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HomeMy WebLinkAbout068-343-017060 0/7 AP y ROBERT T (oB -393- 17 n/s Edgewoo 600' .W: , of Pi dal ` Ave.; Orovill e. Perffii�t� 1002-75B, ., E,m n F 9 9 9-7$ rXps V-34—" ' Owe A �� 81 Edgewood Dr., Orovil e iPermit #788-77B,E(patio,-cover_/SF).._.;.. �- (�-39S-17 om she 81 Edgewood Dr., Oroville !; contr:Polly Pools, Oroville Permit #7/27al -80B,E(new pri.swimming ,LLQ pool) `v/ ��v t 068-343-017. PERMIT#94-:1940 ALAGATA, ALBERT A✓' J 81 EDGEW00D DR., OROVILLE o CONV GARAGE TO FAMILY ROOM/SF h BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME DEPT. I DATE NAME DEPT r_. V= OK O = Not OK =NiotReady ble MOBILE HOMES 'Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a - 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketchy 3. Sewer; Location -Test -Fall -C/O Concrete '1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete - 6. Gas; Location -Test -Wrap: / /"L"ft. /' /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector , ' ` L 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test � , 1 r j V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors. D_ ate/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 2�1. Elec. Receptacles Spacing -Lights & Switches at Doors ii ze Boxes & No. of Conductors -Stapled -� 25. x Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water I 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Sm e D actor lv- Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/initials'FR ING Plans OK except #'s -39. Sils, Proper Material & Anchors W Studs -Nailing, Spacing & Bracing -Plates -Sound Walls over Girders & Floor Nailing 42..Draft Stop in Walls (rat proof) �,A& Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) i ngers-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri in -roof Bmc-Truss-Shthng.-Rfng. =4T -Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Sarage Fire Protection Framing 51. Property Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits -- ---� I 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. C�p�ang'Area-Glass Protection-Skyllghts-Plastic r__511r6hear-Walls; Nailing -Bolts 59. Insulgtion-Walls-Ceilings 80 Infiltratio alts- indows =!E�EIZ2 54Lz Date/Initials FINA lana OK except #'s Ex Steps -Door & Sidelight Protection -Landings c.02Smoke Detector 63. Furnac • e- omb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64 40a"em s -Spa %.lec. Trim & Subpanel; Breaker Sizes & Labels -67 Rta+ro n Raela e; learances-Hearth OwIffl-ec. Outlets at Wood Panel lnt. & Ext. 707-IMITIMT -Appliance; Grnd.-Air Gap -Cooking Clearance it. Counter 79Garage Jlunnnr•Sanding-Closer erage-Damper b. Air-Connector-P.R.V. 4, In Garage; Above Floor -Mach. otection 7r Pik Listed for Location 26 P.arege; (G.F.I.)-Romex Protection , nsulation-Foam-Looke�❑ Yes 78. eck Construction -Post Caps 7 yawl a Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Walks ❑ Yes ❑ No; Planters7 ❑ Yes ❑ No 41 Shirrn• Rrn ••n F4pAe 82 A onnect, Electrical, Plumbing 08. Yams Abwe g: Appliance -Fireplace: Clearance to Openings onnec , lectrical, Plumbing pii Extariar Gla T r F I Receptacle -Underground A18b*"q6ntgAtion Throughout House ass Protection Previous Inspections 42_J3a rs Tagged; Gas -Electric er Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 941-19gD ASSESSOR PARCEL NUMBER 068-34-1-017 ZONING AR BUILDING PERMIT OWNER ALBERT TELEPHONE SQ. FT. OCC. BUILDING VALUATI 398 M—R 7,960.00 OWNER'S MAILING ADDRESS 81 EDGEWOOD DR OROVILTE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NnNE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 99. 0o ARCHITECT OR ENGINEERLICENSE NONE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 21 EDGEWOOD PERMIT FEE $ 206.35 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 SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ❑ Utilities ❑ Installation ❑ Otheryd Describe Work: CONV. GARAGE TO FAMILY ROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 OR ADONS NEW T. ( D BEACCGBLDSOCCUP R 3.5, F° 13.90 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 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. License No. Classification 1, 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) ,1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.0`0 FIXED ( ESID OR Ex. Occup.UT (OUTLETS (RESID.1 EA. ) 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. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. lel 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 $ 33.90 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating EXTEND VENT 6.50 Cooling Hood 6.50 Ventilation PERMIT FEE $ 26.50 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 of the granting of this permit. X G(�e Date d,/y G /ice Signature of Applicant Owner 1:1 Contractor EJAgent —� 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 $ [}6.00 c ' TOTAL FEE $ 312.75 HAZ. D. F IMP FLOOD X CDF PARCEL PD I HD ISr> This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. IC WORKS / Qj� Da � 4! �� ioev (Date Receipt No. ] 67118 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IN i� f�W'Fi ay'rr`�'4Y7i`/i��J4.-...r�.lh'`��c`'{a^r^C' v _it• tJ.s��ii,}�ira.�'(c�.�,.r:r.:4iiif7N.'.l`i'�tt"-rrr.w,^"r'..t;AP ..•an.. �, '(• w, iw>. , .-��n. �Y a�++J`r.m.fi+iy.nw.s•t`Hp"'r'.r;.,l..'.. -'�. ...,,. Mr . COUKT. Y,OF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER Proposed Building1Use V1 Lni,4Q Building In pEctor Date At time of permit application, I was advised the following data must be submitted pri r to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Coeplete 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. .. g 1 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 $ ............./..� / I. Impact f k ed-se�e le. . C ��r qo . Oh /............ . . 2. 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). ...Pna;spe'ao; riq�est 20. Pre -inspection for 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 t4 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.....................'.4................ . 32. Plan check list . ................................................. ... . 33. 34. When you issue the permit, process as follows: X" -Mail to owner.., Mail to contractor. Telephone and hold for P 1 up at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 7AI19X 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 o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. X1,1 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 da by _ phone _ mail Countbbby _ Date Plans checked by Date Plans approved by IL Y� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) s 2.` I (have/have note signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed'construction: Name Address City Phone Contractor's License No. 4.' 1 plan to provide portions of .*this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ��s1 Z, Address 95 9,9 G City Phone S3 3 - / S/ v Contractor's License No. 5. 1 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 7/6/ 9 i 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. ter^' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville;-CA-- (91 6) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER P A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately._ Date /0 -- L/nspector REV 10/92 Insulation Certificate ' BUILDING OWNER: BUILDING LOCATION: , BUILDING PERMIT #: Description of Installation ROOF Material — 7G2�5 S Brand Name. Thickness (inches) Thermal Resistance (R -Value) t ;F. y /9YU CEILING Batt or Blanket Type _. � i u^ S Brand Name Thickness (inches) Thermal Resistance (R -Value) • .3 Loose Fill Type. Brand Name Contractor's minimum installed weight/ftlb Minimum thickness inches Manufaciu er's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL t' Material Brand Name Thickness (inches) . Thermal Resistance (R -Value) RAISED FLOOR -Material Brand Name Thickness (inches) Thermal Resistance (R -Value)" SLAB FLOOR Material _ Brand Name Thickness (inches) Thermal Resistance (R -Value)' Width (inches) sty; FOUNDATION WALL Material Brtn'd Name tik :j al Thickness (inches) Thermal Resistance (R=Value)y-' . ,aur.' ,• Declaration I hereby certify that the above insulation was installed in the..'biiilding at the above location in conformance with the current Building Energy Efficiency Standards for.new.'r.,sidential buildings contained in Title 24 of the Calif a Administrative Code.. • Us Y- enaal Contt r (Builder) I cetue Number �%a x / 19 Signature arW Title # Date Sub -Contractor (Insulation Installer) License Number x Signature and Title Date •i, r A THIS CERTIFICATE MUST:EE PROVIDED TO THE BUILDING DEPARINM PRIOR TO FINAL INSPECTION APPROVAL AND A COPY`SHALL BE POSTED WITHIN THE BUILDING. a, ` JANUARY 1993 } Certificate of Compliance: Residential - (Page 1 of 2) CF -1 R i Prolect Addreu GENERAL INFORMATION Field C / Date Total Conditioned Floor Area: t t 2 Building Type: t/ Single Family AZAdditlon (check one or more) Mufti -Family Existing -Plus -Addition Front Orientation: North / East // West / All Orientations (Input orientation Vrtftreft and circle one.) Number of Dwelling Units: Floor Construction Type: a Raised Floor (cirde one or both) •• BUILDING SHELL INSULATION Construction Component Insulation Assembly Location/Comments Type R -Value U -Value (attic, to garage, typical, etc.) S_U(`QUN Wall .............. Wall .............. r Roof .............� DING, EPAR�'MENY Roof . ` , F_ D Floor ............. v Floor ............. Slab Edge .... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior — Overhang Framing Type Orientation (sf) U -Value (roller -blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood/vinyl) Front..... (�) ` -f•' rJM 1�Or _ M'>ti Left ...... Left ...... Rear..... ((.1)dr Rear ..... (� ) Right..... Right.. ( ) Skylight ....... _.. Skylight ....... THERMAL MASS Area Thickness Rwi"d Dewmt»r 1992 Certificate of Compliance: Residential (Page 2 of 2) CF -1 R HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. V .. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat CoMiguration pump, etc.) (AFUE/HSPF) (ducts(.attic.itc.) __R -Value Type (split or DackE Cooling Equipment PotipJDadff----Duet`---• Type (air conditioner, Efficiency Location heat Duma. evao. coolinal (SEEM _ (attic. etc. WATER HEATI Rated' Water Heater Distribution Number V . Duct Thermostat R -Value Tffd Configuration (split or pack, Energy' External Tank Factor or Tank Capacity RecQyery Standby' Insulation (nations) Efficiencv Loss (%) R -Value 1. For small gas storage (rated input "`(100"O" s a nce and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and perfonn9nce specifications needed to comply withlitle 24, Parts t and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentation Author Name: Name: 61 Title/Firm: Tide/Firm: 1 Address: Address: Telephone: Telephone: Lic. #: ep (signature)(date) (signature) (date) Enforcement Agency Name: ... Tide: Agency: Telephone: .. (signature/stamp) (date) Revised December 1002 Thermal Mass Worksheet I l WS -113 INTERIOR THERMAL MASS: METHOD B Method B Is one of the twopossible options for calculating Interior mass as explained in Section 42 of the Residential Manual (RM). The other. option, Method. A, is a simplified method to. take thermal mass credit for concrete slab -on -grade only. This worksheet.is not required'for Method A. Method B•must be used to. take thermal mass credit for any mass elements other than concrete slab -on -grade. Calculate the Interior Mass/CFA value using.the worksheetspace below: Look up ttie Unit Interior Mass Capacity (UIMC) for each interior mass surface in RM.Tabies 4-9a, 4-9b and 4-10. Include the -Interior surfaces of exterior mass walls. For interior mass walls exposed.on both (two) sides to conditioned space, enter the surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the RM. Unit'lnterior Interior` Descr'ption Mass Area Mass Capacity Mass Capacity X - 1 X X X _ X X = X = X = �. Total CFA EXTERIOR WALL THERMAL MASS. Calculate the Exterior Wall Mass ofali.exte' ddr walls. Look up the Ekierlor Mass Factor for each opaque wall element from RM Table 4-10. Only exterior mass wall surfaces maybe included in this calculation. Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. DESIGNER I ENFORCEMENT *§150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(§: Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. r j c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door .. b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures' §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup'solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. S. Piping insulated between heating source and indirect hot water tank. * §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: ` a. At least 36* pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Lighting Measures §150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. 0-1 Revised January 1992 Point System Summary: Climate Zone 11 P -2R K;Fw� I iDf7bf�� � I t%l�t .4•1�0��i � d f t TWOM BUILDING DATA &=red Floor Area Number of Stories a= Floor A-7 Check al applicable Unit.Type condition(s): [ a/Single Family Detached (SFD) [ ] Addition Mne [ ] Single Family Attached (SFA) [ ] Existing Wilding [ ] Multi -Family (MF) [ j Existing -Plus -Addition Fenestration Area % East South West it Total SCORE CARD Measures -•• 1. Ceiling Insulation or �-- ecllve A UEtrd R-value 1361 U-valus 10.0261 2. Wall Insulation 1I or R-vallua Urvalue 11. Cooling System 11191— 10.065] 3. Raised Floor Insulation N b or [is E a SEER Zonal Control us 19 ue 0.0371 4. Slab Edge Insulation , f _ or 12. Water Heating usOus T— 2 NeW 10.751 S. Infiltration Any Ducts In Unconditioned Spaos? ( Yom/ N) [Y] 6. Fenestration Heat Loss System 1 N .4 — _ aloe [0.651] Total % Feneb. 1161 7. Fenestration Heat Gain Point Scores r"yP d O Sum 1-6 % Fenestration SCsha bopert Eff. % Fenes. Sharva Efi:'Ratio North d x ,1q East_ X s d 1 SOtJtfl x4,11�— COUNTY OF BUTTE West �I ��% X .. 2 BUILDING DEPT Skylight x , Overhangs? 1 N) AUG 1 1994 S. Interior Thermal Mass /I Of % �xp.• - 20 nuCA r 8. Exterior Wall Mass N O' ExL Wag ManNO �o �i r� Sum 7-9 16. Heating System �� AFUE or § ecllve A UEtrd 11. Cooling System V SEER 110.0 [is E a SEER Zonal Control 0.81; 2+ s 'ti7'] Adjustment [0] 12. Water Heating System 1 N .4 Ile �De [�1 �E'—�aotor nQ Auxil nput s i System 2 (0.63] [12] [None) [STD] ,. Hoater Type None]w—W ns€ `'. Auxilia7lnputtri Pont Total: For, RevIa.dJanuary 1992 -'Po/nf Goal. '�' 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. I personally planto provide the major labor and materials for construction of the proposed property improvement (yes or no) 1. I (have/have not) /i? ve 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 butI have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property -Owner Social Security NumberS61/ Date2/9 NOTE: This. Owner -Builder Verification is sent toyou as required by Sections 19831 and 19832.of the California Health and Safety. Code. This verification must be completed and returnedto our office before we are. permitted to issue the permit. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) rSchool District t'D v, ��, it F iA ►'' Building Department No. A.P. Number 06 3 Jurisdiction 0 City [ ] County Property Owner Alber-t— n 0 a Property Location/Address / P i Vl l Subdivison Lot No. Residential Development FZ r No. of Living • MHI Addition Units Commercial/Industrial �` • ' New Addition Sq. Footage (Group�R) GG /Cr e C /n0 ), ve ✓ S IbIl Sq. Footage (Including Exterior Roofed Areas) � /Y - Date --r--. _..._.._..-r------'---'- (Floor Plans reviewed by School District Personnel) District Identification No. l6 School District certifies that "LcGt.CC�. (Applicant) v (Street Address) 19 (City) (State) has complied with the requirements of Resolution No. representing 1W 9 square feet. School'District Representative, Paid by Check Number Bank Number Paid by Cash (Phone Number) (Zip Code) by payment of $ AJLA Date f. Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkt (4/92) `- PERMIT NO. " 788-77B,E.. ' Temp. Power Pole t Called PG&E Temp. Elec. Serv. Called PG&E Tem�pp*' Gas Serv. ( Called PG&E JOB FINALED . (Date) (Sig at re s. t PERMIT EXPIRES u ' +OWNER Owen H. Cole ' ,ty)CONTR. owner LOCATION' (A.P. 34-263-17 ) 81 Edgewood Dr., Oroville f t ' Temp. Power Pole t Called PG&E Temp. Elec. Serv. Called PG&E Tem�pp*' Gas Serv. ( Called PG&E JOB FINALED . (Date) (Sig at re s. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD , BUILDING BUILDING (Cont'd) PLUMBING Setback 11 Firewall Soil Piping, Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing -Water Pipingl Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handica ed Conformancef e structure Appliances Gas Piping T & st Tem . Gas Slab Final Sanitation Patio a FIREPLACE Final Footings J Footing E ECT C Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIAIE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh AECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec_ Service Not Elec. Pedestal Water Piping Sewer Gas Piping MOBEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) P r V/ COUNTY"OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 TelephoQe: 534-4541 APPLICATION AND PERMIT dutnonce represenidtives o1 the uounty or tsutte to enter upon the - above-mentioned 'p propperty�for inspection purposes. X Signature of Permitee or Agent ' Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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-''UBLIC WORKS BY Date_3 �� 6 - 7,Z B iI incl permit expires Date �� 6 7P BUILDING Owner� SQ. FT. OCC. I BUILDING VALUATION D 00 j� Mailing Address 46 ' L7D lamp—. Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address , Permit Fee` Plan Checking Fee &/or Penalty ' Telephone No. . Permit Fee $ ' O .7-0C Building Address ® PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /tl_dL& Each Trap 1.50 b f ifnd Repair drainage or vent piping 1.50 Water piping , 1.50 Each'gas water heater, or vent 1.50 A. P. No. ^- � 3 1 t Zoning & Planning, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W.�, Sa on Fire Dept: Fire -Zone Use, Permit Building sewer 5.00 EQQA Parking Parcel Plans Declaration Parcel Map 60' R/W imp ements Lawn sprinkler system 2.00 • , Yt51dg. Plans Recd arcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ® ELECTRICAL No.J: @ FEE PERMIT FILING FEE $3.00 00 FA'r( U' Cd V �2 Main service 100 AMP ORSLE55 5.00 - Main smice EA. ADD'L 100 AMP 2.50 ' OVER 600V Main service 100 AMP OR LESS 25.00 Single Family JnJ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 • - ' NEW CONST. ( DLOCCUP. &\ OR ADONS. ACC'BLOG / 22sgft ®r ' NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)-2.50ea • - NEW CONST - POWER APPARATUS &) NON- R RESID. -(SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of -Chapter 9, Div. 3, of the State of California Business & Professions Code'`under the name style of: + • Eic. Occup(.UTLETS OR FIXTURES) BA@'L@�1 Ex. Occup.(OUTLFIXED,AETS (PPRESIDLNS, OR .) EA) '2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6:25 f , 0 ,111 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code -which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County�of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of , California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating . +' Cooling Ventilation Hood 2.00 Permit Fee $ $37 6S 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 TOTAL -PERMIT FEE $ ��% IaS dutnonce represenidtives o1 the uounty or tsutte to enter upon the - above-mentioned 'p propperty�for inspection purposes. X Signature of Permitee or Agent ' Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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-''UBLIC WORKS BY Date_3 �� 6 - 7,Z B iI incl permit expires Date �� 6 7P fi '-PERMIT NO. 1002-75B,P,E,M �1 P JCGS — / 97-71 � E M �MH UTIL. s?: ,PERMIT NO. . PERMIT EXPIRES -/0. 76 `OWNER Robert Evatt �CONTR. +LOCATION (A.P. 34-263-17 { , n/ s Edgewood Dr.., app. 600, W. of Pinedale Ave. , ` Oroville t1 R yy t .S 1 9, Temp. Power Pole Called PG&E T. Temp. Elea. Serv. Z J C;iIled PG&E Temp. Gas Serv. ? S Called PG&E JOB FINALED (Date (Signature COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback _ %> Forms Main Bldg. Footings StemwaI l Slab �S Piers Garage Footings_ /5 Stemwa I II Slab —/b Carport Footings Slab lC-7 Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing�C Stucco �--- Mesh Scratch Brown Finis Interior Lath BUILDING (Cont'd) Firewall Parapets Restroom Finish---- Windows inish -""Windows % -2— Sidinq 7 Roof Sheathing — 2 Roofing — Fdn. Vents Garacie Vents Prov. for physically handicapped Conformance of x. structure Final FIREPLACE Footing goo Throat Final FIRE SPRINKLERS Test Final Heath Coolie Ducts Ventil MECHANICAL xi -"7J_ - 7J 7- L PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping -- i Sewer Fixtures Water Htr. O ' - Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final — 7_4 — %, Door Closer %-q- 7 1 Final yCr — 7-1- Final �► J C"TE REMARKS OR CORRECTIONS , c 2 / TT ELECTRICAL Rough _ Fixtures' 9--' Motors 0 Water Htr. Subpanels Grd. Fault Prot.Service Temp. IMM Underground Permanent, Door Closer %-q- 7 1 Final yCr — 7-1- Final �► J C"TE REMARKS OR CORRECTIONS , c 2 / TT arm COUNTY,OF BUTTE�- ^ DEPARTMENT -OF PUBLIC`W k 7 County;Center Dr;ve ►OroviIle, California,95965 Telephone: 534-4541 "t , ;/APPLICATION AND 'PERMIT s .''4, ,, t., BUILDING:::k� Owner Mailing ,Address f SQ. FT.' OCC.', -BUILDING VALL t.• %UATION 0 CD - STelephone No t �% Fireplace' SS cl E 5�0cC�: Contractor Ci�,'GC�/1� ,:� �;� , Total,ValuMion Mailing Address ,' R Permit Fee' , _ v Plan Checking Fee&/or Penalty , t = �� r, • ' �' TelephonetlNo. Permit Fee $ / 00 $ Ji i BuildingAddress ' '���.� No. PLUMBING' 'e @ FEE + PERMIT FILING FEE $2sA9. , ®� e A• c) Y Each -Trap ► 1.50 �� r �� r + r •. Repair drainage or vent piping 1.50 ; Water,pipin9 r` '. �. 1.50 e 1ti ._ �.- `� , Y Each gas.wa eater or vent 1.50 A. P. No " ' zoning& Planning- - Gas piping system ,l - 5 outlets 1.50 S . ,Each additional outlet .30 s S Fire Dept: Fire Zone Use Permit i, Building sewer- 5.00 ' EQA Parking 1 Parcel PI ,. ;Declaration Parcel Map'. ," , 60'' R%W •''Improvements Lawn; sprinkler system 2.00 , w F - .,� t F t BI g. Plans Recd' j "+ : Parcel Approval,- ' iPlan's Approval _ Permit;Fee; $' �I NEW ADDITIONt❑ UTILITIES Q, OTHER 0 ► ti.. t ELECTRICAL' No. @ FEE , ' PERMIT FILING'FEE $3.00 �, (D0 Main service incl. 1 meter'., O C • ." ''e - Additional meters, -each 1.00 ' Sub -pan (12 or less) (mor _ Single Family Duplex ❑ ,Mobil`Home ❑, Others ❑ Ra ; Cook-top-or,Oven r 1.00 % 10-10 1 - Water Heater`or Space,Heater 1.00 Light fixtures bai alo E00 swi h&fix outl /0,7 +.CONTRACTORS LICENSE -LAW, 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California, Business & Professions •Code under the name style of: ' Y + fEx. orF.A.F n. Motor. 1.00 , a9 Evap. cooler, gar.'' sp. or D.W. 1.00 Air conditioner or heat pump Water pump, t,,c . Mobil Home Facilities, ;5.00 Temp. Power Pole 5.00 ` License No, Classification ' a a 'Misc. wiring Y I am exempt from the Contractors License Laws of the State of California. Permi t Fee $ 2 ,r WORKMEN'S COMPENSATION INSURANCE Li' • ' I am aware of.the provisions of Section3700 of the California Labor". Code which requires°every employer to'be insured against liability, for Workmen's Compensation. ❑ ]-have placed on file with the County,of Butte,a certificate.of' Workmen's Compensation Insurance. '• r-14—certify that in the performance of, the work for which.- this issued'I shall not employ any person in any manner so as -to become subject to.,the Workmen's Compensation Laws of,� _ California. MECHANICAL . No. @ FEE t . - -• PERMIT..FILING FEE` $3.00 �, U0_ Heating`' . Cooling. �• ' Ventilation�permit-is < 'Hood 4' -2.00 C76 Permit Fee $ '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, ` • ' TOTAL PERMIT FEE $� "" '," "" "-"LY "' "`C' "NU".uie : f •This,permit,is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated * ; ` ..• -above for which fees have been paid. x' X r Dat • �.� t ' DIREC�OFBLICWORKS Signature of Permitee or Agent. . { ' �f 9'� �j Date J 76 Receipt.No*�oy%�r�G� '`� ,'' white=D.P.W. _ Yellow -Assessor.- Pink -Inspector _ Goldenrod -Applicant } Ullding permit expires Date ........................... ra ,;..PERMIT NO .1825-80B,E PERMIT EXPIRES OWNERTom' F-ishe ." CONTR. P011Y Pools.- Oroville 34-263-17 LOCATION (A.P. ) 81 Edgewood..Dr.,. Oroville COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i BUILDING INSPECTION RECORD MOBILEHOME UTILITIES ------------------Elec- Service Elec. Pedestal Water Piping, Sewer Gas Piping BI EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE �JM EMARKS OR CORRECTIONS 121 - � � r D o � �� .�` C� -� (N TE: An entry must be made ori this form each time you visit the job site.) UILDI G BUILDING (Cont'd) PLUMBING' Setback i Q S'/d Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings E Windows 3rd Floor StemwalI Siding To out SI br I Roof Sheathing Water Piping 00Z--P1'e'rs__ Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin sOnWAre Prov. for physically handica ed Conformance of ex. Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio 1 EP ACE 7F d7alr' o Footings FootingELEC I Masonry Walls } Throat Rou h Reinf. Steel ; Final Fixtures Bond Bein Framing L FIRE SPRINKLERS Test Motors Water Htr. d Stucco Final Subpanels Mesh MECHAWAL Grd. Fault Prot. Scratch / Heating Service Brown j Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation an Door Closer; Final A Fin MOBILEHOME UTILITIES ------------------Elec- Service Elec. Pedestal Water Piping, Sewer Gas Piping BI EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE �JM EMARKS OR CORRECTIONS 121 - � � r D o � �� .�` C� -� (N TE: An entry must be made ori this form each time you visit the job site.) 3-' z9 �v � � �-✓ ����- ice" r "� /ff Oeoy/L[E A. P. IN 13 L/_— L r / Zoning & Pt tanning F s W. . . n Fire Dept. Fire Zone Use Permit EQA I Parking I Declaration P Parcel Plans Parcel Ma 60' RJ/W I Improvements NEW F- I Parcel Approval &f] Plans Approval ADDITION UTILITIES F1 OTHER Q PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet wilding sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE / POO(, erm( e ELECTRICAL . COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS ^ � 7 County Center Drive - Telephone: Oroville, California 95965 52.4-4541 $3.00 t� APPLICATION AND PERMIT 600V OR LESS Main service 100 AMP OR LESS 1 BUILDING Owner SQ. FT. OCC. BUILDING VA ION �''�/ Others [DO ChiA17Z 000. 00 Mailing Address Main service EA. ADD•L 100 AMP 2.50 No. Main service OVER 100 AMPP OR LESS O 25.00 Contractor POLLY POOL S POOL Main service EA. ADD•L 100 AMP 1.00 Mailing Address 31&3 00 VE #A1y Fireplace `Z 20sa ft I h e o. �j Total Valuation / 000, 00 C�C� Com► 7 Permit Fee &V 1 0 Building Address �/ ED4Ea)00D DR, Clan Checking a /or Penalty /j C?,&r-8&}- D 7-"' Permit Fee /ff Oeoy/L[E A. P. IN 13 L/_— L r / Zoning & Pt tanning F s W. . . n Fire Dept. Fire Zone Use Permit EQA I Parking I Declaration P Parcel Plans Parcel Ma 60' RJ/W I Improvements NEW F- I Parcel Approval &f] Plans Approval ADDITION UTILITIES F1 OTHER Q PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet wilding sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE / POO(, erm( e ELECTRICAL W No. @ FEE PERMIT FILING FEE $3.00 t� 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home E] �''�/ Others [DO Main service EA. ADD•L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLINGnr_OCCUP. 1') no nnn.,e err n, c 20sa ft CONTRACTORS LICENSE LAW I am licensed under t1le provisions of Chapter 9, Div. 3, of the State of orn-a Busi fess Professions Code under the name style of: 'vicz 0 0M License No. Classification S EX. OCCUDIOUTLETS OR FIXT11RES� IBL FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring DOL 1,F10AY,14 6.25 LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be insured against liability i Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is rrect. 1 agree to comply to all County Ordinances and La s�relating to buildingconstruction, and hereby" autf� riz reprep eritatives f t Court f Butte to enter upon the above -m tioned p"ropertyyf r ti, urposes. X Date 1 D e Signature of �iteep{ Receipt No. _ 6_17��. /y[ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling $3.00 Ventilation Hood . 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE Is -8 This permit is hereby issued under the applicable provisions of the B9,AV County Code and/or resolutions to do work indicated abV6 fVr which fees h been paid. R_ECT F PUB IC WORKS Building permit expires Date SWIMMING POOL CONSTRUCTION CONTRACT NOTE: THE CONDITIONS ON THE REVERSE SIDE OF THIS CONTRACT ARE A PART OF THIS CONTRACT. Owner Tom . FishQ Date Maxch 27 ,1980 Address Q I Rdannd H me ho e --5J3z2_4.B_Q_ City Oroville, Calif. 95965 Work Phone��'���"® The contractor hereby agrees to sell and the buyer hereby agrees to purchase, an in ground vinyl liner Polly Pool. The size is to be 21 x 42 outside dimensions by 3 x 8 deep. The work will commence on.or about and will be substantially completed by The Polly Pool includes as standard items; filter, pump, motor,.time clock, accessory kit, ladder, water bala'nc'ing, pool .instal-' .. �u lation, plumbing, electrical from the -homeowner's panel, sales tax, start up chemicals and initial start up instructions-. The -deck' -not included in the base price,,shall consist of 675'®'square feet of " . Kojl Deck and additional decking, if ordered, at 2.50 per square foot. ACCESSORIGS 21 x 42 Scandinavian design - Blue Cloud Liner. $7,•795.00 675 Sa ' Ft 1,600.00 Diving Board NIC Extra Ladder N/C• Tn Si-nnk 450,00 D. E. Filter 155.00 Pool Sweep 595.00 Classic Spa #50 - with tile- 4 jets - two pump system 1,405.00 Spa to be set and leveled.- 17" above ground. The decking to be finished jam: 50% upon delivery of pool kit $6,000.00 30% when deck is poured $3,600.00 10% when pool is full of wayer $1,200.00 10% when pool is finaled $1,200.00. t You are entitled to cancel this contract before midnight of the third. day (excluding Sunday) after the date of, your signature.' . The signatories, buyer and contractor, are the exclusive parties to this contract. Contractors are required by law to be lice d an regul .ted by the ntractor's S to icense Board. Any questions concern- ing a c or a referred to the registrar f they and hose addres is: Cintac or's State License Board, 1020 N Street, ramento, California 5814. a� rice Submitted by. \ t' 1�' -ham./' =/ Date Depos Buyer Acceptance_ . E�®'"r�''� Date Balance 12 , nno nn License 351673 Buyer Acce Contractor Date: Date . /^Va ERSET j COMPANY LIDHNQED CONTRACTOR Insulation - Weatherstripping - Acco istical Tile r P. 0. Box 3506 Chico, California Phone 342-4764 Date To (Purchaser) (No. and Street) (City and State) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT -ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: vocrt'-.S- .9/ Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value qq�� Blown: Manufacturer W Thickness -2 / No. Bags � Wt./Bares,b Sq. Ft. Covered / <-od R Value % t FLOORS Manufacturer SLAB ON GRADE Thickness/Type R Value Manufacturer Thickness/Type _ Width of Insulation Inches FOUNDATION WALLS R Value ' Manufacturer Thickness/Type R Value GENE C RACTOR LICENSE NUMBER BY /TITTLE I ,/ ( DATE IN LAT��gk NTRACTOR krak"... . LICENSE NUMBER 83% B �(( TITLE e-X-4Qf!L4r DATE 11-f-3 -'%S' ( DATE) ACCEPTED SAVE ENERGY - INSULATE! H RSETH COMPANY (Authorized Representative)