaust above Insulation
3.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI tM
Date Card -BI Date
Card-BIate
rd -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date rd -BI Date
Date
FRAMIN ans OK except p's
Comments at Final:
36.
&Tfls oper Material & Anchors
C
37. all Studs -Nailing, Spacing & Bracing -Plates -Sound
Barin al's over Girders & Floor Nailing
— i
0
Stop in Walls (rat proof)
e Stops; Furred Ceilings -Stairs -Chases -Tub
7--
r & Beam -Size & Bearin
2.vs
angers -Post Caps- n s -Connectors
' '
43.
44.
Cing. Joist-Rftr ur_lin- oof Brac.-Truss-Sh_thng_.-Rfnp.__
F' ace Ties or Type e -Fireplace Throat
4
A ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
46.*S
indows or Exiting Doors -Sill Hgt. & Dimensions
47.
arage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
ROtu' to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT,
FOR RESIDENTUL. DEVELOPMENT
Section 26-8.i of= the- Butte_ County Code requires this, acknowledgement 91lE 0,�4Te' `aQs.
be recorded.. prior to- issuance:, of a. building permit._
The property described herein is adjacent to.,land.or: included- JUN 8 . 59
within. an area, zoned for agricultural purposes,. and residents. of f�LA,4OR �..
�.�...
this -property may. be -subject to inconveniences or. discomfort arising• C LE.0;K - f, - j E
from the use. of: agricultural. chemicals, including,, but not limited. to: herbicides, PEE..
pesticides, an& fertilizers;, and. from the pursuit of agricultural operations -including,,
but not. limited; to- cultivation, plowing,. spraying,. pruning„ ands. harvesting.- which occas "
sionally generate dust, smoke;, noise, and odor. Butte County, has-establishe&.agricuL-
turaL zones which have as a priority use for productive agricultural, purposes, and --
residents within said. zones. and on, adjacent. property should be prepared to accept such.
inconvenience.or discomfort from normal, necessary farm operations...
V.
All that real property situate in -the County of Butte, State.of California,
described as follows:.
SEE THE ATTACHED LEGAL DESCRIPTION
NOT COMPARED V'V"
ORIGINAL DOCUMENT
PROPERTY
1 iManuell,
teatricemandefl
State of Ca i forni n ) On this the 7th day of .Tilnp ,:
) SS. before me, the undersigned Notary Public, personally
County of Butte ) appeared- LUTHER' B. MANDELL AND BEATRICE R. MANDELL--
known to me to be the person(s) whose name(s) are .
subscribed. to the, within instrument and. acknowledged
RENAE CARR that they executed the- ' same_ for th`e-• pu3)oses
NOTARYPUB!IC-CAUPORNIX
Butte County therein contained..
My Commission Expires May 2, 1986 IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
otary Public
�A- Rena Carr -
Present A.P. NO.
.✓ ,mss ..
a i i4
DESCRIPTIONS
All that certain_ real property situates- in the- County of Butte:,..
State: of California,. described_ as follow.sr
Lot 8-, as- shown on that certain- Map. entitled`,, "SCHOTT SUBDIVISION"`',:
which.- cd:
was reordein the office -of -the• Recorder of .t.`e:
hCounty, of
Butte,. Stat.e:- of California,, on; August. 11,...1981, in Book S0 of Maps:_ at
pages- 96,. 9T and 98.:
EXCEPTING THEREFROM♦ an undivided 33 1/3A in in a1.1 minerals as:
reserved. in' Deed_ recorded in. Book 743,; at. page:: 68',. Official .Records. of
Butte County. Said reservation did -not include right of entry.
ALSO: EXCEPTING THEREFROM -an undivided 66 2/3p interest in, all minerals.
below -a depth of 200 feet as reserved in deed recorded January 26•,. 19-78,,
in Book 2251. of Official- Records at page- 320.
Subject to Covenants, Conditions and Restrictions recorded September 161,
1981, in Book 2657, of Official Records, .at- page 36.9..
I
OR OVILLE,.CALIFORNIA
GENERAL CLAIM
CLAIMANT: ' ,.i •b'I t/M F2 1,22 ii— 6 77211 c e:
ADDRESS:
1-O x A iV C. E L, r' r
CITY 8 STATE: �R^A! T.6'�.�r �'J� IMPORTAN:T: . .
DATE IOF CLAIM: QC J_l 1. y' SEE INSTRUCTIDE
>O.N RfVERSE SIDE,. ..
SUBMIT CLAIM TO DEPARTMENT RECEIVING. GOODS ,OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO :AVOID: DELAY.)
AMOUNT
Owner has decided not to do work. (Bldg ,Permit Appin. 91804-83B,.',
Receipt #82643,. dated.6/7/83, _AP #66-_5_1-25). `
Building permit fees paid----- ------ ----- —'--$46.75
Retain filing fee-�----- —=- -- -$ 10.00
Retain plan checking fee-.--------- 151,25
,M,:.
_
Amount retained ------=---- 161:25 -
Refund due ------------------=--------------------=----=--=$302..5.0
_.
plumbing permit fees. paid --------- ------------- $ 50.00.
Retain filing fee--- ----------------=---------- , 10.00
Refund. due -------- --------------------------------------- 40,,0
Electrical permit feesaid------------------ ---$ 81-95
F
Retain filing fee-- --------- -=------------ �----- 10.00
:Refund due ------ ------------ -------------------='----------$ 71.95
Mechanical permitfees paid-------------------= 39.00.
Retain. filing.fee----------------------- .---------- 10.04
Refund due ------------------------ -------------- -----------. 29:00
TOTAL REFUND DUE ------------------------- ---------- --------- $443.4'5"
$443.45
CORRECTION TAPE USED BY
BUILDING.DEPARTMENT. TOTAL
$443..45
I, the undersigned,- declare under penalty of. perjury that the services or articles claimed have been performed or delivered, and that this
claim 13 true and correct as stated. -
Dated this .. ,,..; aay of C1C%0/J.l�/ „ I9?'�,�, et L;,, �`,,,_,,........ Calif., �(
....
Signature of Claimant.
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been pekoorde-livered and that there is a Budget Appropriation 0or Specific Hoard Approval a (Check one) for the se.Ds:ed this 1 th..., day of „_,,,QCtObeZ, ment19 at ,QiQVl ),2,,,,, ,.Cell fHparteed. or Authori�•
liep C. Exp.
Code ............................................ Code ....................... PAYABLE FROM FUND '
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
'DEPT. & SUB.
PROJ.
SUB. OBJ,. CLAIM NO.
INV. NO..
INV: DATE
ENGUMB.
GROSSAMT. .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. f
,A "
ASSESSOR PARL VUM— Z ZONING /
(/Ps I�
BUILDING PERMIT
OWNER'/' TELEPHONE
6/ E 7Jf
SQ. FT. OCC. BUILDING VALUATION
OWNER' MAI/ 17 ADDR S
Sd
CONTRACTOR'S NAME TELEPHONE
3o94
%
CONTRACTOR'S MAILING ADDRE S
Fire
CONSTRUCTION LENDER
UNKN N
Total V lua ion $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
ZARCHPermit Fee $ 307—
ARCHITECT
ITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ J57,7,
Penalty $
ARCHITECT O GINEER'S MAILING ADDRESS
Permit fee $
BUILD G ADDRESS
�7
PLUMBING PERMIT Filing Fee 10.00
u
Each Trap 2.00 ?17.0
Solar Water Heater 20.00
P—.
Water piping 5.00
LOT
SUBDIVISION NAME PARCEL MAP
0
Each qas waterheater or vent 5.00
Gas piping system 1 - 5 outlets f5.00 O
USE OF STRUCTURE
SF�Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer 5.00 00
9
Mobile Home S G W 10.00 e
TYPE OF WORK
New Addition [:1 Remodel E:1 Utilities E:1Installation❑ Other [:1
De cribe work:
Permit Fee $ o�
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP OR0V OR LESS10.00 Q.cb
Main service EA. ADD'L too AMP 2:50 -2,5-0
NEW CONST. DWELLING O P
OR ADDNS. ACC. BLDGS. I 2/20sgft
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.
icense No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR TI -OUTLET
NON -RE SID BRANCH CIRCUITS.2.50 ea
NEW CONSTR POWER APPARATUS &'
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu SAL@30
p�o OR FIXTURES eALmao
IXED A
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
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
�
LTJ 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue_�
against said County in con equence of the granting of this permit.
X DateD�
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE D
OccuP. GROUP
I TYPE OF CONST.
ry
I PARCE
PD
HD
Issu
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.
DIRE OR OF tiBLIC WORKS
By r to
PERMIT EXPIRES Date
Receipt NO.
WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
a
F Iqlf, 'o /,-r c
7/4 IT4
\�f C 7- A,A� a A 4, /A
/0 1-r,-,4,PJE /2"—F 7-c" 12 -Ai Vlo ^A�-
4u- 'AA",da'
T
COUNTY OF BUTTE
DEPT- OF PUBLIC
OCT 15 1984'
AM P&I
718,9110,11,1213.121314151.6
OWNER
..1 .. r.«`. r mm �-"' .r,. -•s. -r. �"—�...++�•..ro'.-'�,.. Y.. a.+..rr"''W.sw_;.r,-.-.r4''r..+sr.`g/`4:�t.?'-t...'Z:. .. ..
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL, , CAL�4FORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No.
2
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price V DPW Valuation r
Other xplain)
Building Inspector Date _ Z,
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. t . . . . . . . .
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 V . . . . . . . .
S
9L tter of signature authorization. . . . . . . .
OySanitation approval from -0 ^_ealth Dept.
11.—Planning approval for (A) Use: (B) Parking:
' 1f7rtificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•)
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . .
Pre-Inspec. request to . .
_ ote)
�n 17. Pre -Inspection for Required. B ; ng Inspector O
vi v 8 Other /�.P�Jv�-r��.�_�o .�S G v �..� o .,��T" ,•.
When you issue the, permit, process as follows: Y Mail to owner. Mail to contractor.(
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Ads CarDate
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 a %cation, circle item.)
1. Index permit for above Items No. f /
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data
By
Plans checked by -
Plans approved by
Other:
Copy—DPW
Telephone Mail Other
Date
Date
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)
2. I (have/have not) (�Afvlz 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 N6A( r
Address City
Phone Contractors License No.
4.
I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:.
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name - Address Phone Type of Work
Signed:
Property Owner
Social Security number _
Date CINE 74
t
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 BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
PHONE: 916-534-4541
DATE July 21, 1983
Luther Mandell RE: Building Permit Application
4648 W. Ave. 41
Los Angeles, CA 90065 A.P. # 66-51-25
With reference to the above subject:
"
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where.indicated with all copies returned.
Fees of $ - payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
X Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
X Skyway & Elliott Rd., Paradise (Phone: 872-2961)
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
Should you have any questions concerning the above, please contact this office.
`=~ Yours very truly,
4 V
Clay Castleberry
Director of Public Works .
.F. Glander
JFG/aj Chief Building Inspector
d
�y���'
'YO
To; Building Department
I
From: Environmental Health
Subject: -Sanitation Clearance
Owner
.-Location
044 AP#
.f4
Plans approved for: Sewage Disposal Water Supply -
Hold final for: Water Supply_
Final Clearance O.K. for: Water Supply.
Clearance for bedroom 1604-li-a home. Other
Clearance for addition of
Note"
nitarian
Yate
To: Building Department
From: Environmental Health
Subject: -Sanitation Clearance
fy) av� Aet Lo� U(P- . S) -2-S
Owner . �'Location -APF—
Plans ap proved for: Sewage Disposal �atel r S u p p
Hold final for: Water Supply
Final Clearance O.K. for: Water Supply -
Clearance for 2— bedroom mobile home. Other VJ Wh 10' A,+\ Anq w�h
Clearance for addition of
Note"
I LI S EP-rO
arian Date
OWNER
RESIDENTIAL PLAN CHECKING GUIDE
4)(S.F.. DUPLEX, & MISC. ONLY)
Bldg. Permit #l/Z/—�3'
A. P. #k
A. GE
�oning requirements (sideyard's and parking).
aluation.
Signature by R.C.E.'or Architect (if required).
B.' PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or.structures.
Grading, fills, drainage.
C.' FLOOR PLAN
' _/Complete to scale plan with dimensions.
� t Required windows for light and ventilation (Sec: 1405).
Required windows for second exit (Sec. 1404).
4. Allowable glazing for energy requirements (20% max. per State law).
l`Human impact glass (Sec. 5406).
;f Required room sizes, ceiling heights (Sec. 1407).
e7�G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
cA— Locations of water heater, heating & cooling equipment, other electrical or'gas
equipment, and plumbing 'fixtures.
8 Garage firewall, door size, and closer (Sec.,503(d)(4)).
J�1! 1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
J;-! Smoke detectors (Sec. 1413).
'D ,= STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
l2 -o-- Floor construction details complete enough to construct building.
,3! evations and wall construction details complete enough to construct building.
of 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
�-a;irway
X plywood on exposed locations and'overhangs.
details (Sec. 3305).
rail details (Sec. 1716).
$rick or stone veneer (Chapter 30).
�a< Exterior plaster - weep screeds (Sec,. 4706 & 4708).
,6,.// Proper roof pitch for roof covering Chapter 32).
�a�ter ties or bearing ridge beam.
�9/ rage door or porch.header sizes.
Adequate bracing.
I; iv
area over garage,- complete 1 -hour separation required including supporting
walls and posts; etc.
Two (2) exits on three-story dwellings (Sec. 3302).
Table 3-3a. Ceiling Insulation
Points
R -Value of Insulation I Points
I i
WEST - '/ 13-.36
ZONE
11
22 I
-2
OWNER
POINTS
38 I
PERMIT NO. %
S - ASSIGNED
ACTUAL
1 0 -.19 1
1.
SLAB - INSULATION
Glazing Type 1
11.
HORIZONTAL SOUTH OVERHANG 2'
2.
RAISED FLOOR - R-19
TI
L9
I
Type
Dbl,
Trpl,
12.
:LOVABLE INSULATION - NONE
3.
CEILING - R-30
32y
d
13.
4.
WALL - R-19
/97-
d
VE
5.
NORTH GLAZING
- 2.4-3.6-,'
o
i
6.
EAST GLAZING
2.5-3.6% 3 o
.
THERMAL MASS SF
I I Z of T
7.
SOUTH GLAZING
= 1.6-3.6%
J +4 J
I
S.
WEST GLAZING
- 2.9-3.6% SV
+1
i
9.
SKYLIGHT
- 0-1.3%
U-
I 2.4- 3.6 I
i 3.7- 4.8 I
10.
SHADING (Exclude
Overhang)
16.
i
EAST
- 3. 0.66
I -4
I -6
J -3 I
I -5 I
17.
SOUTH
- /f 7.19-.42 ,GG_
( 7.4- 8.2 i
I 8.3- 9.7 I
-12
-14
1 -8
J -10
I -7 I
I -8 I
f
WOOD STOVE
Table 3-3a. Ceiling Insulation
Points
R -Value of Insulation I Points
I i
Table 3-4a. Wall Insulation Points
I R -value of Insulation I Points I
WEST - '/ 13-.36
19 I
-4
22 I
-2
30 I
0
38 I
+2
49 I
+4
Table 3-4a. Wall Insulation Points
I R -value of Insulation I Points I
'
WEST - '/ 13-.36
I 19
1 0 1
TOTAL
SKYLIGHT - D• �37-.57
I 30
1 +3 I
'
WEST - '/ 13-.36
• G
Tai ble 3-5. North-Facin Glazing Pts
TOTAL
SKYLIGHT - D• �37-.57
�$ -Z
L'31, t-Faclng Glazing Pts.
Table 3-9. Skyli.ht Points
1 0-3.1 I to 1 6.4 up
-T
�
1 0 -.19 1
0 I +1 I +2
I I
Glazing Type 1
11.
HORIZONTAL SOUTH OVERHANG 2'
' 1
G
I Total I
I Z ofSngl,
TI
I
I
Type
Dbl,
Trpl,
12.
:LOVABLE INSULATION - NONE
0 d
I Floor I
I Area 1
U-
0.66
I U- I U- I
i 0.42- 10.41 I
13.
a.
INFILTRATION (Standard=0)(Tight=+12)
L �i
I 1 1.100.65_44
.1 1 1.6 1 3.2 1' 6.4 1 9.0
I down I
to I to I to I to I up
i 1.5 13.1 16.3 17.9 I
1 I I I I
0-.12 i
o
+ 4__F_
+4 4 4
+y
14.
THERMAL MASS SF
I I Z of T
1 0.1- 1.2 1
+4
I +4
J +4 J
I
to 1 to I to I to I to
I .--r IT3_i 13T1
1 rTf.-!T
+1
I +2
I +2 I
15. 'GAS
FURNACE (SE) 71-76%
U-
I 2.4- 3.6 I
i 3.7- 4.8 I
-2
-4
I 0
I _2
1 +1 I
i _1 l
16.
SEAT PUIiP (EER) 7,5-7.9%
1 4.9- 6.1 I
I 6.2- 7.3 I
-7
-9
I -4
I -6
J -3 I
I -5 I
17.
DUAL PACK (SE, SEER) 8.0-8.3/71-76%
1 0.42- 10.41
( 7.4- 8.2 i
I 8.3- 9.7 I
-12
-14
1 -8
J -10
I -7 I
I -8 I
WOOD STOVE
3 3 f?o
I 9.8-10.8 I
-17
I -12
I -10 I
10.65 I
dove I
I Tn=•ila- I
R -Value
of
Insulstion I
I R -Value of
WATER HEATER
�_
112.1-13.2 1
113.3-14.5
-22
J -16.
I -13 I
I tiun I
I
-24
I -18
I -15 1
I Insulation
ATTIC Ida %
I ' o
14.6-15.3 i
-27
1 -20
-
i -17
I 0 I
OTHER .
I Depth,
Table 3-7. South-FacingGlazing Pts
T_
1 I Glazing Type I
Total I I
I Z of I Sngl, I Dbl, Trpl,
I Floor I (U - I (u - I (U - I
Area 11.10) 10.65) l 0.41)1
I 10ints (oints I ointsl
D +3 +3 • 3
up to 1.5
1 1.6- 3.6 1 -1 I 0 I 0 1
I 3.7•- 5.2 I -4 1 -2 I -2
1 5.3- 6.5 I -6 1 -4 I -3 I
I 6.6- 7.7 I -9 I -6 1 -5 I
1 7.8- 8.9 1 -11 i -8 I -7 1
i 9.0-10.0 I -13 1 -10 .I -9 1
110.1-11.5 I '-17 J -13 I -11 I
111.6-13.0 I -21 I =16 I -14 1
113.1-14.5 I -25 I -19 1 -16 I
14.6-16.0 i -23 1 -22' -19 I
Table 3-8. West-FacinR Glazin Pts.
Glazing Type I
I Total I I
I Z of I Sngl, I Dbl, Trp-,
I Floor I (U - i (U - I (u . I
I Area 11.10) 10.65) 1 0.41)1
I
[points I oints [points[
0 1 46 146 +6
I
un to_1_1J_ +5 1+6 I
1 1.4- 2.2 1 +3 1 +4 1 +5 1
I 2.J- 2.8 1 0 1 +21 +3 1
I 2.9- 3.6 1 -3 1 0 1 +1 I
I 3.7- 4.2 1 -5 1 -2 1 0 1
I 4.3- 5.0 1 -8 1 -4 1 -2
I 5.1- 5.6 1 -10 1 -6 1 -4
1 5.7- 6.2 1 -13 1 -8 I -6 1
I 6.3- 6.9 I -15 1 -10 i -7 I.
I 7.0- 7.6 I -18 I -12 I -9 I
I 7.7- 8.2 I -20 I -14 I -11 1
I 8.3- 8.8 I -22 ( -16 I -13 I
8.9- 9.5 J -25 I -18 1 -15 l
9.6-10.1 1 -27 I -20 I -16 I
l 10.2-11.0 1 -29 I -23 I -17 I
1 11.1-11.8 I-35 I -26 I -21 I
111.9-12.7 I -33 I -29 I -24' I
112.8-13.5 I -42 I -32 I -27 I
113.6-14.3 I -46 1 -35 1 -29 1
i 14.4-15.2 i -50 1 -33 1 -32 I
•reel. 3-10. Shndlno roof Ff,t.... o..t_..
T
I SC by
I
I Orien-
I Z Floor Area
TOTAL
POINTS =
-f-13 oat4�ble 3-6.
L'31, t-Faclng Glazing Pts.
Table 3-9. Skyli.ht Points
1 0-3.1 I to 1 6.4 up
I
I I 6.3 I
1 0 -.19 1
0 I +1 I +2
I .20-.36 1
0 I 0 I it
I .37-:66 I
0 I 0 i 0
T.7-- .82
7-
TI
I
Glazing
Type
1
to I to U to I to 1 -up
I 3.1 16.3 I 7.9 19_
I 0 -.18 10
I +1 I +2 ( +2 1 +3
I .19-.42 1
0 1 0 1 0 1 0 1 0
I 43-.66 10
1 -1 I -2 I -2 -3
I Glazing Type
I I Total I
West I
.1 1 1.6 1 3.2 1' 6.4 1 9.0
I
to I to I to I to I up
i 1.5 13.1 16.3 17.9 I
1 I I I I
0-.12 i
0 1 +1 I +3 I +6 I +7
.13-.36 I
0 1 0 I 0 1 0 1 0
.37-.57 I
Total
I
I I Z of T
Sngl,
Dbl,
Trpl,
.1 I .8 1 1.6 1 3.2 1 4.0
I
to 1 to I to I to I to
I .--r IT3_i 13T1
0-.12 1
0 1 +1 1 +3 1 +6 1 +7
.13-.36 1
I Z of
I Sngl, Dbl, Trpl,
I Floor I
U-
I U - I
U- I
Table 3-1.
Slab
Floor
Points
Table 3-2. Raised
Floor Points
( Floor
I (U - 1 (U - I (U -
I I Area 10.66-
1 0.42- 10.41
I
I+T---
I
T
I Area
1 1.10) 1 0.65).1 0.41)1
1 11.10
10.65 I
dove I
I Tn=•ila- I
R -Value
of
Insulstion I
I R -Value of
I
I II
o!nts (points I olntsl
I tiun I
I
___7
I Insulation
I Points
I ' o
'+ 1 4 4 +4 7
1 up to 1.3 I
-1
I 0 I
0 I
I Depth,
I
I
I I up to 1.3
1 +3 I +4 I +4
1
1 1 -T -M.2
F -3
1 -2 I
-1 I
I inches 10-2
1
3-4 !
5-6 I'
7+ I
I 1.4- 2.4
I +1. I +2 I +2
1
1 2.3- 2.8 1
-6
I -4 I
-3 i
I I
I
I
I
I
I below 3
1 -12
I I 2.5- 3.6
i -2 I a I 0
1
I 2.9- 3.6 1
-9
I -6 I
-5 I
I 3- 0
I -8
( 17- -
( -5 I -2 I -1
1
I 3.7- 4.2 1
-11
I -8 I
-6 I
1 0- 11 i
-5 I
-5 I
-5 I
-5 I
I 5- 7
1 -6
I 1 4.7- 5.6
I -8 i -4 J -3 1
I 4.3- 5.0 1
-14
I -10 I
-8 I
112 - 15 I
-5 1
-3 I
-2 I
-1 I
I 8 - 12 I
-4'
! I 5.7- 6.7
I -10 I -6 1 -5 1
I 5.1- 5.6 (
-16
I -12 I
-10 J
116 - 19 1
-5 I
-2 1
-1 1
0 1
I 13 - 18 I
r2
J I 6.8- 7.7
I -13 I -8 1 -7 1
I 5.7- 6.2 I
-19
I -14 I
-12 I
I 20 + I
-5 1
-1 1
0 1
+1 I
I •19+ I
0
I ( 7.8- 8.7
I -15 1 -10 1 -8 1
1 6.3- 6.9 1
-21
I -16 1
-13 I
I 1
1
I
I
(
I I
1 I 8.8- 9.1
I -1.7 1 -12 1 -10 1
1 7.0- 7.6 1
-24
I -13 1
-15 1
l 9.8-11.2
1 -21 1.-15 1 -13 1
I
7.7- 8.2 I
-26
I -20 1
-17 I
7/7/83
111.3-12.7
112.8-14.0
I -25 1 -18 .1 -15 1
I
8.3- 8.8 1
-28
I -22 1
-19 I
I -23 1 -21 I -18 I
I
8.9- 9.5 I
-31
I -24 i
-21 I
14.1-15.3
1 -32 -24 I'-20 '1
I
9.6-10.1
-33
I -26
-22 I
1I1
fIf
•reel. 3-10. Shndlno roof Ff,t.... o..t_..
T
I SC by
I
I Orien-
I Z Floor Area
tation
I East
I I 3.2T -
I
1 0-3.1 I to 1 6.4 up
I
I I 6.3 I
1 0 -.19 1
0 I +1 I +2
I .20-.36 1
0 I 0 I it
I .37-:66 I
0 I 0 i 0
T.7-- .82
--0- I 0 I -1
1 ..83 up I
I I
0 1 -1 I -2
I I
I South 1
0 1 3.2 1 6.4 l 8.0 19.6
I I
to I to U to I to 1 -up
I 3.1 16.3 I 7.9 19_
I 0 -.18 10
I +1 I +2 ( +2 1 +3
I .19-.42 1
0 1 0 1 0 1 0 1 0
I 43-.66 10
1 -1 I -2 I -2 -3
I P 10
'
.I
l -2 i -4 I -4 I =6
West I
.1 1 1.6 1 3.2 1' 6.4 1 9.0
I
to I to I to I to I up
i 1.5 13.1 16.3 17.9 I
1 I I I I
0-.12 i
0 1 +1 I +3 I +6 I +7
.13-.36 I
0 1 0 I 0 1 0 1 0
.37-.57 I
0 1 -1 I -3 I -6 I -7
',58-.92 I
-1 I -3 1 j;6 1 -12 1 -15
.83 up I
I
-2 i -4 1 -8 1 -16 1 -70
I I I I
Skylight 1
.1 I .8 1 1.6 1 3.2 1 4.0
I
to 1 to I to I to I to
I .--r IT3_i 13T1
0-.12 1
0 1 +1 1 +3 1 +6 1 +7
.13-.36 1
0 1 0 1 0 1 0 1 0
.37-.57 1
0 1 -1 I -3 1 -6 I -
.58-.82 I
-1 I -1 1 -6 I -11
.83 up 1 -2 I -4 I -8 I -16 1 -20
Table 3-11. Horizontal South
Overhan.. Potnte
South Glazing
Length Out i Area. Z of Floor I
I from Wall I I
I
ft T-
I 1 0-6.3 1 6.4 up I
10.6 - 1.0 1 -2 I -3 I
1 1.1 - 1.9 1 -1 I -2 I
I 2.0 up I 0 I 0 1
I I I
Table 3-12. Movable Insulation
Points
I Moveable Insulation'l
I Area, Z of Floor ( Points
I I
I 0- s. s I 0
I 5.6 - 11.5 J +2
I 11.6 - 17.5 I +4' I
I 17.6 - 23.5 ( +6 I
I >23.6+ I +8 I
b- ZONE 11
' TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS
Table 3-13. Infllttation Control
Fee.tvres Points
----T
I Control Features I Points I
I Standard I 0
1 i
1.9 air changes per hr
Tight i +12
I il•6 air changes per hr I'
i I
Table 3-15. Gas Furnace Without
_ Refrigeration Cool_r. Points
I Seasonal Efficiency I Ports I
1 (SE),
1 71 - 76 1 0 1
I 77 - 92 1 +2 1
83 - 88 I +4 I
I 89 - 94 I +6 I
I 95 up i +8 I
I I I
Table 3-16. Heat Pumo Points
I Energy Efficiency I
Points I
I Ratio
(EER) ;
I
1
I
•Ir_�
I 7.5 -
7.9 I
+3 I
I S.0 -
8.3 I
+6 I
I 8.4 -
3.7 i
+9 I
1 8.8 -
9.1 I
+12 I
I 9.2 -
9.6 I
+13 I
I 9.7 -
10.2 1
+18 I
I 10,3 -
10.8 I
+21 I
I 10.9 -
11.5 I
+24 I
1 11.6 -
12.3 I
+27 I
i 12.4 -
I
13.2 I
I
+30 I
I
Table 3-17. Gas Furnace With
Refriveration Coollne Points
iRefrtgeracfonl Gas Furnace. I
I Cooling I SE I I
I 1-1 n -i a 3-1 89- 95
I 1 761 821 881 941 uo I
1 8.0 - 8.3 1 01 +21 +•41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +91+10 1
I 8.3 - 9.2 1 +41 +61 +g1+101+12 1
I 9.1% - 9.7 1 +61 +81+101-121+14 1
I 9.8 - 10.3 1 +31+01+121+141+16 1
1 10.4 - 10.9 I+1Gi+12i+151+161+IS I
1 11.0 - 11.5 1+121+141+161+'181+20 1
7/7/83
AREA
1,000
1,500
I +2 I
I 15 - 23
2,000
I 24 - 30
I +6 I
2,500I
I +8 I
I 40 - 47
3.000
1 48 - 55
l
3,500
I +14 I
I 64 - 71
4,000
-8
I 72 up
I
I,SGO
5_,000 i
SA. FT.
I A B C D A
8.
C
D
A
6
C
0�
A
B
C
0
A
8
C
D
A
6
C
D
rA
+24
C
D
A
6
CG
+11
A
8
C
1,000-1,499
0
+2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2 1100. and up
0 '
0
0
r
+5 1
+6
+7
+9
All others ( e: building points)
01
_
8UO-899
900-999
0
0
50
2 2 2 2 2
2
2
0;
2
2
2
01
0
0
0
0
0
0
0
0
0
0
+15
+18 +21
0
0
00
+5
0
0
0
+14 +lc
0,
0
+2
+3
'.OG.
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
0.
0
0
o
0 1
iSO
6 6 6 4 4
4
4
2
2
'2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
0
2
?
2
OI
2
2
2
D I
200
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
22
2
2
2I
2
2
2
7
250
10 10 8 6 6
6
6
4
6
6
4
2
r'
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2!
307
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
7'
2.
7
2
2
350
14 14 12 810
IG
8
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2
4
4
2
2I
2
2
2
T
400
14 14 12 8 10
10
8
6
6
8
6
4
6
6
4
4
6 -
6
4
2
4
4
4
2
4
4
4
2
I 4
4
2
2
I 4
4
2
2
500
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
4
a
4
2
a
4
4
j
600
22 20 18 12 14
14
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
G
6
4
6
6
6
4
1 6
6
4
2I
6
6
4
2'
777
' 24 24 20 14 18
16
14
10
14
14
12
8
10
10
10
6
10
10
8
6
8
8
6
4
8
6.
6
4
6
6
6
41
6
6
5
J. 1
230
26 24 22 16 TO
16
16
10
14
14
12
8
12
10
10
6
10
10
8
6
10
R
8
4
e
6
6
4
8
6
6
4I
6
5
G
.
i
900
28 28 94 16 22
20
18
12
16
16
14
10
14
14
12
8
12
12
10
6
10
10
3
6
13
8
'8
e
8
9
5
41
B
8
6
r. !
1,000
30 70 26 18 21
114
20
20
14
18
18
16
10
14
14
12
8
12
12
10
6
12
10
10
6
10
10
8
6
8
a
C
4I
^.
8
6
4 i
1,; OU
32 32 28 20
24
22
14
20
20
18
10
16
16
14
8
14
114
14
12
8
12
12
l0
6
10
10
10
6
IO
10
B
(,I
!J
e
e
1,200
34 32 30 22 26
26
22
16
22
20
18
12
18
18
14
10
14
12
8
14
12
12
8
'11
12
10
6
1 10
10
8
6
i to
In
8
6 i
1.3CD
34 34 72 22
I
TB
26
24
16
22
22
20
12
18
19
I
10
1
14
19
8
14
12
12
8
12
12
10
6
12
10
10
GI
10
10
F.
6 1
1,400
34 34 32 24 28
28
26
18
24
24
2n
10
20
20
18
12
18
16
14
10
14
14
12
8 X14
14
12
8
12
12
;G
6;
10
13
10
E
1,500 1
36 34 34 24 30
30
26
18
24
24
22
14 122
20
18
12
18
18
I6
10
16
16
14
8
14
14
12
B
11
12
10
7.1
12
12
1.
c i
2.GOJ
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14
20
20
18
12
18
18
16
10
16
16
i4
CI
14
14
11
9•I
2,507 I
34
34
30
22 130
30
26
iB
26
26
24
16
24
24
22.
14
22
22
13!2
20
20
18
!: 119
13
It
'U
3,000
3,500
34
32
30
22
70
32
30
32
26
30
18
20
28
30
26
30
24
26
16 124
ld �2d
24
28
22
14
14
16
22
26
22
24
20
22
14,
1;1
;2
:'j
:3
.4
i
70,
12 i
1.7 '
4,790
I
32
32
3 0
20 170
3O
26
18'
<'9
28
24
It
26
2.3
r'2
if
4,507
_
132
32
Ta
a'0
1 30
30
26
;t
5.003
�.
--
-•--
IG
76t
I
A) 1. 7'i' Concrete Slab: HC -8.93; R-.29; Factor -7.3
2. 7 3/4' Thick Comnon Brick: IIC=7.125; R-.13; Factor -7.3
B) 1. 5§' Concrete Slab: HC -14.106; R -.45B; F;;ctor-7.1
C) 1. a- Solid Filled Block: HC -20.67; R-1.90; Factor -6.1
2. S. Solid Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'.11ast Area: IIC-1D.164; R-36.; Factor -6.1
D) 1' Thick Concrete/Tile: KC -2.55; R-.083; Factor?3.7
Table 3-19. Zonally Controlled
Electric Resistance
Space lieatin't Points
I Points foc this measure 4 Table 3-20. Solar Water Heating With Gas Backup Points
I be completed after the CEC I
I !las approved an Alternative I
Component Package for Resistance I
I Beat.
Table 3-1S. Active Solar Space
Heatine vith Gas Points
Net Solar Fraction I Points
(,;SF), Z
I 0-6
I 0 I
I 7 - 14
I +2 I
I 15 - 23
i +4 I
I 24 - 30
I +6 I
I 31 - 39
I +8 I
I 40 - 47
( ; +10 I
1 48 - 55
I 4.12 I
I 56 - 63
I +14 I
I 64 - 71
I +18 I
I 72 up
I +20 I
wood stove #33 points -(no back up)
casablanca fan + 1 point
Multlfamll (per unitpoints)
Floor Area
Net Solar Fraction (NSF), Z
per unit,
ft2.
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2 1100. and up
0 '
+1
+2
+4
+5 1
+6
+7
+9
All others ( e: building points)
_
8UO-899
900-999
0
0
+5
+4
t10
+9
r14
+13
+19
+17
+24
+11+26
+29 +34
+30
1,00D- ,199
0
+4
•+7
+11
+15
+-19
+22 +26
1,20rr-I.499 0
+3
+6
+9
+12
+15
+18 +21
1,500-1,999
0
+2
+5
+7
+9
+12
+14 +lc
2,4110-2,9:9
0
+2
+3
+5
+7
+9
+10 +11
3,0.x•.0 a:.d uo
-0
+1
+3-
+4
+5
4.7-
+9 +10 1
Table 3-21. Other Water L'eating Pta.
I System Type I Points I
I t i
I Gas Only ( 0
1 I 1
( Beat Pvcp I 0
I i I
( Solar vith Electric ( I
1 Resistance Backup I I
Meeting the Require- ( I
I menta Its Part 2 I 0 i
I I 1
Electric Resistance I I
I Only i . -40 I
Fe
i�
!J
FORM
(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)
Btu/hr
(heating capacity)
Heat Pump.
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
ACOP
SE
`type (liquid or*air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
®
Other NW,
(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;
favi 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
® (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(g), and fill out the Or
following; U.14V, ;t" ✓ --6bVZ yV
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, c.00ling load BTU
2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE)
* 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 California Administration Code.
7/83
SIGNATURE OF BUILDING DESIGNER OR APPLICANT -
3
FORK 1
(6)
DOMESTIC WATER SYSTEM
✓ ®
(A) Gas Only Gallons
•
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ * 2
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)
®
:(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(g), and fill out the Or
following; U.14V, ;t" ✓ --6bVZ yV
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, c.00ling load BTU
2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE)
* 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 California Administration Code.
7/83
SIGNATURE OF BUILDING DESIGNER OR APPLICANT -
3
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
Owner'_/� A -OU Climate Zone _ Permit No..
Floor Area -I. y4)
Compliance path': Package ❑ A ❑ B ❑ C [ Point System ❑ Budget Other ��
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION•
49 Roof/Ceiling 3-0-
10 Wall q
❑ Slab Floor Perimeter
Raised Floor
(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:
❑
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket
❑
(F)
Air-to-air heat exchanger
(3) GLAZING:
(A)
Location
Area Glazing %Floor Area
Single
Double Triple:-.
Total Bldg 417 Zy p
North /2._
East
�*]
South ?iy'T, d 7
]
West S./
Q
Skylights . U !
k
(B)
_Shading
Shading
Coefficient Description
❑
East ,
❑
South
❑
West
❑
Skylights
®
(C)
South Overhang
Length of .projection _�_ft. Description
❑
(D)
Moveable insulation: Area ft2
Description
(E)
Thermal mass
❑
Type - Area
Ft.2 HC=
R=
MC= Location
`❑
Type - Area
Ft. 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
7/83
TO Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
T-1
OWNER LOCATION AP #
Plans approved for: Sewage Disposal Water S upply
Hold final for:
Final Clearance O.K. for:
Clearance -for 2 ---Bedroom home. Other
Clearance for addition of
No
TARIAN
Water Supply_
Water Supply_
IDAYE
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANO PERMIT
PERMWO0.
r
ASSESSOR PARCEL NUMBER
(o - 5 /-ZS
ZONING
eT-1
BUILDING PERMIT
OWNER 5KAT2r66 LU 4L1� "4AIDEU-
TELEPHONE
SVQQO. FT. OCC. BUILDING VALU ION
L/
Ql4r
GQO '"
OWNER'S MAILING ADDRESS
fi &1 9011/)( CT A,1461?"1941
CONTRACTOR'S NUE
TELEPHONE
.
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NOAlU
UNKNOWN
Total Valuation is
Filing -Fee
Q0.00
LENDER'S MAILING ADDRESS$
Permit Fee
$ , V
ARCHITECT OR ENGIN>.F.ER
LICENSE NO.
Energy Plan Checking Fe
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING- ADDRESS
(/(/ 6 SOU/X 6T,
Permit fee
$ I,
�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
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
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑2 Installation❑ Other
Describe work:_ Z RE;. ,4L /3P# 273 P.5
ADDIL 570r,194E ,fZt:74 /,t/ If 7-116-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
SMCE ovc--,e cq�G�
Main service j10V OR LE
00 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
s tion, will do the work,and the structure is not intended or offered
r 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.&`` ,�2¢sgft
OR ACDNS. ACC. BLDGS. f
NEW CONSTRES'D. BRANCH2.50 ea
_NO N.RESID BRANCH CIRCUITS)
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20®300
eAL030
FIXED PR
Ex. Occup. OUTLETS 1RESID.)EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. lyirin 15.00
9
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
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
Coolin g
Hood
3.00
Ventilation
petmlt 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.
1also 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 on equenc of the granting of this permit.
z ,/� q
X Date,/4J&I L 7a, %��
Signature of Applicant - Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -OR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 2-2,0,7,5-
L?.0r%j1
ace "P,
CONST.TYPE
I
I FLOOD
PARCEL
I PD
I NO
I ISSUE
'by issued under
sions tiounty Code and/or
workve Vor which
This wwzw��
OF PUBLIC
BY
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datej� 3� ��k('
2 _v !;L-
Receipt No. v/78
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - 0roville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. /
ASSESS RPARC L NUMBER �-
(/� ,/Ft
ZONI
T -BUILDING
PERMIT
OWNER
TELE HONE
SO. FT. OCC, BUILDING VALUATION
OWNER' J uLjN ADD
CONT TOR'S NAME f
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
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
Penalty
$
BUILDING ADDRESS 9 t4
n
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
FARCEL MA
Water piping
5.00
Each qas water heater or vent
.0p
USE OF STRUCTURE
SF F] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewerT-91-70
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remod I ❑ Utilitip9l Installation❑ Other
Describe work:
_ S
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):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$
and Professions Code and my license is in full force and effect.
(cense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ad ,
OR ADDNS. ACC. BLDGS. 2/zQsgft
NEW CONSTRES(., U TI.OUTLET 2.50 ea
NO N•R ESID BRANCH CIRC ITS
POWER APPARATUS Q
(SINGLE OUTLET CIR.
Ex. Occup( 20@50t
p OUTLETS OR FIXTURES SALO 30
Ex. Occup. OUTLETS FIXED P(RESID IREA.) 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
onsent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 i consequence f the granting of this permit.
,y (
Date `
Signature Of Applicant — Owner 0 Contractor ❑ Agent
An OSHA permit isrequired 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 $
Occup.
CONST.TYP!
I
I FLOOD
PARCEL
I P11
HD
1 u!
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicd above for which
IRE PUB
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fee have been paid.
ORKS
Dat
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESS R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE- - DEPARTMENT' `JF' PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO�.j
ASSESSOR P,ARCEINUMBER s—
Yui_
ZOm I
BUILDING PERMIT
OWN
A: ``C1`l L �1� ����
TELEPHONE
FT. OCC. BUILDING VALUA
^SAO.
/ O
o
OWNER'S MAI INGL-AgDR ESS �✓
Imo^ (T /V,�V' C
l/p oa
*31- ,
CCrTRACTOR'S NAAp'$�- O ®��
TELEPHONE
1 _
CO al
00
CONT,,I1//-�`A�''CTOR'S MAILING ADDRESS '-1
2W`D If)15 �® / 9$S
Firep s T 4ObO
CON T UCTION VN e LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDERS MAILING ADDRESS
Permit Fee
$ 33 Z ,.—
OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Is-
SARCHARCHITECT
`v-%
$
ITECT OR ENGINEER'S MAILING ADDRESSPenalty
ARCHITECT
Permit fee
$ -�
BUILDING ADDRESS -
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
j'p '2.00 0
Solar Water Heater
20.00
Water piping
5.00
LOT NO. 5UBD1 VISION NAME
8 TA NJ i 1M
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
'USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer5.00
—
Mobile Home S G W
10.00 e
TYPE OF WORK
New X Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: —
3
Permit Fee
$ 0 -
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS,
10.00 i<)
Main service EA. ADD'L 100 AMP
S
2:50NEW
CONST. ( DWELING
OR ADDNS. ACC. SLOGS.CCUP.&
2'� r -•-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of•the Bu5I ness
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
[ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
' for this reason
NEW CON5TR ULTI.OUTL T
NON-RESID BRANCH CIRC ITS
2.50 ea
NEW CONSTR (/POWER APPARATUS .&)
NON-RESID. SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES
6A 50
300
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
1 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.
�f 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 '16.00
Heating
—
Cooling
Hood
3.00
Ventilation
permit Fee
$ 5
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby 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
agai t said
�County
-in consequence of the granti g of this permit.
�' _ `�-�� Date �,
Signature of Applicant — - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3i stories in height.
Mobile Home Installation Fee $
ZyL hS 0 3,0 '-
TOTAL P RMIT FEE �S= I-
OCCuP. GROUP
_�
of CONST.
PARC E
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fe
DIREC OF PUB I
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
s have been paid.
ORKS
D to
Receipt No. /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OFRUBLIC WORKS - BUILDING DIVISION �»
7 COUNTY CENTEWDRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
# Permit No. /
OWNER Q. ThAV,)P �i
A. P..NO. (oIn— S)" `� S'
tt)) A
Proposed Building Use {�`S S •.
Permit Fee Based Upon: Complete Contract Price VDPW Valuation
�/N pp Other (Explain)
Building Inspector- Date &A
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . .
2:,. Plot plans in duplicate./triplicate. . . . . . . . . . .
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 authorization. . c .• _
�10..San itat 1on approval from ADA 0 13 5— Health Dept.
1. Planning approval for (A) Use: (B) Parking:
2. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, class if.)
1�114. Owner -Builder Verification (Given to owner[ra!Mail to ownerEh
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
•
17. Pre -Inspection for Pre-Inspec. request to
Required. Building Inspector (Dote)
18. Recorded copy of Agricultural Acknowledgment Statement. _
—&Q<9. Other ., �S
When you issue the(pedit, (process as follows: Mail to owner. Mail to tr tor. r
Telephone t and hold for pickup at ` office. Deliver w./inspector.
Other
Applicant/-� i-/ /.�,.�. �/�r� l�('1'Date 2tl,
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 Items 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 !177 r. Date
Other:
Copy—DPW
-Owner:'and rvAleAl Permit No.
ENERGY Ct,RTIFICATIO'N
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
CEILING '
Batt or Blanket Type Brand Name
Thickness(inches) Thermal Resistance(R Value)
Loose Fill Type Brand Name
Minimum Thickness(Inches) Number of Bags Wtper bag lb.
Area covered(ft.2) Thermal Resistance(R'Value)
ELEVATED- �s ,., '«:�-.�--�.� . �.:•- .....' .,.
Mateiiial
Tl'cknes s (inches )
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of CaliforAa.Energy Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required 'items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
F / R (Please print) STATE CONTRACTOR'S LICENSE NO.
GNA OF QENERAL CONTRACTOR 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.
January 1984
OW ne r :
�• E N
6769 Souix A. V
0CATION
ROOF
PinVeri_a1. _
M(:kSS(inched)
EXTER m WALL
Mater. i.:l l Fiberglas
1IIIckness 611chl:,;
R G Y C F. R T .I 'F' I C A T I O N
alia, CA 066
A, 1', No.
DESCRIPTION OF INSUIJA'.TION
Brand Naulc _
Thenull. Resistance (it
Fir�rlcl rl,lme CertainTeed
_6' Theiunl. RuS0;L:1nc1!(I
CEILING
I
On! c nr bl;,nkc,t 'pp..
Fiberglass
Th i.cknnss ( inches)
1. ""s a F i. I l Type—
__—..---
N,i.ni.mulil 1'blc.knus
Aron covQred(ft.
FLOOR, , ELEVATED
i
Marc wal Fibergla;i s
f'bLckrlrss(l.ru:.IT')___
--
FLOOR, SLAB
Wertal
'1'hi.ckrtess(inclle:7)
-_-�---�.---__ ----_
Width(inches)_—_--_—
FOUl,1DATION l-lAl.,i.,
material
Thickness, i.cknes:, (inches)
I4r::l.1 Me CertainTeed
Illel-111aI, 1 '.`:i,rt;lill:r(dt `Iall.le) h ---
I'lhtmber of 11a};r -- -- 1; l'. per bat!,
Thenna.l lie si.3tnn,.((R Val-ue)
L'rancd 1'ia,,,c.Ce.rtain`l'eed
•Lhe�tinal. Rl:si.3t:lnc�1�(l� Ualnct)�+: 9.�
Brand
'lherl"al Resistancc(R Value)
Brand Name- _-__
Thennal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
i. eon,fotnance ywi.th. the State QVQ- -i£orrl�a Energy Recludremenis.
s Insulation. Co Ak Inc. __--- #318407
.r%ln�la STATECtirr.rRnt;Tuli's LICENSE NO.
sLc iii�F.'gtr INST ALLKrIC;M" APPEIC.A'r(u; — DATE
T hrr-by c ertiCy the abide in::ul.at'i lt1 and ;Ill. rccllli ced i trJnn :Is shnwcl ern ('he -
Building Department appAved plans and ;[Ltachmcnts have kern i.nstatled as
r.eclutred by the Stats of,(:cll.iforuta Energy Reciuirementh.
All -qu 1 pment , ldov 1 epA ah marcridis ark Q the qua 1 .vi y* ilI'csc r ik!cl or are �
spvcii ically aphrnved by tho Statl! Il d; Ql.i. oynia.
_ &
FIRl;;—qA •lE ggQj& j (Flease print)
IG.NA AW -E OF 0ENL;RnL (7OI-,TRACTOtt 10h'Anal
s cn'ri: Cc�ivrf:Ac;'rcl1;'S LICENSR NO.
DATE
TILLS CERTIFICATE I•fUST BE ON FLL,E WITH THE BUILDING DEPARTP ENI! PRLOR TO FINAL
I.NSPEMI.ON APPROVAL, QD A COPY SHALL 13E POSTED WITIIIN TIO BUILDING .
January 1984
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 85965 - Telephone (916) 538-7541 --�PERM71T N0.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
056-51-0-025
ZONING
FT 1
LDING PERMIT
OWNER
LUTHER & BEATRICE MANDELL
TELEPHONE
877-9559
SQ. FT. OCC. BUILDING VALUATION
_
OWNER'S MAILING ADDRESS
5739 Sioux Magalia 95954
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee or' aminal $
2.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6739 Sioux,
PERMIT FEE $
42.50
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NOME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFS3 Duplex ❑ Mobilehome ElOther attic c'-nnv
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ElUtilities ❑ Installation 1:1Other ❑x
Describe Work: �S� r� �gw/g3_a�77
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 800V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
SO,
3.5C FT._
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (chec )
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
ense No. Classification
I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRS )
@7.50
( POWER APPARATUS )
B SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
N20iOO
Temporary Service
Mobile Home Facilities
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 va nation or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
rtificate of Consent to Self -insure.
shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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
liabilities, judgments, costs, and expenses which may in any way accrue against said
C unty in consequence of the g//ranting of this permit.
r ,�®�• /LQ�c� Date
Signature of Applicant-19'8wner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST- TYPE
TOTAL FEE $ 42.50
HAZ•
1 D. FEES
IMP
I FLOOD
I COF
PARCEL PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butt Count Code and/or Resolutions to do work
y
indicate abov for h' fees have been paid.
BY Date
PERMIT EXPIRES ON 8/5/95
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
Department of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no) tylEX
2. I (have/have not) v signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm). to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name. Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date d /l %9 y
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.
r .,,,,a.`^r��+�trY'h�,�Trhr.:v.:�=Y;�Tr.r * ' i✓ri^A�.I�'"��s'`j'�I..vy:y^hR r+i�l'r'7-- ,.��..{�,.....'1�,.r�..+T_',fh"'�'`'n-ry�'�'vt�4w-u•.y�,,�...i+r^,�.^iY�---••-��`t'- "L
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLt, CALIFORNIA95965 -TELEPHONE (916) 538-7541
Proposed Building Use
PERMIT APPLICATION DATASHEET
Building Inspector
_0,.�-
At time of pefmit application, I was advised the following data must be submitted prior to permit processing anal/or issuance: "
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. .......................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $........................................
11. Impact fees as shown on attached schedule. ..........
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for required. .. � B.ild 9 �speao� Date
' c )
21. Contractor's license information. (No., Name Style, Classification) . .............
22. Certificate of Workmans Compensation Insurance. "- "
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . ...........................
29. Documentation of legal access . ........... :......... ...................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list. ....... ......................... ............... .
33.
34.
When you issue the permit, process as follows: V Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
Date d'103
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay -in processing and issuing your building permit.. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of.
the proposed property improvement (yes or no) Ize. 41
2. I (have/have not) J V'!Z signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
:4.- I plan to -provide portions of this work, but I have'hired the following person
to coordinate, supervise, and provide the major work:
Name.
Address. City
Phone Contractors License No.
5.. I will..provide.some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owne• o,—A
Social Security Number
Date A
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541!PMITNO.
APPLICATION -AND PERMIT
ASSESSQ" CEI IfMBfti 025
ILJUTTHERl
ZONING
BUILDING PERMIT
OWNER
& BEATRICE MANDELL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'Sf�A,�01LG TTMX , MAGALIA, CA 95954
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6739 SIOUX
PERMIT FEE $
!
+5.00
MAGALIA, CA 95954
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFS Duplex ❑ Mobilehome ElOther
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 1:1Utilities ElInstallation ❑ Otherj
Describe Work: COMPLETE #1777-91
PERMIT FEE g
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 600vORLESS )
200A OR LESS
23.00
Main Service ( 200A To 100oA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS. I
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
P ofessions Code and my license is in full force and effect.
cense No. Classification
as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS I
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
1.00
Ex. Occup' (OFIXED APPWS. OR
UTI IRESID.1 EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
JBuilding Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence f the gran Ing of this permit. p
a Date 4,j / c qr ( l <73
Signature of Applicant - 91dwrier ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 45.00
HAZ•
I D. FEES
I IMP
OOD
FADF
C
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By / V' Date � 3
PERMITEXPIRESON 5 � /`7
IDe el
Receipt No. _135592
WHITE-D.D.S.-B.D. .CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -'Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No'building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
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
Address City
Phone Contractors License No.
4.,•I plan'to provide portions of this work, but I have'hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5.. I will provide.some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed: 1
Property Owner
Social' Security Number ;-�
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of..the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
NTY OF BUTTE -DEPARTMENT F PUBLIC WORKS - BUILDING DIVISION
vu;
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
OWNER L U r1,pr t Avj Ae11
Proposed Building Use
Building Inspector
A. P. No
CS . j
66.-571 - Z57-
Date
At time of p it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form.......................................'�
6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). .....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . .............................. Y
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............`
15. City of Chico plumbing permit . ........................................'.
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ......
'
20. Pre -inspection for Pre.Inspection request-
required. . to Building Inspector ,. (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................ '
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ......................................... `
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire.Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by t Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _NDate
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
Lam/ 7 County Center Drive - Orovllle, Cq)lfornla 95965 - Telephone: 916.'536.7541
APPLICATION AND PERMIT
PERMIT NO.
92-2809
ASSESSOR PARCEL NUMBER
066-510-025
ZONING
RT -1
BUILDING PERMIT
OWNER
LUTHER & BEATRICE MANDELL
TELEPHONE
877-9559
SQ. FT. OCC. BUILDING VALUATION
EST
1,400
OWNER'S MAILING ADDRESS
6739 SIOUX CT MAGALIA 95954
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace ,
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
1.400
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 28.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 6739 SIOUX CT MAGALIA 95954
Permit fee
$ 43.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
8
SUBDIVISION NAME
INDIAN MEADOWS UNIT 1
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W 1
615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: PERMIT TO COMPLETE RE* B.P. 1777-91
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000AI
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.
Icense 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
OCCUP.&\
NEW CONST. DWELLING OR ADONS. ACC. BLDGS. lI
_37.50
3.64 sq.ft.
NEw CONSTR ULT' -OUTLET
NON -REST BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &
SINGLE OUTLET CIR.
Ex.Occu o
Occup(OUTLETS OR FIXTURES
20 led
Ex. Occup. OUTLETS FIXED P(RESID )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin 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
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in cons quence of the granting of this permit.
XDate '�/
Signature of Applicant — Owner Contractor ❑ Agent 1:1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 43.50
HAz
I DFEESIMP
FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
work sions of Indic the Butte County Code and/or
a r which fees
I OF PUBLIC
By '-'�-
PERMIT EXPIRES Date g^ [/,
applicable provi-
resolutions to do
have been paid.
WORKS
Date // Z7-4
-7 3
Receipt No. � 73�
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
FORM 7
ADDITIONS tO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner L Climate Zone
Permit # — Floor Area
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included. \
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 3
WALL R-11 R 9
FLOOR R-11 R 9
SLAB R-7 -
GLAZING U-.65 (Dual) U-. 5 (Dual)
SIJADING
SOUTH - OPTIMUM OVERHANG
or 1 .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
BARRI one -
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER S1ITTC f`OOTjY
-no is, n1hick mmPOTME10
APPROVED
*1 HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump .
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
13 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
13(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
r
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', 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 California Administration Code.
y � OlNiG
CSIGNATU OF BUT ING DESIGNER OR APPLICANT
VZ
clavi; a t ��
f►.y"""lb}}rvr'2�F'fj.`.".lv'a. r-�+iF'.SRrYTCI`.5,^T,i +,,.�,,.p„9 •La �^Y,7"M,F w. t
• �} _ ° :. e. � � Lj r :tN `Mt t .r �.i1t.r :r +r•H i's4. ,tr.£]+.`.�.,.s_,.,r,t_r;..., ..:, .
BUTTE COUNTY SCHOOLS DEVELOR NT,`FEE CERTIFICATION FORM
(One' Form,p'0rZ,Buildi'ng)
A.P. Number b.� 2 `Sy Building Department No.
School District AtZ 4r �}''
,City D County Jurisdiction
Property Owner ++ Ll 741M
Project Location/Address/e
Subdivision �. J - Lot Number
" Residential Development- �• #
«,I,a, •a.. Sq Footage -L67
# of. Living MHI, Addition ,..(Group R)
Units,
Commercial/Industrial: ,O .Sq. Footage
" New Addition'(Including'Exterior
Roofed Areas"Y'
4; -C C3/ •
oDepartment Representative
Date
(Floor Plans reviewed by School'District°Personnel)
-_ - a
Distrt Id No. -1 !-
s . (Applicant 'Name )
(Street Address)
5
r School District certifies that
�.e Q (977 q Lj
(Phone Number),"
Crty) �) 1.
N
tate
Zip Code)
has complied with thle requirements of Resolution No:'.'
by the payment of representing a� square feet.
Q 1
Schoo District Representative, Dake''
PAID. BY CHECK NO.
BANK NO
PAID BY'CASH
I
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE
.5
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
...Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will a issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) & r .
/2. I (have/-aet) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
S igned : j
Property Owner c'i-.�•- /� ��tr.(
Social Security Number M&L 1
Date JyKll3 2,q, /1717/
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
4
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner —a Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance.O.K. for: Water Supply
Clearanr for bedroomL'obile home. Other
NOTE
,'•.l�•�.i:Wi.o�:%/5.,. -.�' . , _ . ���fi' „�•ti ,�yl._ �..��. ti'-.+.-. _ � x..�.
COUNTY OF BUTTE - DEPARTMENT;.�OF-PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL'ONOMMIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER LUT"#_& l3Fim'11-e c Ao'-j014 -
Proposed Building Use AFr/C yeAlCO- r✓ Building Inspector_
Permit No.
A. P. JNo. 6 C - S
C -Z- / Date S
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .................................... s
2. Plot plans in duplicate/triplicate, si ne by preparer of plans........ — —
3. Complete plans in i p icate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park ees paid .................................................... _
—tom SBA A4p / Sty !
13. School District fees paid ............. .
T
Sanitation approval from i/'A4*,01.Se+ Health Department -
City of Chico plumbing permit.
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) •Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
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.
77-Telephone
u issue the erm
it, process as follows: s:Mail to owner. Mail to contractor.
72`-Ml and hold for pickup at KI(I - office. Deliver w/inspector.
Other
AppI icant ��� ������� 1` Date
Copy of Haz=Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept - Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not chec
1. Index permit for above items No. X .�
2. Additional items required:( i
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised
Plans checked by
Copy—DPW
above required data by—phone—mall ounter by date
Plans approved by Date -
Sets of plans on hold in -\_4 File cabinet AP folder
F
�ESIDENTIA'f . 9q-
66-51-25 1777-91B,PE
1 MANDELL, Luther: & Beatrice
Sioux Ct, Magalia
(conv attic.to bedroom/sf)
A'
S "
C5
Y,
I�
„1.
Ji
'r
y
V`
JOB FINALED (Date) _
Signature
N
J=OK y -
O = Not OK
-
=Notyalile
Rbad
Not Ready MOBILE HOMES MISCELLANEOUS
'.=
Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch 2.. Footings; Soils-Size=Depth-Spacing-Con nectors-Steel
3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing
6. Gas; Location -Test -Wrap: ; /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ /" L"ft./ /"LPG 6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 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, 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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
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
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 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, 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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-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 ff's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
11.
12.
UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
Water 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 B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
--------------------------------------------- -----------
17.' Water Pipe; Test & Anchor -Nail Protection
1 D.W.V.:�t-Fittings & Anchor -Nail Protection
------------------- - ------------------
19. Shower Pan: Test, First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
-------------------------------------------------------------------------- --
Date-
Date- Card B_1 --- - Date - Card B-1
------ - ----------------
Date Card B-1 Date Card B-1
Date ELE RICAL (Permit) OK except 4's
F"ture & Transformer Clearance -Ins. Protection
--- ------ ---- -------I-------------------------------------------------
- - 2�lec_Receptacles Spacing -Lights & Switches at Doors
-----
2 ze Boxes & No. of Conductors -Stapled
--------- -------------------- ------------------------
---------------------
2 omex Installed Close to Edge of Studs & C.J.
----------- ---
--------------------------------------------------------- -- -
quip. Ground made up w!Mech. Fastners-Bond Gas & Water
-------- --- -- ------------------------------- ----
2 Ap - -f ce Circut-s in Kitchen & Conductor Size/GFI------ ------
--------- - -- ------------------------------------
Kbfeed Wire Sizer / ga. Cu or AI-A.C. Wire Size/ !ga.
Cu or AI
----------------------------------------------- - ---
29. Range Circ / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--------------------------- -------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------ ---- --- --------------------------------------
31. Equip_Clearances Panels-Motors-Mech. Equip.
--------------------------------------------------- -
32. Clothes Closet Light -Shower Light -Spa Light
--------- --------------------------- ------------------------------
-
Smoke Detector
---------- -------------------- -
--------------------- -- --
---- 6V-1
------ -----
Date Q Card B-1 a Date Card B-1
Date tjCard B-1 Date Card B-1
Date ME ANICAL (Permit) OA except N's
A.C. Ducts Insulation & Support
---------------------------------------------------------------------------------
35. Vent Fan. Exhaust above insulation
--------------------------------------------------------
___ 36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
------------ --------------------------------------------------------------
38. Attic Access &Platform if Furnance in Attic
------------------
-------------------------------
--- ------------ ----------
Date Q/1� Card B-1 Gs� Date Card e-1
/ -_----------------------------------------------------- - ------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except f+'s
32 SA&,Proper Material & Anchors
4 ails Studs -Nailing. Spacing & Bracing -Plates_Sound-- -
----- ----------------- ------ - ---
41 aring Walls over Girders & Floor Nailing
- -- - - --- --- ------------------------------------------
4 . Draft Stop in Walls (rat proof)
------------6
- - --------- I--=-------------------------------------------------------------
Fire Stops: Furred Ceilings-Stairs-Chases-,;�v
--- -- -- .. -------------------------------------------------------
Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
- ---ngers=Pos.t Caps -Anchors -Connectors
Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
-- -tt ce Ties or Type A Flue -Fireplace Throat clearance t)
Size & Romex Protection -Draft Stop -Ins. Baffles ?
49 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---- - _Garage Fire Protection Framing
- f 1. Property Line Firewall & Openings
------------ 5L' xt. 3'
Doors -One -Check Garage -3rd Story, 2 Exits
5%1/1- t- Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
----- 5. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
50 Gazing Area -Glass Protection -Skylights -Plast
58. Shear Walls: Nailina-Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date%� Card B-1 41/ Date Card B-1
Date �; 6,y�S Car -1 Date Card B-1
Date FINALAPlans) OK exkeot ft's
Steps -Door & Sidelight Protection -Landings
ke Detector
oove t-ioor-uucts-mecn. rrotecuon
------------------ ---------------
Bedroom Exiting i
- --------
65. F.I. & Bath Fixtures &Tub Access -Spa
66 lec nm Subpanel: Breaker Sizes abet
--------
-- --- --
67. Stairs Rail
re lace or - earth
-------------- -----------------
69. ood Panel: Int. & Ext.
- -----------------------------
- --
--------------------- 7ap Cooking Clearance
---- _-- --
7 unter
- - 72.5araga-Fi - - -- mg- an ing- ose
--- - __
73: ucin arage- amper
74. Wtr. Htr_ Vents -Clearance- �Air-Connector-P.R.V. .
e Hooves oQr-roiecn Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
---------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex tion
-------------
7:rr�r�svFatian-Fea�rrL-o- -s
Guard Rails & Deck Construction -Post Caps
-- -------------------- -----
vI I'D arth
Clearance Looked under Flo - --❑ Yes
----------------------------------
8_0.
- - - - - - - -- -- - ----- ----- ---------------- --
80. Followinginstld.: Drive s ❑ No: Walks ❑ Yes No;
Planters ❑ Yes o
S+�----
------------------ Rrnwn-Finish
dd,.-seoanect. g
- - - -- - ---------- -
s ove oo : g.- pp ian ee-Fireplace.-Clearance to
Openings
------ -----------------------------------------------
8 er- e : isconnect. umbing
- - - - - - - - - - ------------------------ -- -
85, le -Underground
86 out Ouse
.. ... ...... ...... --- -------
---------
--------------- ----------------------------------------
88 orrections from Previous Inspections
..... ------------------
----- -------------------------------
8 e e'dlric
----------------------------------- ---- -----------
9 r onnected-C/O to e=HD Approval. .•
1. nergy Compliance Certificate -Other Certificates
- ----------------
--- -
- ------------------ ------ ---
Date Card B-1 Date Card B-1
------------------ -------------------------- --- ---
Date Card B_ - -I Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
I:
5 ,n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
�j 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
Z . APPLICATION AND"PERMIT
ASSE5SOR PARCEL NUMBER
66-51-25
ZONING
RT -1
BUILDING PERMIT
OWNER
Luther & Beatrice Mandell
T oN�F,
-"t-
SQ. FT. OCC. BUILDING VA1.UATJON
255 R 2 .00 5 100.00
OWNER'S MAILING ADDRESS
7Sioux Ct. MaDalia 95954
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 5,100.60
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$56.5)0
ARCHITECT OR ENGINEER
CENS
LIE No.
Plan Checking Fee
$28.25
Energy Plan Checking Fee
$15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$109.75
PLUMBING PERMIT Filing Fee 10.00
Each Trap
41 2.00 8.00
Solar or heat pump water heater
20.00
LOT NO.
8
SUBDIVISION NAME
ndian Meadows Unit 1
PARCEL MAP
Water piping
1 5.00 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
1 5.00 1 5.00
Mobile Home ISI G W
0.00 ea
TYPE OF WORK
New ❑ Addition [T Remodel[N Utilities ❑ Installation ❑ Other ❑
Describe work: 1 Bedroom Attic Conversion
Permit Fee
$ 28.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00'
Main service 6001 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. Classification.
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)101
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCI
OR ADDNS. ACC. BLOGS. Cfl!)
X /2Qsgft 6,00
NEW CONSTR. U TI.OUTLET
NO N.ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR. )
Ex. Occu o
Occup(OUTLETS OR FIXTURES
200500
SAL030
FIXED ALNS.I,
Ex. QCCUp. OUTLETS P(RESID )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
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating Existing Woodstove
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. 1 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in c nse uence f the granting of this per t.
X Date 6��[17
Signature of Applicant - Owner Contractoi ❑ Agent ❑
An OSHA permit is required for excavations over 5'0"?deep and demolition or construct-
ion of structures over33stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
TOT L F E $ 3.
HAz.
CUA -PARK
--
scH
F
CDF
PA P
1 Ho ssuE;
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 EC OF PUBLIC WORKS
BY Date
PER T EXPIRES Date1.?-
68_!5,o Receipt No.,
WHITE-O.P.W.. YELLOW-ASSE3SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
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