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TOM VAN GELDER/�
5360 Treasure Hill Dr,1ot 213, KR#4B4Oro
Permit#1680-84B,P,E,M(new single family)
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069-250-010 PERMIT#94-1973
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'069 �250�010 ` ,,,yPERMIT#97 1555 .
VANGELDER , _ Tom
'5360-Treasure,Hill' Rd.,,"t0roville'
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069=250-010A��,%"PERMIT#97-1895
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0uT_rF. Butte County Department of Development Services FORM NO
• PERMIT CENTER
�.� 7County Center Drive, Oroville, CA 95965 DBP -07
aUN Main Phone (530) 538-7601 Fax (530) 538-7785
,.ti,%vw. b u ttecoun tv. n et'd ds
AFFIDAVIT REQUESTING DUPLICATE PLANS
(California Health and Safety Code Section 19851— 19853)
BLT'I'TE
The official copy of the building plans may not be duplicated without written permission from the certifies � E
licensed, or registered professional, if any, who signed the plans and the building owner:
TY
JAN 2 0 2015
**I hereby request duplicate copies of the building plans on file with the Butte County Department of Development
Services, Building Division for: ` DEVELOPMENT
Assessor's Parcel Number:
OD 9 ',.J Q ' t��t� • DDD Permit Number(s): SERVICES
Located at � �j�dl�/1�1� NA& .&,�%/1LY"A)
(Address) (City (Zip Code)
I am aware of the following three provisions of the California Health and Safety Code as follows
1. That the copy of the plans shall only be used for the maintenance, operation, and use of the
building.
2. That the drawings are instruments of professional service and are incomplete without the
interpretation of the certified, licensed or registered professional of record.
3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed
architect who signs plans, specifications, reports, or documents shall not be responsible for damage
caused by subsequent changes to, or use of, those plans, specifications, reports, or documents
where the subsequent changes or uses, including changes or uses made by state or local
government agencies, are not authorized or approved in writing by the licensed architect who
originally signed the plans, specifications, reports, or documents, provided that the written
authorization or approval was not unreasonably withheld by the architect and the architectural
service rendered by the architect who signed and stamped the plans, specifications, reports, or
documents was not also a proximate cause of the damage.
Current Building Owner: Design Profession of Record:
Signature of person requesting copies
Printed name of person requesting copies: _ 9"j!2i
Date: Contact Phone Number:,--<�Q 6 93 -.41641
Address: uAta 4t A¢U
Reason for requesting duplicate set of plans: 6 d.[_I1 4,2J aQdaQ
FOR BUILDING DIVISION USE ONLY
O Owner Permission- Date Sent: Date Received
O Professional Permission- Date Sent: Date Received
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07_Affidavit_Reque sting_Duplicate—Plans_REV'D_8.13.14—AKM. doc
Page 1 of 2
California Health and Safety Code
19851. (a) The official copy of the plans maintained by the building department of the city or county provided for under Section 19850 shall be open
for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part except (1) with
the written permission, which permission shall not be unreasonably withheld as specified in subdivision (f) of the certified, licensed or registered
professional or his or her successor, if any, who signed the original documents and the written permission of the original or current owner of the
building, or, if the building is part of a common interest development, with the written permission of the board of directors or governing body of the
association established to manage the common interest development, or (2) by order of a proper court or upon the request of any state agency.
(b) Any building department of a city or county, which is requested to duplicate the official copy of the plans maintained by the building department,
shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original
documents and from (1) the original or current owner of the building or (2), if the building is part of a common interest development, from the board
of directors or other governing body of the association established to manage the common interest development.
(c) The building department shall also furnish the form of an affidavit to be completed and signdd by the .person requesting to duplicate the official
copy of the plans, which contains provisions stating all of the following:
(1) That the copy of the plans shall only be used for the maintenance, operation, and use of the building.
(2) That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licenced, or registered
professional of record.
(3) That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications,
reports, or documents shall not be responsible fog,damage caused by subsequent changes to, or use of, those plans, specifications, reports, or
documents where the subsequent. changes or use's, including changes or uses made by state or local governmental agencies, are not authorized or
approved by the licensed archifecf who o'n'6nall " signed the plans, specifications, reports, or documents, provided that the architectural service
rendered by the architect who signed the plans, specifications, reports, or documents was not also a proximate cause of the damage.
(d) The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a
registered or certified letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the
plans and sending with the registered or certified letter, a copy of the affidavit furnished by the building department which has been completed and
signed by the person requesting to duplicate the official copy of the plans. The registered or certified letters shall be sent by the building department to
the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners.
(e) The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to
duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the
building department pursuant to this section.
(f) The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building
department, the professional does either of the following:
(1) Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department
determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating
circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be
appropriate to the individual circumstance, but not to exceed 60 days.
(2) Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered or certified letter specified
in subdivisions (c) and (d).
19852. The governing body of a oounly or oily, including a charter city, may prescribe such fees as will pay the expenses incurred'by the building
department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall
not exceed the amount reasonably required by the building department in .aaintainiug the official copy of the plans of buildings for which it has issued
a buiiding permit. The fees shall be imposed pursuant to Section 66016• of the Government Code.
19853. This chapter shall not apply to any building containing a bank, other financial institution, or public utility.
"When filed, this application and all supporting material becomes subject to the California Public Records act All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
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4
To whom it may concern:
Our names are John and Laura Gomes, and we purchased 5360 Treasure Hill Drive in Oroville
and closed escrow on November 26, 2014.
We hired a contractor to deal with several drainage issues around the property (Matt Eakin of
Eakin Construction), and he asked for building plans for the property in order to see what
drainage systems are installed, and where they're located. The property was owned by Bank
of America when we purchased it, and we were not provided with any documentation with
regard to the property.
The title report showed the prior owners were Tom and Barb Van Gelder, but Mr. Van Gelder
passed away in 2003 and Mrs. Van Gelder passed away in 2013. We went to the county
planning department to obtain a copy of the plans, but were told we needed the permission of
the architect if there were any signatures on any of the drawings. A few of the drawings had a
signature (I think the last name was Cranston), and also showed the name ABC Cedar Homes
and a phone number, which I called from my cell phone. Don Hardister, the original owner of
ABC Cedar Homes answered the phone, and over speakerphone told me the architect passed
away in 1990 and the company (ABC Cedar Homes) went bankrupt in 1995, but he verbally
gave permission for the plans to be released to us. We were told by the planning department,
however, that we would need that permission in writing from him, or we could contact the AIA
and attempt to prove the architect was no longer alive (which I tried, but they do not maintain
death records or release that information). I obtained Don Hardister's address and sent him a
written request, which he agreed to complete and send back.
After I sent the letter, I called to let him know it was coming, and spoke to his wife (who
answered the telephone). She told me that he was not responsible for the actual building of
the house or any defects associated with the house, that they only sold the plans. I reassured
her that we only wanted a copy of the plans for our contractor's use, but she was quite alarmed
that there may be issues with the property and told me her husband had several health issues,
was confused and she would have to review anything before agreeing to allow him to sign it.
When we received nothing back, I contacted him again, and spoke with her again. She told me
that since they didn't actually build the home, I would have to speak with Mr. or Mrs. Van
Gelder to obtain the plans: I reminded herthat both Mr. and Mrs. Van Gelder had passed away,
as had the architect, and the only connection to the building plans left was her husband. She
told me that she would not allow him to sign anything, and then sent back the letter, unsigned
and stating they did not build the house and we would have to find the prior owners and
obtain their permission to receive a copy of the plans.
Please allow us to obtain the plans in order to complete necessary repairs. Thank you.
t
December 16, 2014
Mr. Don Hardister
Post Office Box 333
Vineburg, CA 95487
Dear Mr. Hardister:
My name is Laura Gomes. My husband and I purchased the home located at 5360
Treasure Hill Drive in Oroville, California recently. The home was originally owned by
the Van Gelder's, and was built by your previous company, ABC Cedar Homes.
We are attempting to obtain the blueprints for the original construction of the home so we
can undertake some necessary repairs, but Butte County will not release the plans to us
without your written consent.
Could you please consent to release the plans to us? I've written a statement below,
authorizing us to obtain those documents. Please call me at 408-410-1882 if you have
any questions. I've enclosed proof of ownership of the property, a stamped, self-
addressed envelope as well as a copy of this letter for your records.
Thank you very much!
John and Laura Gomes
STATEMENT:
I, Don Hardister, as the President and CEO of ABC Cedar Homes (no longer in business),
authorize the release of all plans and drawings, as well as any other pertinent documents
relating to 5360 Treasure Hill Drive in Oroville, California (zip code 95966) to the
property's current owners, John and Laura Gomes.
Don Hardister
VdirL -4j,:4U, ✓Yl -e�2�. �-erl�-o-'
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._ RESIDENTIAL
j 069-250-010 PERMIT#97-1895
VANGELDER, Thomas
PERMIT Nd 5360 Treasure -Hill Dr. , Oroville
Cont: John Gilmore Const. i
PERMIT EX Add Rec Room/SF `-
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P S
OWNER OEI 1 ice\
CONTR.
ASSESSOR PARCEL
LOCATION
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Temp. Power Pole
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Called PG&E
JOB FINALED(Date)
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Signature
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V=OK
0 = Not OKNot r
NotRepady MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /`UtL
/ /Nat. or/ /'L°ft/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
9. Siding; Nailing VeneerShxxo-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks Easements
Date
2. Footings; Si L -Spacing -Marriage Line
Date
3. Gas; MH Test DemandValve-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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
10. Piumb.;'Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements .
2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rail's
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing VeneerShxxo-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall.Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pod 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 Lghtq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Piumb.;'Cir. Test -Water Supply Test
11. Light Niche
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 & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteek/ /' Ftg. Depth
5. Stemwalls, Main;'SteekBlockouts-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 CIO -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test Anchors-RegulatorService Test
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders -.Sills -Anchor Bolts -Joists Vents-Crippies
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 #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / /ga. Cu or Al-A.C. Wire Size / /ga Cu or Al
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meeh. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roll Brac: TrussShfing.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrn. Windows or Exiting Doors -Sill Hgt & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
BNAL (Plans) OK except #'s
o88.-Txt
Steps -Door & Sidelight Protection -Landings
S ke Detector
FlIrnAr• ' Vontef j .r.q- n '. -w:-9crM •er
In Ga•age; � Floor -Du dt - ech. Protection
6&$aflaFixta�s
& Tub Access -Spa
ec. Trim & Suboanel. Breaker Sizes & Labels
7
i71
'replace o
. Outlets at Wood Panel, Int. & Ext.
Ix. p ap-Cooking Clearance
Counter
ge ne oor; SNnng- n -
mb. Air Co vector-P.R.V.
In Garage; Above Floor -Meeh. Protection
ec . quip. UstedT671215cation
78.
Elec. R o^� •,•n,.e•�-iFar�)__�o, ar on
Insulation -Foam -Looked in Attic
81.
F s ra o e -Earth
Clearance Looked under Floor 0 Yes
owingInstld./Drive 0 Yes 0 No/Walks 0 Yes 0 o an ers 0 Yes 0 No
isconnect, ec
ve oo ,I - pian learance to Openings
86.
8
rim, G. ece nd
t i
ntilation Throu ht House
• ss Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
Menergy Compliance Certificate -Other Certificates
Date �� .) Card 13-1 Date Card B-1
Date -� , r Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVIN
. 7 County Center Drive - Oroville, ,J.alifofdia 95965 - Telephone (916) 538-7 1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 069-250-010
ZONING RT1
BUILDING PERMIT
OWNER THOMAS VAN GELDER
TYJo 1072
SO. FT. OCC. BUILDING
VALUATION
499 R-3 9,980.00
OWNER'S MAILING ADDRESS 5360 TREASURE HILL RD OROVILLE
CONTRACTOR'S NAME JOHN GILMORE CONSTRUCTION
TEIPjjI�IJE30'72
I'll—'30'72
CONTRACTOR'S MAluNG ADDRtt34 ODESA CT MAGALIA
i7
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
117.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
76.09
BUILDING ADDRESS `5160 TREASURE 14TIL RD
Energy Plan Checking Fee $
23.00
$
PERMIT FEE $
236.05
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: EXIST. RETAINING MALL NOW TO BE CLOSED UP
TO MAKE REC. ROOM./
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service loon oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class G�._..u,� Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a CC.
SO
3.50As
T.
Np pESID. ==NrS
@7.50
PSINGLE OUTLET OWER APPARATCTR.
820@'.0°
Ex. Occup.OUTLET oRFlxruRl-s
BAI_ .50
Ex. Occup. OUT�s RESID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0-'T—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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
o with co ith those provisions.
X ��_ Date
Sign ure of App cant - ❑ Owner [LS Contractor ❑ Agent
An HA permit is required for excavations over 60" deep and demolition or construction
of s ructures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
NKNX DUCTS 2 '
PERMIT FEE $ 29.0
Mobile Home Installation Fee $
Energy Inspection Fee $ 46. UU
occ CONST. TYPE
TOTAL FEE $ 349.65
D. FEES IMP
I FLOG C
'VI
PARC
PD
ISS
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for whic fees have been
By Date
PERMIT EXPIRES ON L
gra
provisions
to do work
paid.
Receipt No. 224381— 159.05
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTO GOLDENROD -APPLICANT
0
.•r"' "�jy :^n)�ti ."�\ ,'-..,,�^-+r")•,..•,,..- -�sl'Y�.-sv, �`;i•.,�4 .H�""T�('w,-+.+a.r -vim.-,rr��•: -
COUNTY OF BUTTE DEPARTMENT OF ISE- ROPMENT SERVICES - BUILD G DIVISION
7 -.COUNTY CENTER DRIVE - OROVILLE; CALIFO,NIA 95965 - TELEPHONE (91 38-7541
.PERMIT APPLICATION DATA SHEET
OWNER: U6 V ASSESSOR PARCEL NUMB -ER: 9– ' 610
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was a'dvised the following data must be submitted prior to permit processing and/o issuance:
Date Received By
❑ 1. All items have been submitted -------------------------------
112. Plot plans, 3/4 sets, signed by the preparer of plans. ------
03.
-----
❑3. Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- '
5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
6. Energy Design Compliance and supporting documentation.------------------------------------------------ --- g L
❑ Statement of Intent for Non -Heated and A/C Buildings. ---------------------- ---------------------------------
❑ 8. Hazardous Material Form.----------------------------------------------------------- ------------------------------
9 Manufactured Home data and installation instructions including Tie Down Specifications.------------------
ees of $ ------1------/--------- ---
pact fees as shown on the attached schedule. -�tp�( -�-- ----------------------------------
01
nia Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. Flood elevation certificate. -------------- ------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval ., Health Department.
1115. City of Chico plumbing permit.--------------------�---------=-------
❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------
❑ 17. Planning agpcoval for (A) Use: (B) Parking: ___________________
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
1-_120. Pretion for ,`�
Pre -inspection required. Request to Building Inspector on
012 1. Contractor's license information. (Number, Name Style, Classification). -----------------------------
022. Workers' Compensation carrier and policy number. ------------------------------------------- =--------
❑23.Owner-Builder Verification (Given'fo owner ❑, Mailed to owner ❑).
1124. Letter of signature authorization. -------------------------------
1125. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. --------------------------------
❑27. Manufactured Home utility clearance. -------------------------
028. Existing violations and/or expired permits.
1129. 0433 A, ❑Grant Deed, ❑, M.H. Title, ❑ Check to H.C.D $
❑30. Other: 4.
When you issue ttheyermit, process as follows ❑ Mail to owner, ail to c
Telephone O -/3`110/ o"—, and hold for pickup at V ;
rf
®liver with inspector.
Applicant: t- Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po ution ate:_ By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required: 1
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:/O
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div' ion counter, by Date;
Contractor, designer, owner, was advised of the above
requiVed data by ❑phone, ❑mail, ❑Building D' ision counter,Zia—
D
Plans reviewed by: 07e9W&t / Plans approved by: �,: ,;
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
(Date)
�,,'�'��,.ti� .� y 2:t '<• F .�•..- '�b. ii't , }, ^.'fP�r�+i-�M� •-�+•TT� °�
COUNTY OF BUTTE {
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, QA- (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
vwrvtM PERMIT NO...,
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 contact this office immediately.
✓O cJ Gam--- �u cv 4'e �'o{-
•^J
Insulation Certificate
BUILDING OWNER: Tb+�'1 o 1N b e l k4 r BUILDING PERMIT `'j , > -! 0
BUILDING LOCATION:
Description of. Installation
ROOF
Material
Thickness (inches)
CEILING ,
Brand Name
Thermal Resistance (R -Value)
Batt or Blanket Type: Brand Name
Thickness (inches) Thermal Resistance (R -Value) -
Loose Fill Type Brand Name
Contractor's minimum installed weight/h lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR W
ALL,
Material 14 / Q �5 Brand Name
Thickness (inches) Thermal Resistance -Value) GI
e-
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Brand Name
Thermal Resistance (R -Value)
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Califomia Administrative Code.
�4 w,J
eneral Contractor (Builder)
&", td`
Sign a and Title
Sub -Con cior_(Insulation Installer)
Signature and Title
% l 3 Sao
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
'�'rdwE'�P+ ^}'SM9'f'+AFrY j�!, r f '�i%�W ryl •,.�.��"N
ts' .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building),
School District . oro P, (e kr em io'f
r
Building Department No.
A. P. Number 0 9 2 (/ --0z0 Jurisdiction: = City
Property Owner
Property Location/A
E^ ' County
Subdivision Lot No.
Residential Development
No of Living Mobile Home Addition
Units . Installation
Commercial/Industrial
Sq. Footage
(Group R)
Sq. Footage
°���*�^^ uncwaing txtenor
Roofed Areas)
L4 9
Date
rswiaing uepartment nepresemauve
(rioor vians reviewed ny scnooi uistnct versonneo
District Identification No. 131S7
School District certifies that
JZ4—"�—
(Applicant)
(Street Address)
(City)
has complied with the requirements of Resolution No
representing 410 f square feet.
Rep
(Phone Number)
(State) (Zip Code)
by. payment of $
F12T926 $
ULL MITIGATION $
Date
Paid by Check # Remarks: ow)
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court action.
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.xis (2/97)dmm
9
r
REVfE�ti`ED BY Q
BUn E CO. FIRE DEPT.
FILL. STRUrITLlRES
AND. EQUIPMENT INCLUDING CALIF. DEPT. of FORESTRY
OVERHAN S HALL 13E CLEAR OF ALL EASE ENT ' E] approved as submitted
q SET BACK OF
FROM THE SIDE A V
3 --1 FROM THE REAR PROPERTY' LINES AND (� approved with conditions Z_
i^l?OM i i -!E ROSE? CENTERLINE SHALL 3E pnr S?t�chp� sheet. ui A
' c%ii� rF S i UCTURES lJRE i AND EO�jlPMENT NXCEPI _ w
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'A I t► /09-2-S 0
CONFIDENTIAL DISCLOSURE NOTICE
> +s-ylt.aR- -_ - ,�..-�•._ > w�S' - - •+ -,�.`. Thee drawings contain EonldoenNel prJ e t: S:•.
e -a..: -c .-,..7arcc`:.p=c.sr^:<. .,e:,�. 'ti '_ a+r^as .a .. ,'i.....A�etty .x •t..�-res. .rsr .�,:r•«.� r':r—i'ge `�- _v. .,, .
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+IJn'ai, 6r-w�:�• S}wF"r.Sr:%.Y1cC .4kC :.t.:+I «'�'�-.��'C.G....�..::T _=;i,
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. _.. ."-.•--.;: .,... .:.. _...........�. :._. +RVN�E•x+,i '•"-�s..+a'r ..r .. �..CO `iti o{SCLOSURE NOTICE
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•, " sn.•I tv conrrk;ion or fir n-y cy.x m k_`.l-�'�..
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r
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Drivewav Standards
[ J 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed er shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.'
1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[ ] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ ]. 2. The length of vertical.curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[ ] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[ ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[ ] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of -1.
AP # PERMIT # NAME
[ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ ] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and*
shall be within 50 feet of the building.
1273.11 Gates
[ ] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[ ] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ) 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be,-
used.
e`used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
L ] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from u1] property lines and/or the center
of the road.
[j 2. For parcels less than 1 -acre, local jurisdiction
,11 shall provide for the same practical effect. See
Other Requirements below.
[� 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion -of
road construction :,r fi:ral inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[] If Building Setback is Less Than 15 Feet
Choose any,3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
G74 --q 7
Date
Signature
Page 3 of 3
.> CDF FIRE SAFE REQUIREMENTS
97-1?9s
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and,to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[ ] 1273.02 Surface. All driveway surfaces and structures (bridges,.
1273.07 culverts and other apparteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[ ] 1273.03 Grade: Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[ ] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ ] 2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[ ] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[ J 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[ ] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of - 1'.
r (V 9-2J =/a f 7 -/ r -"9r
AP # PERMIT # NAME
[ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ ] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ ] 1. Gate entrances shall be at .least two feet wider than
the roadway it serves.
[ ] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[j 2. For parcels less than 1 acre, local jurisdiction
.1 shall provide for the same practical effect. See
Other Requirements below.
(� 1276.02 Disposal,of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction �,r fi:tal inspection of a building
permit.
Page 2 of 3
AP #
17 -1'e�1'
PERMIT #
Other Reauirements
NAME
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[�] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed _0%, of wall. area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
'74 � 7
Date
Page 3 of 3
gnature
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 5360 TREASURE HILL DR
Owner:
Permit No: B07-0624
APN: 069-250-010
VAN, GELDER BARBARA J
Issued Date: 03/27/2007 By KCG
Permit type: MISCELLANEOUS
5360 TREASURE HILL DR
Subtype: HVAC Change Out
OROVILLE, CA 95966
Expiration Date: 03/26/2008
Description: REPLACE HEAT PUMP AIR HAND
(530) 589-2008
Occupancy: Zoning: RTI
Contractor
Applicant:
Square Footage:
DEER CREEK HEATING & AIR
DEER CREEK HEATING & Al
Building Garage Remdl/Addn
PO BOX 171
PO BOX 171
VINA, CA 96092
VINA, CA 96092
'
Other Porch/Patio Total
(530)839-2545
(530)839-2545
FEE INFORMATION
DBM Air Handler w/ducts to 10k $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
DEER CREEK HEATING 8r AIR 865703 / C10 / 10/31/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license
is in full fo effect.
X 03/27/2007
Co racto) iignab`rU Date
WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
ection 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: State Fund Policy Number: 1838947 Exp. Da1e:10/01/2007
(This section need not be completed if the permit is for one hundred dollars ($100) or less.
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
03/27/2007
Date
WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
City - State • Zip
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B2365
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
ix 03/27/200703/27/2007
Owners Signature Date
1 hereby certify that 1 have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pRperty ov/ne�,K am authorized to act on theoroperty owners•behalf. _
To /n�t.4x. 1 03/27/2007
Owner Contractor OR. DAgent for Owner ElAgent for Contractor
'FILE COPY
Im
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 53..s_1i4i fAX 4.' (5�0) 538-2140
A FEE WILL RE REQUIRED 4T TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION M
Name
Address
City State I7
Phone I Fax
E-mail
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# 0
Property Address jrPA(Ia.Hill r
City Dovi I It CAt
WORKER'S COMPENSATION
Policy Number
Carrier
A
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE QF WORK:
!a- -H�>_ e
Apr
Li"rir • Gare�-+ Open Cov
Built without Per,, -0,.. �
n Propostd Change ci Occup«oocy
(Note previous use)..
��_ offics use only: -�
Zoning Flood Z.onc� SRA Yes w;
Ocr. Type Const.
i I
OWNER TION
Last Name
vot
[ORMA
Firs ame
Mailing Address
_-
�e
City`
te
Zip
Phone
Z0 j::tZax
E-mail
APPLICANT INFORMATION M
Name
Address
City State I7
Phone I Fax
E-mail
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# 0
Property Address jrPA(Ia.Hill r
City Dovi I It CAt
WORKER'S COMPENSATION
Policy Number
Carrier
A
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE QF WORK:
!a- -H�>_ e
Apr
Li"rir • Gare�-+ Open Cov
Built without Per,, -0,.. �
n Propostd Change ci Occup«oocy
(Note previous use)..
��_ offics use only: -�
Zoning Flood Z.onc� SRA Yes w;
Ocr. Type Const.
i I
CONTRACTOR
Name
Address
City
State
Zip
Phone
Phone
E mail
is W
_ 27
ssr
APPLICANT INFORMATION M
Name
Address
City State I7
Phone I Fax
E-mail
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# 0
Property Address jrPA(Ia.Hill r
City Dovi I It CAt
WORKER'S COMPENSATION
Policy Number
Carrier
A
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE QF WORK:
!a- -H�>_ e
Apr
Li"rir • Gare�-+ Open Cov
Built without Per,, -0,.. �
n Propostd Change ci Occup«oocy
(Note previous use)..
��_ offics use only: -�
Zoning Flood Z.onc� SRA Yes w;
Ocr. Type Const.
i I
AR ,HITECT/ENGINEER
Name
Address
City
State
Zip
Phone
Fax
E mail
State License Number
APPLICANT INFORMATION M
Name
Address
City State I7
Phone I Fax
E-mail
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# 0
Property Address jrPA(Ia.Hill r
City Dovi I It CAt
WORKER'S COMPENSATION
Policy Number
Carrier
A
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE QF WORK:
!a- -H�>_ e
Apr
Li"rir • Gare�-+ Open Cov
Built without Per,, -0,.. �
n Propostd Change ci Occup«oocy
(Note previous use)..
��_ offics use only: -�
Zoning Flood Z.onc� SRA Yes w;
Ocr. Type Const.
i I
COUNTY OF BUTTE -DEPARTMENT OFDEV9LIOPMENTSERVICES -BUILDING DIVI 46N
7 County Center Drive - Oroville, California 95905 - Telephone (916) 538-7PE MJX NO.
(Rev. 12/96) APPLICATI`CN AND PERMIT 7— ��
ASSESSOR PARCEL NUMBER O /Ww / � ` O(„Sv
ZONING
BU ING PERMIT
OWNER
VAN GRIBET
TELEPHONE
873-3072
SO. FT. OCC. BUILDING VALUATION
2,175.00
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
JOHN GITMORE CONSTRUCTION
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $ 2.175.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
TREASURE H11 I
Energy Plan Checking Fee $
_5360 RD
$
PERMIT FEE S 74.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel IR Utilities ❑ Installation ❑ Other ❑
Describe Work:
REPAIR
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zoonoa'.ss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force a d effect.
License Class 1S 61-..c. Lic. No. 3 � b
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. so
OR ADDNS. ( & ACC. BIDS. 3.5¢F,
NEW CONST. MULTI -OUTLET
NON-RESID. ANC @7.50
POWER APPARATUS
b SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1'010
BAL Q .50
Ex. Occup. OUTELETS REESS,6.) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
com h those provisions.
X ,��- __ Date )3- IQ__
IQ_
Lof
Sign re Applicant - ❑ Owner §; OrltraCc or ❑ Agent
An HA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 117.00
HAZ.
D. FEES IMP
FLOOD
CDF
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.
By�
PERMIT EXPIRES ON
Date
Receipt No. 222525
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVLtOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 9590 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER G ,..-, /�i� % /'l
ZONING
BUILDING PERMIT
°Nt"E" V v L //1 jQ
Y2"3 E� Q?
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING DRESS � �tJU�� �LLD�
CONTRACTOR'S NAME TELEPHONE '
o 41V ! Z- CotiS i
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filina Fee a
20.00
Permit Fee $
d
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee b
BUILDINGADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex 0 Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TY OF WORK
New ❑ Addition ❑ Remodel 0'/Utilrbes ❑ Installation ❑ Other ❑
Describe Work: � /
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT I
Fling Feel 20.00
800v OR
Main Service 200AORLLEESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penaky of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLINGoccuP. so
OR ADONS. a ACC. BLAS. 3.50FT.
IpµRESIOT' BRANCH RCUTITS @7,50
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. oLmETOR FOCTVREs SAL O .50
Ex. Occup. DurLeTSAP12,1o°E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.0
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEL: $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
1
G %
HAz.
D FEES
IMP
FLOOD
COF
PARCEL Po
HD
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
to
Receipt No. 1_ o9 v�S
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ]ON
7 County ,:Center Drive - Oroville, California 959�5 - Telephone (916) 538-7.41 PERMIT -NO.
(Rev. 12/96) .,. APPLICATION AND PERMIT �� 3
ASSESSOR PARCEL NUMBER O / 676'0,-0 / 6)
ZONING
RTI
BU &ING PERMIT
OWNER n
VAN l D
TELEPHONE
1—
97-1-3072
SO, FT, OCC. BUILDING VALUATION
.
OWNER'S
OWNER'S MAILING ADDRESS -
r%16n TRF.ARTTRV. 14T Rn VT R
2.i75.00
CONTRACTOR'S NAME
iN rJTMRF. C0N.1;TRTJMTQ_N
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 2.175.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
IP
Plan Checkin Fee $
BUILDING ADDRESS
1 F_ 1 E IIT i R_
Energy Plan Checking Fee $
_
n1?nVTJ J.R
$
PERMIT FEE $ 74.00
LOT NO.
•
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOF3TRUCTURE
SF ❑y Duplex ❑ Mobilehome ❑ Other -
1 SPECIFY
Each Trap 7.00
Solartor heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 12, Utilities ❑ Installation ❑ Other O
Describe Work: nT,nA rn
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home j S I G I W 920.00 ,
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zoos oa mss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class d 6x_ ,,A Lic. No. 33 Q
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ADD, BLDS. 3.50FT,
NEW CONST. MULTI -OUTLET
NON-RESID. C 1 LI @7.50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20Q7•00
BAL @ .SO
PPLNS
Ex. Occup. ouTrs RESID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 • UU
PERMIT FEE $ 00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling -
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑_f 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
,'forthwith comp;y with those provisions.
'
X __ Date'
SignaiGre of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 117.00
HAZ.
D. FEES IMP
FLOOD
CDF
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.
q
By ate
PERMIT EXPIRES ON "
Data
Receipt No. LC SCS
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. .. _. .. .. _... ...-.�„�.,----+..s-.orwirs;,.,-... _. -..,.R �.-.... .. .. � •---T- yyY^t,t- .q ...., o- ..., �--_. ,--r,... --•t
069-250-010 PERMIT#97-1555
VANGELDER, Tom
5360 Treasure Hill Rd., Oroville
Cont: John Gilmore Construction
Repairs/SF /�19�f
t
}z
I
S
. �,.-�p:rkf: :Laup•.}�i��e-:we•a>. _ _ .. � •.. n �,. ,zcvs
M
t
.is"'o.�-4`•a.4R'{Ltlit.,".+-;r'-"T.'"'��M1�C".'"1'M%'�'i�;i?' fygCb"•>"»5 ',`.fir .st ^yY��1
069.250° 010 � t PERMIT #94}-1973+ *� >
»j, VANGELDER-,,'•TOM
'Y5360"PREASURE HILL'DR;QOROVILLEr
:,' CONT . CHRISTINASON' & SON;<ROOF:ING
{RE,ROOF/SF,
r
COUNTY OF BUTTE - DEPARTMENT OF DEV PMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califor 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION A D PERMIT
ASSESSOR PARCELNUMBER
06 —2 0
ZONING ..
BUILDING PERMIT
OWNER
TOM N GELDER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
42 160 2,520
OWNER'S MAILING ADDRESS
536-0 TREASURE HILL DR., OROVILLE
3 15150 450
CONTRACTOR'S NAME
CHRISTIAN SON & SAN ROOFING
TELEPHONE
532-9338
CONTRACTOR'S MAILING ADDRESS
4 S RO F
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2,970
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
.74.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5360 TREASURE HILL DR., OROVILLE ;
PERMIT FEE $
74.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
I
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 O Duplex ❑ Mobilehome ❑ Other SPECIFY20.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
TYPE OF WORK
Utilities ❑ Installation ❑ Other M
New ❑ Addition ElRemodel El Utilities
Describe Work: REROOF W/ COMP & BUILT—UP
FEE 1$
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( `oRLESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( & ACC. BLDS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
d lare under penalty of perjury (check one)
1tMA` 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.
Gi_ �ry
License No. (�'$�$� Classification 7
❑ 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @x_50
Ex. Occup.FIXED (RESID) E
(OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I 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,
Building Division a Certificate of Wok amens• Compensation Insurance or a
�{ Certificate of Consent to Self -insure.
Y1 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 of the granting of this permit.
X 14,70 { Date / AW
Signature of Applicant - O Owner K Contractor O Agent IFof
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 $ 74.00
HAZ.
1 D. FEES
I IMP
FLOOD
I COF
PARCEL
PID
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated ab ve for which fees have been paid.
By DIRECTOR OF PUBLIC WORKS
11 A0 Date 7/11/94
�
PERMIT EXPIRES ON 7 95
(Date)
Receipt No. 167206
WHITE-D.D.S.-a.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
COUNTY OF BUTTE - DEPARTMENT OF VELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, C rrnia 95965 -Telephone (916) 538-75 PERMIT No.
APPLICATI .AND PERMIT, -
ASSESSOR PARCEL NUM BER
06 -2 0- 0
ZONING
BUILDING PERMIT
OWNER
TOM VAN GELDER
I TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
916n TREASURE HILL DR., OROVTT.T.E
42 @60 2 520
,
3 @150 450
CONTRACTOR'S NAME
CHRISTIAN SON & SON ROOFING
TELEPHONE
532-9338
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2,970
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
34.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5360 TREASURE HILL DR., OROVILLE
PERMIT FEE $
74.00
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 §0 Duplex O Mobilehome O 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 O Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ]
Describe Work: REROOF W/ COMP & BUILT—UP
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( '*v OR LESS )
200A OR LESS
23.00
Main Service ( 200A To IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. 1 & ACC. OLDS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
FI dei lace under penalty of perjury (check one)
RI am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force andel effect.
License No. (� Classification
O 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 1 am exempt under Sec. , Business and Professions Code
forthis reason
NEWCONST. MULTI -OUTLET
NDN-RESID. 1 BRANCH CIRCUITS )
@7.50
1 POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B2i @ 1.00
Ex. Occup.FIXED APPURS. OR
1 OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 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
Certificate of Consent to Self -insure.
j� 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 S
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.
XA- Date % /
Signature of Applicant - O Owner Contractor O 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 $
0cC
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
1 O. FEES
I IMP
I FLOOD
CDF
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 ab v -for which 0haven paid.
IRECTOR ORKS
By ate7/11/94
PERMIT EXPIRES ON 7
lDe tel
Receipt No. 167206
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Complaint -Date D
❑ Other -Date
ti
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT A
ZONING
Owner:
Address: -3/r) " LAD
Tenant:
Building Location:
Type of Inspection requested:
A.
B.
A. P. #1P9-
Date of Ins ection
c
Inspector
1. Housing / / 2. Financing / / 3. Change of Occupancy to
E= `. Work W/0 Perm1t / / 5. Other (specify)
Pre e t u s of b u i ing :
Sanitation ( using) '7.4>
1. Water closet: O �d — j/� tv PY 4014
2. Lavatory: al Vr EZ 04 nav
3. Bathtub or shower:
4. Kitchen sink: o
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second.exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance% Handrails)
15. Comments:
Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
i.
2.
3.
4.
Service and ground:
Receptacles:
Fusing:
Comments:
q
LIM
E.
F.
G.
Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Other.
41. 'Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:
7. Comments:
Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
Field Problems or Violations
1. Problem or violation (give complete description) : j4NABL.& Tb —5d&!N
S?lu1c�7.//zfcr /T Q0, _J A-07' 4&, %61tT A !*& 4*5 &.��v 0,0,060 4� �
2. What action taken (give complete description):
3. What action recommended:
&Wd b -e -6'ow l" S ed" hac;�'
A. Information only - file. ,nom ���
X/ B. Hold for ten days, then write letter.'
%T] C. Write letter.
/ /.D. Other:
`.
PERMIT NO.
1680-84B,P,E,M
PERMIT EXPIRES
4 oo kel el—
OWNER TOM VAN GELDER
Y rt vn b vel C�t�4.*/ 549 f— Ova
r'
CONTR. owner
69725-10
ASSESSOR PARCEL
5360 Treasure
Hill Dr, Oroville
LOCATION
r
Temp. Povi
OFFICE COPY
Called± Address
Temp. Elec
GAS
Date—� I
Meter BY
CalledELECTRIC
'
Dat
Meter By
!
Temp. Gas S
1,
Called PG&E
JOB FINALED (Date)
/�3 A
Signature
e eds
(f�tiert
y
CER IFICATE OF CONFORMANCE
/HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIF/ES
.that the products identified below and on attached sheets Nos. are marked
with the collective mark of the American Institute of Timber Construction (AITC) and are
manufactured in accordance.with the manufacturing and fabricating provisions of Chapter- 25 of
the Uniform gull&&ng Code, as moAffged by ZCRQ Rafsea•rnh Rapnrt
No. 3983
I and that such manufacture has been at our plant in Windaor, Ca_ , which
.plant has a quality control system approved by the Inspection Bureau of the American Institute
�. of Timber Construction and inspected periodically by such Bureau.
JOB NAME:
JOB LOCATION: ADDRESS UNKNOWN
CUSTOMER'S ORDER NO. 46CA DATE 10I51AS MFGR'SORDERNO. C—H-41699-1G-1
SIGNATURE Z `44 COMPANY STANTII ARn STRUCTURBA INC.
TITLE ()$AT.TTY (_OMTROT, i3 RO.DDRESS 92()S$iLAH RAA DATE 6127T85
AI TC HEREB Y CERTIFIES .that the said company at its said plant is licensed by
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in
respect of products which comply with applicable provisions of said code and report(s); that the
adequacy of -the quality control system in effect at said plant is periodically inspected and verified by
the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in
the judgment of AITC, said company is capable of complying with applicable manufacturing and
testing provisions of said code and report(s) in respect of products manufactured at said plant. Con-
formance with the said code and report(s) in respect of any specific or particular product is the sole
responsibility of the manufacturer; AITC's certificate hereunder being that the said company is
qualified to produce a product meeting the said code and report(s) and that its plant is periodically
inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCE
AITC Certificate No. 01504 E
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
D 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
a
J = OK ,
O = Not OK' �, ✓
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2: Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -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
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
'Card -BI
'Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
'
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
r
Card B -I
Date Card -BI Date
;Card -BI
Date Card -BI Date
Card 3-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = 011 : ` !
0 = Not OK
= Not Applicable RESIDENTWI. (Sin'�gle and Duplex)
� Not Ready
Date UN
F OR Plans OK except #'s
_Date FRAMING (Continued)
1. Zo ng re uirements—Setbacks E ements
Ls
48. Pr ne Firewall & Openings
sift; Soils rnd.— / /" Ftg. Depth
xt. Doors—One 3'—Check Garage -3rd story, 2 exits
arage; Soils—Steel— / ' Ftg. Depth50.
tair idth—Headroom—Rise—Run—Landing—Fire Protection
Porches & Decks; Soils—Steel— / /" Ftg. Depth
5 ytqpd-en Roof Overhang—Attic Vents—Rafter Outriggers
mw Is, Main; Steel—Blockouts—Wrapped—Slab
5 ding—Nailing—Veneer
ails, Garage; Steel—Blockouts—Wrapped—S
S,Stucco-Mesh_Drip Screed—Fdn. Vents—Underflr. Access
rs—Fireplace Ftg.—Steel
azing Area—Glass Protection—Skylights—Plastic
Shear W IIs; fling —Bolts
D.W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test
9. Gas Pipe; Size—Anchors r
_ 10
Water Pipe; Test—Anchors—Regulator—Seryice T
11.
EI ric; Underground
X,eFrienums
& Ducts; Clearance—Material—Support—Ins.
Girders—Sills—Anchor Bolts—Joists—Vents—Cripples
ard- Dat Card -BI Date
ard-B Date Card -BI Date
Card -BI
Date Card -BI ate
Card -BI Date Card -BI Date
Date ANAL (Plans) OK except q's
Card -BI a Card -BI Date
Date PLUMBING (Permit) OK except q's
14. W t.; Vent—Access—Combustion Air
56 Steps—Door & Sidelight Protection—Landings
_t��`§tnoke Detector
?8/F nace; Vents—Clearance—Comb. Air—Connector—
n Garage; Above Floor—Ducts—Mech. Protection
W�Pipe; Test & Anchors—Nail Protection
4—D.W.V.;
Test—Fttngs & Anchors—Nail Protection
edroom Exiting
17.
Shower Pan; Test, First Floor—Tub Access
G.F.I. &Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor—Tub Access
61. Elec. Trim & Subpanel; Breaker Sizes—Labels
19.
Gas Pipe; Size & Anchors
.)stairs & Rails
Fireplace or Stove; Clearances -Hearth
4 f.4ec. Outlets at Wood Panel; Int. & Ext. C [ (t N j,
Card -BI
a Card -BI Date
6 ' Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearshce
Card -BI
Date Card -BI Date
66. Elec. Outlets & Receptacles at Kit. Counter
Date ELECT GAL Permit OK except q's
67. Garage Fire Door; Swing—Landing—Closer
68. AQ, Duct in Garage—Damper
i e & Transformer Clearance—Ins. Protection
9 tr. Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.—
_ 1n Garage; Above Floor—Mech. Protection
Elec. Receptacles Spacing—Lights &Switches at Doors
iz s & No. No. of Conductors—Stapled
7tr b., Elec. & Mech. Equip. Listed for Location
2
o stalled Close to Edge of Studs & C.J.
. Elec. Receptacles in Garage; (G.F.I.)—Romex Protec.
2
mound made up w/Mech. Fasteners—Bond Gas &Water
7 Insulation—Foam—Looked in Attic ❑Yes
Guard Rails &Deck Construction—Post Caps
Fdn. Vents & Crawl Hole Door—Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI—Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
Following instld.: Drive [j -Yes [3 No; Walks es E3 No;
Planters El Yes o
28.
Service—Riser Conductors & Ground—Main Disconnect
Z6 Zwc rown—Finish
29.
Equip. Clearances; Panels—Motors—Mech. Equip.
JyZX.C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet
30.
2thes Closet Light—Shower Light
. Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs.
well; Disconnect, Electrical, Plumbing
8 terior Elec. Trim; G.F.I. Receptacle—Underground
Car
ate Card -BI Date
ilation throughout House
Glass Protection
ard B -I Date Card -BI Date
Date MECH I (Permit) OK except N's
83Oo ctions from Previous Inspections
8 s Test—Meters Tagged; Gas—Electric
Ducts; Insulation &Support
Water & Sewer Connected—C/O to Grade—HD Approval
Vent Fan; Exhaust above Insulation
86, Energy Compliance Certificate—Other Certificates
33.
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 Date Card -BI Date
Car I
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date FRA
Date Card -BI Date
tans OK except q's
Card -BI DateZ Card -BI Date
Comments at Final:
Sills; Proper Material & Anchors
37.
Wa11 �Studs—Nailing, Spacing & Bracing—Plates—Sound
e g Walls over Girders & Floor Nailing
3
raft Stop in Walls (rat proof)
s; Furred Ceilings—Stair h
1._KeWr
& Beam—Size & Bear'
4.
ngers—Post Caps c rs onnector
I . Joist—Rftr. Ties— rlin— oof Brac. russ— hng_.—Rfn_g_._ _
ireplace Ties qnType A ireplace Throat
At ' cc ; Size & Romex Protection—Draft Stop—Ins. Baffles
indows or Exiting Doors—Sill Hgt. & Dimensions
Voe'Garage
Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsile)
�. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-751, !
7 County Center Drive, Orovil.le — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Ge I8e,C- /(0S -6 -Syr
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
/—mmaa1tteerr, or need
dd additional explanation, please contact this office immediately.
/ ( /
\ r•C `a
J
tt ,�
Inspector_P Date_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-751 ,
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
(!:;% la- M �f (F; L-,
6-h' `30 T" r d e
Inspector�((it� Date /
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2,751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57� '
CORRECTION NOTICE
S
OWNER PERMIT N0.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
^/matter, or need additional explanation, please contact this office immediately.
.L i i7/L- �1L
of iil L L-
�.�
�'Lt�-rte
01 tv r nA, &M LC. -
Lf v t*--,
(� °mak %��� � �-/�1 c.�s � ' r=� � t ✓S ``� 1-`t,��� �i �...
"mac !
CoN772.13-� �n /1 �12/A�B LIff- /vii.!' 0 J'4%10AQ0.j
Inspector_ _ Date
7. COUNTY OF BUTTZ
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
1
JFR PFPRAIT kin
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
.
matter, or need additional explanation, please contact this office Immediately.
�r
r y }
� ��:� _-►�',``� �'� 1. �+ +7-y k-� ��! 'f-.1 ;Jir /
" T ✓
Inspector f �' • 't Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I
7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541
V/ I I .. I
APPLICATION AND PERMIT
--PERMIT 90.
` h
ASSES O AR LrN1U^%EFS
oTELEPHONE
2Q-T0NIN ^•'
BUILDING PERMI
OWNER
SQ. FT. OCC. BUILDING LUATION
12
OWN R'S M I LING A ESS
1.
4
CONTRACTOR'S NAME p�
V In�T
TELEPHONE
+'
lo-,_ v
/l
L_
CONTRACTOR'S MAILING ADDRESS
Fireplace
eo150
CONSTRUCTION LENDER
�\
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 9
ARCHI'T�CT OR_ENG I EER
JAVA\ 1/�V/�\
LICENSE NO.
Plan Checking Fee
$ Al
Penalty
Permit fee
$ ^IQ
$ (10
ARCHITECT OR ENGINEER'FSA� MAILING ADDRESS
If n&n'1\.7A'�.-
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
4EAgbrap
4T
2.00 ,&0
Solar ater Heater
20.00 IDO
ater piping
5.00 _c,
LOT NO.SUBDIVISION
2!_1
N E / /
K �7
PARCEL MAP
Each qas water heater or vent
5.00 L EM
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF P� Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 ^ Q
Mobile Home T -sl G1w1
10.00 e
TYPE OF WORK
New O Addition❑ Remodel❑ Utilities[] Installation[—] Other]
Describe work: —
Permit Fee
$
Contractor
*0
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 /0,1112
Main service EA. ADD'L 100 AMP
2.50 4�_u
NEW CONST. (DWELL IN U �q{� t
OR AACC. BL G 1 2/20sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
SDDNS.
NE W CONTF U TI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS 11
NON-RESID/. %SINGLE OUTLET CIR.
EX. OCCUp\OUTLETS OR FIXTURES
eALB 30
FIXED APPLNS. OR
Ex. OCC _ OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $ (� ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling(
0(7
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, an reby authorize representatives of the County of
Butte to enter upon the ;bo e- entioned property for inspection purposes.
I also agr tc save, i de ni nd keep harmless the County of Butte against
all liab' ies, j g e ts, c and expenses which may in any way accrue
agai aid Co t i co a ce of the granting of this permit.
X �'�
Date
Signature of Applicant - caner,* Contractor ❑ Agent ❑
An OSHA permit is required for ovations '0" deep and demolition or construct-
ion of structures over 3 sf ies i eight.
Mobile Home Installation Fee $
10 �-
TOTAL PER FEE $
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
PUBLIC
BY =—.—Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—Receipt
rosa
No. V
WHITE-D.P.W., ELL SESSO PINK -I 5 ECTOR, GOLDENROD -APPLICANT
File No.
BUTTE COUNTYAction 7, 2,3)
c•
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
MUM
0-)
IWO
COX
,,
�- _- - __ J e�26;�J1984 , �
(17
9R
Butte County Bldg.' Dept.
Dept. of Public Works
#7 County Center Drive
• Oroville, California 9596
Re: Van Gelder Residence
MN
Gentlemen:
Enclosed;;* are, bwo. coy),'..e Q"f:• c'a S<d'- as of the
li-4phl�agmocoiih-68t�i 11 i'.t hef" -"s'-h" 11 Du. 3;�, ested.
L
L
h�
�5$ro
bl e K,, re7
�r1 ytoissuing-on schedule.
�' it+ r , 4' r`�"� �+j;} +�t+�i, t � a , wr"W.' ��?�y f, �' E ��t��"- �1 1
Very, truly yo
Architectural -Dep
_� d ,`���'�i r��i ..it,.yl-+'� N ..,.',W �r r...; � � � h� .a- 'y" *✓" � n `�,£f xC� „ 2 ^� �`�Cr
U
A
ANX
t:
f 27K,�z
f$
"Manufactured in Historic Sonoma'
201 Meadowlark Lane - Sonoma, California 95476 (707) 938-3384
T
Owner : ��% �� / Permit No. /(D 1?0 a VI/
• LOCATION
x
x
M
ENERGY CE -RTI --F ICATION
A. P. No.
DESCRIPTION OF INSULATION
ROOF ,p / _
Material 1 - O e /g Brand Name � f�
Thickness( nches) ' Thermal Resistance (R Value)
EXTERIOR WALL 3 �4A%& f
Material" %S % �5 5 C/e.� Brand Nam'
Thickness(inches)_ $ % 10" Thermal Resistance(R Value R -/
CEILING �// �q
Batt or . B1Anket Type ��{� A/ C Brand Name A -k
Thickness(inches) Thermal Resistance(R Value)_
Loose Fill Type Brand Name
Minimum Thickness(Inches) Number of Bags Wt. per bag lb.
Area covered(ft ) Thermal Resistance(R Value)
X FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
-Thickness(inches)
Width(inches) .
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Res stance(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 tte/ State of California Energy Requirements.
F
OF'INSTALLATION APPLICATOR
STATE CONTRACTOR'S LICENSE NO.
• -7 � /
/ DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installgd as
required by the State of California Energy Requirements. ;>>
All equipment, devices and materials are of the quality prescribed br 13"pe,
specifical y approved by the State of California.
IRRM� / R. 1 a rint) STATE CONTRACTOR'S LICENSE NO.
GNATURE OF CONT CTOR 0WNER 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
rM
PACIFIC
GAS AND
ELECTRIC
COMPANY
1PIZ-50T9 -+--
530 "E" STREET
MARYSVILLE, CALIFORNIA
95901 (9.16) 742-7344
A. D. JOHNSON
ACTING DIVISION MANAGER
July 3, 1984
Mr. William Cheff
Acting Public Works Director
County of Butte
7 County Center Drive
Oroville, CA 95965
Dear Mr. Cheff:
This Company has no objection to and hereby consents to the use
of the Public Utility Easement as shown on Kelley Ridge
Subdivision, Unit 4B (58 -Maps -73). Construction of a roof
overhanging 3 feet into the easement in Lot 213 will have no
effect on this Company since we.maintain no facilities within
the subject area.
Sincerely,
X
�ylQir� r
Jerry R Noonan
Division Land Supervisor
cc: Tom VanGelder
12 Mayfield Place
Morago, California 94556
El
d
53
�e
�O1110,
OJ �,
® J o
1960 ELGIN 8T0ECT, OROVILL.E. CALIFORNIA 96.966 .
976 533-200C�
MANAGER: MICHAEL GLAZEk I
Von
July, 2, 1984. L. V�'►IT
Tom van. Gelder
12 Mayfield Place
Morago, Califo.rnia 945.5.6
Re: Kelly Ridge Estates, Unit 4B.
Lot 2.13, AP69-25-10
Dear Mr. Van Gelder:
The public utility easement along the. rear boundary of the subject
property.c.bntains a 6 inch diameter.sani.tary sewer main. As you
are aware, no permanent structures may be constructed within this
area as designated on the subdivision map for Kelly.Ridg.e Estates
Subdivision, Uriit. 4B (58 M.O.R. 73). However, the fac,ili:ties of
this district would not be impaired by the construction of a.
building (deck, etc.). outside of said easement having a roof
overhanging n.o more than three (3.) feet into said easement, and
being no less than fourteen (14) feet above the ground at any
p.ont..
Sincerely.
NORTH BURBANK. PUB ICU.T-ILITY DISTRICT.
Mic .ael Glaze
Disi J'dc.t Manager
At -.elk A A w CIVI-L 8 STRUCTURAL ENGINEERS e. 17071S71LSIM
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I CIVIL & STRUCTURAL ENGINEERS
M K 1 V 9 & f--'1 S S ®'lam I AT E S 0, 1060 -4TH STREET -SANTA ROSA, CALIFORNIA m 17071 57138185
SK.3 OF I ✓
1.. Concrete block shall be Grade N conforming with ASTM specification C90.
2. All concrete shall be 20 00 psi minimum at 28 days. Use a minimum.5 sack
mix.
.3. All cells shall be fully grouted. Grout shall be 2000 psi @ 28 days. M
I
4: Mortar shall be Type S conforming to UBC standard 24-20.'
5. .Steel to be deformed -bars conforming to ASTM A615, grade 40.'
6. All horizontal steel to be placed in bond beam block.
7. ..Minimum cover requirements:
(a) cast against and exposed to earth: 3"
(b) formed and exposed to earth and weather: 2"
8.:. Pervious backfill material shall conform to section 19-3.065 of the Cal Dans
specifications.
9.perforated pipe shall drain to daylight away
from structures. _
1.0. All reinforcing steel. bars shall be securely tied at each end or
as near thereto as possible, but shall not exceed 4'-0" O.C. at
any location. 1
T.
I
1
GENERAL
R
E T
A
I N
I NG
WALL
NOTES:
i
1.. Concrete block shall be Grade N conforming with ASTM specification C90.
2. All concrete shall be 20 00 psi minimum at 28 days. Use a minimum.5 sack
mix.
.3. All cells shall be fully grouted. Grout shall be 2000 psi @ 28 days. M
I
4: Mortar shall be Type S conforming to UBC standard 24-20.'
5. .Steel to be deformed -bars conforming to ASTM A615, grade 40.'
6. All horizontal steel to be placed in bond beam block.
7. ..Minimum cover requirements:
(a) cast against and exposed to earth: 3"
(b) formed and exposed to earth and weather: 2"
8.:. Pervious backfill material shall conform to section 19-3.065 of the Cal Dans
specifications.
9.perforated pipe shall drain to daylight away
from structures. _
1.0. All reinforcing steel. bars shall be securely tied at each end or
as near thereto as possible, but shall not exceed 4'-0" O.C. at
any location. 1
T.
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As= .125
A(,Ir---A OF
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V=-214
375
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1
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5. 2- 9
AS= 032
cl-"Off= 0.00feet
Depth of footing=12.00inches
Base of wall= 8.00
X= 2-.00
.—..FOP.
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Heel mom= -41-94 As= .003
Toe mom= 1P83.33 Rs= 150
FOP. W2 850 1b2.,-,Vt.
Depth Of clJtOff= 0.00feet
Depth of footing=12.00inches
X- 2 00feet
Base o f t.. -a I 1= 8. 00
FOR L= 3 A-0
F.h= 475.16 Ft='. 81'9.28
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all Z OF
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Jv= 5.169
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USE 9.00 As= 224
'J.C: E 9.00 A s = ' 7
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5.33 fee! HEIGHT .VALUES
(703-3.feet HEIGHT VALUES
V= 497.155 1bs.M=883. 28 4t.1bsl
4_a?.155 1b .M= 883-28
� '.;= 2.738 dm= 4.886 �.
ri 738 dm= 4.886 I
USE 5.00 As= 119
UE 5.00 A�= 1 19 !
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j1*ge1c _s �,
DePth of cutoff= 0.00feet
Depth. -of ckitoff= 0.00feet
Depth Of.footin9=12.00inches
Depth of f0oting=12.00inches
Base of wall= 12.00
Base o f u,a l 1 = 16 . OCi �
X= 2.75
3.50 -
F0P L= 4.25
I
some* FOR L= 5.50
F1= -96 Ft= 1412.60
R1= 1.54 Ft•= 1354.52
Heel mom= -128.75, Rs= 009
Heel mom= -277.78 R_= ,
xToe mom= 3965.73 As= .244
Toe room= ' 5279.99 As= 4?0@
FOR W22 850 l b'2 .:' f t .
FnF 112 850 lb2./ft.
Depth of cutoff= 0.00feet
Dep ih of cutoff=I
0. 00 f ee.t
Depth of footing=12.00inch.es
DopIh o'f footin9=12.00inche_
,X= 2. 75 f ee t I
X= 3 50feet
Base of wa11=12 00
r�FOP L= 4.25
Base of wall=16.00 Fh= 160:37-- Ft'= 11192 18+'
:i „s• FOP i =
5.50 r
I
Fh= 154.17 Ft= 1291.29
-,
!
He91 mom= -103.65 As= 007
Heel mom= -237.31 17
Toe mom= 3099.24 As= 246
Toe mom= 5512.98 R_.= 438
GINEERS
."l C0 LEGEE URAL SAN A ROSA, CA • 95401 ) 578-18185
GELDER FSE$ :
C1ATE
5;23%}4
TE 1)F WALL I " BLOCK
"I = 1 20 . a W2= 10tl . 0
TIt1= r' 11 C1 r L
- i -•i. HFi�h.t=
^laFe= . 1� C14t H1=
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L
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Ci 4'= 4. r,2
7 clrn= 7.502
i i'= E '� 00 AS 1 56
5 HEIGHT VPLUE^
V 45th lbs M= e.1.f . 5 f t.
1 b -:
cl 2' ..479 dm= 4. 686-
U<- E J ?5
A== .1a5
DePth f rLlti�f f=
a.OEifa..t
D•_==• t h r, f f ��, t i n�=12 . 00 i n=hes
6.ase of wall= 12.00
0
�.. POP L= 3.50
83 Ft= 1506.56
H� e l mom= - ! 26.46 A`=
Tna MOM= 1910.03 As=152
.
FOR W2 500 1b2./ft.
De.-th of CUtoff= 0.00feet
DeFt.h 0 f t in4=12. 00iInches
6a a of wa11= 12.
�;00
_ 2 .00
FOP L= 3.50
Rl 1.10 Ft= 1.388.93
• r
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Toe rnnm= 1914 82 As�0= .152
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CleP'h, Of fnr�+ing=12.C�Ninches
Ea=e_•_,f w.y11=
r
i
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Tn,�
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.
a r k depth= �0 j
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Fh= X7.52 Ft= 752.04 ;. 1
La be �;alue=2�0 k) 01 =.�. ft." �
t.
r
'=1idin•:? r`e=ist.0f. coef again.
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F `_'. S1 idin9= 1 17 Wt= 11723.33
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111COL COLLEGE AVE. 9 SANTAEROSAI, CA
44
o 95401 � 578-8185
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COLLEGE AVE. c SANTAEROSA. CA • 95401 578 8185
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CIVIL & STRUCTURAL ENGINEERS (707) 578-8185
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CIVIL
AVE �L ENGINEERS (7W)
CA 0 9540, 578 8195
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O ASSOV� �(r- TES 441ICOLLEGE AVE. SAN AEROSA. CA 95401U7)578-8185
7Y
FL•I G I OF �T
. d
Telephone
c 533.2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
NNIM
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: TOM VAN GELDER
Applicant Address:. 12 Mayfield Place, Morago, CA 94556
415-376-6455
Applicant Phone No.:
Property Location (s)- ' 5360 Treasure Hill Drive, Oroville 95965
Kelly Ridge Estates Unit 4B, Lot 213
A. P. No. (S): 69-25-10
Fees Paid: 9LL FEES PAIn
Application for service approve
v North Burbank
May 31, 1984 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
North Burbank Public Utility District release to close permit:
Date: By: '
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT 91-206 78
RECl9F.'?5,
Sectlon 26-8.1 of the Butte County Code require- !9�'f:ICi6�, s this acknowledgemec;�TTC CDtdtJry-
RECO :A
be recorded prior to issuance of a building permit. rr%UB
ARTY. SHOWN
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of JsY �.I 05 P'J'g�''
property may be subject to inconveniences or discomfort arising
the use of agricultural chemicals, including, but not limited to hi4t16icr4c,,,1%06itc s
and fertilizers; and from the pursuit of agricultural operations including, but nose ited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as -follows:
Lot 213, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT 011,
which map was filed in the office of the Recorder of the County of Butte., State
of California, November 10, 1977 in Book 58 of Maps, at pages 73, 74, 75, 76 and 77.
Subject to all easements, rights of way and restrictions of record.
Date:
I
State of California ) `On this the 31st- day of iMay , 19 84 , before
Butte ) SS. me, the undersigned Notary Public, personally appeared'
County of )
***Thomas D. VanGelder and Barbara J. VanGelder
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.(LJ 9�
frA
�;''`^`• r•nr� �,^V?;I r?:'1:- nriv^,.!1:��,vL'I:. t;r:....._ �5
Personally known to me. / Proved to me on the basis
J bUNN
,L/
of satisfactory evidence.
fNINA
NOTA.RYFUBLIC-CAWFOWIA
to be the person(s) whose
names) are subscribed to
. air
6utie County
the within instrument and
acknowledged that they
g
r
My Commission [rpi: AAarch 2, 1986
executed the same for the
purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.(LJ 9�
frA
�;''`^`• r•nr� �,^V?;I r?:'1:- nriv^,.!1:��,vL'I:. t;r:....._ �5
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT O.
7 County Center Drive - Oroville,, California 95965 - Telephone 916/534-4541 J
APPLICATION.AND PERMIT
ASSESSOR PARCEL NUMBER
69-25-10
ZONING
BUILDING PERMIT
OWNER
Tom VanGelder
TELEPHONE
SQ. FT. OCC -1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
12 Mayfield Place mora a CA 94556
C&ffi A_CTOR'S NAME
TELEPHONE
lst renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
C9N$,TRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ k FEE
$ 197.50
A{,,:k :T pl�NGINEER
CR jj�� H
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1080 4th St Santa Rosa
Permit fee
$ 207 011.50
BUILDING ADDRESS
0 Treasure Hill Dr
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF® Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[- Other ❑
Describe work: —
1st renewal Permit #16.80-84
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
NEW CONST. DWELLING OCCUP.6`
OR ADDNS. ACC. BLDGS. /
21/=Qsgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON•RESI
i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for thison
NEW CONSTR MULTI -OUTLET 2,50 ea
NON•R ESID BRANCH CIRC ITS
NEWCONSTR. POW
D. WSINGLE OUTLET CIR.ER APPARATUS 6
ExOccu ioeaoe
. P�OUTLETS OR FIXTURES eAL030
D ALNS.
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
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
Inst said County in consequence of the granting of this permit.
X Date
nature 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 $ 207.50
OCCUP. GROUP
I TYPE OF CONST,
I
PARCELJ
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
7-10-86
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
V A n I G-Et-00� SIf2-7tl
OF 2 ;
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TN P1 CA L EAVE
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W FW Rf r
'A A LrM
A
ES4t9O
VE�NE ) 57���5
COLLEE.o�.CAo
=SSOCOr
95401
V A n I G-Et-00� SIf2-7tl
OF 2 ;
Zr o&4:�w6
TN P1 CA L EAVE
,�oo� 01API/,Qq�,q,�
W FW Rf r
9/
s��o 410.
°F 22
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A3S �U P @
MKM
ASSOc��[i—JNES
CIV
ERS
I�INER�.
) 578-8185
O
", COLLEGE AVE. o CA
® 9�
°F 22
Zf bocrcwG
A3S �U P @
&MO
CUSTOM
CEDAR
HOMES,
Butte County Department of Bldg, inspection =, `
#7 County Center Drive r 1
Dept. of Public Works
Oroville, California 9.5965
�I ATM : Steve Bowman
June 19, 1984.
"Manufactured in Historic Sonoma"
201 Meadowlark Lane — Sonoma, California 95476 — (707) 938-3384
Table 3-13. Inf?lteation Control
Fer.tares Points
T-
I Control Features I Points 1
T- I I
I Standard I 0 1
I I I
19.9 air changes per hr ( I
I I 1
T-
Tight i +12 I
0.6 air changes per hr I' I
i I I
Table 3-15. Cas Furnace Without
_
Refrigeration Ciol!ng Points
I_Seasonal Efficiency I Points I
(SE), X I
I 71 - 76 I 0 1
I 77 - 82 I +2 I
I 83 - 88 I +4 1
I 89 - 94 I +6 I
I --95 up I +8 1
I I I
Table 3-16. Heat Pump Points
I Energy Effic!eney I
Points 1
I Patio -(EER) 1
)
I 7.5 - '.9 I
+3 I
I S.0 - 8.3 I
+6 I
I 3.4 - 8.7 I
+9 1
I 8.8 - 9.1 1
+12 I
I 9.2 - 9.6 I
+13 1
I 9.7 - 10.2 1
+18 I
I 10,3 - 10.8 I
+21 1
I 10.9 - 11.5 I
+24
I 11.6 - 12.3 I
+27 I
12.4 - 13.2 i
+30
Table 3-17. Cas Furnace With
Refrleeration Cooline Points
Mefrtgeratlod Cas Furnace I
Cooling I SE % I
1- 171-177-i83-139-
1- 7-183- 89- 95
1 1 761 821 881 941 up I
1 8.0 - 8.3 1 0l +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +91+10 1
I 9.8 - 9.2 1 +4+51 +e1+101+12 1
I 9.3 - 9.7 1 +61 +81+101+121+14 1
I 9.8 - 10.3 1 +311•!01+121+141+16 1
110.4 - 10.9 1+1G1+12i+1:1+161+1S I
1,.11.0 - U.S 1+121+141+1614.181+20 1
7/7/83
TABLE 3-14 (ADAPTED)
MASS OUELL
AREA 1.000 1.500
S0, FT. I A 8 C D 1 A 8 C
ZONE 11
IRTER•102 THERMAL MASS POINTS
000 I 2.500 1 3.000
C D 1 A B C D I A 8 C
3.S00 + 4.000 4.S00
B, C 0 A 6 C 01 A 6 c
S0
2
2
2
2
2
2
2
0
1 2
2
2
o
I 0
0
0•
0
0
0
0
0
0,
0
0
0
0
0
0
0
100.
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'
- ISO
6
1
6
6
4
4
4
4
2
2
*2
2
2
2
2
'2
2
2
?
2
2
2
2
2
2
2
2
2
0
200
8
8
6
4
6
6
4
2
4
4
4
2
4
4
2.
2
2
Zi
-.2'
2
2
.2
22
In
2
2
2
2
259
10
10
8
6
6
6
6
4
6
6
4.
2
4
4
4
2
4
4_,_2
2
2
2
2"
2
2
2
2
2
300
12
12
10
6
8
6
6
4
6
6
6
4
6
6
4
2
0
4
4
2
4
•4
_?
2
2
2
2
2
350
14
14
12
8
10
10
8
6
6
6
6
4
6
6
6
2
6
4 `, 4
2
4
T4
^4
2
4
4
2
2
400
19
10
12
8
10
.10
8
6
8
B
6
4
6
6
1
4
6-i
4
2
4
4
4
2
4
4
4
2
507
18
18
16
10
12
12
10
6
10
10
8
6
R
8
6
4
6
6
a6
4
6
.6
, 6
2
6
6
4
600
22
20
IS
12
14
)4
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
.0
6
4
6
6
6
4
709
1 24
24
20
14
18
16
111
10
14
14
12
8
10
10
10
6
10
10
8
6
8
86
4
8
6.
6
4
230
26
24
22
16
70
16
16
10
14
14
12
8
12
10
10
6
10
10
8
6
10
8
8
4
I ?
6
6
4
. 903
28
28
74
16
22
20
18
12
16
16
14
10
14
14
12
8
12
12
10
6
10
10
3
6'
a
8
'8
4
1,0"0
30
:1O
26
16
?2
20
20
14
18
18
16
10
14
14
12
8
12
17.
10
6
12
10
10
6
110
10
6
6
1..00
3?
32
28
20
24
24
22
14
20
20
18
10
16
16
I!
8 (14
14
12
8
12
12
10
6
10
)0
10
6
1,200
34
32
30
22
26
26
22
16
22
20
18
12
18
18
14
10
14
14
12-
8
14
12
12
8
'12
12
10
6
1,300
34
34
32
22
28
26
24
16
22
22
20
12
18
1S
lE
10
lu
14
14,
8
14
12
12
8
12
12
10
6
1,400
34
34
32
24
28
28
26
18
24
24
20
14
20
20
18
12
18
16
14
10
14
14
12
8
14
14
12
8
1,iva
36
34
34
24
30
30
26
18
24
24
22
14
22
20
18
1
1
12
1B
18
16
10
16
16
14
8
14
14
12
8
• -2.a00
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14 120
20
18
12
18
18
16
10
2,500
34
34
30
22
30
30
26
18
26
26
24
16
24
24
22.
14
Z2
22
13
:2
J.000
34
32
30
22
30
3026
18
28
26
24
16
24
24
22
14
3,500
32
32
30
20
30
30
26
la
24
28
24
)6
4,000.
32
32
30
20
30
30
26
18
4,509
32
32
26
20
A) 1, W Concrete Slab: HC -6.93; R-.29; Factor -7.3
2. 3 3/4' Thick Common Brick: IIC-7.125; R-.13; Factor -7.3
Concrete Slab: MC•14.106: ?•.458; Fector-7.1
C 1. 8" Soled Filled Block: HC -20.63; R-1.93; Factor -6.1
2. 8' Solid Filled Block With Both Sides Exposed To Conditioned Air.
HOTS: Use all square footage directly exposed to conditioned air
forThermal'Mass Area: IIC-10.164; R-.965; Factor -6.1
0) 1' Thick Concrete/Tile: KC
R-.083; Factor�3.7
Table 3-19. Zonally Controlled '
Electric Resistance
Space Ileating Points
I Points for this measure v!11 Table 3-20. Solar Water HeatingWith Cas Backu Paints
I be completed after the CEC I
I has approved an Alternative I
I Component Package for Resistance I
I Beat. I
Table 3-18. Active Solar Space
Hestine with Cas Points
1 yet Solar Fraction I
Points I
(VSF),
0.
I 0-6 I
0 1
I 7 - 14 1
+2 I
I 15 - 23 1
+4 1
I 24 - 30 (
+6 I
I 31 - 39 I
+8 1
I 40 - 47 1
: +10 I
I 48 - 55 I
' +12 •' I
I 56 - 63 1
+14 I
64 - 71 1
•+18
. 72 up I
I.
+20 I • :
2
2
1.000 I
B C- L
0 0
0
Oj
0.
0
0
of
Hearing Pts.
2 2
0
Of.
0.
0
0
0
10-19
2' 2
2
0
2
2
2
0 i
2 2
2
2
2'
.
2
0
2 2
2
2
2
2
2
+10
+5
•1-7
+6
+5
+3
+j
2 2
2
7
Z.?
2
2
4 4
2
7
2
2
7
2
4 4
2
2
3
4
2
2
4 4
4
2
4
4
4
Z1
2�
•6
6
4
2 1
6 6
6
4
6
6
6
2
8 6
6
4
6
6
6
4
8 8
6
4,
a
,1
8 8
0
4
19 to
a
E I
.0
e
e
f l
lO 10
8
61
10
In
8
6
12 :0
10
C �
10
IO
E
6
12 12
:0
C. ,
10
10
10
S I
17 12
10
6I
;2
1Z
I;.
e 1
16 16i3
CI
14
14
12
s i
20 20
18
1:
19
15
1b.
'0
22 27
20
14 ::
.J
:_
li
26 Z4
22
it f `4
;4
20
14
79 28
2+
lE t 26
Zi
U
lE
30 30
26
It I ib
...
?4
IE
32 17
Zf
201 IJ
;u
76
13 '•
wood stove #33 points -(no back up)
casablanca fan + 1 point
Multifamil (pit unitpoints) '
Floor Area
Net Solar Fraction (NSF), Z
per unit,
ft2.
1
Table 3-21. Other Water
Hearing Pts.
I System Type
I Points
I
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
800-999
1,000-1,499
1.500-1,999
2 C00 and u
0
0
0
0
0'
+3
+3
+2
+1
+1
+7
+5 .
+4
+3
+2
+10
+8
+6
+4
+4
+14
+11
+8
+6
a5
+17
+14
+10
+7
+6
+21
+16
+12
+8
+7
]+14
All others (pe bulldinp points)
8UO-899
900-999
1.00o --I,199
1-.20fri.499
,1,500-1.999
2,1)()0-. .999
3000 ar.d uo
0
0
0
0
0
0
- 0
+5
+4
+4
+3.
+2`
+2
+1
+10
+5
•1-7
+6
+5
+3
+j
+14
+13
+il
+9
+7
+5
+4
+19
+17
+15
+12
+9
+7
+5
+24
+11+26
+19
+15
+12
+8
+7 1
+29 +34
+30
+22 +26
+18 +21
+14 "+lc.
+10 +11
' +8 +10
r'
1
Table 3-21. Other Water
Hearing Pts.
I System Type
I Points
I
T
I Cas Only I
I
0
I
Heat Pomp
0
t
I
I Solar with Electric I
I
I
I Re+istonce Backup 1
I
I Meeting the Require- I
ments.iu Part 2 i
0
i
I Zleetrie Resistance 1
I
I only 1
-40
;
.e 3-7.
Total
I of
Floor
Area
-Facing Glazin Pte SeE
Glazing Type !
..a., vu,, P &rpa.1
(U . I (u I (U - I
1.10) 10.65) 1 0.41)1
I up to 1.5 I +2 1 +2 I +2 I
i 1.6- 3.6 I -1 I 0 1 0 1
I 3.7- 5.2 1 -4 I ='7 I -2 I
I 5.3- 6.5 I -6 I -4 1 -3 I
1 6.6- 7.7 I -9 I -6 I -5 I
I 7.8- 8.9 I -11 ! -8 I -7 I
I 9.0-10.0 1 -13 1 -10 .I -9 I
1 10.1-11.5 1 -17 1 -13 ( -11 I
1 11.6-13.0 I -21 1 =16 I -14 I
1 13.1-14.5 I -25 1 -19 I -16
14.6-16.0 i -28 i -22 i -19
Table 3-8. West-FacingGlazingPts.
( 1 Glazing Type i
I Total I
I I of I Sngl, 0b1, Trp1,1
1 Floor I (U - I (U - I (U - I
I Area 11.10) 1 0.65) 1 0.41)1
I I oints !points I ointsl
11.
ZONE
Q
I Total (
I I
8 P
I
OWNER
POINTS
+6
+5
Table 3-3a. Ceiling Insulation
PERMIT
N0. Z6
p7/ ASSIGNED
ACTUAL
Points
Dbl,
I U -
-� 4Lf;
-i-f --
I 1.4- 2.2 I
2.3- 2.8 I
I A -Valva of Insulation I Points
1.
SLAB - INSULATION NONE
0 I ti ( -1*
fen
0 i -1 i -2
( Area 1
0.66
1 0.42- 1 0.41 I
!
'
2.
P.AISED FLOOR - R -19
I +1 I
y
I 19 I 4
0 1 -1 I -2 I e2 -3
R-30-
�
1 down !
22
1 -2
3.
4.
CEILING -
WALL - R-19
1 -2
V
��
i 30 0
12
i 49 i +4
5.
NORTH GLAZING -
2.4-3.6%
a 4
+4
a 4
! +4
6.
EAST GLAZING -
2.5-3.6%
-8
7.
SOUTH GLAZING -
1.6-3.6%
THERMAL MASS SF
Table 3-4a. Wall Insulation Pointe
B.
WEST GLAZING -
2.9-3.6%
I +2 I
I R -value of Insulation I Points
I I I
9.
SKYLIGHT -
0-1.3%
1 -4
I 11 I -7
10.
SHADING (Exclude Overhang)
2.4- 3.6 I
3.7- 4.8 I
( 19 I 0
I 0 +1 I
! H -1 I
EAST -
.67-.82 GC.
!!1
124 1 +
30 +3-
16.
SOUTH -
.19-.42 e GG,
10_
( I
! -4
I -B
WEST -
.13-.36 [ G G
-18
-20
Table 3-5. North -Facing Glazing Pts
I -9 1
I -11 !
.SKYLIGHT -
.37-.57
!
1
7.4- 8.2 I
8.3- 9.7 I
r 1
I I Glazin Ty e I
.e 3-7.
Total
I of
Floor
Area
-Facing Glazin Pte SeE
Glazing Type !
..a., vu,, P &rpa.1
(U . I (u I (U - I
1.10) 10.65) 1 0.41)1
I up to 1.5 I +2 1 +2 I +2 I
i 1.6- 3.6 I -1 I 0 1 0 1
I 3.7- 5.2 1 -4 I ='7 I -2 I
I 5.3- 6.5 I -6 I -4 1 -3 I
1 6.6- 7.7 I -9 I -6 I -5 I
I 7.8- 8.9 I -11 ! -8 I -7 I
I 9.0-10.0 1 -13 1 -10 .I -9 I
1 10.1-11.5 1 -17 1 -13 ( -11 I
1 11.6-13.0 I -21 1 =16 I -14 I
1 13.1-14.5 I -25 1 -19 I -16
14.6-16.0 i -28 i -22 i -19
Table 3-8. West-FacingGlazingPts.
( 1 Glazing Type i
I Total I
I I of I Sngl, 0b1, Trp1,1
1 Floor I (U - I (U - I (U - I
I Area 11.10) 1 0.65) 1 0.41)1
I I oints !points I ointsl
11.
HORIZOIr'TAL SOUTH OVERHANG 2'
Q
I Total (
I I
8 P
I
! 2 Floor Area
o
I up to 1.3 I
+6
+5
♦6 +6
I +6 I +6 1
12.
MOVABLE INSULATION - NONE
1 0-3.1 I to 16.4 up
of
I Floor I
ST,
U -
Dbl,
I U -
Trpl,
I U - 1
!
I 1.4- 2.2 I
2.3- 2.8 I
+3
0
1 �1
( +2'
+5 1
1 +3 I
0 I ti ( -1*
.83 up i
0 i -1 i -2
( Area 1
0.66
1 0.42- 1 0.41 I
!
2.9- 3.6 I
-3
1 0
I +1 I
13.
INFILTRATION (Standard=0)(Tight=+12)
0 1 -1 I -2 I e2 -3
I 11.10
1 0.65
1 down !
I
3.7- 4.2 1
-5
1 -2
i 0 I
0 1 +1 I +3 1 Y +6 1 +7
.13--36 I
-
o
I 0.1- 1.2 I
a 4
+4
a 4
! +4
+4
! +4 I
!
4.3- 5.0 1
-8
! -4
1 -2 �
14.
THERMAL MASS SF
0-.12 1
i 1.3- 2.3 I
+1
! +2
I +2 I
!
5.1- 5.6 1
-10
! -6
1 -4
15.
GAS FURNACE (SE) 71-76%
1
(
2.4- 3.6 I
3.7- 4.8 I
-2
-4
I 0 +1 I
! H -1 I
! 5.7- 6.2 1
I 6.3- 6.9 1
-13
-15
I -8
I -10
1 -6 1
1 -7 I
16.
HEAT PU11P (EER) 7.5-7.9%
!
r-i�jr I
4.9- 6.1 1
6.2- 7.3 I
-7
-9
! -4
I -B
i -3 I
I -5 I
I 7.0- 7.6 I
1 7.7- 8.2 (
-18
-20
I -12
I -14
I -9 1
I -11 !
17.
DUAL PACK (SE, SEER) 8.0-8.3/71-76%
!
1
7.4- 8.2 I
8.3- 9.7 I
-12
-14
1 -8
1 -10
1 -7 1
I -8 1
I 8.3- 8.8 I
1 8.9- 9.5 I
-22
-25
I -16
I -18
I -13 I
I -15 I
13.
ACTIVE SOLAR 60% MIN (NONE)
-�_
1 9.8-10.8 !
I 10.9-12.0 I
-17
-19
I -12
1 -14
I -10 1
! -12 1
I 9.6-10.1 I
! 10.'2-11.0 1
-27
-29 I
( -20
-23
1 -16 i
1 -17 I
! 12.1-13.2 !
-22
I -16
I -13 1
! 11.1-11.8 1
! 11.9-12.7 1
-35 i
-33 1
-26
-29
1 -21 I
I -24' I
19.
ZONALLY CONTROLLED ELECTRIC
! 13.3-14.5 (
-24
! -18
I -15 I
! 12.8-13.5 1
-42 I
-32
I -21 I
20.
SOLAR WITH GAS BACKUP (HW)
14.6-15.3 I
I I
-27
I -20
i
I -17 113.6-14.3
I 1114.4-15.2
1
1
-46 I
-50 I
-35
-38
1 -29 I
I -32 I
-
,.vcccaczenc roints
I SC by
1
i Orten-
! 2 Floor Area
cation
Horizontal South
Overhang Points
I test
I 1 3.2 I
I
1 0-3.1 I to 16.4 up
I
I 1 6.3 I
1 0 -.19
1 0 I +1 I +2
I .20-.36
I
I 0 1 0 I -1
f
.37-.66 i
0 1 0 1 0
I .67-.82 I
0 I ti ( -1*
.83 up i
0 i -1 i -2
I South 1
0 1 3.2 1 6.4 ! 8.0 19.6
I I
to ( to I' to I to I up
13.1 16.3 17.9 19.5 I
I 0--18 1
0 1 +1 I +2 1 +2 I +3
I .19-.42 1
0 1 0 1 0 1 0 1 0
I .43-.66 1
0 1 -1 I -2 I e2 -3
I -67 up 1
'
.)
0 1 -2 I -4 I -4 I -6
West I
.1 1 1.6 1 3.2 16.4 1 9.0
i
to I to 1 to 1 to I up
11.5 13.1 16.3 17.9 I
I I I I I
0-.12 I
0 1 +1 I +3 1 Y +6 1 +7
.13--36 I
0 1 0 1 0 1 0 1 0
.37-.57 I
0 1 -1 I -3 1 -6.1 -7
.58-.82 I
-1 I -3 1 .-6 a -12 1 -15
.83 up I
-2 I -4 1 -8 1 =16 1 70
Skylight I
.1 1 .8 1 1.6 1 3.2 14.0
I
to I to I to I to I to
11 7 1_5 13.1 13.9 15.2
0-.12 1
0 1 +1 1 +3 I +6 I +7
.13-.36 1
0 1 0 1 0 1 0 1 0
.37--57 1
0 1 -1 I -3 I -6 I -
.58-.82 1
-1 1 -3 I -6 1 -12 I -,
.83 up I
I
-2 I -4 1 -8 1 -16 1 -20
I I I I
21. OTHER - NO ELECTRIC (HW)
n
_ '), W "V<.
4.TQ`j �� C �
IQ S SHOWN - ZERO
_0_
i
POINTS
Table 3-6.
East -Facing Glazing Pts.
I
I I I I
Table 3-1l.
Horizontal South
Overhang Points
Table 3-9.
Skylight Points
I Length Out
I Erom Wall
South Glazing
I Area, I of Floor 1
I I
I
I Glazingg
'�P I
1 +4
'
Table 3-1. Slab Floor
(�J//�
Points Table 3-2.
I -2
`I
Total
I 1 of
I Floor
Glazing Type I
I i
I Total
I I of
I Floor
I Area
1
I
1 ft
I
I
T
10-6.3 1 6:4 up I
1 I . 1
Sngl,
I U-
10.66-
Dbl, Trpl,
I U- I U- I
1 0.42- 1 0.41 I
-
f �? 7
Raised Floor Points
I Sngl, Dbl,
I (U - I (U -
Trpl,
I (U - I
1 0 - 0.5
1 -2 1 -4
1 7n�ila- I R -Value of Insulstion I
! Dept I _1
I depth,
i inches 1 0-2 1 3-4 ! 5-6 1' 7+ 1
1 0- it l -5 I -5 I -5 I -5
1 12 - 15 1 -5 I -3 I -2 1 -1
116 - 19 I -5 i -2 i -1 1 0
I 20 + 1 -5 I -1 1 0 1 +1
7/7/83
-� 0
P-- At
R -Value of I
Insulation I Points
belov 3
I -12
3-4
1 -8
5-7
1 -6
8 - 12
I -•4'
13 - 18
i +2
♦ 4
♦,4
I Area 1 1.10)
_
1 0.65).1
0.41)1
1
1 up to 1.3
1 1.10
1 0.65
1 down 1 1 0.6 - 1.0 1 -2 I -3 I
1 0 1 I 2.0 up I 0 1 0 I
I -1
I 0
♦ 4
♦,4
I up to 1.3 1 +3
1 +4
1 +4
I I 1.4- 2.2
i -3
I -2
1 -1 1 I I I 1
1 1.6- 2.4 1 +1.
I +2
I +2
I I 2.3- 2.8
I -6
I -4
I -3 1 Table 3-12. Movable Insulation
I 2.5- 3.6 I -2
I 0
1 0
1 ( 2.9- 3.6
I -9
I -6
I -5 I Points
I 3.7- 4.6 ( -5
I • -2
I -1
I I 3.7- 4.2
I -11
1 -8
I -6 I
1 4.7- 5.6 I -8
1 -4
I -3
I I 4.3- 5.0
i -14
1 -10
I -8 ( 1 Moveable Insulation] I
I 5.7- 6.7 I -10
I -6
i -5
( I 5.1- 5.6
1 -16
1 -12
I -10 I I Area, I of Floor I Points I
I 6.8- 7.7 i -13
I -8
I -7 I
I 5.7- 6.2 I
-19
1 -14
! -12 1 1 I I
I 7.8- 8.7 ( -15
1 -10
I -8 1
I 6.3- 6.9
I -21
I -16
1 -13 I
I 8.8- 9.1 I -17
1 -12
1 -10 1
I 7.0- 7.6
I -24
I -IS
I -15 I 1 0- 5.5 I 0
I 9.8-11.2 I -21
I .-15
1 -13
1 I 7.7- 8.2 I
-26 I
-20 !
-17 1 I 5.6 - 11.5 I +2 1
111.3-12.7 I -25
I -18 •1
-15
1 I 8.3- 8.8 1
-28
1 -22
( -19 I I 11.6 - 17.5 ! +4 !
i 12.8-14.0 I -28 I
may..
I -18 I
I 8.9- 9.5 (
-31
I -24 I
-21 ( I 17.6 - 23.5 I +6 I
14.1-15.3 I -32 1
-24 I
-20 I
I 9.6-10.1 (
-33 I
-26 I
-22 I I >23.6+ I +8 ! .
GLAZING PLAN TAKEOFF SHEET
3-5 North Glazing
' QUANTITY SIZE AREA (SQ.FT.)
(a) /_ _ x
(b) — x --
go -49,_ vo
(c) _ x 67725-4 _ _ s
(d) �_ x .,26,ye = �_
(e) x _
Total North Glazing =Q (SQ.FT.)
(a+b+c+d+e)
TOTAL
NORTH TOTAL BLDG CONVERSION TOTAL
LAZING FLOOR AREA. FACTOR NORTH GLAZING
x 100 = - %
SQ.FT. SQ.FT.
3-7 South Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) �_ x
(b) _� x
(c) / x
(d) x _
(e) x =
..'Total South Glazing _ (SQ.FT.)
(a+b+c+d+e)
TOTAL
SOUTH
TOTAL BLDG,
GLAZING
FLOOR AREA.
(b) _�— X ,.2-0 40 =
X.
SQ'.FT.
SQ. FT..:.
CONVERSION TOTAL %
FACTOR SOUTH GLAZING
100
t
FOR M
" 3-6 East Glazing
QUANTITY SIZE
AREA (SQ.FT:)
(a) _,�_ x Zo 4r _
�cP
(b) _�— X ,.2-0 40 =
�_
(c) i] _ X. y0 SZ0 _
(d) / x
(e) J, x 6 -to G. _
--
Total East Glazing=
(SQ.FT.,)
(a+b+c+d+e)
/� O
/ 80 q
Z.
TOTAL ch --5'
y11
EAST TOTAL BLDG CO RSION TOTAL %
LAZING FLOOR AREA FACTOR
EAST GLAZING
.2!06 s/
.. X. 100
_ / � %
SQ.FT. SQ.FT.
/ I? L
3-8 West Glazing
QUANTITY SIZE AREA '(SQ.FT.)
(a) �_ x
(b) x
(c) x
(d) x
(e) x _ ..
Total West Glazing = (SQ.FT.)
(a+b+cid+e)
TOTAL
WEST
TOTAL BLDG
CONVERSION TOTAL % '
GLAZING
FLOOR AREA
FACTOR • WEST GLAZING
a�� y
� w
- X
100 '� ! %
-SQ.FT.
SQ.FT.
/� O
3-9 Skylights
QUANTITY SIZE AREA (SQ.FT.)
(a) x _
(b) x =
(c) x _
Total Skylights (SQ.FT.)
(a+b+c)
TOTAL C
SKYLIGHT TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR SKYLIGHT GLAZING
-0 X 100 = %
SQ.FT. SQ.FT.
OWNER
PERMIT NO.
7/83
r
FORM
-
r
RESIDENTIAL. ENERGY PLAN .CHECK/INSPECTION .SUInrIARY .
Owner
Clitate Zone Permit -.No..
Floor Area.
{
Compliance
path:
Package ❑ A ❑ B ❑ C 9?'Po int Sys tem [.] .Budget
MIN.
R -VALUE DESCRIPT
.
REQ' D
.INSTALLED
ITEMS
(1)
INSULATION:
�
Roof/Ceiling _ 0
Slab Floor Perimeter
Raised Floor_
i
(2)
INFILTRATION:
[J
(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 upconditioned areas
'shall be fully weatherstripped. r.
BUTTE COUNTY.
.
=
Tight - the above standard features .plus:
❑
(D) Continuous infiltration barrier WILDING DEPARTMENT
❑
(E) Electrical outlet plate gasket
❑
(F) Air-to-air heat exchanger ®PPROV D
(3).
GLAZING:�!
(A) Location
Area Glazing %Floor Area Single Double. Triple.
Total Bldg
North
.East ��.5"3�-A. - �'
South ate_ .:2d
-West_ Biu_
Skylights.
(B) Shading
Shading
Coefficient Description
❑
East
p
South.
West
Q
Skylights
®
(C) South Overhang
_
Length of projection.. _ft. Description
(D) Moveable insulation: Area ft7 Description
(E) Thermal mass
2
❑
Type ::. Area Ft.HC= R=
MC= Location
_
❑
Type - Area Ft.. .HC= R=
MC= Location
Type -.Area . Ft.2 HC=, R=
MC, ' Location
❑
Type - Area Ft ".. HC= R=
MC= . Location
[j
Type - Area . F. t.2 HC= R=
MC= Location
'[]
Type - Area Vt.Z HC= R=
MC= Location
7/83
Q (4) MASONRY AND FACTORY -BUILT FIREPD%CES 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.Aamper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
1(5). 11 EATING,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
(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
W
rated slope
Other _�;
(describe):
(B) Cooling
Electric A.ir Conditioner
(brand and model number)
Btu/hr
(.Cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(cooling capacity'at 95°F)
Other
(seasonal EER)
EER
(describe)
(C).A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for. heat pumps.
(D) AN AUT0MATIC SETBACK shall be..provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be -provided for all gas=fired
fan.type central furnac.es,.gas=fired fan type wall furnaces and
gas. cooking appliance's.
(F) BACKDRAFT DAMPERS shall be.provided for,all fan systems exhausting
air tothe 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.
7183 2
�1
W
rated slope
Other _�;
(describe):
(B) Cooling
Electric A.ir Conditioner
(brand and model number)
Btu/hr
(.Cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(cooling capacity'at 95°F)
Other
(seasonal EER)
EER
(describe)
(C).A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for. heat pumps.
(D) AN AUT0MATIC SETBACK shall be..provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be -provided for all gas=fired
fan.type central furnac.es,.gas=fired fan type wall furnaces and
gas. cooking appliance's.
(F) BACKDRAFT DAMPERS shall be.provided for,all fan systems exhausting
air tothe 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.
7183 2
2� .,=�
7/83 SICPIATURF.. OF BUILDING E IGNER OR APPLICANT
3
FORtA W
(.6)
DOMESTIC.WATER SYSTEM
(A) Gas -Only Gallons
(brand and model number). (tank size)
❑
Heat�Pump w/tlectricBackup
(brand and model number)
Gallons
(tank size)2
Active Salam _
(collector brand and model number)
.(rated y -intercept) (rated slope) (solar fraction)
(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.wa.ter
heater and outside conditioned space shall be insulated with. a
minimum of. R73. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return p'ip'ing and recirculating hot water piping.outsde.the
building.envelope shall be insulated in accordance with
T20 -1408(d)..
G .
(D.) PLOW 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 usedin luminaries for general lighting in.kitche:ns and
bathrooms shall have an efficacy of not'less than 25 lumens per
watt (usually florescent).
�l 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 ^/Opy ', heating load BTU
elevation factor 1,epu x heating load maximum outlet capacity gas furnace
BTU
USE ONLY AS SIZING GUIDE,
Cooling: Summer
design temperature °, cooling load T1MAY BE INADEQUATE
',2 Submit T.I.P.S.E..
chart or other approved system (orm_��5) to document sizing of
solar panels.
® DESIGN.COMPLIANCE STATEMENT: The.above building design eet he a uirements-of
Title 24,. Part -2,
Chapter 2-53 of the Californi�Admin:i trati n C d
2� .,=�
7/83 SICPIATURF.. OF BUILDING E IGNER OR APPLICANT
3
m.w Is v my VW�VI�
COLOMBO CONSULTANT
ur��a.wn�,l.. c��►► . '�p�1M�Ii�Mot
L
SITE INFORMATION
hesiaa own OMI avem AMpapia CI ..-..»..».».....».
OwNw "em v ASN 41 ,,,w mm
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WILDING HUT LOSS RATE
�,R.A•.� dam► ,"""-".►
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TOTAL I+OUAl1/ MRnT LOii.� / • 'yy. {iZ ,w•,
ANNUAL MEAT L04 Q`
Z!ylo�•��w:a■ yy=. o..99 aMmos....A. -ya • _ �,9n7
___
f
TITLE 24 RESIDENTIAL ENERGY''COMPLIANCE SPECS.
HEATING SYSTEM EQUIPTMENT
Type:
64S - -
Make:- 10AY 4. -xt4ztkT
Model # 39 co A
Output Capacity: /04,060
COOLING SYSTEM EQUIPTMENT
Type: .
Make:
Model
Output Capacity:
WATER HEATING EQUIPTMENT
�-+wwrw•.--tel R... �.►+-T-!.��
Type: 6-45
Make: i4 rN rt -I coq -A 04
Model # &K t
THERMAL MA S CALCULATION "yz
Tile Area w/ 1" Grout Base (l2%)
1.
2.
3.
4.
. 5.
Efficiency:
Efficiency:
< i � 9a 6.4A�.. �-co •
Brick Area w/.l Face Exposed (7%)
1.
2.
3.
4..
5:
Total Tile : (T/F/:12)+(B/F/.Q7)=.,TM
Total Bricks If TM > 1 Then Complies.
Total Flog; .Area-
The list of mandatory.features and devices included in this -
documentation or the attatched documentation to the plans
shall apply specifically to this plan.
"The building design described in these drawings meets the
requirements of the California, Administrative Code, Title 24,
Part 2, Chapter 2-53."
OWNER/DESIGN R DAT9
Ceil Calculation
Total Ceil Area „ Z 41. z
Total Accesible Ceil Area= /54ot
Total % of cell = 76 %
Job Name VA,1
Qob Address K.11ttY g, pco
Jcra
HEAT i TRANSFER COEFFICIENT
PROPOSED CONSTRUCTION ASSEMBLY
Form 3R
161801
Cn.or w.rwni Mve.Ly vn
• Owner project title building permit number I
% project location tnecweG oy
`N
documentation autnor Gat*
Sketch.of Construction Assembly List of Construction Components R
(for section between framing marroersi Thom Tanis 3.11.
"W It"Y�o
2 Co" &a los i
IUUIRftM
f . 1 '
Framing Sits '- w
Check one:
Coiling/Roof
Floor
Wail
If Wall, Check the
sooroprlste wagnt:
Ion than 25 IWO'
25 to 40 Ibift2
grata than 40101A
3.
4.
5.
6. ,
7. T + 4
S. Inside Surface Air Film (from Teolc.3.18) .............. �
9. Outside Surface Air -Film (fmrn Tabh•2.18) ............ 91
Taaal Themnal Resivance IRT 1 .2 /
sum of ;no aoow
AV-6RA41 P'Vt4W9Oft ASSEMBLY
91 /(h, .0 -*F;)
Foaming - RT trot" aoow
Factor nom
Table 3s
6111 this u value tar heat IOad
calculation or Code comparison
HEAT TRANSFER COEFFICIENT
PR.Q OS4MC—ONSTRyCTION . $kg9MOLY
Form -R
WIN)
Gnrorwment ^gmcv w" onow
OwMr. stop" tttlo building permit numtow
prolan location cn*cwe otr
ooCYmentatlon author Oats ,.,..
Sketch of Construction Assembly List of Conotruction Components R
(for to bon, IN1twMn tranine ffwf eam Ifrom Two 3.11.
Z. 2 S. o
fir
EU 4.
s.
Framing Sin ��." • �...... S.
Frami Soati " O.C.
chock one:
8. Inside Surface Air Film worn Tooiqi:�tp1.......
... • (el
Ceiling/Roof �[
•
�_. Floor 9. Outside Surface Airfllfft (from Teem.141...... /
Well '
r40,MjF" fti cs 4 R 1 8
++
• If Wad. ChKk the . . tum Of tot ioow
sawoonat� wnent:
�.....�. Ito then ZS lefty
�.•...25 w so w/tt= N�IRA►at$ �I'VAI ofs ASSEMBLY
' �..� et.�t.. tar+ .10 1p/ft� - ' ' , • • -
Framing + A L �— •D—Btu/ (hr .tt2 •oF)
—�~ !.Hoot tooyo
Factor ftom {
74016 34 I
UM this U waime for host loop
400001"1" or Cam Gwveraon
-HEAT TRANSFER COEFFICIENT FOr.m 3 R
.ROPt7SED•CONSTRUCTION AySSEMBLY 161801
Enforcement Agency UM Only
Owner Dialect title
Ouiloing permit numta.r
project IOcatton cnackeo OV
oocumentation author Gate
Sketch of Construction Assembly Z. List of Construction Componana R
(for section between framing membersl (tram Taola 3-1)
• 1. Yz bi0 IiO .til �
2.$.5 1y%%J 3f�
3. .
d a•.
5.
Framing Sise 6.
x
Framing Spacin ila— O.C.
T
Clack one:
S. Inside Surface Air Film (from Tame4j e1. -cot
Ceiling/Roof
Floor 9. Ouulde Surface Air-Wlfrilfmm Table real...'.......... f
Wall
TaWThirtnal Resispnce (RT) 3.=
If Wall, Check the Wm of ilia 40ora
• aporoalea Weight:
Ins then 25 Ib/hZ'
23 to 40 WO 4N4RA?e1 CI'VA•W L GF ASSEMBLY
greater then AO Ib/ft2 .
ii-c. + 25 tel_ - rb� Btu/(hr .fT2 •0F)
Framing, pT-from ago"
Factor team
Taws 2.{
Use this U value for hast Iowa
alculetion or Coda comparison
HEAT TRANSFER COEFFICIENT
.PROPOSED CONSTRUCTION ASSEMBLY
owner prol"t title
wale ioution
accumentstion &mine# G111141
Form ;3H
'16180)
Sketch of Construction Assamblv Lin at Conative -tion Components R
(for
om —n—
(for soolon between framing mll"W"al 1frorn Tanis 3.11
2. 0ATr 1446"J
3. 0
b
4.
5.
Framing Site x 6.
—.
Framing Saacing G.C.
7.
Check one:
8. Inside Surface Air Filrft (from T&DIC3.11 III: ............. -(06
Ceiling/Roof
Floor
9. Outside Surface -Al.rPilm (from Tante 3-181... ......... .1r)
It Wall, check the TGO&Thinnal Resistance IRT)
sporacriate weight: -sum of ;no &Dow*
=:01'00 then 25 iWhl*
25 to 40 iwft2 4WIRRA41 U'VA449,00 ASSEMBLY
greater theft 40 lbiftA .
+33PAZY GtU/ (hr -
plar"ime-7 it'r-WOM &DWA
Rector *am
74916 34
Use this U value for how laila
colcuistion oir Code comparison
a
HEA -i TRANSFER COEFFICIENT
'PR•OPGSEa' CONSTRUCTION ASSEMBLY
• L
Form 3R
161801
Cnrprgawnr Prgrancy uN unrr
owner project title - buil0ing permit numper
pr0lectlocatlon Cnetke0 OY
cocumentation autnor pate Hire
Sketch of Construction Assembly List of Construction Component= R
(for section betty om f►sming mtn*ml (from Tapia 311
Z. "40" faATr- 11Jw
3. - 3/8 Two �^►/ Fh'�'7- 'i
4. Z' Grt.�A�• 2
Framing Size �.'• x,_'•
Framing Soacing O.C.
Check one:
Coiling/Roof
Floor
`�W all
If wall, Check the
' apwotnate we�gnt:
I*u then 25 IWft=
25 to 40 lb/tO
grutw then 40 Ib/ft2
5.
6.
7.
v
S. Inside Surface Air Film (from Table:3-18)............. .409
9. Outside Surface Air -Film (front Tsota 2.181 ............. / 7
TG=14hoimal Resisunce (RT)
sum or ;n• a o"
M . .
,if► ARA►'til U'VAi4.4.E OP ASSEMBLY
Frap9` a - y Btu/thr • tt2 •oF)
Factor Rom
Ta0le 34
Use this U value for hest 10.0
calculation or Code comparison
MANDATORY FEATURES AND DEVICES
ALL HOUSES MUST COMPLY WITH THESE REQUIREMENTS WHERE APPLICABLE.
From Section 2-5352
a) Ceilings must have a minimum average insulation value equal
to that achieved with Rao insulation between the framing members.
b) Wood framed walls shall have an equivalent of R11 between
framing members. _.
C) Infiltration Controls
1. Doors and windows between conditioned and unconditioned spaces,
such as garages, and closets for central forced air gas furnaces
(which use outside air for combustion) shall be fully weatherstripped.
2. The following openings in the building envelope. shall be caulked
or otherwise sealed to limit infiltration.
A) Exterior joints around windows and door frames, between wall
soleplates and floors, and between exterior panels.
B) Openings for plumbing, electricity and gas lines in the walls,
ceilings and floors.
C) Openings in the attic floor.
D) All other such openings in the building envelope.
3. Manufactured doors and windows shall be certified and labeled
indicating that they meet the appropriate standards. (as set.forth
in table 2-53V)
4. Fan or other systems exhausting air from the building to the
outside shall be provided with backdraff or automatic dampers
to prevent air leaks.
5. Masonry or prefab fireplaces shall have the following:
A) Tight fitting closeable doors over. the entire firebox;
B) A combustion air intake to the firebox (exempt if.the fireplace
on slab floor away from perimeter..
C) Tight fitting flue damper
Continuous burning pilot lights are prohibited.
d) Ducts
1. Ducts shall be constucted, installed,'and insulated according
to Chapte'D f -the State Mechanical Code.
f) Setback Thermostates
1. Thermostatically controlled heating or cooling systems, except
electric heat pumps, shall have an automatic thermostate with
a clock mechanism which the building occupant can manually
program to automatically set back the thermostate set points
for at least 2 periods within 24 hours.
q) Water Heating System Insulation
1. Storage type water heaters and storage backup tanks for
solar water heating systems shall be externally wrapped with
insulation having an installed R-value of 12 or greater.
2. Piping in unconditioned space leading to and from water
heaters shall be insulated with R3 from 5 feet closest to the
heater.
i) Gas Cooking
1. Gas cooking appliances shall not have standing pilots
(except LP gas units without a line votage.connec.tion and a
burning lass than 150 Btu/hr).
J) L i g h t i ng____
1. Lamps used in luminaires for general lighting in kitchens
and in bathrooms shall have an efficiency of not less than
25 lumens per watt.
Ll/ n �'
q 616. a r. o'f3 0 12
Q g vc.SC� 16w.�. ��t r{@ )6rG ; 3r6r� �b� 12"
2: 2 SCS --- - - >
t . -xso
ooe
�4
" fes+►�r�ac�✓ Com. ®6-•p�� `�/
L 0 440 to. C,
apma. w!:
�'� f BUTTE COUNTY
BUILDING CEPARTMEN- 71
APPROVED.
4V C.C. g
CIVIL
TCTSNRCFMKM AS OIATESOW4THSREATAOSA.ALIORNIA o (7071576
oo.
SK_2OF.
3
--
�0 it
if L( C!,Zy
-
3 •,
off
--I- ,, -- 4 1
lcf-slr,�C-r-
54A -
.This set of plans and specifications MUST 6e'
kept on the job at all times and it is unlawful to
make any changes or alterations on same withouf
written e ,
r jec;nrt from the r) ^4 4 -C 1) LI,. \ K �S
s f
Works, County of Butte.
VQ
,,`` - ,;fit'. '
,etback fim
A . s
property lines and a s . etbacU
50f t-, from the road
Centerline shall be clear of
structures or equipment except . ...................... .
for a 2 ft. eave overhang.
WO.
Iill3
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