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069-430-056
A 69-43=56 DR. M. JOY. 60 LaMirada, Oroville Contr: Paul Converse PErmit#3131-81B,i✓r(eiiiai g �ce' d�- �x move heater vent)SF 69-43-56 ContR: Paul Converse Permit#2834-88B(repair dry rot on open deck)SF 069-43-0-056 .-99-01-10 B ' E KELL, Wm & Michalene ` rj .60 LaMirada Ave, Oroville� (conv underfloor to living `/ Larry West Const. I i . h t a-. 69-43=56 DR. M. JOY. 60 LaMirada, Oroville Contr: Paul Converse PErmit#3131-81B,i✓r(eiiiai g �ce' d�- �x move heater vent)SF 69-43-56 ContR: Paul Converse Permit#2834-88B(repair dry rot on open deck)SF 069-43-0-056 .-99-01-10 B ' E KELL, Wm & Michalene ` rj .60 LaMirada Ave, Oroville� (conv underfloor to living `/ Larry West Const. RESIDENTL KKELL/, 3Wm &-Michalene9=0110 B, E ' 60 LaMirada Ave, Oroville F r (conv underfloor to living)' ' Larry.West Const."` PERMI i nw. PERMIT EXPIRES ` q OWNER CONTR. i ASSESSOR PARCEL LOCATION i I 1 C` 7 i CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Pourer Pole Called PG&E Temp. Elea ServlCe Called PG&E 2 I Temp. Gse Called F t JOB FINALI }; S19natu " i . *y'..;i1"+ V - OK O -Not OK =bie NotR dy MOBILE HOMES Oats MOBILE HOME tlT1LITIE9 !Pians) OK accept /'s 1. Z=*V Regtarsmertb - Satbaeks - Easement, 2 Sols; Special MH Support SM" 3. Sewer, Lotaeorr S Fr..�r.k�.r*.• r .w-.a�...r�r.........�r:....�r re,.�..r •. & Gas; Location-TesFWhW. / /VL / /Nat or/ I'L'R./ /LPG 7. Wee Clearance 3 Disconnect & uhLty Clearance Date Card B-1 Data Card B-1 _ Date Card B-1 Dab Card B-1 Date " MOBILE HOME INSTALLATION Glans) OK o ceo I's 1. ZoniVReq*wnerkts-SetbacksEasements 2 Footngx O PMa De Lne 3. Gas; MH 4. qty' MH S. Drain; MH Ted*at hm Comecbr H. Water; MH TestRepklebrConnecbr 7. Water and Sewer CornectedOO to Grade+ID Approval S. Gas and Eleetridy Tapped 9. Too Downs-NVo rasa@tion Cert 10. 11. Cert of Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORT'S. GARAGES (Plans) OK oxcopt /'s 1. ZonkV Reguirerr entaSelbackwEasw 0, 2. Footings: SalsSm&•DeptMSpacsn0-Corr+ecbrs ltd 3. Decks; Girders and/or ioisls•DecdnQBracna5tan►Aais 4. V►bod Awn.: Pos%a6a+ &mft Corrmctom Shthg.-Rfg.-Bracing S. Num. Awn.; Cdurm 6. Carports; VYndows-0oors 7. E%ctie & FmV.;Sls4Vchors.4tuds4lfvvjusses 9. Sidng: NaarvAtneerst,cco-Mesh 10. Root. Sh*VQ Roo&V 11. Ext: Stapa-Doors•landnQs 12. Braced Wap Parvo Date Cana B-1 Dab Card B-1 Date Card B-1 Dab Card B-1 Date POOLS (Plans) OK vmept /'a 1. SelbadksEasements 2. Sok CampadonStimb" StsbW 3. Pool SoucUrx SimeWav x9ons-Tricknesa Dead Men{nig 4. Elec.; Reeeptadea and L V*,g, OFstarC04M S. Eiee.: Pod LVdm 15 Wd is GA & Ebe: Endostns; CardullEnWewTwr*mJsWmd - 7. Elec : BaxkV Metal aY940kabinp Equip.+leabr ti. Efec.: Grwrdng; Equ%xvW Ciczfatfnp Egkiq food IGAn. . b Malt it Candkat 9. Health0epartmotApproW 10. Pkanb.: CR Te tftt w Supply Test 11. Ught Niche Date Card B-1 Date Card B-1 Dace Card B-1 Date Card B-1 OK Not OK Not Applicable r Not Ready • ERFLOOR (Plants) OK axrapt /'s etbecks-Easntertts-Floods lope FIG.. Main; Sods-Elec. Grnd. / r Ftg. Depth 3. Ftg. Garage: SoasSteel-Elee. Gmd/ f Fig. Depot 1 Ftp. Po11 r11 che11 s b Oedts: Sc,] Steel / t Flo. Depot 5. Stemwals, Main: Steel-Bbdtouts-Wrapped 6. Slemwads. Garage: Steel Bbckouts-Wrapped RESIDENTIAL (Single & Duplex) downs and Special 9. O.W.V.; Fad -Fitting -Test -2 Way CA) -ewer lest �T 10. UF. Gas Pipe, Sim Anchors -Yard Gas Piping; S¢e Test 1 t. Water Pipe; Test-Anohors-RegulatorSetrice Test 12. Electric Undergrantd 13. plenums b Ducts; Ciearance-Material-SupporNns. 14. Girders-Si1s-A vchw BdtvJois N ts-CrIPpies 15. Access b Ventilation 16. Insulation ,x Card B-1 Dab Card 5-1 .t Card B-1 Dab Card B-1 PLUMBING owmil) OK mm" t iia 17. Water HLC Air SaMe 18. Water P--qw Test b Anchw4l4ail Probcdon 19. DXV; Test Fbngs S Ancfw9 ai Ptobcdm 20. Shower Pan: TesL Fust Floor -Tub Access 21. Test Tub 3 Shower Surd Floor -Tub Access 22 Gas Pipe; S'ote & Anchors Date Card B-1 Dab Cana B-1 )ate Card B-1 Dade Card B-1 ate ELECTRICAL lw� OK wcq t #'s 23. F & Transfomter Ctearanee4m Pwtecfion (• . Elee. Receptacles Spacirg-IjOts b Swillches at Doors 25. . "Boxes ti. No. of Cmtd rcbrs Stapled Ded Close b Edge of Surds b C1 Equip. Ground made zip w01ech Fastrtas-Bond Gas a Wates 28. 2 Appliance Citues it Kddten S Cartdtrctor Sbe GF1 29. Subteed Wire Sox I 1 ga. Cu or MAX. Wire Sim 1 I ga Cu or AI 30. Range Circ. I I ga Cu at AFOven Ciro. I I ga Cu or AI Insulated NetAral (] *s 0 No 31. Service -Riser Canductors b Ground -Main Disconect 32 quip. Clearances Pane"oftx--Meeh. Epuip. Clothes Closet LightShower Light -Spa Light �j A Smoke Detector Date Card B-1 Date Card B-1 Date Card 3-1 Date Card B -i Date MECHANICAL (Perms) OK except M's 3S. A.C. Cucts Insutakn d Support 36. Vent,F haust above insulation 37. ordensate Crain 3 Overflow, Size d Grade . Fumance-Vent access -Comb. Air -Return Au Vent I IS outlet 39. Arc Access d Padonn it Furnace in Attic Date Card 8-1 Date Card B-1 Date Card 3-1 Date Card B -t Date ING (Plans) OK except Ps 40. Xs Pr r Materais 3 Anchors 1. Y3f1s Studs-Nailirg Spacing d Braces -Prates -Sound Bearing Wafl ,ver Girders b Floor Na&V 4.3. DraftcudSp in Walls (rat proo' F stops. Furred Ceilings Stairs -Chasers -Tubs Headers S Beams -Size d Searing )ata FRAMING (Continued) r a7.�Cfin��Jd"I r. Ties4Pur6n ruff Brae-TrussShtktg.- tnp. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic -Access: Size b Romex Protection-Oraft Stop4na. Baffles ,1, t-.-Bdrm. Windows or Exiting Doors -Sill Mgt. b Dimensions 51. Garage Fre Protection Framing 52- -Pf66ertv Line Frewal b Openings Uts Siding -Nailing Veneer _57-5tt;er� Mesh-Drio Saeed -Fd. Ventsdlndertlr. Access Glazing Area-Gtass Protection -Skylights -Plastic 59. Shear Walls: Naffing -Bolts . race Interior / Uderior Wall Panels V 61. I solation-Wads-Cdlnps tatralion-Walswrtdows Card 8-14dr 1 Date Card B-1 Data v` ' ' ` FINAL (Plans) OXIISFe t ft PI -Smoke Detector 65. Furnace' . AirConeaaa In Garage: Above Fioor-Ducts-Mech. Protection Bedroom Exiting 67. 16C Elee -Trim 3 Subpanel. Breaker Sizes & Labels Stairs d Rails 7t-F,r or tove, Ctearance-Hearth 71. TEIes-Antke� SfV o�o�P-anel, Int. 3 Ext 72- -Air Gap -Cooking Clearance 73OutlPte A Rrrpefirates at ?GL Counter 74 Gara -Closure 75 crag amper 76, b. Air CortnectorR..RX.. In Garaqe- Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location 7B. ca - roc ars Deck Constnxtan-Post Caps Drainage b Wood -Earth Clearance Looked under Floor n Yes 82• alks a Yes Q Nc)Pianters Q Yes o No ectrical-Plumbing plianca-Fireplace-Clearance to Opens gs ter lec. Trim, G.F.I. Receptacle -Underground P entilation Throucht House (89!Glass Protection cnecoons from Previous inspections 91. . eters Ta -gam, Gas -Electric ewer Connected -C/O to Grade -HD Approval f9 nergy Compliance Certificate -Other Certificates Date 31� Card 3-ZW!E� Date Card u -i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) CEILING Bas or Blanket Type Brand Name Thickness ('inches) Thermal Resistance. (R -Value) Loose Fill Type ' - - Brand Name Contractor's minimum installed weigh t/h lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material Z % Brand Name 004A..1' 404 eN//✓� Thermal Resistance (R -Value) Thickness (inches) BU=T G PM= #-- %% 11/0 MI/ Brand Name Thermal Resistance (R -Value) RAISED FLOOR Material V// Co/U c - .5 ,4,-X Thickness (inches) SLAB FLOOR Material e-PAf C, 047 -k - Thickness (inches) ' Width (inches) FOUNDATION WALL Material Thickness Declaration Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name .,rmal 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 (`n1;fnmia Ariministrative Code. 46,75-F 7 / License Number Date r �✓ Contractor (Builder) Signantre and Title SulrContractor (Insulation Installer) License Number Signature and Title Date THIS CERTIFICATE MUST -BE PROVIID DT WITHIN BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California ,95965 • Telephone (530) 538-754 PER NO. (Rev. 12/96) APPLICATION AND PERMIT -� ASSHb'6M'PAr;C�}NlJ{!`656 �UWfIIIL��LLLI++33AM�lffANND ZGNIWk_1 BUILDING PERMIT oW MICHALENE KELL TELEPHONE SO. FT. OCC. BUILDING VALUATION OW"g6 TAM& AVE, OROVILLE 95966 aS $ cc LARRY VST CONST TELEPHONE CD30TDLOMMM DR, OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ (S3,OL) X60 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ S0 BUILDINGADDRESS 60 LAMIRADA AVE, GROV11—LE Energy Plan Checking Fee $ 23.00 $ 2 PERMIT FEE $ i21.20 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF �X Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX Describe Work: C'ONV TINDERFL00R TO LIVING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 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.I0 License Class �L 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 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.) 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 workers' compensation laws of California, and agree that if I should become subject to the wor ers' compensation provisions of section 3700 of the Labor Code, I shall with those provisions. fo withc mpDate ��� /� Signa .re of ppicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( 8 ACC. BLDS. 3.50FT, NON.peSlp T.OUTLET @7,50 APPARATU 8 SINGLE OUREr CSR. Ex. Occup. a20 @ 1.000 OUTLET OR FIXTURES FIXED. \, Ex. Occup.ounFTs RlxlAPPINSo. EaOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 2 .00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation !s PERMIT FEt $ 35, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONRTYPE S,ys OTAL FEE $ oil Z. �- FLOOD coF P/�1C�FL su I/ This permit is hereby issued under of the Butte County Code and/or dicated above for which fees have indicated By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D e L pg� Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT rr, * �' '�•sr`,.. �' �-';ter' .,� ' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORMA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: O _T3 n=Ao� Proposed Building Use: S Building Inspector: Date: JCJJ At time of permit application, I ad ' ed the following data must be submitted prior to permit rote sing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. 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! ------------------ 0 6. Energy Design Compliance and supporting documentation .----------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9 anufactured Home data and installation instructions including Tie Down Specifications.------------------ 10. Fees of $ Q_ ------------------------ ---------------------------------------------- 'Impact fees as shown on a attached schedule. ----------------------------------- 1112. ---------------------------------- ❑12. California Department of Forestry plan approvaUfees. ----------- ---------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- /Q 4. Sanitation and plot plan approval jnM)t&ealth Department. ---------- :-------------------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------`------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 17. Planning approval for (A) Use: 0k:� (B) Parking: -------------------------- O 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑ . ❑433 A, ❑Grant Deed, ❑ M.H.11T--itle, C3 Check to H.C.D $ ---]]---------- !tither: eklOOr 1P�Ckk1 SVIOW %l0LO OCny 0 -__-- When you issue the permit, process as follows El Mail to owner, ❑Mail to tractor. I�Telephone �� — 5 T and hold for pickup at office. ❑Deliver with inspector. Q: 01 Applicant: Date: N / Copy of Haz-Mat form sent 13 Health Department, ❑Fire Department, ❑Air Po tion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, o Other: Date: By: 1. Index permit application -for the above items numbered: _� ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bu'1 ' ivi ro ureter, by D te: Plans reviewed by: Date: Plans approved by: (/lJ Date: 14' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 'I — TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attaq tea—�— Floor Plan Attached J Sent to B.D. < <� it Vb) LAO A0, 0 - Owner Location AP# Plan Approved for: Sewage Disposal Water Supply'. Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist t1-1� Date CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ---------------=--------------------------------------------------------------- Project Title.......... KELL HOME Date........ 01/19/99 Project Address........ 60 LA MIRADA AVE.-7�"------------ OROVILLE *v4.50* ; ` 9' LIO Documentation Author... WILLIAM H. FOX ******* ; Bu' n Perm•t�j} Fox Company ; _�--`-f- 3995 Olive Hwy. ; Plan heck / Date Oroville, CA 95966 916-533-2730 ; Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.50 File-WST257W Wth-CTZ11S92 Program -FORM CF -1R User#-MP1809 User -Fox Company Run-WST257W ------------------------------------------------------------------------------- GENERAL INFORMATION Area U_ Orientation (sf) Value ------------------- ----- ----- Door Back (E) 40.0 0.510 Type Exposed -------------------------- S1abOnGrade No FENESTRATION ------------ # of Interior Pan- Shading/ Exterior es Description Shading ---- --------------- ----------- 2 Drapes.Std None THERMAL MASS ------------ Area Thickness (sf) (in) ------ --------- 257 3.5 Over- hang/ Framing Fins Type None Vinyl Location/Comments ------------------------ Covered JUTE COUNTY AvrnOVE", Conditioned Floor Area..... 257 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... .2 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 15.6 % of floor area Average Glazing U -value.... 0.51 Btu/hr-sf-F BUILDING SHELL INSULATION Component ------------------------- Frame Cavity Sheathing Insul Assembly Type ------------ Type R -value R -value ----------------------- R -value U -value Location/Comments Wall Wood R-17.8 R-0 -------------- ------------------------ R-17.8 0.065 Wall Wood R-21 R-0 R-21 l 0.059 S1abEdge n/a R -O R-n/a' R-0 0.720 Area U_ Orientation (sf) Value ------------------- ----- ----- Door Back (E) 40.0 0.510 Type Exposed -------------------------- S1abOnGrade No FENESTRATION ------------ # of Interior Pan- Shading/ Exterior es Description Shading ---- --------------- ----------- 2 Drapes.Std None THERMAL MASS ------------ Area Thickness (sf) (in) ------ --------- 257 3.5 Over- hang/ Framing Fins Type None Vinyl Location/Comments ------------------------ Covered JUTE COUNTY AvrnOVE", CERTIFICATE OF, COMPLIANCE: RESIDENTIAL Page 2 CF -1R - ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Project Title.......... KELL HOME Date........ 01/19/99 ------------------------------------------------------------------------------- MICROPAS4 v4.50 File-WST257W Wth-CTZ11S92 Program -FORM CF -1R User#-MP1809 User -Fox Company Run-WST257W ------------------------------------------------------------------------------- HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Furnace 0.780 AFUE Attic Setback ACSplit 8.00 SEER Attic 4.2. B=AY Setback SPECIAL FEATURES/REMARKS ------------------------ COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... LARRY WEST Name.... WILLIAM H. FOX Company. LARRY WEST CONST. Company. Fox Company Address. 30 LOMA VISTA DR. Address. 3995 Olive Hwy. OROVILLE CA. 95966 Oroville, CA 95966 Phone... 530-533-5478 Phone... 916-533-2730 License. B-625871 Signed.. Signed.. 9' (date) ( at ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... • Signed.. (date) COU 13-G,'Z,i� NG D E PA FITM EW APPROVED._ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... KELL HOME Date........ 01/19/99. Project Address........ 60 LA MIRADA AVE. ******* --------------------- OROVILLE *v4.50* Documentation Author... WILLIAM H. FOX ******* ; Building Permit # Fox Company 3995 Olive Hwy. ; Plan Check / Date Oroville, CA 95966 916-533-2730 ; Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-WST257W Wth-CTZ11S92 Program -FORM MF -1R User#-MP1809 User -Fox Company Run-WST257W -------------------------------------------------------------------------------- Lowrise residential buildings subject to the Standards must c=ontain these measures regardless of the compliance approac=h used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. Design- Enforr_e- er ment 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets LEC: quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unc=onditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all .joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEG quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances.-_ and gas logs UU, oumv 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door1r�o'�.oi' b. Outside air intake with damper and control - �� r�- 9 c. Flue damper and control(,i{=-.q.. t 2. No continuous burning gas pilots AlTawed. 'MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R -------------=----------------------=------------------------------------------ ------------------------------------------------------------------------------- Project Title.......... KELL HOME Date........ 01/19/99 MICROPAS4 v4.50 File-WST257W Wth-CTZ11S92 Program -FORM MF -1R .; User#-MP1809 User -Fox Company Run-WST257W ------------------------------------------------------------------------------- SPACE CONDITIONING, WATER HEATING AND;PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- LIGHTING MEASURES Design- Enforce - ear, ment 150(k) : 40 lumens/watt or greater for general lighting in coin kitchens and rooms with water closets; and recessed veil inq_ rEt� fixtures IC (insulation cover) approved. ` EW_. er men 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. 150(.j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 ar greater) or combined interior/exterior insulation (R-16 or greater) . 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC: sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back.draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot <: 150 Btu/hr.). LIGHTING MEASURES Design- Enforce - ear, ment 150(k) : 40 lumens/watt or greater for general lighting in coin kitchens and rooms with water closets; and recessed veil inq_ rEt� fixtures IC (insulation cover) approved. ` EW_. COMPUTER METHOD SUMMARY ------------------------------------------------------------------------------- Page 1 C -2R -------------------------------------------------------------------------------- 'Project Title.......... KELL HOME Date........ 01/19/99 Project Address........ 60 LA MIRADA AVE. ******* --------------------- OROVILLE *v4.50* ; Documentation Author... WILLIAM H. FOX ******* ; Building Permit # ' Fox Company 3995 Olive Hwy. ; Plan Check / Date Oroville, CA 95966 916-533-2730 ; Field Check/ Date Climate Zone ........... 11 ------------------- -- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-WST257W Wth-CTZ11S92 Program -FORM C -2R User#-MP1809 -------------------------------------------------------------------------------- User -Fox Company Run-WST257W ----------------------------------------------------------------- = MICROPAS4'ENERGY USE ------------------------ SUMMARY - = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design ---------- Margin = ---------- - = Space Heating.......... 24.83 22.52 2.31 = = Space Cooling.......... 15.79 17.77 -1.98 = = Total 40.62 40.29 0.33 = _ *** Water Heating not -----------------------=----------------------------------------- calculated GENERAL INFORMATION Conditioned Floor Area..... 257 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... .2 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... .Average Glazing U -value.... Average Ceiling Height..... Slab On Grade 1 2056 of 257 sf 257 sf 257 sf 15.6 % of floor area 0.51 Btu/hr-sf-F 8 ft Ist'U03U^Tv b~ � COMPUTER METHOD SUMMARY Page 2 C -2R ------------------------------------------------------------------------------- Project Title.......... KELL HOME Date........ ------------ 01/19/99 MICROPAS4 v4.5O File-WST257W Wth-CTZ11S92 Program -FORM C -2R ------------------------------------------------------------------------------- User#-MP18O9 User -Fox Company Run-WST257W BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type -------------- (sf) --------- (cf.) Units itioned . Type --------- ------------------------ (ft) (sf) HOUSE ------ --------- Residence 257 2056 0.20 Yes Setback 2.0 n/a OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 Location/ Surface -------------- ------ (sf) value R-val Azm Tilt Gains Reference ----- ----- --- Comments HOUSE - New ---- ----------------- ---------------•-- 1 Wall 244 0.065 17.8, 270 90 No W.19.2X6.16 2 Wall 48 0.065 17.8 0 90 No W.19.2X6.16 3 Wall 204 0.059 21 _ 90 90 Yes W.2.1.2X6.16 ' 4 Wall 84 0.065 17.8 180 90 No W.19.2X6.16 PERIMETER LOSSES ---------------- Length F2 Insul Solar Surface ------------ (ft) ------ Factor R-val Gains Location/Comments -------- HOUSE - New ------- ----- ---------------------- 5 S1abEdge 42 0.720 R-0 No FENESTRATION SURFACES # of Vent SC Sc Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es ----------- ----- ---- Type Type value Azm Tlt Only Shade Description HOUSE - New --------- ------ ----- --- --- ---- ---- --------------- 1 Door 40.0 2 Vinyl Slider 0.510 90 90 0,88 0.78 Drapes.Std THERMAL MASS ------------ Area Thick Heat Conduct- Surface Mass Type --------------- (sf) ------ (in) Cap ivity R -value Location/Comments ----- ----- HOUSE - New ----------------------------------------- - 1 S1abOnGrade 257 3.5 28,0 0.98 R-2.0 Covered � � l —DING DEPAA 'sq��� COMPUTER METHOD SUMMARY Page 3 C -2R ------------------------------------------------------------------------------- Project Title.......... '------------------------------------------------------------------------------- KELL HOME Date........ 01/19/99 MICROPAS4 v4.50 File-WST257W Wth-CTZ11S92 Program -FORM C -2R 41 User#-MP1809 User -Fox Company ------------------------------------------------------------------------------- Run-WST257W HVAC SYSTEMS ------------ Minimum Duct Duct Duct System Type ---------------- Efficiency ------------ Location ------------- R -value Efficiency ----------------- HOUSE Furnace 0.780 AFUE Attic R-2.1 0.780 ACSplit 8.00 SEER Attic R-2.1 0.740 SPECIAL FEATURES/REMARKS ------------------------ �U'T- E COUNT +"�-p "'+n..i=:,�,,.�": �.,,i..-v�'� �+rw`'`,^eY'^��."..�^.JL-r�'i'G`�'^�ti..+l.-.�..�*!'.^--..�-'„�'-rN1..--n.r-,y'i,-,. ^t�..�4i: �.41i^✓�.-..�_ _, BUTTE COUNTY SCHOOLS IMPACT FEE`CERTIFICATION FORM (One form per Building) School District Department No Building A.P. Number — 4-3()w��Jurisdiction; City County Property Owner' ? J ! a /n m+-ei^R_ Property Location/Address -= 690 Subdivision Lot No. Residential Development .................................................................................................................. Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); ................................................................................................................... Commercial/Industrial New Addition _uilding Department Representative Imoor runs reviewea Dy scnooi uistnct rersonneo .District Identificabtionn No. �%,�-7 �.C)tP� School District certifies that Sq. Footage (Including Exterior oofed Areas) Date (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # " Remarks: a(State) p (tip Code) by payment of ' $ AB 2926 S FULL MITIr3ATION S 1-19419 Date 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 660201a), 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.xls 110/98)dmm J1 rt. ^."Y ."":l� _.:``_/ � � ,_r'titi �:,,,.1�,-•a5?-. .. .�✓ti..-,_�- J„�r.. arT,.>./"" , .��-...Vs��..-'�.�,i--- '�;a�„1�. 1�`." , _ � .. ,...;�,.. r.r�.„ I CAL 9 f .i; r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA110N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER ` 1. L/ ZONING BUILDING PERMIT OWNERS 1 - �'" �ELE_P oNF SO. FT. OCC. BUILDING VALUATION O, { ' OWNER'S tyl AI LING^ADDRESS 1 r^ CON' RA; TOjR'S� A�%f T:ri I H/ / COr TRACTOR'S MAILING ADDRESS / 1 I^' 1, i 1C IA,)r %� Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ i!` ) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS }i fr /� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /F Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME — IPARCEL1MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS GJWJ 110.00ea TYPE OF WORK New ❑ Addition[:] M -Remodel ❑ Ut`lities ❑ Installation[--]OtherPermit Describe work: Hen J06 Ir + �� rJ 11 Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 1AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW p I y (check one): I declare under penaltyof perjury 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. �4 �� :Z Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation,FIXED will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.a) ,h0sgft OR ACDNS. \ ACC. MULTI -OUTLET NEW RESID. U I.OUTLET 2.50 ea NON.R ESID .BRA CH IRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. z0 0 AL030 Ex. OCCUp OUTLETS OR FIXTURES .200030 ISIS 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state.that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 th ranting of this permit. 7 ?r X ��-- /�-.+�r�-�-�- ��• Date �' �' e r� `' Signature of Applicant — Owner ❑ /Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0CCUP. CONST.TYPE SCHOOL FLOOD PARCEL PD I H11 I ISSUE This permit is herebyissued under sions of the Butte Cunty Code and/or work indicated above for which DIRECTOR OF PUBLIC By ` ' f PERMIT EXPIRES Date the applicable rovi- resolutions to do fees have been paid. WORKS Date . � c� / �_ Receipt No. r. � WHITE-D.P.W., YELLOW-Aset:ssoh. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Y APPLICATION AND PERMIT 000 AS s oR L N ER ZONIN BUILDING PERMIT owTEL '0 VCl- P qN / SO. FT. OCC. BUILDING VALUATION OWNER'S AILIN ADDRESS &L RA CT 'S A E TE HQI (/ CO/J RAC 'S MAILING D RESS /11 111 Ito V Fireplace CONSTRUCT' N LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I r' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 re I% Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFfZ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FGTWT 0.00 ea TYPE OF WORK New ❑ Addition ❑ /)Remodel ❑ U 'ties ❑ I tallation ❑ Other i/,L r © Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): t ® 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 this reason NEW CONST. DWELLING OCCUP.eI) ys2sgft OR ADDNS. AGC. BLDGS. NEW CONSTR M ULT'*OUTLET 2.50 ea NON-RESID BRANCH CIRC S POWER APPARATUS eJ SINGLE OUTLET CIR. 200 EX. OCCUp(OUTLETS OR FIXTURES SALO3t ALO 30 EX. OCCUp. OUTLETS FIXED P(RESID )REA.) 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. n I have placed on file with the County of Butte Building Department I� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' . , judgments, costs, and expenses which may in any way accrue agains ai County in co sequence of th ranting of this permit. ?._/^ 8� X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent 11 -.00, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovitr 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ p% Occup. CONST.TYPEJ JSCHOOLJFLOO.JP..e1LJ PO HD Issue This permit is hereby issued under sions of the Butte County Code and/or ted above f9f which DIRE -E -FEF PU By. RLWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 1 WORKS Dat Receipt No. WNITE-D.P.W., YELLOW-ASSESSO . PINK -INSPECTOR. GOLDENROD -APPLICANT .ws sel of plans and specifications MU51 tsa Cept ca ?!o job at all tim,s and it is unlawful to ma:<a iny cha;t3cs or alteration on same without written parmisson from the Department of Public Works. County of Butt,-. � e�M i r�ITf�� NOTE:—AII Materials. & Workmanship Shall Be Accordance with Recognized Goond Practices a. of a c;uality prescritboder fry 4zpaCifie:9 use in t Uniformqui°dint', PlL;;,i, -9 & Mechanical"Codes ai fhe Nc•}ionol Electrical Code. D f5 4'x� f4 * r l' R e �Ul fE COUNTY 3U'LD1NG DEPARTMENT 4oppov Eo • I , -°Permit#3131-87B,M w Dr. M. Joy 60 LaMirada, Oroville COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C,plifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUMBER r. /^ 7 - < (L ZONI G / %{ BUILDING PERMIT OWNER % �j► LEP.HONE c� '� SQ. FT. OCC. BUILDING VALUATION 7.F. �• OWNER'S MAIL NG,ADDRESSj- "� CONTRACTOR'S NAME `- TELEPHONE A CO N T R A C OR'S MAILING ADDRESS '' , I i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ .--, Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C L Permit fee $ t PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 15.00 Each qas water heater or vent / 5.00 USE OF STRUCTURE SF f�j Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets / 5.00 Building sewer % 5.00 Mobile Home I S I G 1,W I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p I y (Check One): J§iLI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effe t. License No. �0��/� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.Ei\ yz¢sgft OR ADDNS. ` ACC. BLDGS. / NEW CONSTR MULTI -OUTLET NON.RESID BRA C CIRC ITS 2.50 ea /POWER APPARATUS 6) (SINGLE OUTLET CIR• Ex. OCcup(OUTLETS OR FIXTURES SA 030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service / 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 ,� 'i r -4 f r 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,saidiCount sift-7consequence of the g)anting of this permit. X ��-�-� �'?+?/'- t.� Date �/"��—� Signature of Applicant — Owner® Contractor E]Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPIEJ SCHOOL FLOOD PARCEL I 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 Receipt No. ) ! X' WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califori; a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. —P 1 ASSESSOR PARC LUMBER 2 1 —SO ZON G BUILDING PERMIT OWN R �=NE SO. FT. OCC. BUILDING VALUATION O WNE S MAIL NG D E a CONTRA O NAME T ON �j CONTRACTOR',$ MAI ING DRESS, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ % ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADORES Permit fee !$ $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SF N] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 11V I 0.00ea TYPE OF WORK New❑ Addition❑ Remodel Utilitie ❑ / Installation❑ Other ❑ Describe work:7 Am Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 49- I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effe t. DQ License No. 1 ��� Classification �- ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM 1/z¢sgft OR ADONS. ACC. BLDGS. l NEW CONSTR MULTI -OUTLET 2-50 ea NON-RESID .BRA CH CIRC TS POWER APPARATUS SINGLE OUTLET CI . Ex. OCCUp�OUTLETS OR F TURES 209301 ewL030 EX. OCCUp. OUT LETSFIXED APF SI0.) REA.) 2.00 Temporary service 10.00 Mobile Home Faci41ties 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ QQ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all IIabiIitL*I%p, judgments, costs, and expMses which may in any way accrue agains ai - Co onsequence of a Panting of this permit. X Date '— Signature of -Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei^g�ht..p Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC ISCHOOLIPWODIPARCELI PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By �' PERIM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No.() V 1 ( a WHIT[-O.P.W.. YELLOW-ASe[DSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT