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071-190-023
1 t a A { ,7 T +.rte 71-19-23 �, t Stowe"mpkiL ntia ''4. mi.N."of'Go1d'Flake E/S'Luinn R��• ,1 hen E.2001then ,fight on pri.dirt rd., z mi.to "T" in rd., e,n right 100' then left Permit 4k3 1�1-8,1P;Euti1. { EIS . /0- Z -8/ 2GbA o � GAS 0-Z -91 /5 3/ UPPORT STRUCTUREREQ'. - n COMPACTION TQC REQ. 71- -23 -j Petmit #3412-81NHI.- Issued 71-19-23 } 261 Edgehill Dr, Or Me " Permit#3727-_88B,P,E,M w e family) '1,33-' 90 [ AMENTIA ;. �a �a , > iV� )7 wRenewalo s r i 1 i1 . - o ' a• Jq � . _ _ � ^fir - •,,.h '" ' ... _, [. , 7 ., : � ..k� �►w�t5:� C"l a .Z 0 1 j PERMIT NO. k �I ' _v PERMIT EXPIRES v12 STEV ' L ENTIA OWNER 0 wner CONTR. •tom. ASSESSOR PARCEL 71-19-23 v _f, LOCATION 261 Edgehill Dr, ORoville T Called PG&E Temp. Elec. Service Called PG&E \ -� Temp. Gas Service .a Called PG&E 1 r + JOB FINALED (Date) j, fGU�i1 I.i •tom. Temp. Power Pole T Called PG&E Temp. Elec. Service Called PG&E \ -� Temp. Gas Service .a Called PG&E 1 r + JOB FINALED (Date) j, fGU�i1 Signature .?r 1 I = OK 0'= Not OK-- = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ P'L"ft./ P'LPG 7. Utility Clearance Card -B1 Date Card -131 Date Card -B1 -Date Card -B1 Date T ON PI OK +41 MISCELLANEOUS Date DECKS,COVERS,CARPORTS, GARAGES, (Plans•)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footing s;'Soils-Size-Depth-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing f' 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLA I ( an., excep s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector - 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. , Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -61 Date Card -131 Date Card -131 Date 9. Health Department Approval. 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date r I r f r . v ;% l'1 v . ,) .....- 1,.,. 11 8 =OK o = Not - =Not Applicable RESIDENTIAL (Single and Duplex) _ Not Ready — Date UNDERFLOOR (Plans) OK except #'s ning-Setbacks;-Easements- god -Slope Ftg., Main; Soils-Steel-Elec r .-/J&/" Ftg. Depth 3-Ftg'-Gerage;-Soils-Steel-// Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth Stemwalls, Main; Steel- Bloc kouts-Wrap ped 6-Stemwatts; Garage; Steel-Blockouts-Wrapped 7. ab; S el -Wrapped . P -Fire la Ftg.-,,Steel W.V. -Fit id s- st-2 wav C/O -Sewer Test Water Pipe; Test -Anchors -Regulator -Service Test 1 and Q-, _ , Clearance- Mate ria)>Sugprt-In . fj 4. Girders -Si ncbar`Bolts-Joi a Cr' les 15. Insulation Card -B1 Date - .$`g Card -B1 CrD Date --Z- Card-B Date Card -131 V Date Date LUMBING (Permit) OK except #'s 1 . Water Ht. Vent -Access -Combustion Air -Baffle 0. Water Pipe; Test & Anchors -Nail Protection (I D.W.V.; Test-Fttngs & Anchors -Nail Protection 9. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors _ A Card -81 Date v " Card -81 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixt re & Transformer Clearance -Ins. Protection 21"Elec. Receptacles Spacing -Lights & Switches at Doors . 24..-S a Boxes & No. of Conductors -Stapled � omex Installed Close to Edge of Studs & C.J. --ii uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No Service -Riser Conductors & Ground -Main Disconnect 7 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light moke Detector and -B1 Oft Date yC rd -B1 Date rd -131 Date Card -131 Date Date M HANICAL (Permit) OK except #'s 4. 6t. Ducts Insulation & Support Yept Fan; Exhaust above insulation ondensate Drain & Overflow; Size & Grade fi rnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnace in Attic Card -B1 Date Card- 1 Date Card -B1 Date Card -131 Date Date FRA G (Plans) OK except #'s it , P oper Material & Anchors 4~.s ds -Nailing, Spacing & Bracing—Plates-Sound ng Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Fir Stops; Furred Ceilings -Stairs -Chases -Tub 44-Kender & Beam -Size & Bearing Date 'Han rs-Post Caps -Anchors -Connectors g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ire a Ties or Type A Flue -Fireplace Throat Clearance -Aft-qcess; Size & Romex Protection -Draft Stop -Ins. Baffles d . Windows or Exiting Doors -Sill Hgt. & Dimensions ar Fire Protection Framing er y Line Firewall & Openings Doors -One 3' -Check Garage -3rd story, 2 exits Stai `; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer StuceMegii-Drip Screed -Fd. Vents-Underflr. Access o Area=Glass Protection-Skvliahis- Plastic the ;Nailing -Bol ns ion-Walls-Clg. nfiltration-Wal Is-Wndws Card -131 [fate Card -61 Date Card -131 Date Card -131 Date Date I Plans) OK except #'s Ste =Door & Sidelight Protection -Landings Se Detector ,621"Furnace; Vents -Clearance -Comb. Air-Connector- In-Garage; ir-Connector- In Garage; Above Floor -Ducts -Meeh. Protection Bedr om Exiting --&-Bath Fixtures & Tub Access -Spa _W. lec. Trim & Subpanel; Breaker Sizes -Labels p -lace or Stove; Clearances -Hearth EI . utlets at Wood Panel; Int. & Ext. Kit. f" & Appliance; Grnd. -Air Gap -Cooking Clearance lec.-Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer 3�A"C. Duct in Garage -Damper 74''Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location . e -Receptacles in Garage; (G.F.I.)-Romex Protec. ns lation-Foam-Looked in Attic ❑ Yes RS—gMard—Fiails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Cl,,ara1ce Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No _ &r wn-Finish C. Unit; Disconnect, Electrical, Plumbing _83 -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to O enings. Water -Well; Disconnect, Electrical, Plumbing 85 '6 Elec. Trim; G.F.I. Receptacle -Underground _86 -Ventilation throughout House G s -Protection C krections from Previous Inpections Gest- eters Tagged; Gas -Electric . <W& Sewer Connected -C/O to Grade -HD Approval nerav Comoliance Certificate -Other Certificates Card -61 Date4/7%jCard-131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) Building Owner _ Building -Location ROOF Material Thickness(inches) EXTERIOR WAIK Material - ?, 1010 Thickness(inche 6 CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type - Minimum Thickness (Inches) Area covered(ft.2) FLOOR, ELEVATED �! Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WAIS, Material Thickness(inches) ENERGY INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name ,Thermal Resistance(R..Value). Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name 1 Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name .Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consiste-n-t--with.-a-pprov-ed-bu- ld ng department plans-•and---attac-hmerrts • and - c -on -=--forms with requirements of Chapter 2-53 of State of California Energy Requirements. FIRM NAME/ OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a!:i shown on the approved Building Department -plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. iL� mil/ `XAM-AITIA UIL ING CONTRACTOR/OWNER (Please Print) (FIRM NAME) �NATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER-(Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 ... � r.. . :-'�.[.. :�S..c`+i'.�+ti �''-�"rv�5�ir�.:.tG►...}'.,�:�+ts}�.�:s,y`i0i:kw.: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275.1 7 County Center Drive, Orovi Ile — Phone: 538-7541 A 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE s JNER PERMIT NO. A routirie 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. c �<< Date Inspector l COUNTY OF BUTTE,." DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville.—.Phone* 538-7541 747 Elliott Road, Paradise 'Phone: 872-6307 CORRECTION NOTICE ER 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. �AL4- 1*L<- 1 w512Lrd 7-1 7S/x,'x-A Date � 1 Inspector A/*nt / t• .'.+l�..L.t '�• lv:. 4. -s r'-✓''Sv _ � `+..�,���-L',�•.,:n...+•�:. :f�T. oF_; JC�'�.-t 1lSf"'*t"MCy�'! COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial'Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER rl-p? ERMIT NO. if 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 thii0of6ce immediately. r. Inspector Q Date 1 COUNTY OF BUTTE; -G, APARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. /33_2D ASSESSOR PARCEL NUMBER _ c _ ZONING D BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING R I CONTFrA RSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Firepla CONS TR ICTI N LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Feefin, l $ ARCHITEC7 ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 1 p—p PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other -E] Describe work:_ o ev 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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.tr) OR ADDNS. \ ACC, BLDGS. yZ�sgft NEW CONSTR. MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS tr (POWER OUTLET CIR. ) EX. OCCU P OUTLETS OR FIXTURES 20 ®g0` BAL930 FIXED APLNS. EX. Occup. OUTLETS P(RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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 FiIingFee 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. 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 again aid County 'n copse u , ice of the granting of this permit. -- i X Date / ignature 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 $ occ CONST TYPE TOTAL FEE $ , HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of a Butte County. Code and/or work dic ed above fir which fee DIROF PUB C y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS ate A, Receipt No. � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -'Department of Public Works 7 County:Center Drive, Oroville, CA 95965 Phone: .91'6-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: r An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information'at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.' 1. I personally plan to provide the major labor and materials for construction of the proposed property'improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person " to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No_ 5. I will provide some of the work but I have contracted (hired) the following persons to, provide the work indicated: Name Address Phone Type of Work Signed: _ Property Owner Social Sec ur 'tyNumber Date IX Gl0 NOTE: This Owner -Builder Verification is sent to you �s required by Sections 19831 and 19832 of the California Health and Safety -Code.' This verification must be completed and returned to our office before we are per - witted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. CalifornM 95965 - Telephone: 916/538-754 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER d- 3 ZONING /z z BI.tILDI PERMIT OWNER I �Cv L T LEPHONEQti r SO. FT. OCC. BUILDING VALUATION B 42 D OWNER'S MAILING ADDRES e 1 5759,6 Po' Cod 17 n- CONTRACTOR'V4AMF- TELEPHONE CONTRACTOR'S MAILING ADDRESS Q D 60 Z) 10 Fireplace CONSTRUCTION LENDER ONS UNKNOWN Total Valuation I $ Q LENDER'S MAILING ADDRESS Filing Fee F $ 10.00 Permit Fee $ p =� ARCHITECT OR ENGINEER a,v �— LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 J/ Each Trap 2,00 a -p Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 5.00 S�O-`a, Each gas water heater or vent 5.00 . n -o USE OF STRUCTURE SF @R0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 $, o -o Building sewer 5.00 •B -o Mobile Home I S I G JW I 10-00ea TYPE OF WORK , New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ , &-V Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 00V OR LESS 1 600 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod n my license is in full force and effect. _ -i-» License No. Classification _ s✓�-c -1 the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.OR AODNS. � ACC. BLDGS. �N , 20sgft .C NEW CONSTR TI.OUTLET No .RESID BRANCHIRC ITS QC., 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occu p OUTLETS OR FIXTURES z0 ®e0s eAL030 FIXED Ex. OCCUp. 0UTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I'shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating elec{r1e- wC,Q_ Cooling g Hood 3.00 �O-p Ventilation Permit Fee $ :/3 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 CountyoI Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id County i cons ence of the granting of this permit. U' /� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structuresover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ (e5 O uP. CONsT T P 7HOOL[7PAZ;yJ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE IT EXPIRES Date S PD ND ISE the applicable provi- resolutions to do fees have been paid. WORKS Date /2. J Z Lion,Cof eipt No.oC 3 1 y E-O.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1, 1 �.�,.crr�;ss.l'y;.r^.i"�.•/��,lyyc;+1 ��,'_*t.i''�«rY'C`�.}���`i�'IS-b�k't.. �%�:759V't.Jri"y".,.�11•'�j�"��Vii�,r��•r+7.r�i%y+G�F�"wiir�rl�f�f_ �+.i COUNTY OF BUTTE - DEPAR'TMENWT�=,- UBLIC WORKS - BUILDING, DIVISION 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-754 PERMIT APPLICATION DATA SHEET Permit No. OWNER 0114Qrt/ T 1 ; Ci 54r A. P. No. %2 Building Inspector /,� Date %/1 Proposed'Building Use At time.of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted, ... . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . 6. School District "Fees Paid" Stamp on Floor Plan. ; 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , 9. Letter of signature authorization. J . 10. Sanitation approval from Health Dept. y! X11. Planning approval for (A) Use: (B) Parking:- arking: 12. 12. Certificate of Workmen's Compensation Insurance. . . . . . (113. Contractor's License Information (no., name style, classif.) X14, Owner -Builder Verification (Given to owner, Mail to owner ❑.) of 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required. Pre-Inspec. request to (Date)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered,trusses'in duplicate (required prior to plan check). 22, CUA PEES RECEIPT # When y_ou issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 5-r-3993 and hold for pickup atoffice, Deliver w/inspector. Other AppIicant Date Copy of plans sent. Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone—mall _ unt by date Plans checked by Date Plans approved by Date Coov—DPW Sets of plans on hold in File cabinet 1 AP folder i TO Buildinv Department FROM:.., Environmental.Health SUBJECT: Sanitation Clearance Owner. Location AP# Plan rApproved for.: Sewage Disposal,`(/ Water Supply Hold final for: Water Supply Final clearance O.K. for':- Water Supply :Clearance for. Other Sanitarian Date -76- CIO ,. - - P � -�- L Lv,,e-, COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION A.ttention.Property Owner:. An 'owner -builder" building permit has.been appliedfor in your.name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �S 2. I (have/have not) signed an application fora building permit for the proposed work. 3. I have contracted with the following person ,(firm) to provide the proposed construction: Name �O .Address City Phone Contractors License No. 4. I plan -to provide portions of this work, but I have hired the following person to coordinate, supervise, and.provide the major work:. Name - Address City Phone Contractors License No. 5. I will provide -some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work . O Signed: Property Owner Social Security Number Date v NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office.before we are per- mitted to issue the permit. Ret,'IJ�ll to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL.DEVELOPMENT Section 26-8.1 of. the Butte. County. Code requires this acknowledgement be recorded prior to .issuance of.a building permit. The property described herein is adjacent MMOMPAkD W T14 to land or included. within an area zoned C00ft4L DOC' 'UMEW .for agricultural purposes, and residents --- ---- of this property may be subject to incon- 156-038214 veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited .to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estahl.ished n;;rilul' Lural zones which have as a priority use for productive agricultural purposes, and re.si(Icio..; within said zones and on adjacent property should be prepared to accept stl h i nl-()Ilvr•II i vII( c or disconform from normal, necessary farm operations. All that. real property situate in the County of Butte, State of Ca.l.i.forni;i, resurihall ;rt; Ili follows: ,O m*ef/ty.v BF Tii>< q e0,_r.V PC ..avT 1'- DVtNO ��g'e�'INd� .¢ Po.enON p� c'r7o/t�cs ^-Os/ �S Sca ' y �,s5 ,7 y'r'32 /4J 7c'c✓Nsr/I� /N 7)/F ENTt=.PP/?IS /yI N /n! (r d .� QFd_/N /b /N6- 10r -If PC /N 7' ORIOre- 17'1v ,f �� �S FV 44e c u s THE �IORTN O` (irPOWi✓ POINT IODC�([t!!�('H /NiE/PSFG'I '7/46r NP.erli IL SOV fN PEN � cl'L�NE OF S�C'Ti s F/lo/y TtIE NO �P I o /v Q SA / O Pc /N� Q�iN 6 S c e fCST 317/, ,? .ST Loo�PNFiP OF SA/D C'e J BES/N/UlN� SOUTH c r"'v PJ/NT La�C�� jH6NCV' FIl'0/�! .S/1/D PpI/I;T OF / /f OON6 7"rfE No2TN st SO i. T/Y �Ei�? �iivF r� S.!/� S�rTicn�s :r9�.3Z� �9 D/s T�/vec o � s8a, FFE'r 7/iE sOc/TN LINE '7-1*W e c .SO r-rw 98 cd0 O F S4, 6 e19C alAl Pa /µf- L O' ' Ems 7; �iLoN6- THrSOv�N L/NG Or ,rA/D C'lPpwN Ro/A/r � /038.7! �EE� To ,4 !°O/a/f �VsJN6 sQ(/TNFi4S>' eleIeN , LODF�.a D/_I-rA"0V- OF I. UST r?OIPNF� O/= DFL NO 1..OD� ' TN�iVC1s cOP` S4/b l �C'OtNN /�/M'r a oc7� � Tfrc SoC1rX- SAlt7 %'L.VO j_0 Pe �Is7/iN(r�� F /Vo?T� 77 30 ci9STNQ T}tE SauT�IE/c'LY L/N� ✓ NOc°T A °3 e' /Or Date: /���� PROP RTY OWNERS : /'�.�r9�G r L I/.- vER% State of On this the da of (�/' r ') Y — ! G�li— 19�. before u rc� nlc� . SS. the undersigne Notary Public, personally appeared County of OFFICIAL SEAL Personally known to me. ® Proved to me on the basis PATSY L CARTER of satisfactory evidence. a� m NOTARY PUBLIC - CALIFORNIA be the person(s) whose name(s) 4-- BUTTE COUNTY sibscribed to the within instrument and acknowledged that My comm. expires MAY 13, 1992 ecuted the same for the purposes therein contained. 1N W I'I'Nl ti 111�0.Nrl�.asWt�41196�i EREOF., -I ,hereunto set my hand and ;off ici:al.,seal.. Notary -Publi L/A/F QF Sfl/fl �C L/UC 'LG7�G� (pOC>.OD FLET 7L) -5,4-b . ZC4,v0 Lp DE; 7'HE;Vd6' .So (1Tf¢- 77 O -To / tv EST A)o,P7H L/N6 ff a/S7`VAJCF OF /3S 8 FcET To 7W6[ bELN4 LO tJF b' 77/E NP/PTHe%P$'T Al 6W DG L'iPOGCl�t/ �O/�T L oOf� j TNG.VC� NO�C�// ,og 0070Gt1G5T /¢LONG- THE it�(O,eTN /-//Vs, Or SA�/.D oe-44vv P40//v7- 1-02)X00, 8y - ?0 7%fE CiFivrL-'�C./NGS O< .SC�-jiDN .29� AICD T/�E PQiN� O/= .cgC-%f-/�vit//tib s r/u//i LAMOW V4 . 3731"8�' RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 7/,♦ y- 3 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) •E/ or. porch header sizes. Adequate bracing. 6�—Living area over garage —complete 1 -hour separation required on garage side including supporting walls and posts, etc. -+±--Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716'). 1 ttic access and.ventilation (Sec. 3205). 19'' Underfloor access and ventilation (Sec. 2516). 1/(,�ood stoves, clearances, alcoves & 1 -hour shafts. l.J;."O" Combustion air for fuel burning appliances. 4-6' Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Jr' Unusual shape, size or split level house requiring lateral design. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 7/85 Bldg. Permit # OWNER A.P. # 7/-I • 2 GENERAL lof**'�ning requirements: (sideyards yW�oluation. ns signed by designer. aergy Design and Compliance. -L�Existing violations on property. PLOT PLAN and number of permitted living units). N,000Eomplete parcel size and dimensions. tbacks, sideyards, easements, etc. 3y Other buildings or structures. 4o0orGrading, fills, drainage. &oo"T'lood hazard. 6W�Special conditions on creation map or compliance document. FLOOR PLAN 1—o"C'omplete to scale plan with dimensions. required windows for light and ventilation (Sec. 1205). 3/'Required windows for second exit (Sec. 1204). --4— Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 6! -Required room sizes, ceiling heights (Sec. 1207). �.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). �Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9! Locations of water heater, heating and cooling equipment, other electrical or gas equipment,.and plumbing fixtures. -garage firewall, door size, and closer (Sec. 503(d)(3)).. t/ 3'0" exterior exit door (Sec. 3304(e)). and wood stove location. 1 Smoke detectors (Sec. 1210). Foundation plan complete enough:to construct building. Floor construction details complete enough:to construct building. Elevations and wall construction details complete enough to construct building. Reof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 4o""'Exposure I plywood on exposed locations and overhangs. 2✓ Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). .Guardrail details (Sec. 1711 & 3306(j)). — Brick or stone veneer (Chapter 30). �Fxterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). 1.40000'Rafter ties or bearing ridge beam. -� x'8--3821 %. Rep?n to DPW AGRICULTURAL STATEMENT OF`ACKNOWLEDGEMENT ' f" '' �.t. ' 4 • FOR RESIDENTIAL -DEVELOPMENT Sec t -.on 26-8. 1. of the Butte , County,.. Code-, ;, r •.`' ' requires '-this acknowledgement be recorded prior to issuance -of r a"building• permit. The .!property •.described'• herein - is adjacent B9-038214 ; Rec Fee 7.00, to land or :included j•within� an area zone -d' 1 Check 7. 00 for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records ; ,- veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte ; but not limited to herbicides Candace J. Grubbs ; pesticides, . and fertilizers; and from the pursuit Recorder ; of agricultural operations including, 10:16am 9 -Nov -88 ; BG "2. but not limited to cultivation, plowing; spraying, pruning, and harvesting which occasionally generate dust, smoke, noise,, and odor. Butte County has esLabl:i.shed ngr:iuli'l- Lural. zones which have as a priority ;use for productive agricul.Lural. purposes, and re� i drn't within said zones and on adjacent property should be prepared to accept such inr•(n,venicilco or disconf:o.r.m from normal, necessary farm operations. All. that real property situate in the 'County of Butte, State. of. Cal.ifor.n:ia, des( r, ibed 1.1;follows: r4 �erio�v vF T @ROW 4-r .ov .A1 DG1-NO '(-0a4r IfiN/Nb C4,i.es As ."55'C.P,40--v -'Al S'01PirGT /N �F `FNTE�PPRrS� 17(1V1N6_ D&7- 6 E/ � /Y. D. B. Qe!/A/NlNb /trA Po/NT oN T QST/@/aIJTrG L'D. Cj/�JC��-o�N�AJ D�SC/t i/,f� ,as FOLLcw,s + �' F/F .:/O/a?Tfi t/�v6 ©,- (iiPOu1N AO/AI-r ,to DG-� 1Vf410H 1AjTF"SECTS A/!E AIOk.TI+ tt SOU�N PCNTC�L,NE OG S�C'Tip�Q .SA�a Po'/N7' a F/�oiy �'K�NO.E'rHu/�.5f Cao�PNFi2 do-?Ar6- SourM 88 ao ,ci�S7�3y/-a > OF S�/D C �O �,v Pd/N/T L a�C� TH6n/e � F�f'0/`9 ,Sti�D POS n�T oF' G4E6�NN/N�/ SoUT/f /0-L ON6 i �'E No/�Ty � So vr/.� �EI+/•TE.2z1A/E n� ,�,3-s��iion+ 7/sTA/vees a9�32 f fJ -42 �/ FFE r ?o iF 1:P01-ArT Oar 7 E '�jTHENooa[/T /88oao E/s ��A/6iS6195�ls� �GOOFN-'54 S/?/lb om eV�e90Tu:l4v PEe7 To " o&; iNG 00%C/eOWN /0aiNTLOa6yTIT' POiaf If' -r0445" eo/'N .0,�N/"+TS a2S$0- �Esr, eoe6ue*,e oam f-Aib!,tOW/V�1N7L0b6,-v-NEne ,5,4ia /vo2T:77 -,30 L./N€Ol�UdEOT F��srhVeof F76 - .30 'Date: ,// 9..�� . .PROPERTY OWNERS:,, 4J�ST l'i¢.Pi9tGr'L W AGER) State of. - ). On this the .da r y of C'�� , 19eft, before, rue. SS. the undersigned Notary Public, personally appeared ' C o u n t y of qP OFFICIAL SEAL Personally known to me.'� Proved to me on the basisPATSY L CARTERf of satisfactory' evidence. NOTARY PUBLIC - CALIFORNIA be the person(s) whose names)BUTTE COUNTY bscribed to the within instrument and acknowledged ChatMy comm. expires MAY 13, 1592- ecuted the, same for .the purposes therein contained. IN WI'I'NI':ti� ,X6804CAg WHEREOF, I hereunto 'set my hand 'and official seal.. w ,Present A.P.' No. ►'•' :'t j ={!" (III! zv -, iVl-3 ! ..' .S w.. Notary Public. i r IN3VY(100a :10 GNR-,. a o GOJo�QJw F '9eY//vn/-� �QO9 o/ NmDa'J al - ,Vs 11 N/7 N1 p N.�a✓o/v �O/��N1 �r�00'7 l�/O� /1/rnO�J49M ot-0 --?n1- A --2c2 o-7 oN7aq Qws J�✓ a-7s�(V�oo� 1S9m,L/1a!OM 9�/� oL. 1�?� �S� / �D/Yf%LS'/Q 9N/� yL�oN Cl/OS- 41Yo Imo. l5 -91n / O£o CG /a1 n vs. Q,,WsIV fLLXDN WI -Z 410-41)V-011-41' .oL 1O-5� 00.901 !�RaO-f aN-7-VQ� Q/dS -,r0 __-qro/-, X 7,>�gL��� SNL /l LANDMARK ENGINEERING & DEMON Nom✓ P.O. Box 870 Orovine, OA 95965 �2 Ilk Ph: 016) 532-9457 I;.I STi�h✓.� L4n-4N7-14 I -- D,e�►wi�5 of ���,c�-�vc.� r� �zuG'rz./2,4 c. r�i�,�/ ,r�>' or,U�s � SU�uED LA�/�iv�.Q.eK �,uG/ter/,vim B Y owrv�,�_ /s 774,e FOU.�I�q T7oN� �xc�� Fo.� Tiz-/� FcxLowr�� 6'77E117 W,,4 L L ,ZEES'/GN Fd� A PV"/CW is APia�OX��,aT�ZY /D CO/JG OAJ TI -16 1-/pr<77./ 6-A JT; �o SOrLS /1l/ IiEST7c7,4 i70ti1 AIA -5 A36 -e -,Q 0,87411,,1E0 ,may 77./,!F of ,v4LR. 771,�F 1-�'L OWIA/6 M/ti/i M U/ -f . L0,4/J5 77-//5 0"E /Uti/ : Pf C/oc%r�TE t�,Wo,,/UTt-/ C 2,5 /�E/NFo,�c/NG _ c' Af'.4G/ TY /8 "M/N, /A/To UND/5TURF.� IVA7u,?,4 e - 50/G AAJC //v2 F304.T5 r3Y 07Z/Ei?5 /ti/ W,46( - Ale -=50-77 RF_/n/F, #4@/8'O,GS Ilu- S` rAoo! INGGL ; - ^ /401,1DL./7 IC- PoLjC-3 No Ccx.O JO/A/r<i IT fTf =�7T BUTTE COUNTY =I11= X11 BUILDING DEPARTMENT' A P D D O \/ EYD Af,A-se //- 30 -FF N�Y LANDMAR]K ENGINEEMO & DESIUN P.O. Box 870 OrOVIUe,'CA 95965 Ph (316) 532-9457 ll� Non -Non -77//5 ozElw W4 C /5 DE516AY67D �zA V17->, 77_4e- L,47 -57e.4,1 4&Z4'(_Ysz1:5.'O1= 7 774E' 113e,11(_,l_)11,JLe /S F.3Y LL . F'.0 -goo 7-07,4e- Wr. 45-02 I_z4_ 000 ae 607) �v ,%-z & Al .'75 ll� Non -Non -77//5 ozElw W4 C /5 DE516AY67D �zA V17->, 77_4e- L,47 -57e.4,1 4&Z4'(_Ysz1:5.'O1= 7 774E' 113e,11(_,l_)11,JLe /S F.3Y C) N TE -,All Materials & Workmanship Shall Be in Ac ordance with Recognized Good Practices and of quality prescribed for the Specified use in the. Uniorm Building, Plumbing Pu Mechanical Codes and. the Naticral -Electrical Code. 4 This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. So A setback 00t. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. j sk fe -- C ! rr .y,� — .. aj� ..;�j 3 7Z 7-88 e, BUTTE COUN 77 BUILDING DEPART Ql/ APP OVE _.. 8 -0 N a.......... - -7) I —3 �!- �� '_oil 4°30' GAS�_iMENr eft/ Z°Z° GAS11�.fFT F41 NI DE F r.BS'10� IR FOR H ER /OR � �w ���' I �y `'1 6 • olC AMC~v 6rw+�K s ' oe Provide adequate clearance & �I'OV _I�(� 10'MFA Protection and a 7 pe-.4-Fk►® _ ._�, QD Y r — JIM PV�— r= r -DC Max Rise / Z �y i - L Min. Run Z Run mw sured toe to toe, t OMn Via" max. tolerance betwQ t---, - Iar t & smallest rise/Fu e _ P ide 1 bedroom wi w with mi u f open dimensions of 24" high, 20" id - ® X11�4 185; ��� 5. sq. ft. area, and 44" maximu si I .Z fight. W 30687�� 7v ��� N AID 1 1 131 �'� Sam« &1 x .61. Z° (a ► I ' Fib 7 e �1cK ftard �A./�I74w Adw ti Nil •V�►► 17��(0�l _ �_ it IZ_pi� :• to ' 4ce4i/ /Se 3 ,,fit'/3 S• 74 S•/ p rx all v 2� Z r,�6 81 x I � N ►,n . rovide 1 bedroom window with mi 4w! open dimensions of 24" high, 2Q" ad ectorr codeISI5.7 sq. ft. area, and 44" maxims � _r height "A L4� • N -7 _ �6 6:P - _�^ ,. C r ver, i� t_15 o Urn3 -d N Oj �> (Dl pil 3-411 -zl=�a rn - r_ ��,a Ar P KUvt:u �/ Y t J. h � •N , �.� II Yr Y' Lt, w r kny � i rs N i L;A 3, '�^• � y S h� it t , :. M � • 3', � �`'�, f}. �� , . r_: � ��'� ••'�' Ij BUTTE COUNTY s BUILDING DEPARTMENT APPROVED yt: N i ° Ij ii -- 4c N w I op r DAR t ix - BUTTE COUNTY s BUILDING DEPARTMENT APPROVED yt: -Z-11 x,811 �� Z-4 f I,-r-jv0vp G(Uj" Zvi uiamalw X*i All i. .X ,K0 -Z, K 0 J�lf Igo Z, 0/2- loll IF er eft,70 0 '7f `frup,� pr, rop, M01- JLL . 7. Moto140tv at OH C, �-wj L- 6f Az, et OPTIoN &i.AS-SV IAOSM"4- COL b4rrA0t- I K? 02 m . "BUTTE COUNTY BUILDING DEPAJ�TMENT - APPROVED Novi pf✓ G p�w�o o! �i.�il Ft�aa �Av Co s •/ /5 f S - 2•�t� #=t-oof� X11-iI5N�5 o�f"N� �I'N1� C�f��t o�, � - • r� P; oor-7 ZTol51161 .5 X1-1 vNd 6, til i l-= VA-ro 6 t3 X V �ws� �L I�1� ��!t-I ISN -b✓oo� �x�'I✓f�lof�----5►t�:�-►� �i ����A�. ,►�5pl�-rloN any o¢ �g!' ���u 1 .-. II �nnnn ; 1H5U114<rIoNILI � � /�j /// %�/.:::• . ••: t •. _ �i' DIA• i�i�r�A►� C. IS"% C _ ld BUTTE COUNTY 14 +� BUILDING DEPARTMENT' rOt) N f)A\ I D TN\j APPROVE Gt�A�ulhpA� �''f/IoN-�.L= Y.+- jjjl'j;jl lil I (l ({I��i J!jl �!, iII ! f l i�I►mill I I jlij'lli�i:lj ► ill'silil�►►ijl I I ,i llii� iii: jll!I it iI:II(j�llli�Ilji i'I;I� i { II{li;i Iljli{i {ill'I 11.i. ' ii►II!:!' {►i Ilii H!iilll!`i'!!jii� ilii':Il, I j(! 'lilt !' IIjll!iil�I;I{ I! !li Ilj{illi MR mm !il i ; i I�j il! ii I11►1;i1` ' '(Iliiir`( j. !i( Ilii itilt�iiiiilil it {i (((!ijl!('iili( �I �l ;i;l'I;jl':i ills ► i il(lil,�l;{l �{l'�jil I((I ;�{ ill ji !Alif Ilii 1111 ii Ill(i� +111 I(l 'fii�l•( ij ijlI ii ! li jI�iii(i!iiili {I! ill i(it !iri MR mm UNTY 'ARTMENT VED . �n UNTY 'ARTMENT VED . Y�I BUTTE COUNTY .BUILDING DEPARTMENT APPROVED,,g/,,, ` A 7 v rn Zeoncc or uf+frro ueenrtr HOMESTEAD DES{i�GN M� � Itt"oppowl l m[d. to sew, I do dor that „.wat .DDfic[b4 n j of y bed rot V co tb.t Itil �'� a oDD�opisl• for Tow rncil'K [onditionr p that tlyr w0 mNt e.wr rwpirwm,t of rpM b[al Dli6ny coda. II BOX 988 • FRIDAY HARBOR, WASHINGTON 98250 O [ow rapumibl4y to — that IINy do Wt WO—N! tun,Vlution with t local dmsi m or ka&^D profnpiooal befen Abliltinp I Dwmit WOislnn. rM libitlr of Hoe .Md 01,ign that M "t.d to the pwcAw price of the" drowipt. CHESA.T'EA;KE DESIGN © 1987 HOMESTEAD DESIGN .4/v Nom✓ LANDMARK ENGINEERING & DEMON P.O. Box 870 Orovitie, CA 95965 PL (926) 532-9457 :'�.'i':i57�77:(la:gr.:'iY!:'Ai i.Si•.11i. ,&Y OT1-14iE�5 j SUuED 70 l�ti/Onn,4.eK. ANG/�!/�ll� B Y ow�v�e, T/,L 1 577lzUC7U12A(- OE57GN C)C 7x//6 /C'E�/�E�/GE/ /ti/GGU/� 774E i SES'/Gti/ Fde A 2a" 7o 4-O " STE�ti! `t/,d ,1L /s :Al:, y ' /O LOA -/G OAJ T/ -/E 1,/0re7 - /S' COAG oma/ THE EA 5T. -- /Jo SO/LS 11,JVES77l7A77oAJ /-IA-5 /3E�J�/ Ot3T'4�Nc/J Oy Ti -✓E 1 T-//5 OEC/GN CNE'!iv F3/[.L� DEFoRNIEZ7� I ; I �I, (�fAI-1.4G/ TY rjT S 077-/pM /8 "M11,1 11,/To IVQ u/IZQ� �lil til i /CG 4,4ti 61-10,, F3oLT5 /3Y G1 -7./E77 • --NOR! �, ,¢�i.VF,- ; �`¢Q/O�iJ�G�itlTE.e R,FJicIF. /N D(/.4LC. �- — 7 ISE/NF, j #4 C^' S`TCM W -l4/- • �, MON'OL/Ta!/c POU�j ti/o^C.O JD/n/T5 • Q�flF_c SS��N4 ilii-=(I�=?i►1.� �,�, vo BUTTE COUNTY BUILDING DEPARTMENT No. 37359 tipCrv%� �p ' APPROVE® 'I4rFOFCPA.%i � '46 L 7V �E fay `(/,DG[.. ` /8 "M11,1 11,/To IVQ u/IZQ� �lil til i /CG 4,4ti 61-10,, F3oLT5 /3Y G1 -7./E77 • --NOR! �, ,¢�i.VF,- ; �`¢Q/O�iJ�G�itlTE.e R,FJicIF. /N D(/.4LC. �- — 7 ISE/NF, j #4 C^' S`TCM W -l4/- • �, MON'OL/Ta!/c POU�j ti/o^C.O JD/n/T5 • Q�flF_c SS��N4 ilii-=(I�=?i►1.� �,�, vo BUTTE COUNTY BUILDING DEPARTMENT No. 37359 tipCrv%� �p ' APPROVE® 'I4rFOFCPA.%i � '46 L r c . PERMIT NO. 3411-81P,Ey. � l i PERMIT EXPIRES AD 17 OWNER Steve Lamanda CONTR. owner ASSESSOR PARCEL 71-19-23 LOCATION E/S Lumpkin Rd.,1.4 mi.N.of Gold Flake ,then E.200',then right on pri.dirt rd., 2ljlii. to "T" in rd.,then right 100',then left.=. y'75 -A -1 a c Y Temp -Power Pole i i Called PG&E Temp. Elec. Service Called PG&E LUtO f Temp. Gas Service Ga Called PG&E %cJ to JOB FINALED (Date) l Signature Atc 7 a OK O = Not OK = Not Applicable MOBILEHOMES r MISCELLANEOUS = Not.Ready Date MOBIL E UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Z • 'g Requirements—Setbacks—Easements 1. Zoning Requirements=Setbacks—.Easements. �' . S ; Special MH Support—Sketch 2. Footings Size—Depth—Spacing—Connectors Ae'§pfer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Xik'water; Location—Test-Easement Needed (Sketch) 4: Wood.Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing JC 5 ricity; Location—Clearances—Grnd.—/,-�I0/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures oeatio e . Wrap:/ /"L" ft./ /"Nat. or/ "L" ft./, LPG 6. Carports; Windows—Doors Utility Clearance 7. Elec. Card -BI ,,,Da — Card -BI Date Card -BI Date Card -BI Date. _Card-BI/Y^ PVe/0`�k7-kj Card -BI Date Card -BI Date Card -BI Date Date MOB16WOMP INSTALLATION (Plans) OK except 11's Date _ POOLS (Plans) OK except q's Z ng Requirements—Setbacks—Easements 1. Setbacks -Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas" MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; 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 . Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circ6lating Equipment—Heater GELd Ele ' ity Tagged 8: Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins.. to Main in Conduit ® Exits; Insp.—Sketch 4.2Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Dat d -.)ol Y Card -BI Date Card BI_Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r J = OK O = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Siegle and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting. 17. Shower Pan; Test, First Floor -Tub Access 60. 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 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 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 Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except re's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -_Size_& Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY, F RI;JTE - DEPARTMENT OF PUBLIC WORKS/41 P IT NO. 7 County Cen r Drive - Oroville, California 95965 - Telephone 916/534 2 APPLICATION -AND PERMIT R AS SSOR=ARCE�L NUMBER ZpO..- G•-� !'`�JJ BUILDING PERMIT ow R TELEPHONE SQ. FT. OCC. BUILDING VALUATION f'`' � Oma ,s 'SMAILING �R� s CONTRACTOR'S NAME �/y OC(� CZ_ �G /— TELEPHONE CONTRACTOR'S MAILING ADDRESS �----- CONSTRUCTION LENDER" UNKNOWN Fireplace Total Valuation Is Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ X9,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS — Permit fee $ Za. 00 BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomek Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installat�'on Other ❑ Describe work: _ r9— u7LP� 3gn—s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 101 01 ORSLESS 5.00 /0�! Main service EA. ADD'L 100 AMP 2.50 NEW CONST OR ADDNS. �ACCLBLDGS.LING CCVP,y� / 22 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (Check One): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Code and my license is in full force and effect. 2/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 offeredMobile for sale. (Sec. 7044) 1 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. TI -OUTLET NON-NONBRANCH CIRC ITS 2.50 ea NEW -CONSTR ( POWER APPARATUS & NON RESID, SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BL@ A1 Professions IXED APPLNS. OR Ex. OCCup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which mayin any wa accrue against said County in con quence of the granting of this pe i . J� X Date o Signature of Applicant — Owner Contractor 11Agentwork 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 $ Sd, CIO occuP. CROUP I TYPE OF CONST. PARCEL Po Ho seuE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF LIC By 4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dated � Receipt No. J6 3 � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1111111112 COUNTY OF BUTTE - Department of Public Works 7 County Center,.Drive, Oroville, CA. 95965 Phone: 916-534'-4:541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in -your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building -permit -will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property,improvement (yes or no) 2., I (have/have not)#`%�/� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ` Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: Name. Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work - Signed: -Property Owner Social Security nu Date • �ZA NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code_ -- This verification must be completed and returned to our office before we are permitted to'issue the permit. OWNER COUNTY OF BUT T�t f•,LEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET )v-° 4dc.-, Permit No. A. P. No. 7/ Proposed Building Use 1 Permit Fee Based Upon: Complete Contract Price v DPW Valuation .,Other (Explain) p ` Building Inspector Date . S' c At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate/triplicate. . .. . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms. No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Informationr(no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. I provements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . /5 •Pre.Inspec. req st to (Date) 17. Pre -Inspection for Required. Building Inspe or 18. Other Whenlyou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant, �. _ 414 Date Copy of plans sent Health Dept., Fire Dept., Other Date During the, plan checking process, the following -data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by` Plans approved by Other Copy—DPW I By Telephone Mail Date on Date — Date Other AP # OWNER PERMIT # MH UT IL . CLEARANCE DATE 8 `a INSPECTOR z ELE TRIC GAS Support St c. Compaction Test Re . service Other Pipe YES NO YES NO iize Load Type Size Length MOBILEHOME SUPPORT DATA ' If other than single wide, Mobileh�ne Mfr. . I ' furnish Setup Model No. Year Width t.) Box Length <YO (ft.) Tagalong or Expando Size x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes.manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if.not on file with the County of Butte)._ All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or foundation grade. (in.) (in.) 2. Other: (specify) Center support locations* Center s pport footin sizes Supporta (check one) (i �) .- 1: Concrete block. (�rn) 2: Other. (specify) ('n.) (in.) b r 2. <--.---Tagalong or Expando, . (� show support details. r (in.) (in.) l� -- Typical Support (in.)(in.) Size 'Footing 1 l x 1 (ft.) in.) (in.) (in.) (0 q -- Max. Pier Spacing Max. Overhang ft.) (in.) - (in,) (in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVE *If center piers are other than drawn above, draw im-locations, spacing, and dimensions. i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: A 2. Installer's name: Is the site currently under permit? Yet /vF/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes / /" No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------- Amps What is the mobilehome site circuit breaker rating? ------------ Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------i-------------- Yes 7 No (If yes, identify the load and size: Q � L � "� (Load) 49 / (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- A/ (in.) 10. What is the type of gas service? ----------------------------- Natural 7-7 LPG /77 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? --�ZS S_��� __O _ _____ (BTU) s (This information not required if''pipe length less than 6 ft. on natural gas or less than',50 ft. on LPG.) J COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WOR P T N 7 County Center Drive - Oroville, California 95965 - Telephone 916/ -4541 APPLICATION AND PERMIT ASSESSOR RCE NUMBER zON1 c --c— BUILDING PERMIT OWNER ..� a PHONE (.- SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING7 5,44 R 'I o CONTRACTOR' NAME' d TVLEPHONE CONTRACTOR'S MAILING ADDRESS =� CONSTRUCTION LENDER-- UNKNOWN �a Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ d() ARCHITECT OR ENGINEER "JOVC LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ O BUILDING ADDRESS a t PLUMBING PERMIT Filing Fee 10.00 >40 e¢1 20d ` Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping VC) LOT NO. �9 sLeD/a-PARCEL ' T MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets OU USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer Q,aC) Lawn sprinkler system 5.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities -' Installation ❑ Other ❑ VNI Describe work: Permit Fee $ Q�Od Contractor ELECTRICAL PERMIT Filing Fee 110`..�8q00 Main service 100 AMP OR00V OR LESS5.00 SV0 Main service EA. ADD'L 100 AMP 2.50 Z.,& NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. _dLicense No. Classification l, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) '❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.Ou LET 2,50 ea NO N.RESID BRANCH CIRC ITS) NEW CONSTR ( POWER APPARATUS t1J NON-RESID. SINGLE OUTLET CIR, Ex. Occup ourLETs OR FIXTURES a �� IXED APP LNS. OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 oc, Misc. Wiring 7.50 • d 1 MO 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. 0 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unty in on quence of the grant' f•this permit X Date Signa ure of Applicant — OwnerV 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 $ 3� OCCUP. GROUP I TYPE OF CONST, PARC 1.PDJ 171 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� 7— J Receipt No. S�J7'7S� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1' '"ti.�1.r•,:, L,:t+'Y -L..= r;.�.J'1n';v'`;+ iU"�1�`!!.1"""F, `. `.,,f.,�C-y-.+,fayi4.w""..-..__-...*.,.:.. -wryiM'ivw+sr.f.+-.,:,..r....,...-.«ay.i'-�..-,../`.rr..++'��.-....�.� .-y.1. / t i' COUNTY OF BUTTE='DEPARTMENT,OF.PUBLIC WORKS - BUILD`ING DIVISION 7"COUNTY CENTER DRIVE - OROVILLE,-,CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEE-T / Permit No. OWNER 'V P �a �1 d A. P. No. 71-19-,3 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Oth r (Explain) Building Inspector Date G At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . 2. Plot plans ind_tt 3. Complete plans in du'-lplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. • 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . N�10. Sanitation approval from r -o Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) -,01LC 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . • . • . . . 17 - Pre -Ins ction for Required. ,Pre-Inspec. request toVVI (Date) // Building pectgy 18. Other c+asdv or' o c "/tv(� / When you issue the permit, process as follows: ✓ Mail to owner. _ Telephone and hold for pickup at office. Other Appl ican Mail to contractor." _Deliver w/inspector. a t e Z/_10_/1 —9az Copy of plans sent s Health Dept., Fire Dept-., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a"ime pp kation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Date Plans approved by Date Other: Copy—DPW Date Other Toa Building Department From: Envviroizmental, Health Subject: Sanitation Clearance Al 7/-/�-a 3 Owner Lodation Plan approved for: sewage disposal j water supply Hold final for o water supply Final clearance .O.K . ford Fwatbr. j supply . Clearance:'.for . bedroom mobile home,, Other ` Clearance..for�'.additi6n_ of s... .. :. Note� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 'Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally -plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Ycs signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to -provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name i Address City. Phone % Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner' Social Securit um er — Date. / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office -before we are permitted to issue the permit. t j �. I_t" �, • �t 'iia t# - -,' ' ����,AS ...1.Iv,++. _.. F f •.. r•"+etw- w•.,t'e-'r 'y � ] 1: Yd Utility connections shall be withiri 4 ft. of the mobilehome, either -' Oirectly_behind or within the rear half of the roadside (left) of the mobilehome. _ Asa F+ _, .. .. �•.`.[—_ k. , + .Y.� • � i�.T.« fir a �i.,. tY +^ � � i. •... . t'.s . ;� vT � ... t ._ .t;'. _ _ , _ .= a � t t ' �' �;t�P • C � F b �'�� • *�`� ��;r `,i,r• ,�.1_'. .. _ .—._ .. _.._ ... � � � ._.,_ .. .... —. .t ;r - r .t''`,���,'�, a "-,�� rui -A setback of g ff ,frot�a th$ �y �A'�'' = . _-RA permit wilh be required for the - - prapert H in end -a' set s�le� ' *' insicHation of the mobilehomer ra of 50ft. frd zwi�c�d 4'1 cente'riine sfiAfl becleat;R.:. �. ,,.5#!'v.qu_res or eWlo n�e;— ;fora 2 ft. eavo over° 46'9: aa. ;a �r •t' —� �.1 , _ 1 _.. . __ _ .�. _ ,_ .� _ W V t:..y�. ,..__.�w _ wj�N 'T_ 1}-tL W��tF Y «i.. __ „_ .. _. .. <. _ .._ .. ,-:. ._...' _ �.. y. _,..r. , �. s., w�., .� ��3' i _` ��i ' a$4 ''t`�o4•�y�r��,� .,.� Worktn F+ SJiaCI .�e m ., —All Materials & v ca6rdance --with, R�r;5 nv ed Practices .. and alit Sne Pied use' in 'tfie �`nf ei qu y 'prescriber! for Mhea Codes and _..Umfgw,rrtn wilding, ..Plumbingm�. Mocha ica� i - the ;lj� s l' ational Electrical Code. 4*4 Yip _.., if . 1 �.Y L' _ .-. . t .. >t-..... ,.v.� .._ .JF ^- .-•fM1{•- "i! ti is t� MUST be BUTTE„ s e tions ' se cf plans and cifica ful COCOUNTS( `r ` E� This t p and it is ut�low to - . .. .., _ ,� Y «.> g .kept on tine job at all times + t a without. BUILDING MPAR IME M ` ' o{Ce any changes or alter on some the artment.of Publia writt permission from !� . _- : - , .,r•.:�.+ ..�; - ,�.><!�>,,.���,za� �, en County .of Butte. .. 'A P P:R O: Works, .t .- ,, r + t 1. `•r !Y ��„;• d�r1'.� t*fz t.• j^1 ? }Vn �{.d.^"a�'x ,�1 f 4 •�G :41, ..7 t �..N t 4 ._... _.. _ - 1. ... .. d, r . r.. �•. ,.r�a t .. �Yt t..- 'Ji�— f . . 7f /9- z� PARCEL 1: (. /��._ •. 3;.'s `. a .� ~ !-:'*as Sr. •."r 1r ,,c +Y 41* F4 ` �`A<` portion of 'the Crown Point and ''Del no Lode Mining. claims ,.ate �deAscribed?*t�"f�l in Survey No. 4741, embracing,_ portion of . Sections 29`"arid32t, in �Towny,��M; ship 20 North, Range 6. East, M.D.B.& M., in the Enterprise. Mining. { < District, Butte Co., : California, described as. follows: • BEGINNING at a point - on the North line. of Crown .Point Lode','- wh ch inter- , sects the North and South centerline of Section. 29, said point being South'88° 20' East, 391.2 feet from the Northwest corner of said Crown Point Lode; thence frons said point of beginning, South along the North and South centerline of said Sections. 29 and 32, a distance.of 582.81 feet to a point on the South line of said Crown. Point Lode; thence'South �� 8° 20' East, along the South line of said Crown Point'Lode,; a distance 4fifY1038.71 feet to a point at the Southeast corner of said Crown Point Lode, and the Southwest corner of Delno Lode;. thence North •77°• 3D' • East,.1r alone the Southerly line of said Delno', Lode, , a distance of 135.'6-.6 feet;. thence North 12° 30' West`, and parallel with the Westerly line of said Delno Lode, 600.00 feet toa point on:the North line of said Dolno Lode;,••t,, Tortline;.. dl.stance of. 135.68 •_ than. ^.e :'outfi x i r. along said -North h a, feet to the Northwest corner..of said Delno Lode and th.e Northeast corner of Crown Point Lode; thence North'88° 20.' West, along the North line of said Crown Point Lode, 900.8 feet to the centerline of Section 29, and the.point of beginning. PARCEL 2: A 60 foot right of way for road purposes, lying Southerly of and adjacent' to a line described as follows: 6 COM-MENCING at the Northeasterly corner of Parcel 1 above; thEnce North 77 30' East, along the Northerly line of the Delno.and Sunset Lode Mining. 1 Claims, 2,500.0 feet more or less, to Ponderosa Way and the end of said r line. r, PARCEL 3: A right of way for road purposes, over the following described -property; J�3ECTENNING at t. 1- `,F•1 c? C'!lYnf" C? 1:7t �. �n �E:^"tlOn 79, `IC)�•?nShlp 20 r t North, 'Range 6 East, M.`C�.B. & M. ; tis ince 11 asterly along the Southerly of said Lot 1, a distance of 60 feet; thence I:orL. and parallel with the.,,` Ux West lime of the.solAt.heast quarter of said Section 29, a distance of 2500 feet more or less, to a point on tl�c North 1_ine of.the Southeast quarter of sa.J.d section 29; thence West along the North line- of the Southeast' c3" quarter .of said Section 29, a distance of 60 feet: to a point at' the Nortli- .GD west corner of the Southeast quarter of Section 29; thence South C.) -A along the West line of the Soi)thei.'1 t quarter of said Section 29., a distance of 2500 feet n;ore or less, to the point- of beginning. SID 9E DOCUMENT • ,+•,.ay. ._ . _.. -. s S+ .y�}, a .F i ' f- � +� i, Jct, x g rt Ya t �,i t i rc <` ? �. T ' "`)f •• -,T x ;ji44)ir ° i�trv. x -a bS� vg 11Gi1n ps;2. t ,> Sc ;t��y?4{fib% A t' -$• r F .Y r '�R tt�' pyrA4d �[4'rtL YVµ f,.t �, �t iri 'r'. 4 +l",. > 2ta �•f d `♦f;., •. • {. , t. f.1_,t"`,x^,r< /# , , fy !rt9 A �f+ fi+t. xnyXN.4", 1+r')rjY?•x ubg,+iss us•RPTt r ryl k�x r F ¢- y �,r1 t <•t ! 1°FF {i '"�f`� 14 d t �L1h2, ��+y F a✓�* a 'Af r'WR rfk ltlt`.?��1 t�y� 4. f • , q + t yt', i , 4 Art P'rtis i ' + • • • • f f � t iP, , k+f a t� - r 1 M ♦ y + + `tA 9p ,t r ; & !v�° � y r,� a7{, t i �.�'r i •, J , , . �' !. t { + � v.. Nr ,� 1 5 b. "pt°+ � j t� •Rs+.+ .'. �P r �i f .t ,�}• 4 F ,;� ? •i4 .` r r , , �. �- ;T'•"ie( ��r.,�� p�r l F tr`,�,°1 A € {r R� i'j 7�q�t a,�� 'rn ,��t y .. f i e�fMc f. Via` f �r r i,�• r+ 1. I �+*Y�ir Y4.3 y. I 'f, •}.. .�' �- ti�: Y T ! 5 +�>n . 'i• -• t, - ,ts �� 7 r.. , t.., . '� f t ...,+.J P ..�q�"'� ....,5 . a .,, ,. � • , 'Fd.�i r _ _ ':h Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT • FOR RESIDENTIAL DEVELOPMENTHi1'cTE � 'DN ' "'� •i • n4 RDS Section 26-8.1 of the Butte County Code requires this acknowledgement SSP 18 'i� of Fs1e ���be recorded prior to issuance of a-building permit. ,_ ' CLARK A. N 'fix ..�,��• .°' The property described herein is adjacent to land or included ! ' P P Y j 6LOK-Rt~CORDER within an area zoned for agricultural purposes, and residents of ---- §:. SEE. "this property may be subject to 'inconveniences or discomfort arising -� -« :.from the use of agricultural chemicals, including, but not limited to herbicides, .<pesticides, and fertilizers; and from the pursuit of agricultural operations including, iut*not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- n zK ally generate dust, smoke, noise, and odor. Butte County has established agricul-' .41-;zones which have as a priority use for productive agricultural purposes, and to,within said zones and on adjacent property should be prepared to accept such ti "ienec�or discomfort from normal, necessary farm operations. ' ,tea wxvenU,property. aituate in the County of Butte, State of California, Date: PROP TY OWNERS : - • ' t, } `-,State of California ) On this the 18th day of September , 19 .81 SS, before me, the undersigned Notary Public, personally County of Butte appeared - pp t. x• Steve Lamantia and M. Eileen Lamantia - ��t+me00 OFFICIAL SEAL ` known to me to be the person(s) whose name(s) are MARY E. FREEMAN ' NOTARY PUBLIC —CALIFORNIA subscribed to the within instrument and acknowledged Via. Butte county that they executed; the same for the purposes M y Commission Expires Dec. 3, 1983 therein contained. �r4 IN WITNESS WHEREOF, I hereunto set my hand and official seal. "- .rte' s 4 t�-n, No r, Pub l is j r cramnt A,p, NO,�yl���3' ,.a.., x_..i.. n..,... .•n+y,tii . Y... _„..;t.. -PARCEL 1: A portion of the Crown Point and Del.no Lode Mining Claims, as described in Survey No. 4741, embracing a portion of Sections 29 and 37, in Town- ship 20 North, Range 6 East, M.D:B. & M., in the Enterprise MiningDistrict, Butte Co., Cal_i_forni.a., described as_ follows: BEGINNING at a point on the North line of Crown Point Lode, whJ c.•h inter- sects the North and South centerline of. Sect:.ion 29, said point. being South '88° 20' Fast, 391.2 feet from the Northwest corner of' said Crown Point Lode; thence from said point of beginning, South alony I. -he North and South centerline of said Sections 2.9 and 32, a distance cif 582.81 feet to a point on the South line of said Crown Point Lode; thence South 881 20' Fast, along the South line of said Crown Point Lode, a distance of 1038.71 feet to a point at the Southeast corner of. said. Crown Po.i_n.t Lode, and the Southwest corner_ of Delno Lode; thence North -1-/0 30' Fast, aloti(T the Southerly Tine of said Delno Lode, a distance of -1.35.68 feet; thence North 1.2.° 30' West, and paral'Iel with the Westerly line of said. Delno Lodr., 600.00 fc.cy}tto�a point on the North line of !;aid 1)(_�Ino 1,ode; Vl feet to the Northwest co.rne,r of said Delno Lode and the No.r, theast cor.n.er of Crown Point Lode; thence North 88° 20' West, along the North line of said Crown Point Lode, 900.8 feet to the centerline of Section. 29, and the point of beginning. PARCEL 2.: A 60 foot right of way for road purposes, lying Southerly of and adjacent to a. line described as follows: COMMENCING at the Northeasterly corner 30' East, alone{ the Northerly line of Claims, 2,500.0 feet more or less, to line. PARCEL, 3: of Parcel 1.. above; t:hc�:nce North 77° the Delno and. Sunset :L,cacic: Mining Ponderosa Way and. the c -n(] of said 80OK2658 f E A right of way for road purposes, over the following described property: iil;i'fT�1J7.T�C at t:hc: �c�atl,.ii�st' rhrnor .t. 1., r >OctiOn 29, 'Township, 2b.. Nort)-a, Rangc 6 East, M.D.B. & M.; thc�nc:e 1�-a;c ly a.onj the, :;oui.)ac.r y li:i 0&,-53id Lot 1., a diStance' hf 60 fe4t�.,:. thenr,!e� LrUi,, and par ri'I lel with the "st line of t*h Soul.Yi '` 'c� ? ai.d SrP�o reef more or lees, to a Point on the North 1. 'if: the Southeast 61uarter of said rection 29; thence West along the North line of the Sotithea>,t quarter of said Section 29, a distance of: 60 Went: to a point: at the North- west coraer of the Southeast ciunrter of sa.i.cl Sect.. ion 29; thenC:e youth along tlace West line caf ttl he Soi)ir<ist quart.rr cal- said Section 29, a dist anccs of 7.500 fedi. more o� 7.r� s, to the. t��Finn=t of beginning ��tD OF. DOCUMA-NT :1 Return to DPW 81"-30489 .5�,ev•e Ld�taaQ AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT'�jF.FiG:.+♦ . t, FOR RESIDENTIAL•DEVELOPMENT aur E`t0)S R Q.. gY. Section 26-8.1 of the Butte County Code requires this acknowledgement,, be recorded prior to issuance of a building permit.SK The property described .herein is adjacent to land or include ;within an area zoned for agricultural purposes, and residents of `CLERK RECOROER this property may subject to. inconveniences or discomfortarising --r from the use of agricultural chemicals, including, but not -limited to herbicides, pesticides, and fertilizers; and from the.pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which -"have as a priority use for p�rgd'u'ctive agricultural purposes, and en residents within said zones and on adjacent.property should be prepared to accept such inconvenience or discomfort from normal, necgssary farm 'operations. INV- --All � J All that real property situate in ,t•1'ie County of Bute, State of California, described as follows: ,; �:•°----,doh' SEE ATTACHED DESCRIPTION • A', Date: PROP TY OWNERS: 01 S`. State of California ) On this the 18th day of September , 19 81 , SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Steve Lamantia and -M. Eileen Lamantia° . OFFICIAL SEAL MARY E. FREEMAN NOTARY PUBLIC — CALIFORNIA. Butte County My Commission Expires Dec. 3; 1983 known to me to be the person(s) whose name(s) are o subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained: CA ; IN WITNESS WHEREOF, I hereunto'set my hand and official C seal. ywrief�I NoAry Public Present A.P. NO. /l"iCJ��3 END OF DOCUMENT L `)-j a 0: n") •t - 4,0 r. a? f.ti'_ 491 Mv -yo -ro dw, N Certificate of Compliance: Residential Climate Zone 11 sfr"L Project Tide /I tt A_ % /� �� /%tt'r �. ,'. Q�[.� {�/L(,�L Bu' in Permit N Project Address • 0 eck y / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Glass Area % Glass North Condid or Area Number of Stories iZ. East Sla sed Floor Number of "Units _� South g— ' [ Sin a Family Detached (SED) [ ] Addition Alone Westba6 .2. [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ l Multi -Family (MF) [ ] Existing -Plus -Addition Total , s BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, eta.) Wall .............. t / 1 Wall ............. Roof............. Roof ............. Floor ............. —Q Floor .............. Slab Edge..... . GLAZING _ _ _1 - Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation - (Sf) (single, double) (roller blind. etc) (shadescrem etc) (yeshto) (metel/wood) North X41it'�!�•� North ( ) East ( ) -�,�. MrsNe li t,w+4 a East ( ) South ( ) �_ •':4 40 Sou th ( ) �_7 West ( ) _� --» _.`AW DCAM ., West Skylight....... .P - THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) Location/DCSCription (kitchen, bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, stir Efficiency Location Duct Output Manufacturer/ Model-# conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tuh or approved a"sal) ` Maximum Fumace Heating Output: i! 9tuh / HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage goo, otc.) Cap city (or approved equal) 'Special Feature(s)2\ N_/J SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these meamm regardless of the emoiance approach used. Items marked with an asterisk (•) may be superseded by more stringent ciDmphanee requirements listed t on thi Cenificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component perfomwnce specifications for the mandatory measures whether they are shown elsewhere in the documents at on this checklist only. P DESCRIPTION DFSIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (dors not apply to exterior mast walls). §2.5352 ft Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 penn/tnch. §2.5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 12.5352(f): Vapor barriers mandatory in Climate Tones 14 and 16 only. §2.5317: InfiltratiordExftltradon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2.5351 mau CEC quality standards. 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed• installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, shower Bads and faucets certified by the CEC. ' §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return do recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures t §2.53526): Lighting - 25 lumens watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance spet�fications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter Subchapter 4. Article 1 of the California Administrative code. This ' certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. ,I Designer Building Owner /( Name: Name: _ a✓ C-U� Ct •.) 174 TitWFum Tttic/Fum: OC sl VL i Addn=: Address:0 e r lj Telephone Tekphone: T^ J 3 I (signatu m) (date) (signatum) (dart) f DoLmukittatlae Author Enforcement Agency Nam: Name: Tdell7i m. ACcticY- i Address: Tekphtmc 1. Ceding insuiauoa -14 Points -69 Number of stories Standard R -value One Two Three R-0 -103 � -32 R-19 -8 -46 na R-30-2 U -value -1 -1 R-38 '0 0 0 U -value .60 .50 .40 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 5 -4 0.04 1 -4 30 -61 0.02 4 2 1 0.00 11 5 3 -12 -3 5 12 2. Wall Insulation .55 -18 -10 Single- Single - 13 27 Family Family Mul6- R-value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 1 8 14 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 .14 10 0.00 - 24 18 12 3. Raised Floor Insulation 3 2 Insulation in Floor 12 16 17 Number of stories R -value One Two Three . R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 j R-30 3 1 1 U -value 3 7 -10 _ . 0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 13 11 17 15 10 8 13 11 Number of stories R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 .2 R-19 -1 -2 -2 4. Slab Edge Insulation - -- 4 Number of Stories R -value One Two Three • R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 3 0 0 5 0;90 -4 3 .1 0.80 -1 -i 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Lea Kagel Specification -14 Points -69 -64 Standard 16 -12 0 - -59 6. Glass Heat Loss na 14 -10 Total -50 -46 na 12 U -value -29 Percent -37 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 .55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 -3 3 9 15 21 34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 . 15 -17 1 6 10 14 17 14 -14 3 7 -10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7.79 8.25 13 11 17 15 10 8 13 11 7 5 9 '7 0.95 8.71 20 18 7. Shading (Shade Open) 3.6 ` Effective Effective Percent Glass 46 (SE or HSPF x duct eMciency) (percent glass x SC) Effective -25 or -24 to -1410 Effective %Glass ' North East South -West Skylight 18 .5 1 -56 -47 4 1 na 16 4 2 0.40 5 1 na 14 4 2 -10 -9 5 1 na 123 0 0 3 0 0 5 2 na 11 3 3 6.42 5 2 na 10 2 3 19 16 5 2 1 9 2 3 1.00 5 2 2 8 2 3 System Type 5 2 2 7 1 3 4 3 4 2 2 6 1 3 3.9 4 2 3 5 1 2 5.4 4 2 3 4 0 2 1.2 3 1 3 3 0 1 27 2 1 3 2 0 0 4.2 1 0 3 1 -1 -1 5.7 -1 -1 2 "o -1 .2 1S -4 -2 0 na- not allowed 2.5 f6. Shading (Shade Closed) Effective Permit Glass (percent allass x SC) %Gctive lass Nath E1ud South West Skylight 18 -14 48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 .2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na • rat allowed 8 10 12 13 13 6.5 1. 1Ilict WA ..IC:...a:. ui... Climate Zone 11 Interior Slab Floor Raised Floor Mass Stories Stories ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 .5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - 0.6 Wall 1 Family Family Multi Mass Detached 23 Attached Famly 0.00 3.1 3.3 0 0 .0 1 0.20 0.40 4.2 4.3 3 5 4 3 0.60 5.4 8 6 8 . 4 5 0.80 1,00 0.8 10 13 10 7 1.20 1.40 1.6 13 12 12 13 8 9 1.60 1.80 3 10 10 13 12 11 12 39 200 4.3 10 11 13 11. Heating System t 5.6 S.8 30% 0.5 0.7 t 1.1 1.4 SE or HSPF 1.8 2 (assumes ducts In attic) POU 8 -4 Sum of 14. -2. .2 -25 or -24 to .14 to -4 to +6 to 16 or SE HSPF less -15 75 - +5 +15 more 0.72 6.60 0 0 0 0 0 0 2 1 0.75 0.80 6.88 7.33 3 3 8 7 3 2 6 5 4 3 0.85 0.90 7.79 8.25 13 11 17 15 10 8 13 11 7 5 9 '7 0.95 8.71 20 18 . 15 13 11 8 3.6 4 Effective SE or HSPF 46 (SE or HSPF x duct eMciency) 5.3 Effective -25 or -24 to -1410 :4 to +6 to 16 or SE HSPF less 45 -5 +5 +15 more 0.30 2.75 -73 34 -56 -47 38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 .5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 6.1 Zonal Control Adjustment System Type 1.3. 1.5 Resistance 10 9 7 6 4 3 Other 2.9 6 5 4 3 2 2. \Type 2 PASS t 1.74ui14C•4.2: Climate Zone 11 SCORE CARD -12 SEER q' 90 Total Glass 1161 Measures Water (assumes ducts In attic) t TYPE t WS WINO • 4.2, ie: exposed Slab).[petal Sum of 7-10 R -value 381 U -value (0.030] M .25 or -24 to -14 to -410 +6 to 16 or SEER less .15 .6 +5 .+15 more 8.0 .14 .12 -10 -8 5 -6 -42 -4 -3 8.5 8.9 9 -7 6 -5 -4 .4 -3 22 2 9.0 -4. -3 3 2 2 0 -1 0 9.5 10.0 0 0 0 0 4 3 3 2 2 1 10.5 11.0 7 6 5 4 10 9 7 6 3 4 2 3 -• 12.0 13.0 15 13 11 9 20 17 14 12 7 9 5 6 0 6 Effective SEER 0 4 a• b, East • 5.% (SEER x dud efnclency) •77 -- Sum of 7-10 35% 40% Effective -25 or -24 to -11410 -4 b +6 to 16 or SEER less .15 -6 +5 +15 more 5.0 -30 -25 •21 -17 -13 -9 ' 6.0 -12 -11. -9 -7 : , -6 -4 6.6 -5 -4 -4 3 -2 -2 i 7.0 8.0 0 0 0 0 9 8 6 5 0 4 0 3 9.0 10.0 16 14 12 9 22 19 16 13 7 10 5 . 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 0 Zonal Control Adjustment _2199 0 0 10 8 7 6 4 3 1 No Cooling System Installed I '- Stories 13 1.5 1.7 One -5 •4 -4 -3 -2 -2 Two +- 3 3 2 2 2 1 \Type 2 PASS t 1.74ui14C•4.2: Climate Zone 11 SCORE CARD -12 U value [0.65] q' 90 Total Glass 1161 Measures Water 1. Ceiling Insulation t TYPE t WS WINO • 4.2, ie: exposed Slab).[petal 2700 R -value 381 U -value (0.030] M 2. Wall Insulation _ or _ Heater R -value [ I l J .14b) 3. Raised Floor Insulation Kit� -or to or R-value[191 U -value [0.0371 4. Slab Edge Insulation or Eff. 9'^ class Type R -value [0] F2 factor [0.77] '_1699 2199 2699 more North 8 X �' .' _ L SG or None Solar 0 12 0 8 0 6 0 5 0 4 a• b, East • 5.% - •77 -- HP 35% 40% 45% 50% :�% �% 65f. TO% 75% 80% 85Y. 90% 95X t00Y. 105% 110% 115% 120% 125: d, West 0% 5% 10Y. 15% 20% 25% 30% -24 -1 -18 -1 -15 0 -12 0 e. Skylight Heater Type X or less to 1199 to 1699 b or more 9. Interior Thermal Mass SG None 0 0 _2199 0 0 01/6 0 0.2 ; 0.4 0.8 0.8 1.1 13 1.5 1.7 1.9 21 23 2S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.4 4.6 4.6 4.8 4.8 S 5 5.2 5.3 5.4 J 10Y. 0.2 0.4 • 0.6 0.8 1 1.2 IA' 1.6 1.9 21 23 25 27 2.1 29 2.9 3.1 3.1 3.3 3.3 SS 3.5 3.7 3.7 3.9 4 4.1 4.2 4.3 4.5 4.8 S 5.2 5.4 56 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.6 2 2.2 2.2 24 24 28 2.8 3 3.2 3.5 43.7 39 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.6 S.8 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 POU 8 -4 •3 -2. .2 3.8 50% 0.9 L1 1.3 1.5 1.7 19 21 23 25 21 3 32 3.4 3.6 3.6 4 4.2 4.4 46 4.6&1 5.3 SS 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 1.1 2.5 2.8 9.2 9.4 9.5 36 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 S9 6.1 6.4 665% 1.3. 1.5 1.7 1.9 2.2 24 25 2.6 27 2.9 39 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 70% 1.2 1.4 1.6 1.8 2 22 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 7S% 1.3 1S 1.7 1.9 21 2.3 2.5 OW. 1.4 1.6 1.6 2 2.2 2.4 26 2.6 3 3.3 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.0 S 5.1 5.2 5.4 54 5.6 5.6 5.8 5.9 6 6.1 6.2 63 64 65 66 67 as% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 3.8 4 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 90y. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 9 17 39 3.2 3A 3.6 3.8 4� 4.2 4A 46 49 S.1 S.3 SS S.7 S9 6.1 8.3 6.5 6.1 7 1S00% 19 21 2.3 25 26 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 5.9 6 6.1 6.2 6.3 6.4 6.5 6.6 6.7 68 69 7 7.1 110% 1.9 21 2.3 2.5 21 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.5 4.6 4.7 4.8 4.9 5 S.1 5.2 5.3 5.4 S.S 5.7 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 7.1 7.3 i 2o%9 2.3 25 26 3 3.2 3.4 3.6 3.8 49 4.2 4.4 4.6 4.9 5.1 S.3 5.5 5.7 S9 6.1 6.3 6.5 67 79 7.2 7.4 125% 21 Point System Summary: Climate Zone 11 SCORE CARD -12 U value [0.65] q' 90 Total Glass 1161 Measures Water 1. Ceiling Insulation 30 or Unit Size (sq 1200 1700 2200 2700 R -value 381 U -value (0.030] M 2. Wall Insulation _ or _ Heater R -value [ I l J U -value [0.098] 3. Raised Floor Insulation Kit� -or to or R-value[191 U -value [0.0371 4. Slab Edge Insulation or Eff. 9'^ class Type R -value [0] F2 factor [0.77] S. Infiltration _ Standard - Single -Family Detached and Attached 6. Glass Heat Loss [r.X•�- -12 U value [0.65] q' 90 Total Glass 1161 Type [double] Water 1199 Unit Size (sq 1200 1700 2200 2700 7. Shading (Shade Open) -10' -8 8. Shading (Shade Closed) _ Heater Credit or i to to to or IG % Glass -5 SC Eff. 9'^ class Type Type less '_1699 2199 2699 more North 8 X �' .' _ L SG or None Solar 0 12 0 8 0 6 0 5 0 4 a• b, East • 5.% - •77 -- HP WSB 5 3 3 2 . 2 c. South /.9 X -3 _ i Credit [none] POU 8 5 4 3 3 d, West 2•1 X 72 _ /`+I ---�-�-- SE None Solar 37 -1 -24 -1 -18 -1 -15 0 -12 0 e. Skylight Heater Type X or less to 1199 Point Scores B- �r' % Glass HWR -18 -12 -9 . -7 -6 WSB . -25 -16 -12 -10' -8 8. Shading (Shade Closed) _ pa -1p _-12 -9 _-7- -s IG None -5 -3 -2 .2 -2 Solar 7 5 -4 3 2 a. North IE POU None 3 -28 2 1 -14 1 -11 1 -9 b. East -19 Solar 8 5 4 3 3 C, South SEER [9.51 POU -10 -6 -5 -4 -3 Credit [none] Multi -Family (Individual units) d. West Unit Size (sQ e. Skylight Water 699 700 12M 1700 2200 Heater Type Creed Type or less to 1199 to 1699 b or more 9. Interior Thermal Mass SG None 0 0 _2199 0 0 0 or Solar 14 7 5 4 3 10.- Exterior Wall Mass HP HWR 9 5 3 2 2 WSB s s 2>' 2 2 11. Heating System SE None -45 -23 1 -15 1 .11 0 .9 0 . ._ Zona; Control? ( Y / N ) Solar .2 e , , 5, 12. Cooling System IG SB None -29 -8 -13 -4 -3 .2 } -2 s: ,ri-•, * Zonal Control? ( Y / N ) Solar 6 3 2 1 . ' 1' + =. _ POU 1, 0 0 _ _ 0 _ 0" t.1 , Water Heating E None 30 -15 -10 -8 16 li:! Solar 18 9 6 4 4 POU -8 -4 •3 -2. .2 Point Scores B- �r' % Glass SC Eff. % Glass �•� X .�iL = 291 �•� X Gleam- TYPE 1 MASS AREA $ COND. FLOOR AREA Interior W.-%ss/CFA TYPE 2 MASS AREA = � ND. rLOOR AREA Exterior Wall Mass X = • SE or HSPF Dun Efficiency 10.781 Effective SE or [0.77/6.6) HSPF 10-5615. 151 .0r, X SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.031 I�pe- [SGJ Credit [none] Sum �7 ]0 --± :ll. - Point Total: 44