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072-062-005
- 7.2 - 062-05 723-91E HAYD St iy Los .)D an 0 ov 11e e ) 72-062-05 1280-91B,P,E,M HAYDEN, Stanley 26 Lost Ln, ORoville ( new sf ) 072-06-2-005 92-3067B, HAYDEN, Stanley 26 Lost LN, Oroville add to garage 072-06-2-005 9,-4231 HAYDEN, STANLEY - AV, CONTR: OWNER 10 a 26 LOST LANE, OROVILLE 1ST RENEWAL BP#k91-1280 072-062-005 94-0045 HAYDEN, STANLEY 26 LOST LN., OROVILLE 2ND RENEWAL BP#91-1280/1ST #92-4231 072-062-005 PERMIT#b5-0020 HAYDEN, STANLEY 26 LOST LN., OROVILLE 3RD RENEWAL BP#91-1280 072-062-005 PERMITI#96-0186 HAYDEN, Stanley 26 Lost Ln., Oroville' 4th Renewal BP#91-1280 072-06-2-005 96-09 0 B HAYDEN, Stanley 26 Lost Lane, Oroville (covered deck)SF 072-060-005 PERMIT#97- 042 AAYDEN; Stanley 26 Los�,Ln. , ..Oroville 5th Renewal BP#91-1280 072-062-005 PERMIT#9 -0176 WYDEN, Stanley 26 Lost Ln., Oroville 6th Renewal BP#91-1280 072-06-2-005 99-02K B HAYDEN, Stanley 26 Lost Lane, Oroville (7- h_ renewal/91-1280) 072-062-005 00-0107 HAYDEN, STANLEY 26 LOST LANE, OROVILLE CONTR: OWNER T_RENEWAL OF BP# 91-1280 072-062-005 01-0254 HAYDEN, STANLEY 26 LOST LN., OROVILLE CONTR: OWNER 9TH RENEWAL BP # 91-1280 - I 072-062-005 02-0379 HAYDEN, STANLEY 26 LOST LN., OROVILLE _s,_ 10T'_' RENEWAL BP491-1280 072-062-005 AG02-224 HAYDEN, STANLEY & MICKIE 26 LOST LANE, OROVILLE AG. BLDG. (30'X 50') BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. a - Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER/ +c rPG t PHONE NO. SFS Gq (SC OWNER'S ADDRE Ssl-alld r,a t LOCATION OF BUILDING USE OF BUILD)NG A S / SIZE OF STRUCTURE 30 X S C� _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME t/ STEEL CONCRETE OTHER (Specify) TYPE OF SITING ROOF COVERINLOOR FTYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT ��J l�W SIDES, ^-� I My--/ REAR •� o AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 2�` a Z Signature of Owner f rmit Fee - $60.00 The above described AG Building is a empt from a building per it. FLO PARC P.D ROOF G ISSUE Receipt o. y Manager Building Division M BY461C kl_�� Date42 1z White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant t RESIDENTIAL r . r 72-062-05 121 , HAYDEN, Stanley j l 26 Lost Ln, ORoville (new sf) J ' SSI 17 ( 1 J v r { ?- OFFICE COPY Add ess f N Date + 'i ^,ELECTRIC Meter By Dat OFFICE COPY Address ` ( r Date ELECTRIC //jj,� ' l Meter By Dat/ --b, �. f 7/ v'Rt JOB FINALED (Date) ��9 L— ._ ,Signatureodd ' 4 _ u °V► / i LE r J=OK \ O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch r 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. .e / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line ` _J _ 3. Gas; MH Test -Demand -Valve -Connector t 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector ' 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy K� Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES. (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Pians) OK except #'s 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panslboa rds- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 1 Date Card B-1 Date Card,B-1 Date Card B-1 Date Card B-1 N a d=OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL (Single ' = Date IPlans) OK except #'s -4--fon i ng -Set backs- Easements- Flood -Slope JAI -2.-fig., Main; Soils-Elec. Grnd.-/ef) Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls. Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi -Fireplace Ftg.-Steel O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test i10 s Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dat -u rd B-1 Date Card B-1 Date Card B-1Date Card B-1 Date ~BING (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection .W.V.; Test -Fittings & Anchor -Nail Protection 9. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access _ 2 as Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s _ fixture & Transformer Clearance -Ins. Protection & Switches at Doors 11/24. ' e Boxes & No. of Conductors -Stapled a6,_RjofKe'x Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI u feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al mange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. r Insulated Neutral ❑ Yes ❑ L ervice-Riser Conductors &Ground -Main nn quip Clearances Panels-Motors-Mech. Equip. 3 thes Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 'e"3�s'�CCr6ucts Insulation & Support an; Exhaust above insulation nsate Drain & Overflow: Size & Grade 37 ' nance-Vent; Access -Comb. Air -Return Air Vent -115 outlet .3B_A4ie-Atc`ess & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s �Sils-Proper Material & Anchors I�.alls Studs -Nailing, Spacing & Bracing -Plates -Sound :_ 41. Bearing Walls over Girders & Floor Nailing Q 41,9iarft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub tl-4. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) angers -Post Caps -Anchors -Connectors 0? C g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ,=:7 ace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Slop -Ins. Baffles 9 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing S�;ep y Line Firewall & Openings L52 -15Z. Doors -One T -Check Garage -3rd Story, 2 Exits ----5T_T!WWWidth-Headroom-Rise-Run- Landing -Fire Protection k..ilS. plywood on Roof Overhang -Attic Vents -Rafter Outriggers hiding -Nailing Veneer ---e&-STTcc`o Mesh -Drip Screed -Fd. Vents-Underflr. Access Walls; 59. 1/60. Infiltration -Walls -Windows Date —L Lard B Date Card B-1 Date Card B-1 Date Card B-1 Date FINA ans) OK except #'s 'erEx_t,Sreps-Door & Sidelight Protection -Landings Smoke Detector 63 ce; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ed efi Exiting G.F.I. & Bath Fixtures & Tub ccess-Spa sec, & Subpanel; Breaker Sizes & Labels learances-Hearth L.&T�-Elec._Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 17ec. Out ets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer , 7 - amper . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In rage; Above Floor-Mech. Protection Plb., & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protection ation-Foam-Looked in Attic ❑ Yes 78. G onstruction-Post Caps 79. Cqn.oor-Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ ; Walks ❑ Yes Planters ❑ Yes o e ->i7 C��Inl6h — 8 ectncal, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to /,81woWWattp Well: Disconnect, Electrical, Plumbing xterior Ell c. Trim; G.F.I. Receptacle -Underground . Ve ilation Throughout House AW -Glass Protection rreqoons from Previous Inspections Qifl!(i Test -Meters Tagged; Gas -Electric W�ter� Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Dat % ro Ca B-1 ate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) RESIDENTIAL 96-0970 B ,027�-0 6-2-005 , HAYDEN, Stan ey GLost Lane, Oroville - (covered deck)SF LY o6� S a y C7 �J 6 OA "s • .:. jl � �� L� (moi 9 %/(/ a <r4 D5 _ tJ i }} l� �r JOB FINALED (Date) — SIgnature V=,OK, - 0 = Not OK `=Nott ReadApply MOBILE HOMES J 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ /'L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval r 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECW, COVERS, CARPORTS, GARAGES(Plans) OK except #'s . Z equire=ts;SetlWks-Easements tings; S s -S e -D' S g -Con rs-S ' 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. E x F , ils- chors-Studs-Rttrs-Trusses . Sidi ailing-VeneerStucco-Mesh _ . oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date ./� �p?_Eard B-1 . Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 x V -R J=OK O=Not OK N'r = Not Applicable ^ Not Ready RESIDENTIAL (Single = I Date UNDERFLOOR (Plans) OK except ff's Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;,Soils-Elec. Grnd.-/ /"-Ftg. Depth ----- 3. Ftg.`Garage; Soils-Steel-Elec,Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Brockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -- --------------------------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection --------------------------------------------- --- --- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access -------------------- ---------------------- ----------------------- 21. Gas Pipe; Size & Anchors ------------------------------------------------------------------------------ Date - - Card B_1 Date Card B_1 --- - ----------- -- -- ---- - - -- -. . Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------- 23.- Elec. Receptacles Spacing -Lights & Switches at Doors ------------ --------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - --------- -- ---- ------ - - - - ------------------- 25. Romex Romex Installed Close to Edge of Studs & C.J. ---------------------------...------------`--------------------------............ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------....... ... . ................... 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------------------------- - -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ------ - - ---- - ----- -- -- --- -- -.......... .. 29. Range Circ. ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------. -----------------------------------------._...._- .. 30. Service -Riser Conductors & Ground -Main Disconnect -----..................................................... ........ .. 31. Equip Clearance -s Panels-Motors-Mech. Equip. -------- --------------.._. ........ ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------- ---------- --- ........... ... . 33. Smoke Detector ----------------------------- -------------------- ..... ............... .. Date Card 13:1........t Date Card .B-1 -- --------- ----- -......................... .._ ...... ... ... .. Date Card B-1 Date Card B -i Date MECHANICAL.(Permit) OK except n's 34. A.C. Ducts Insulation & Support -----------------...-- -------------- - ---._...--_-.1- .............. 35. Vent Fan: Exhaust above insulation -------------------------- --- ........ ........... _.. ... ... ... ... .. T, 36. Condensate Drain & Overflow: Size & Grade - -------- -- ...-...._......................_...... ....... .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ----- ..... _ ......... ... .......... ... ... .. 38 Attic Access & Platform if Furnance in Attic -------------- ------- I...... .. .... ......... .. .... .. Date Card B-tDate Card B-1 -- -- ....... .............. . .. ... ... . . .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tr's 39. Sils. Proper Material & Anchors ....... ....... ... ... ........ ... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ._... .. ... ........--............. 41. Bearing Walls over Girders & Floor Nailing ...--------------- ..........---------- --- ., 42. Draft Stop in Walls (rat proof) ------ -- -- ------------ -..... .......... ... .... 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -.._. ..._.._....__._... ...._........9 ..... .. .. ... 44. Headers & Beam -Sze & Bearing & Duplex) - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---------------------------------- 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ----------------- 56. ----------------56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access s.--- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts ----------- 59. Insulation -Walls -Ceilings --------------- - 60. Infiltration -Walls -Windows --- -- ----------------------------------- --------------------------------------------- --- - Date Card B-1 Date Card 13-1 --------------- ---- -------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tr's 61. Ext. Steps -Door & Sidelight Protection -Landings --------------- 62. ...--------- 62. Smoke Detector -------------------------- ------------------ - - or 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------------------ - - -- -------------------------------- 64 Bedroom Exiting ------------------------ 65. ------ ---65. G.F.I.-Bath Fixtures & Tub Access -Spa ...- - 66. Elec. Trim & Subpanel Breaker Sizes & Labels --------------------------------- - ---- - ----------------- 67. Stags & Rails ....-._..._ - 68. Fireplace or Stove: Clearances -Hearth -- ------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ...... ..--------------------------- ----------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------------------- - --------- 71. Elec. Outlets & Receptacles at Kit. Counter -- - - - - - - - - -- ----- -- - ---------------------- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -------------------------------- ---- 74. Wtr. HIr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------- 75. Plb.. Elec. & Mech. EquipListed -for -Location ...........--------------- 76. -------- - - Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------------- 71. -------------------- ------------------7 . Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ------------...----------------------------------- -- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -------------= 80. Following insildDrive ❑ Yes 0 No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . ... .---- - -------------------- ----------------- 81. Stucco: Brown -Finish -.._..._...------------------------------------------ 82. A C. Unit: Disconnect' Electrical. Plumbing .. --- --- --- ------------------------------------------------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . . .............. _ ........ - -- ------------------------------ 84. Water Well:Disconnect. Electrical, Plumbing . . .-------------------------- ------------- - 65 Exterior Elec. Trim: G.F.I. Receptacle -Underground ----- .---- - - --- -------------------------------- 66 Ventilation Throughout House -.----- ------------ 87 Glass Protection .... ...._. _.. ----------- ---------------- ---- 86. Corrections from Previous Inspections --- --- -- -------------------------------- 89 Gas Test -Meters Tagged: Gas -Electric _.................------------------------------ --- 90. Water & Sewer Connected -C/0 to Grade -HD Approval . ... ... ... .--- ._.._. ------------------------------- 91. Energy Compliance Certificate -Other Certificates -- -- - ------------------------ Date Card B-1 Date Card B-1 - - -- - - - - ------------------------------------------ Date ------- ---------------------------------Date Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE All- CA 06 04 -Uzi wNER PERMIT s A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector a ',e REV 10/92. COUNMI F BUTTE BUILDING DIVISION .-DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NER PERMIT NO. A routine i pection indicates that the following violations of Butte County Ordinances exist at the abov address and should be corrected. Please notify this office when correction -of work is comp ted. If you have any questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. I P&waa;. M 14ACS UA /f Awc� / v of W I rtcv lvluc a COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE. OWNER 'PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need .additional explanation, please contact this office immediately. /V0?ccs' 1 r 7-6 L trs�! V r 4 . �r Date Inspecto ( t REV 10/92 Y OWNER PERMIT NO. y` A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If ou have any questions pertaining to this matter, or need additional explanation, P, please cont this office immediately. 1:' t n J 71 r {. rte- , 'y r f•- gate 441 Inspector. REV 10/92 COUNTY OF. BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Y OWNER PERMIT NO. y` A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If ou have any questions pertaining to this matter, or need additional explanation, P, please cont this office immediately. 1:' t n J 71 r {. rte- , 'y r f•- gate 441 Inspector. REV 10/92 - .. � r . «rr _ ...,,�~..:ry-..il,n-+dy Y .-i(� •,fir --a^ �.:.: d, �.�"S--y,r.��' `;,,J, `i�.�,..► ^z�,�,;,3L COUNTY OF BUTTE BUILDING DIVISION ~ DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307' CORRECTION NOTICE '111, AT V 2Q. 40 OWNE PERM NO.:" A routine inspection indicates that the following violations of Butte County Ordinances exist at,: the above address and should be corrected. Please notify this office when correction of work is completed. If you have any..questions pertaining to this matter, or need additional explanation, i, y ease co ct this ice immediately. b- L� 116 jffl9, ALU.,1,oi'/vG t4- '= 711% _ 1 - v� 51 REV 10/92 A routine inspection indicates that the following violations of Butte County Ordinances exist at ?.ta the above address and should be corrected. Please notify this office when correction of work ae4 is completed. If you have any questions pertaining to this matter, or need additional explanation, : please c tact this office immediately. / . cj c, 14) �Sp� t&�l,rte 9-(A Date Inspector 1 REV 1042 4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 0 �12 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at ?.ta the above address and should be corrected. Please notify this office when correction of work ae4 is completed. If you have any questions pertaining to this matter, or need additional explanation, : please c tact this office immediately. / . cj c, 14) �Sp� t&�l,rte 9-(A Date Inspector 1 REV 1042 4 s. RESIDENTIAL 072-06-2-005 92=Mf)-7B; E—, ' HAYDEN, Stanley 26 Lost LN, Oroville add to garage 1- f .ti 4, '7 ' y #, JOB FINALED (Date) _ Signature V=OK O=NoiOK Not = Not Ready MOBILE 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /% "ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector -4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 P MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except h's j 1. Zoning -Setbacks -Easements -Flood -Slope I c. riy., mam, avna-oec. wnU.-i r rry. uCNui 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation io Da!O ?�rd B-1 Date Card B-1 Datd Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection t --------- ------ ---------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------ ------------- ----------------- ----- - 19. Shower Pan: Test. First Floor -Tub Access ---- - -- - 20. Test Tub & Shower, Second Floor -Tub Access ---- ------------------------------------ 21. Gas Pipe: Size & Anchors ----------------------------------------- ----------------------- Date Card B-1 DateCard B -t ------------------- ------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection .-------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------------- ------------------- ------------------------- •^ 25. Romex Installed Close to Edge of Studs & C.J. ---------- ------------------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- - - -------------------------------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size r ! ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - --------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------- ---- ------ -- - - ----------------- 33. Smoke Detector ------------------------ ---------------------------------------------------- Date Card B-1Date Card B-1 ------------ -- - ------------------- ----------- ------------------------------------------------- Date ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Ws 34. A.C. Ducts Insulation & Support ----------- ------------------------------------------- 35. Vent Fan Exhaust above insulation ---------------------------------------- 36. ------------------------------36. Condensate Drain & Overflow: Size & Grade ----------------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- - ---------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------------------------------------------------------------------------ -- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- --- -------- ------- ---------------------------------- 42. Draft Stop in Walls (rat proof) -- - - - ----- --------------- - ------------------------- ----------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ----- ------- ---- --- ------------------------------------------------- 44. Headers & Beam -Size & Bearing - .. Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49.' Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing - 51. Property Line Firewall & Openincs ---------------------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------- -------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Verts-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---- ------------ ---- Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tf's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------- 62. ----- 62. Smoke Detector -------- ------------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------- --------------- 64. Bedroom Exiting 65. G F.1'& Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. ---------------67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ------------------- 70 Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance --------------71. Elec_ Outlets & Receptacles at Kit Counter --- 72. Garage Fire Door; Swing -Landing -Closer ------ ------- ------------------------ 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb__Elec_ & Mech_Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes -------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters - ❑ Yes ❑ No 81. Stucco: Brown -Finish _ ------------- 82. -A.C. Unit: Disconnect. Electrical, Plumbing --------------------------- - - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ---------- --------- ------ 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------ 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House --- - ------ - ---------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections -------------------------- 89. ------------------------- 89. Gas Test -Meters Tagged; Gas-Electric ------------------------------------- 90. ---------------------------------90. Water & Sewer Connected -C/O tc Grade -HD Approval ------------- 91. Energy -Compliance -Certificate -Other Certificates -------..------------------------------- - -- -- DCard B-1 Date Card B-1 ---- ate ------------------------------ ---- -- --- ----- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,.•' COUNTY OF BUTT= - DEPARTMENT- OF,,PUBLIC WORKS PERMIT NO. •,t, f 7 County,Cer er Drive - Oroville, California 95965 - Telephone: 916/538-7541 .r w �I APPLICATION AND PERMIT- '- ASSrSSOR PACEL UMB R OWIFCS ZONING, AR BUILDING PERMIT OWNER - STANLEY HAYDEN (408) TELEPHONE 243-6079 SO. FT. OCC. BUILDING VALUATION 76 R 3 $76 OWNER'S MAILING ADDRESS •R 1310 MOYANN DRIVE SANTA CLAU 95050 '•• � ,. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ $76 4 LENDER'S MAILING ADDRESS' i Filing Fee $ 155.00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee - $ 26.25 Energy Plan Checking Fee $ 20+00 ARCHITECT OR ,ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _I 26 LAST LANE OROVILLE Permit fee a $ q3..75 15 PLUMBING PERMIT Filing Fee 15.00 t L Each Trap I 5.00 -- - Solar or heat pump water heater 20.00 LOTNO. A 151 SUBDIVISION NAME ORO WYANDOTTE FL, 05 PARCEL MAP 8-37A Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE }(( SF Duplex❑ Mobilehome❑ Other �3' • S-ECIFV f Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti lities ❑ Instal Describe work: .---ADD 2' TO BULDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW 4 I declare under penalty of perjury (check one): r ❑ I am licensed under provisions Of Chapt. 9, Di\.. 3 of the Business and Professions Code and my license Is In full force and effect. icense Jo. Classification I, as the owner, or my employees with wages as their .sole compen- sation, will do the work,and the structure is noa 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 Main service 200ATO1000A, _37.50 NEW CONST. I DWELLING OCCUP.e 3.64 q.ft. %•moi OR ADONS. t ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS J @ 5.00'' ;'+ PO ER APPARATUS & SINGLE OUTLET CIR. E 20 76 x. Occup OUTLETS OR FIXTURES AL 6 4F;1 FIXED APLNS Ex. Occup. OUTLETS P(RESI D.IREA.) I 3.00 s} Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 5.00 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. f2� shall not employ any person in any manner so Es to become. subject y� to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, shoulc you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Permit Fee $ a, 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 represent ati /es 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 allIiabilivties, judgments, costs, and expenses which may in any way accrue -against id County in consequence of the granti of this permit. ate Signature'of Applicant — Owner Co ractor.,❑ Agent An OSHA I permit is re uired for excavation over 5'0" deep and cemolition or construct- ion of structures over stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ ; Oe c $r;rPE �'�% TOTAL FEE .S `i31.25 t,Az DFEES IMP - FLOG CDF PARCEL PD HB IssuE �' This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do � work indic ted abo�or which fees have been paid. DIRsECTOR OF PUBLIC WORKS BDate PERM EXPIRES Date q - / U - 13 Receipt No. 123024• WNITE-D.P._W., FELLOW-A55[350R, PINK -INSPECTOR, Gala ENROD-APPLICANT V I • Insulation Certificate - BUILDING OWNER: — / / J/ /1 • BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) BUILDING PERMIT #:, Brand Name Thermal Resistance (R -Value) G CEILING nn ` Batt or Blanket Type �l -Pr/ (�'G �'S' Brand Name O lA> �T-S' �� l '� Thickness (inches) if�l !' Thermal Resistance. (R -Value) ' Loose Fill Type Brand Name Contractor's minimum installed weight) lb Minimum thickness inches Manufacturer's installed weight per sgtiare foot to acheive Thermal Resistance (R -Value) _ EXTERIOR -WALL /COU Material to �' �T `CL SSS- Brand Name - 0.- W -� �i Thermal Resistance (R -Value) ' Thickness (inches) �� — , RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches)-...rmal Resistance (R -Value) t Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Califomi Administrative Code. General Contr for (Builder) License Number • Q� D - Signature and Title ub Co r (Insulation Installer) License Number - Sign a and Title Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILD. JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 072 -062 - ZONING BfJILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG DRESS CONTRACTOR'S NAME )DOM OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee % ORIGINAL $ 128.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 26 LOST LANE OROVILLE. CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 148,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0[ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tr 7.00 Solar or heatpbtpp water heater 23.00 Water piping 15.00 Each gas water heater of .@nt 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others] Describe Work: 10TH RENEWAL OF 91-1280 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 500V OR Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L,pw,f.r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' co pensation t ovisions of section 3700 of the Labor Code, I shall fort c ply with o e provisions. '— D e _�� ViCjin�a_tiu of pplicant woWfier ❑ Contractor Agent An OS A permit is requirefl for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. Main Service o 46.00So Gr-U000A NEW CONST. DWEWNG UP. SO W: OR ADDNS. ( a ACC. BLD S. 3.5Q�: NOWREESID. MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDmJRES BAL g I. 0 Ex. Occup. oFUTi�is A� ° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICA PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 148.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have \ By \ / PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Date) Date Receipt No. 3q 3 0�_ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 :cv 12/96) V SES *Got ►AACa r01 OWNERU 7 "01s ww AO a"y�o5 l OWTDACTo.1 Nns! _o•rt NCroOIl WAuw ADonESS c^a s WLANG ADORC/t Y Center Drive • Ciroville, California 95965 • Telephone (530) 538 75g1S10N APPLICATION AND PERMIT Oa-03P� (o gamma BUILDING PERMIT Tao.oNE $Q. FT. OCC. BUILDING VALUATION ucEraE 40 'CKECT OR ENO&UM's www ADOPZSs vla«O ADO RESS ir#4 1 suemoON1PMYE USEOFSTRUCTURE F� Duplex O Mobilehome O Other TYPE OF WORK ;ew O Addition ❑ Remodel ❑ Utilities ❑ inaas0ation ❑ Other esc(ibe Work: /00 01 h0. 1n_ 0 "PERAUT FEE PAlb SRA SHERIFF 0TWR AAi bVNT RECEMb VAP tEOCIR)" was TO eE F r mgro cowum NO Fireplace Filing Fee 20.00 Main Service Total Valuatlon I S Temporary Service 23.00 Filing Fee E Main, Service -z- Permit Fee /-z- 48.00 20 00 Plan Plan Checkin Fee S wwREs�o Energy Plan Checking Fee S S PERMIT FEE S O C) PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat purn water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gag piping system 1 • 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE I S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 80' 04 'Ell Temporary Service 23.00 200A OR utas 23.00 Main, Service 200 To IOWA 48.00 HEw co�sT. OR.DONS. OWULM occur. s Acc. eED9. 3.St`° wwREs�o wuln.OVnEi @7.50 Ex. Occup. ounzr OR PDCTMIE7 " a 1•00 SAL s0 Ex. Oceu o ru°, 0,o EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.001 PERMIT FEE S MECHANICAL PERMIT Filing Fee 1 20.00 Heating e.50 tilation PERMIT FEE f Mobile Home Installation Fee $ Energy Inspection Fee S ccc��+T TMPD TOTAL FEE S KAZ. 0. PCE! I WP I K000 I CDP I P.RGEL Po I rO 1 6561 This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Rescilutkons to do work Indicated above for which tees have been paid. By PERMIT EXPIRES ON Oats �— . , Oa s.— I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 13 l� I HAVE HAVE NOT 1 signed an application for a building permit for the proposed work. \3. I have contracted with the following person (firm) to provide the propos construction: NAME: - ADDR' S: CITY: / PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide po 'I s of this work, but I have hired the following person to coordinate, supervise, and provide ajor work: / NAME: ADDRESS: PHONE: CONTRA'S 5. I will provide some of the worut I have c the work indicated: / CITY: OR'S LICENSE NO. NAME ADDRESS PHONE �D: _2e�� PROPERTYONVNER: // SOCIAL SECURITY NUMBER: 5ATE: 4_2e�_ c the following persons to provide TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 198.31. 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. OVER OWNER BUILDER INFOR1vIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+Mg-erC,iB4uiA1di:n�g VB.O. Inspection NOTE: This Owner -Builder Information is required by Section 19830 ojthe Calijornla Heafth and Safety Coda OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541MY NO. (Rev. 12/96) APPLICATION AND PERMIT d/` ASSESSORPARC, i�(MB�{i62-005 US /TAAN�LfEY ZONAR BUILDING PERMIT OWNER HAYDEN TELEPHONE SO. FT, OCC. BUILDING VALUATION .OWNERS MAILIN DRESS ' 5 MELROSE M, OROVILLE 95966 CONTRACTOR'SONAME ER WN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 26 LOST LN, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 119.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other - SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK NewZAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 9TH RF,NF.WAT, PERMIT Al-19Rn CnO-011171 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO I000A 46.00 NEW CONST. DWELLING DOC P. OR ADONS. ( & ACC. BUDS. SO 3.5¢Fr. N.M.REs, T MULTI -OUTLET @7.50 d SINPOWGLER E OUTLET CIR. APPARATUS Ex. Occu OUTLET OR FOcruREs 20 @ 1•00 SAL @ .50 FIXI Ex. Occup. (OUTLETS RES D.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with those provisions. X Date ms's ° G _ Signature of Applica - B' Owner Contractor ❑ Agent An OSHA permit is re ired for exc tions over 5'0" deep and demolition or constructio of structures over 3 ories in height.W6�_._Date Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 119.00 FEES IMP I FLOOD I CDF pARCEU PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. ll PERMIT EXPIRES ON 1-7-02 Date Receipt No. '— WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION / 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-541 PERMIT NO. (Rev.12/96) . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-06-2-005 ZONING Al� BUILDING PERMIT OWNER OJANI Ey HAYDEN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 905 CONTRACTORIROSE DRIVE, OR(Wil-l-RE 9-59-66 'S NAME TELEPHONE CONTRACTORS MAUJNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ORIGINAL $ 128.00 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ �11LD1"�6° tT LANE OROVILLE CAgy Ener Plan Checking g Fee $ $ PERMIT FEE 148.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑K Describe Work: 8TH- RENEWAL/91-1280 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height. Main Service tow TO 46.00 NEW CONST. DWELLING OCCUP. SO CCU000A .50SQ OR ADDNS. ( & ACC. BIDS. 3.5QFT. MJOµp�Ip T. MULTI.OUTLET IJ QUITS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL O I.00 .50 Ex. Occup. OUTSETS RESIpOEAPPLNS.Rn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 14R nn IMP I FLOOD COF PARCEL I PO HD I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 1/7/2001 Te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7+�R IT NO (Rev. 12/96) APPLICATION AND PERMIT j— (1 17 ASSESSOR PARCEL NUMBER 072-062--005 AR ZONING BUILDING PERMIT OWNER HAYDEN, Stanley TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 205 Melrose Drive, Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee 1 Original $ 128.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 26 Lost Lane Oroville Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: 7th Renewal of Building Permit #91-1280 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A VOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 41 for the following reason: t I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' Com ensation ovisions of section 3700 of the Labor Code, I shall forthwi h cc N with a provisions. ' ate FF4Itg'natufof ppllcan O ner ❑ Contractor ❑ Ag An OS permit is required f excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BUDS. SG 3.5¢FT, MULTI -OUTLET 97,50 NON -ID. 8 SINGLR AE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 B @ 100 Ex. Occup..50 GFuc�°rs(RR�D°En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 11 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 148.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD LSSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By PatteeR PERMIT EXPIRES ON� I I IData Receipt No. 3777 to WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary dela3i' in processing and issuing your building permit. No building permit will be issued until this, verification is received. fr 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES* NO 13- 2. I HA HAVE NOT 13 signed an application for a building ;.�- , `.. fit` � gn pp � g permit for the proposed work; 3. I have contracted with the following person (firm) to provide the proposed_ construction: !�: NA E. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this .work, but I have hired the following person. to coordinate; supervise, and provide the major work:: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK ` *SIGNED: - PROPERTYOWNER: SOCIAL SECURITY NUMEAR:_ DATE -- NOTE: This Owner -Builder Verification is required by Section 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. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property.. improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry oflecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business �V license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should. be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you'are subject to several obligations. including state and.federal income tax:withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions: ,. -.:.. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific informatiori about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform. their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!grs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm that you_ are aware of these matters. The building permit will not be issued until the verification is returned. +trely, Vi iia,C.B.O. uilding Inspection /VOTE. This Owner-Builder.Injormation is required by Section 19830 of the Californla Health and Safety Code. OVER COUNTY OF BUTTE -DEPARTME14TOFDEVELOPMENT SERVICES -BUILDING ' IVISION 7 County Center Drive - Oroville, California 95965 - Telephone (9163 -754 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT � _012 44 ASsE6s U ff65 ZONING AR BUILDING PERMIT OW"'TANLEY j�AYDEN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN26rtMME DRIVE, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. —Filing Fee. $ 20.00 Permit Fee p $ 128.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 26 LANE Energy Plan Checking Fee $ LOST '+ $ PERMIT FEE s 148.00 LOTNO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 Describe work: 6TH RENEWAL 91-1280 (5TH 97-0042) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. s0 3.50FT, NEW NON -R SrID. AHST. CUTLET 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDR SAL 2L I.0° l @ .so APPLNI Ex. Occup. OUITELETS RES,n.oE.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 4forltwith omply wi h those provisions. �of X Date —. i� Sf Applican - ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. rt PE TOTAL FEE $ HAZ. o. FES IMP FLOOD COF PARCEL 'PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolut(6ns to do work been paid. Date 1-7-99 Data Receipt No.; 3/°) 2—V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 1X- NO ❑ 2. I HAVE O� 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5.. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: Ce yi, SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 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. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��_ 0 _ _ ASSESSOR PARCEL NUMBER 072-060-005 ZONING AR BUILDING PERMIT OWNER STANLEY *AYDEN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 205 MELROSE DR OROVILLE, 95966 CONTRACTOR'S NAME OWNER 1V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNI(VOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 128, 0 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 26 LOST LN PERMITFEE $ 148.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF)p Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1k Describe Work: STH RENEWAL #91-1280 — (4TH #96-0186) Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( zoOA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ..J I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec., Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLET SUS ) 8 Ex. Occup. (ourlFr OR FDCTURES ) BA20 L @ 1.50 .SO EX. Occup. ( OunFDrs PES ..OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure .for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall X-1 `not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' cc Sensation provisions of section 3700 of the Labor Code, I shall fort ith cc ply with se provisions. X Date -ly— SWat of App (cant Ow er ❑ Contractor ❑ Agent An OSH permit is required for a cavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 148.00 Jd HAZ. I D. FEES I IMP FLOOD I CDF PARCEL I PD HD IS E This permit is hereby issued under the Butte County Code and/or in indicated above for which fees have By PERMITEXPIRESON 1 798 I the applicable provisions Resolutions to do work been paid. Date 23 77 (Date) ReceiptNo. 209653 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .ww.•w«.-ws•�..'N-�wr•cIF'tc.:aa'h�:ay'�.er^c,w�s4r�;4'.`,�fCi�r��J�+S�*tRs._�`�`7*�jr�Ey+�'�^�s%adk�Y'r,`^�.;.r"K{Rrlt"�N.:1'"�g'r'`irHoc.Yi.L.r c.•�:.r.,_rn.:�., a C.OUNTYOF'BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION OWNER 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION-DATASHEET 0.5Pr�t 0 4a V C/o- 1 P. o. 0�; -o 100,5- Proposed oposed Building Use F h � tljo, Building Inspector 616 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. All items have been submitted . ............ r............................ Plot plans, 3/4 sets, signed by preparer of plans 21: Contractor's license information. (No., Name Style, Classification) . .............. . .......................;�5r 3. Complete plans, 3/4 sets, signed by preparer of. plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............... I ........................... . 6. Energy Design Compliance and supporting documentation ................... . . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ t.�. 15. City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: r-18._Contact Land Development about (A) Improvements (B) Drainage. ......... . - 19 Driveway permit (construcii n proval requ' ed p for to occupancy) �. uest Pre -inspection foryd b S ! G 7 required. .. o e�°Id g Inspector (Date) 21: Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28.. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ......... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ..................................'".'.. . 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p ckup at office. Deliver with inspector. Other Parcel Creation l _ Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works O.B.-1 {ii:i:t.:::j{v::::t•T:S, ii:}:;y`•;•:?o;•}:v: .. . n,:n•. ..•: Ut •y::.:::..:.:::. i.:....................................................:.... }. ::•. •}.: ...: .::. ... ... ..A r: } Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No'building permit will be issued until.this verification is received. 1. I personally plan 'to provide th r abor and materials for construction of the proposed property improveme t :YES[ ] NO ]. 2. � I HAVE[---]- HAVE NOTMed ed an application for a building permit for the .proposed work. .. 3. I have contracted with the following person (firm) to 'provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: y %� SOCIAL SECURITY NUMBER: DATE: 7— ZZ NOTE: This owner -Builder Verification is required by Section 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. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on'all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed, as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. M" �n�rel , ` _ Z11 W� Michael C. Vieica, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL UMBER aDH'ND BUILDING PERMIT OWNER M TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS ADDRESS CONfMCjQR'S NAME to 1111111 ft TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRU0 LENDER ✓/V/ UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 4)10 MCHITECTpi�ENOINEER �� ucENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE PLUMBINGPERMIT $ .610 Filing Fee 20.00 rig V Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF YDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other)( Describe Work: J �4,e„ 4A80 Mobile Home IS I GI W1 920.00 - PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ` © ♦ Main Service ( aoov OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) NEW CONST. DWELLING OCCUR OR ADONS. ( 6 ACC. BLDS. 46.00 SO. 3.52 FT. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION khereby affirm under penalty of perjury that I am exempt from the Contractors License �w for the following reason: f, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended cr offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly with ose provisions. X ____ Date �L_._— 2 _ Signature f Applicant - ❑ O ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over.3 stories in height. NEW CONST. ( MUNLCTHCI,RCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 @' 00 SAL 0 00 OR Ex. Occup.FIXED APP OUTLETS (OUTLETS (REBID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. D. FEES' IMP FLOOD CDF PAR";�7HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON _ the applicable provisions Resolutions to do work been paid. Date (Dale) No. 9096110 ......�� .... � � n n k1ADv.AQQrc%AnR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT O� DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-75rl,o _ 1->/��(/ NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 79=069=005 ZONING AR BUILDING PERMIT OWNER STANLEY HAYDEN TELEPHONE SQ. FT. OCC. BUILDING VALUATION 126 CDECK 1638.00 OWNERS MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 26 LOST LN PERMITFEE $ 194-35 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ XDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED DECK #96-0186 Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service / a OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .CSI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a Blas. ) so. 3.5¢ FT. NEW CCNS. TI- ONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) BA2L 0 I•50 L .30 Ex. Occup. (outtEEDrs P sE o.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section •3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I Shall f hwith comply with those provisions. X _ _Date • Sign ure of AppliQa Ow r ❑ Contractor ❑ Agent An OSHA permit is Vquired fore avations over 60" deep and demolition or construction structures over33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 84.35 HAZ. D. FEES KMP FLOOD CDF P C PD H IS U This permit is hereby issued under the of the Butte County Code and/or indica above f which fees have .- By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. 511-51-nof Date � 1J� �7 (Date) Receipt No./7552-� .D.9.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -o 6z o ZONING BUILDING PERMIT OWNER / s 71'x. `. TELEPHONE SO. FT. OCC. BUILDING VALUATION zC C� OWNERS MAILING ADDRESS Zro 7 CONTRACTORS NAME r TELEPHONE , CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3 S.CJ v Filing Fee $ 20.00 LENDERS MUNG ADDRESS FJ Permit Fee $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Pian Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE -F DuNiax L; ivlobilel-Iorne C Cther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 E•.00 I Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ /l— Describe Work: `--® �,L.p � .� / P,n � Mobile Home S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 - Main Service OOOV OR LESS ( 2OOA OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURS oR ADONS. ( a ACC. BUDS. ) O. 3.5¢ FT. NEW CONST.MULT I.OUTLET NON RESID. ( BRANCH CIRCUITS ) 07.50 POWER APPARATU ( & SINGLE OUTLET CSR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. FIXED 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and polir•;r number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor - — Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 64 I HA2. P. FEES I IMP I FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo.�� Z WHITE-D.D.S.-B. D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _,,,y„Sw�:.�{:�[++dry'*t':.►R1+'f�t:�i*'a'1"51+3Nf'%�FS-r93:. rYtiiC�pYf�'�.is'��_'�"�':�{`�j'A'�Gt�r+rnrs?Wpm'�k4#�i'(►+7.Yiti`�ei�'"vit��'.�.,,�t.:.it:�iZ+:�i=?vi:: l COUNTYOFBUTTE - DEPARTMENTOF_DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER `J • Proposed Building Use Building Inspector A. P. No. %Z - b �-6a5' Date 11C At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY/ 1, All items have been submitted . ........................................ % 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........' 10. Fees of $ .......................................... d 11. Impact fees as shown on attached schedule . .............................. r 12. California Department of Forestry plan approval/fees. r 13. Jood-elevation letter (100 year flogcby�California Engineer .................. . . Sanitation and plot plan approval �-�'� Health Department . ........... . 15. City of Chico plumbing permit...........................................7: . 16. Plot plan and business license approv 1 from City of Biggs/Gridley. ............. 7. Planning approval for (A) Use: (B) Parking: . ......... r; 18. Contact Land Developmerit.about (A) Improvements (B) Drainage. .......... . t 19. Driveway permit (construction approval required prior to occupancy). . . Frednspectionrequest } 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. No., Name Style, Classification . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34: W e , you issue the_permit, ocess as follows: Mail o owner. Mail to contractor. M. Telephone-") �(' '/and hold for pickup at /'b office. Deliver with inspector. Other Parcel Creation Acreage pplicant KDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollut'on Date - Copy of plans sent Health Dept. Fire Dept. Other ate By The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor; designer, owner, was advised of above required data by _ phone _ mail Countefj by Date Plans checked by Date Plans approved by /6 I Date 13 - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Plot Plan AMbcW _ Floor Plm Aehc6ed _ stet to B.D. �'— TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance f ,!�byi I -e �6,a o Y-)-- )n+ i o—K, 7c9 —6 Owne Location A Plan Approved for: Sewage Disposal k_ Water Supply: Public Privali Clearance for mobile-home.(e Hold final for: Final clearance O.K. for: NOTE: Y'YIOA J-4 Environmental Health Specialist 4/00) ,(. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ma or labor and materials for construction of the proposed property improvement (Y—ESD ] NO[ ] 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: - - PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE F;'_° NOTE: This owner -Builder Verification is required by Section 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. � •7 0i . j- + eti h thP _kmt o jo I mame any 'Phanges 1 md mi na-ama a peoll ai all times And It is 'io 'aft, prat on� ons WT unipwN � le" c yif - pe".MISS101-fr Pubk Wotks, m Oe i Dei of OU4. 1 mt TM- I- B I I! I i i� !!� t � I I j� ALL 9TRUCTUM AND EQUIOMENT!'INCLUDINS 01 ERHANC#8 SHALL. BE CLEAR OF ALL �ASEMENM. A Off, SACK'OF:� FT. FROM THE 9,100 AND - FT. FROM THE REAR PROPS Ft FROM THE ROAD CENTEPILI ZRAI cw sTpu&ruFtEs AND EOUIPM LINES AND E §NA�LSE NT. EXOM Al2 FT. E1V� OVPRkN(3. + ( ( I O M - _ . Op - - _.. --BUTTE C( )L irr A.1 446 B(J I U 'A _RTf VEI �F 7- 7' T7r F41TILE- CO'tq- - -- - - - - - - - ALRO rob 2.. XG Lf V6 d s 01• - 5< go (4,0 41 Z e�) 'Ft 'R'ib–cognizad o gra i and I �•:a ce of; a qu cl reser; 8 ro Me p d se in tie ni -um fo. bi ati"al E*triral'r�% e. and the e. i Y V N� I DspART'.'.Vl, 1-7 0 ,61 —All atpfi-ol COUNTY OF BUTTE- DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISIO 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 8 ASSESSOR PARCEL NUMBER 079-06-2-005 ZONING BUILDIN PERMIT OJlANLEY HAYDEN HE& T E SO. FT. OCC. BUILDING VALUATION '7n , DR, OROVILLE 95966 CON"'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $--T28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BuPh,NG fdff LANE, OROVILLE L PERMITFEE $ 148.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: 4TrI RENEWAL/91-1280 Mobile Home I S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 3RD RENEWAL -95-0020 000VOR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter commencin with Section 7000 of Division 3 of the Business and Professions Code, (g ) my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. ) 3.SQNEW CONST.MULTI-OUTLET NON-RESID. BRANCH CIRCUITS @7.9 POWER APPARATUS �8SINGLE OUTLET CIRand ;Fr. Ex. Occup. ( OUTLET OR FIXTURES 20 @ IBAL Ex. Occup.FIXED APP WS. OR ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor .E WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation p3ovisions of section 3700 of the Labor Code, I shall th co ly o provisions. 4.:9 X pate L � -�v-- R4, Signa r6 of Applicant - ner ❑ Contractor ❑ Agent An OtHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. 11 I TOTAL FEE $ 148.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY ti� PERMITEXPIRESON 0 1/7/97 applicable provisions Resolutions to do work been paid. elf 10 Date _3 ' (Date) Receipt No. iV d Q 3 WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the . r labor and materials for construction of the operty improveme t : YE ) NO[ ]. 2. I HAVEpwor]k HAVENOT[ signed an app:ication for a building permit for the p . 3. I have contracted with the -following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS. PHONE, TYPE OF WORK SIGNED: ?j PROPERTY OWNER: SOCIAL SECURITY,NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 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. OVER 0 ?2_.o42_o4.5— O.B.- I a.+.v::;,;. ::•:•:: :.::::::..v+ f::v .. C. y:\ 'C; �: `:!nJ ;;yr;::., .,.3::: •.{:.:.:., +.f:{ :.,,;.:.:v +..}:'+; ,....;{+`{;::::y'.�;::{`.X+. .:.::••,?� a�hgt��\.1..�::\3..•+:.:2.,�...\•.k�Cr':::ti::.....::....ttv:::;.::a....:�:i•.`:::ii::::::;i:��;\Ca\G:.\::4{t:•�\' ..iGr<�• ..{. '..�a`.. Zvi\^::: ••. 4\:T h{ti;: • ':}••\ > ••?:. I .J.rf. :.•f. A :::Viii is .{ v Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the . r labor and materials for construction of the operty improveme t : YE ) NO[ ]. 2. I HAVEpwor]k HAVENOT[ signed an app:ication for a building permit for the p . 3. I have contracted with the -following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS. PHONE, TYPE OF WORK SIGNED: ?j PROPERTY OWNER: SOCIAL SECURITY,NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 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. OVER 0 ?2_.o42_o4.5— O.B.-4 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuiider" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm. that you are aware of these matters. The building permit will not be issued until the verification is returned. S*nccreI ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,yCalifornia 95965 - Telephone (916) 538-7541 - PERMIT NO. APPLICATION AND PERMIT /2�ZY- yds ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT JIANLEY HAYDEN E SO. FT. OCC. BUILDING VALUATION '7n 71ft �S` DR, OROVILLE 95966 Cm{I S NAME 1 f��( TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER` UN1wOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $-128.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUfNGfflLANE, OROVILLE PERMITFEE $ 1 8.U0 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL -MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑U Describe Work: _4TH RENEWAL/91-1280 Mobile Home ISI GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 3RD RENEWAL -95-0020 Main Service ( 2o0A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.so OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( SFS NGLE OUTLET IC WER R. ) Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. ouTLEt-Drs (RESID ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ ' 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so'as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ate Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 148.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON 1/7/97 applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. t APPLICATION AND PERMIT C?q- 0 q S• l ASSESSOR PARCEL NUMBER 072-069-005 ZONING AR BUILDING PERMIT M_ OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2n9 Melrose Drive, Ornuillp 9S9 6 2ND RENEWAL CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS .,, Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fe !@ Fee $ 128.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking -Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 26 T,ost Lane, Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome ❑ Other New Single Family Home SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition 1:1Remodel O Utilities ClInstallation ❑ Other 11 Describe Work: 2nd Renewal Of B. P. #91-1280 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (1st Renewal was B.P. #92-4231) Main Service BOOV OR LESS ( 200A0 LESS 1 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. S0. OR ADONS. ( & ACC. OLDS. 1 3.5C FT. CON TRACTORS LICENSE LAW I declare under pVaty f perjury (check one ❑ 1 am a licensed under provisions o Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification *, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) nder Sec. Business and Professions Code forthis r ❑ 1 am exakralty NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS 1 @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 021 @ 1.0000 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare and of perjury-(ghgrji;.. )•- ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above informationis correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou;:&quence ofthe a ing of this permit. n�j Date / L(�* Signature of Applii6a Ow C An OSHA permit ' required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 148 . �� HAZ- D. FEES IMP FLOOD]COF PARCEL PD HD I U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ' DIRECTOR OF PUBLIC WORKS) d By A V Date PERMIT EXPIRES ON /(De tel `7/ Receipt No.' 1>�y o,76 C/. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -AP PLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTE . DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT -APPLICATION DATASHEET OWNER �rT/ �1� de,, A. P. No. • • 7 - M2. EJ08-' Proposed Building Use uF 4A Building Inspector Date 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. , 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. ; 8. Engineered truss details and layout in'duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10.' Fees of $ Y. . . 11. Impact fees as shown on attached schedule. 12 California Department of Forestry plan approvalifees. _.. 13. Flood elevation letter (100_ year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style,'Classification). .. _ 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner . Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. ` 33. 34. When you issue the permit, process as follows: V Mail to owner. _ _ Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications•for'which a permit his not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued,"and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds'can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not, refundable. Original - Applicant COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building -permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not). sign.ed_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 Number — -- Date %/ —04 -- 4 � 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. COUNTY OF BUTTE - DEPARTMENT OF DEVkLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-062-005 ZONING B NG PERMIT OWNER e TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 209 METROSE DR OROVITTE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER , UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 26 10ST IN PERMIT FEE $ OR014TI IR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF CXDuplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel C]Utilities ❑ Installation 1:1Otheryd Describe Work: 3RD RENEWAL B.P. #91-1280 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (2ND RENEWAL B.P. #94-0045 Main Service ( 111V OR LESS 200AORLESS ) 23.00Main Service( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) So. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occup.FIXED APPWS. OR ( OUTLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑This permit is for $100.00 (valuation) or less. (:II have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen ,costs, expenses which may in any way accrue against said �ntyinnse ence of grant, g of this permit. Date / at e o pplicant ❑ 0 er El Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ u4R nn HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ve for which fees have been paid. Date , 90 PERMIT EXPIRES ON arel Receipt No. 17/D66 WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 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 Contractor's License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Propf Socia 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCELNUMBER �7 r1 _ / _- zOI+ING 4 112, BUILDING PERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION oWNER's MAILING ADOn�/� ;20 Sr, /% CON TOR'9 NAME TELEPHONE CON TOP'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENOWS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing tee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFDuplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel 01tilities O Installation O Other Describe Work: A / L.L_ PERMIT FEE S Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'V OR LESS I 200A OR LESS ) 23.00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( 6 ACC. BLDS. ) g0, 3.50 FT, CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET •NON•RESID. I BRANCH CIRCUITS ) @7.50 POWERPARATUS ( & SINGLE OAPUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occup.FIXED API INS. OR I OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood Ventilation H650 PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the Count of Butte 9 Y P y against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner G Contractor O Agent An OSHA permit is required for ex-avations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ• I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON erel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT COUNTY OF BUTTE - DEPA.RTNJNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMITgall ASSESSOR PARCEL NUMBER 072-06-2-005 ZONING 1 AR BUILDING PERMIT Sl.ctllley Hayden TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 205 Melrose Drive, Oroville, 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ —728 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 26 Lost Lane Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF)M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [JX Describe work:.. 1st renewal/91-1 ?80 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury 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. License No. Classification IN 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST./ DWELLING OCCUP.III\ OR ADDNS. 1 ACC. BLDGS. // 3.6Q sq.ft. NEW CONSTR. ULT"OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with -such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, j dgment , costs, and expenses which may in any way accrue t s d E my i o sequen of the granting of this permit. X Date -/� Signat re 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 143.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD IS/ This permit is hereby issued under the applicable provi- sions Of Butte Count Code an Or solutions to do work di ted a e which s ve been paid. DI OF Uc Rv By Date 12/3/92 PE EXPIR S Date 1/7/94 Receipt No. �L WHITE-D.P.W., YELLOW -ASSESSOR. PI K -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. S 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) AW"e:L 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,W/e'/'ee_t2 Social Security Nu&ber12r� Date 40 — 3 — 9� 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. COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS 7 County Center Drive - Orovllle,tallfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 072-062-005 ZONING AR BUILDING PERMIT OWNER STANLEY HAYDEN 408 TELEPHONE 243-6079 $Q. FT. OCC. BUILDING VALUATION 76 R 3,876 OWNER'S MAILING ADDRESS 1310 MARYANN DRIVE SANTA CLARA 95050 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,876 LENDER'S MAILING ADDRESS Filing Fee $ j5.00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 26 LOST LANE OROVILLE Permit fee $ 113.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. P 151 SUBDIVISION NAME ORO WYANDOTTE FL #5 PARCEL MAP 8-37A Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition 0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ADP 2' TC BUILDING R - P 1 7R(1-9 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW ' 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. Icense .Jo. 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 Main service 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLOGS. // 3.64sq.ft. 2,50 NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS 5 00 POWER APPARATUS ' SINGLE OUTLET CIR. t2,O EX. OCCU p OUTLETS OR FIXTURES 76 Ex. Occup. OUTLETS FIXED P(RESID )REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 17,50 — 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 f Consent to Self -Insure. shall not employ any person in any manner so as to become subject the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information. is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabil ies, judgments, costs, and expenses which may in any way accrue against id Count in conseque ce of the granti g of this permit. X ate 3 ' Owner o tractor ❑ Agent ❑ Signature of ApplicanV,' An OSHA permit is red for excavation over 5'0" deep and demolition or construct- of structures overries in height. 1 Mobile Home Installation Fee S Energy Inspection Fee $ 5 S�' T YPE V TOTAL FEE $ 131.25 r1Az DFEES IMP FLOPI CDF PARCEL PD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Workindi d bo orwion E OF PUBLIC By cT1 P R EXPIRES Date applicable provi- resolutions to do WORKS Receipt No.] a392/F WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;1-.1lCOUNTY OF BUTTE - DEPAF,TMENT-'Off UBLIC K - •. t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA -915 F� OWNER Proposed Building Use PERMIT APPLICATION r rs� - BUILDING DIVISION ONE (916) 538-7541- / �� DATA SHEET Building Inspector No. 72-66 Z -G 0,S- Date SDate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. ........... �sa 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ........... 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0. Fees f $ schedule .......... 11. Impacttfees as shown on attached schedule. ...... ................... . 12. California Department of Forestry plan approval/fees. ....................... . Flo elevation letter (100 year flood)�fornia Engineer . ............::: anitation and plot plan approval Health Department. . 15. City of Chico plumbing permit ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. Pre -In ... ... q, i ction reues- 20. Pre -inspection for required. . . to BuildingspeInspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... -' 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ ` 24. Recorded copy,of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 25. Co of recorded Copy deed,of4parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ............. 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33 34 f ti Whe ou issue the permit, process as follows: Mao,o Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant.>4r,5,4;!��Ae,�e� Date Copy of Haz-Mat form sent -Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other . Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counts b _ Date Plans checked by Date Plans approved by D� �Date y Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J TO FROM: SUBJECT: Buildinq Department Environmental Health Sanitation Clearance .�y -" r Location AP# Plan Approved for: Fold final for: (Clear'�ce Final clearance O.R. for: for<�bedroc NOTE * * * Sewaqe Disposal, Water Supply Water Supply Water Supply �ZdILZ ate Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California, 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER_ O� _ .�� ZONIrJG�� r r BUILDING PERMIT OWNER r IV ItA (3e TELEPHONE 3- (00717 SO. FT. OCC.1 BUILDING VALUATION 6 OWNER'S MAI ,114G ADDESS D r AiA/ al- tit C I; 9565 CONTRACT R'S NAE OW/V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ rJJ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee PLUMBING PERMIT $ - Filing Fee 15.00 BUILDING ADDRESS a& L o5r E ,� Each Trap .00 Solar or heat pump water heater 20.00 LOT CN O. T f 5 SUBDIVISION NAME o PARCEL MAP �'5 A Water piping 7.00 Each qas water heater or v 7.00 USE OF STRUCTURE SF [V—Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - utlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition Remodel❑ZZ UtiliUtilities[]Installatii�on❑ Other Describe work:Ar'.t'r 2' +0 JUU1 di)C, 8.P# �(Py�l -q% _ Pe Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 OR LESS Main service 200AORLESS 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 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 oR AODNST ( DAC ELING CLBLOG SCCUP.E\ // 3.60 sq.ft. NEW CONSTPL ULTI•oUTLET NON.RESI D. BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS e 1 SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 ARA FIXED APLNS.EX. Occup. OUTLETSP(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 1 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g I Hood 6.50 Ventilatio Permit ee $ Con actor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz OFEES I IMP I FLOOD I COF I PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt NO. A'NITE-D.P.W., YELLOW-A9e ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT AL Art � t� - ,. �• "® .�' ms'sAX --> =�F/ • •• L -LY .<C- OCL • moi' - "w i � � cc..w` r� 1. + •' '.' ,, { �V tf t ♦ I r t Y f y} t' • 'V • � t. a •• , «d-'�i• .t ..t �� m® � t ' T k,l � ♦,4 Mi � ry r- � /�� r 2 ....:. ,,. .:-t .d'+y� 'w'JL. - Y; � ..� � � .� , � y * . i ' 1 .. ti � r• ��t 'L -rr:..y � .-� r; r +rasp '� ej• _ It ! � ' Z t.. J t� � - S. i' rj Vit.. yA �;.1., •.w. ^+Y w�. �'�..�.-.�-.:�.,�.,..���5���, #;t'" SOY � �'t'`T �"��� . ar'a r.. •: • r ; Wit.. _ st s• fi. `C���.r-.u'`��'� � k f'' ..�t�� ' K �.s. " 'L'' 4 ',,µ�`t � �ia.- �r r •� r'E ���� � "- F fit 1r i � � `� •� � t-. , Lot .3, 1 t^t•y r 3 �� .�, �__._ _.-_._ .._.___.__._,_,. t ° ice.''♦' rn ��' � rsl '�� ., .• `'t; y y _ y w.s J ' �• - 4 i t, .`.• � 1. - =3'�' - f �'.7 t ��t ., 7' 4. is !'a . y�t >- s},.� t - . � 1 . .•,� !. ' :fiw �' � ".."�` i�ip,�y;,,� t. i�•;--,._. i. �.•a�.�"-r..- i,�j•. `t"r,-•F"'l.'-�P ��Z`. R,''ii���.l•'�r:: "'`.4 .5,.�`i�:r �.-� '��-.� Li�xi.��l..�!,M-Y:'�•. .F.::'R 9 ir it ,.. D F iT. * rr ` } � r. Iri C n =1 �c tP --- rl r c " N � N , ;� in,m -.V s r 3 t ► r., ;1 N N �� I� y 1 T K i O)o ; LP X� l� o r -� Tr Z • r nnL n� r 43 7rl n i U�C- c m i °IT C- I ^t m m ACL iof v o � j I c IFIr= 71 ! y • � ` ,y�'p b ►y 6 r v n z-oA,9 -ni � r io T� CndN T 9 S1iLDING p EPARTMGNfi APpp® c.D .-,p7a,....wo'j .t.. �,,,.� ..tib .� .- ,. . �:_) .- � -. i.,r rw ",y .'i'r-X+ly�:�,yYj .fY •.,..•. . i BUTTE COUNTY SCHOOL'S IMPACT FEE CERTIFICATION FORM • (One Form Per Building) i t School District Wo C<E/PICIV PR y Building Department No. A.P. Number 72- 00- GQS Jurisdiction 0 City E:Q�Ounty Property Owner ST4 / (- e ,% 1-14 YbC—A Property Location/Address Z& 6 0 S T C,41VC Q-ko r Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R) j Units r' Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) 9- -z /, S Z Date District Identification No. �I-�-�2 Y cam, School District certifies that pplicant) Q1 (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ 4&1-1 representing �% e!o square feet. Y1 ' Date trict Representative o Paid by Check Number 'Bank Number Paid by Cash Remarks: �soo If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center DriOe • Orovllle; Callforyla 95965 - Telephone: 916/538-7541 •r APPLICATIONJAIVD PERMIT ASSESSOR PARCEL NUMBER 72-062-005AR ZONING BUILDING PERMIT OWNER Stanley Hayden 408 TELEPHONE 243-6079 SQ. FT. OCC. BUILDING VALUATION 684 R 34.884 1 OWNER'S MAILING ADDRESS 1310 Maryann Drive Santa Clara 95050 400 M 7.200 CONTRACTOR'S NAME Owner TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1 500 CONSTRUCTION LENDER None UNKNOWN Total Valuation 1 $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 256.00 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ 19.60 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Lost Lane Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 4 2.00 8.00 Solar or heat pump water heater 20.00 - LOT NO. /S SUBDIVISION NAME PARCEL MAP ,� IA Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF)M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home I S I G I W O.00ea TYPE OF WORK New [a Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: gt,J s i-ja�.=�e o Permit Fee $ 38.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100v OR LESS 10.00 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): ❑NON•RES'D 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) ❑ 1, 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.&) yzQsgft 27.10 OR AODNS. ACC, SLOGS. NEW CONSTR. U T' -OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. OUTLETS OR FIXTURES EX. Occup( BAL030 ALe3o FIXED PR Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 Permit Fee $ 59.60 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code,.you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL P MIT FiIingFee 10.00 Heating WALL Cooling Ou Hood 3.00 3,00 Ventilation - - Permit Fee $ 19.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County in consequence of the granting of this permit. �! C Date T Z% ` /� Signature of Applicant OwneLo 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 $ 30.00 Energy Inspection Fee $ o co PE E TO L FEE $ 5 5.60 - HAz. �, cuA PARK sc f FLD �. PAR PD I H Issu . This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicate above fo which fees have been paid. R. T F PUBLIC WORKS By h?��fpa y PERMIT EXPIRES Date Receipt No. 88882-555.60 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT pnd COUNTY OF BUT&'a DEPA T*ef` F PUBLIC WORKS -BUILDING DIVISION ` • 7 COUNTY CENTER DRIVE r R VILLE7CAtIFORNIA 95965 - TELEPHONE: 916/538-7541 PER IT A�PPLfCATI N DATA`an r Permit No. OWNER �'7 ti P. No. -,72 Proposed Building Use eGlJ Building Inspector pQ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i DATE RECEIVED APPROVED 1. All Items have been submitted . ........................ ..... 2. 3. Plot plans in duplicate/triplicate, signed by preparer of plans ........ Complete plans i p Ica /triplicate, signed by preparer. of plans 4. Complete engineered plans and cacs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation 10. instructions . ................ Fees of $ q 5S.160 ......................... � 11. Chico Urban Area feespaid....................................... 12. 13. 14. Park f� �" fees .................. r-- S o I District fees paid .............. Sanitation approval from Health Department — s 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements), 17. Planning approval for (A) Use:. " (B) Parking: 18. mprovements may be required. Contact Land Development Section DPW /Z -27 -It =riveway permit (construction approval required prior to occupancyy���� 20. Pre -Inspection for required .. Pre-Inspec.request to Building Inspector 21. Contractor's fiEense information (No., Name Style, Classifications ... 22. 3. Ceftific vt of W� orkrtmans Comp,,,I"Ipt p Iris� ?ranee .. . Obvii'er'��u cher erlficat�ionerGiGen to owneg ,Ma lI t owr4lsr j ..... s -24. Recorded copy of Agricultural Acknowledgment Statement ......... _1-7-w 25. Letter of signature authorization S 6— C j :H MZ -27.4 i (Date) O I- /Zb When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant 44 Date y' 2 •moi Copy of Haz-Mat form sent Health Dept, Fire Dept. " air Pollution Date Copy of plans sent Health Dept. at Fi a Dept.Qther Data The following data must be submitted prioro erm't issu c . itVew ite, 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designerrowniryas r, was advised of above required data by—phone Contractor, d s goer advised of above required data by—phone-1 Plans checked by e - gatePlans approved by By LL counter b�v� o e II _counter by!e ate — NO &--n;l t ,/ %' 9Z Sets of plans on h Id1i��File c)abjiine-t �AP folder COPY—DPW � � '�i�Uyz> TO Buildinv Department FROM: Environmental•Health SUBJECT: Sanitation Clearance O er Location AP# Plan Approved for: Sewaqe Disposal _ _ Water Supply Lx Hold final for: ^inal clearance-O.K. for: Clearance for bedroom mobile ome. Other NOTE * * * Water Supply Water Supply Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. County C®fit®r Drivo - Or®vlll®, Collfornlo 96006 - Tolojihone: 010/638.7641 APPLICATION AND PERMIT 7�2 — 06 BUILDING PERMIT "99 5cl14V1,6- /1 ode �/ � 13 -�O SO. FT. OCC. BUILDING VALUATION WN l3OV O DD 2 AV /1.5 /I A 01441 �'�� C 20� C N NAMMw TELEPHONE CONTRACTOFWd MAILING ADDRESS Fireplace CONSTRUC ION t.END R UNKNOWN Total Valuation $ , J Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 6-pb ARCHITECT O �ER LICENSE NO. Plan Checking Fee $ b0 Energy Plan Checking Fee $ �7. 6� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - / / /V 61W Permit fee $ I PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 600 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5 610 Each gas water heater or vent 5.00 5. 00 USE OF STRUCTURE S-1715 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5- pp Building sewer 5.00 b Mobile Home S I G I W 0.00 ea TYPE OF WORK Nev Addition❑ R/ernod I❑ Utilities�� Installation❑ Other Describe work: 1 y 5� Permit $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 (�, 0 100 AMP OR LESS Main service EA. ADO•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.&) OR ACDNS. yz¢sgft b ACC. BLDGS. TLET NEW R.SIQ. U NCH CIRCUITS)2.50 ea NO N•RE SID BRANCH CIRC ITS (POWER APPARATUS 61 SINGLE OUTLET CIR, / Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 ..ALO 3o FIXED APLNS. Ex. Occup. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Q,Q� Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure: ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating -I� 7 Cooling g Hood 3.00 bd Ventilation Permit Fee $ QG'> Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.. Mobile Home Installation Fee $ 30. ©CI> Energy Inspection Fee $ OCC CONST TYPE %� TOTAL FEE $55 If HAz. I CUA I PARK I SCHL I FLD I CDF I PAR I PD i HD. I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. UL? , <• J t WHITE-D.P. -W., YELLOW-ASeESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Return to DPW AGRICULTURAL SDA '�E r OF AMUNC'9LrD 2=- FOR.RESIDtNTIAL DEVELOPMENT Section 26-8.1 of. the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 92-000429 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this ,property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 2:56pm 6 -Jan -92 f 1 I Rec Fee I STF I Cash I I I I I I 9.00 2.00 11.00 XX 3 W agri1 1 cu tura operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte, State of California, described as follows: Date: /`-1:�,_�7 Cb �I � rtoc3 oGUM J A% 0 7 1992 PROPERTY OWNERS: sT,��r�� y HAyo State of ��) On this the (� day of 19 before before me, the SS. undersigned Notary Public, personally appeared County of n V e OFFICIAL SEAL Personally known tome. 13 Proved to me on the basis I <•% '` = pOROTHYAWISE of satisfactory evidence. NOTAP.YPUN.IC-CALIFOPNIA to be the persons) whose name(A) i Ou Ecc+�"Tv subscribed to the within instrument and acknowledged that MY COMMISSION EXP kM. ;1.1992 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 7"'Z- D (v ;Z - a CeS No ary Public I DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PA_RCcL T• A PORTION OF IAT 1S1, AS SHOWN ON THAT CERTAIN HAP ENTITLED, "OFFICIAL MAP -OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 50, WHICH HAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1928, IN BOOK 8 FOLLOWS: HAPS, AT PAGE(S) 37A AND 38A, MORE PARTICULARLY DESCRIBED AS FO COMMENCING AT THE NORTHEAST CORNER OF SAID IAT 151, BEING ALSO A POINT IN THE CENTERLINE OF MT. IDA ROAD; THENCE SOUTHWESTERLY ALONG THE CENTERLINE OF SAID ROAD, ON -A CURVE TO THE =7T., AVING A RADIUS OF 1200 FEET, THROUGH A CENTRAL ANGLE OF 14 DEG. 22' 36^, AN•ARC DISTANCE OF 301.10 FEET; THENCE SOUTH 00 DEG. ill EAST, A DISTANCE OF 71.3¢ cE:T TO THE NORTHEAST CORNER OF THAT CERTAIN PARCEL OF LAZ'D Zm=_BED Ii. a Lr. DF.4 FROM FRANK BECKSEL, A SINGLE MAN TO ARTHUR G. BLUFF, ET UX, DATED AUGUST 17, 1962 AND RECORDED AUGUST 20, 1962, IN BOOR 1196, PAGE 287, OFFICIAL RECORDS: THENCE WEST ALONG THE NORTH LINE OF SAID ELLIFF PARCEL, A DISTANCE OF 300.0 FEET TO A POINT, SAID POINT BEING THE POINT OF BEGINNING FOR THE PARC=L OF LAND HEREIN DESCRIBED; THENCE SOUTH 00 DEG. 11' EAST, 252.46 FEL—1, YORE OR LESS, TO THE NORTHWEST CORNER OF THAT CE.R:AIN PARCEL. OF LAID DESCRIBED IN THE DEED FROM ARTHUR G. F7-7.TFF, Tp JAMES H. FORBES, ET UX, DATED AUGUST 17, 1962 AND RECORDED AUGUST 20, 1962, IN BOOK 1196, PAGE 290, OFFICIAL RECORDS; THENCE SOUTH 00 DEG. lI' EAST, AND PARALLEL WITH THE EAST LINE THENCE SAID IAT 251, A DISTANCE OF 120 FEET TO THE SOUTH LI2.'E OF SAID IAT 151; THENCE WEST ALONG THE SOUTH LINE OF SAID LOT 151, A DISTANCE OF 235 FEET TO A POINT AT THE SOUTHEAST CORNER OF PARC=L ONE DESCRIBED IN THE DEED TO ALFRED G. ELLIFF, ET UX, DATED JULY 17, 1968 AND RECORDED JULY 24, 1968, IN BOOK 1526, PAGE 543, OFFICIAL RECORDS; THENCE NORTH 00 DEC. 11' WEST, A DISTANCE OF 372.46 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF THE LAND OF—SCRIBED IN SAID DEED RECORDED IN BOOK 1196, PAGE 287, OFFICIAL RECORDS; THENCE EAST, 235 FEET TO THE POINT OF BEGINNING. PARCEL—TI: A RIGHT OF WAY FOR ROAD PURPOSES 60 FEET IN WIDTH OVER THE FOLLOWING DESCRIBED STRIP OF LAND: T A PORTION OF IAT 151, AS SHO W.1 ON TH.;: CERTAIN MAP ENTITLED, "OFFICIAL HAP OF OROVILLE-WYANDOTTE FRUIT LANDS, UNIT NO. 5", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE CONTINUED I PARCEL IT: CONTINUED COUNTY OF BUTTE, STATE,OF CALIFORNIA. ON JULY 20, 1928, IN BOOR 8 OF HAPS, AT PAGE(S) 37A AND 38A, BEING A 60 FOOT 'STRIP OF LAND, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID IAT 151, BEING ALSO A POINT IN THE CENTERLINE OF MT. IDA ROAD: THENCE SOUTHWESTERLY ALONG THE CENTERLINE OF SAID ROAD ON A CURVE TO THE LEFT HAVING A RADIUS OF 1200 FEET THROUGH A CENTRAL ANGLE OF 14 DEG. 22' 36" AN ARC DISTANCE OF 301.10 FEET: THENCE SOUTH 00 DEG. III EAST, A DISTANCE OF 71.36 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE: THENCE FROM SAID POINT OF BEGINNING WEST A DISTANCE OF 535 FE.� Z' :':J LiC� � � =ml= OF THE LAND DESCRIBED IN PARCEL ONE ABOVE, AND THE END OF SAID CENTERLINE. EXCEPTING R"=z-ROH ALL THAT. PORTION LYING WITHIN THE BOUNDS -OF PARCEL I, DESCRIBED HEREIN- 9 - m E.*1D OF DOCUMENT C ! E Nojar" Public ^*°„p °,r•�,�;'•�•+�Tr�4�,,.,'..•" ,�x�-:a,,`f+.ta.:r. :,:X••,.-:7,1+,,.'�-c-��ti..,r�...{{.,tiY" �j'..},1d`.�y•.:..:r•'.�h%....;tr.�; �:.».. +�'•.'r .-,r^'•rte. . BUTTE COUNTY SCHOOLS,DEVELOPMENT FEE CERTIFICATION FORM // (One Form per Building) A.P. Number ;Z'(O� ` Building Department No. School District Q�d City Q County'"` Jurisdiction Property Owner .t Project Location/Address -. • ��-� 4,41 ORO Subdivision Lot Number Residential Deveiopment: Sq. Footage COeU1� # of—Laving MHI Addition (Group R) Units JAN 01 1992 Commercial/Industrial: Sq. Footage ` New Addition (Including Exterior Roofed Areas) ` ✓ 0 b�4;4W 114AAo,� Building Depart ent Representative Date ,. (Floor Plans reviewedorby School District Personnel) District Id No. r Pira-P�r School District certifies that (Applicant Name) V (Phone Number) (Street Addr s) (City) (State) (Zip Code) has complied,.with the requirements of Resolution No. '0_— Id _6 to e by the payment of $ representing square feet. 7_41- >1 Sch of District Represent ive Date PAID BY CHECK NO. ;,REMARKS: r .BANK NO PAID BY CASH V white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) WUNIY OF BUITh DLIJAKIrIENT OF PUBLIC WORKS 7 County Centex, Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 8-16-91 Stanley Hayden RE: B.P. Application #1280-91 1310 Maryann Drive Santa Clara CA 95050 A.P. # 72-062-005 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. _x Fees of $ 555.6o payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing x Recorded copy of agricultural acknowledgement statement. x School Fees / x/ OTHER rovements per land development sertinn of T)PnartmPnt of Pii6lir. Ginr.+ •,�� cvvc +— JW C 1c % c• wvv ` C/ V t: V L r ` Ql W YLL f IaIE" Should you have any questions concerning the above, of this office. 9 please contact BOB KEITH BETWEEN 3 & 5 P.M. Yours very truly; William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector 51 RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) -.2%. 1 Bldg. Permit # OWNER f�E(N A.P. # -7z- Plan -- Plan Checker GENERA 11-10 o ng requirements: (sideyards_and number of permitted living units). l��u.&aation. Vdans signed by designer. Proper description of work on application. ,S—Exiting violations on property. (2:xtems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). .fir—ReeeFded notice of violation. PLOT PLAN 1!: Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. Other buildings or structures. -ding, fills, drainage. od hazard. Special conditions on creation no•s DF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. 8. uilding or utilities across lot lines (Record form). FL00 PLAN Complete.to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). 3 Required windows for second exit (Sec. 1204). �epiights (Chapter 34 & Sec. 5207). an impact glass (Sec. 5406). $squired room sizes, ceiling heights (Sec. 1207). 7� C s in baths, garage, kitchen, and exterior outlets (Article 210-8). 8 GFfight fixtures, switches, receptacles, and exterior receptacles for main- te ce of mechanical equipment. 9A --'Locations of water heater, heating and.cooling equipment, other electrical r gas equipment. 1 rage firewall, door size, and closer (Sec. 503(d)(3)). 1�. 1 --,,3'0" exterior exit door (sec. 3304 (f). ep ace dnd wood stove location, alcoves, and clearance. Smo e detectors (Sec. 1210). 1 lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS ll/ Standard bracing or engineered design (Table 25V). nusuaf shape, s1ze,:'or split°.level house•requiring lateral design. �. 3. Foundation•`plan complete enough construct building: construction details complete enougti'to'constr.uct,building. -5---Erlevations and wall'construction':details complete enough to construct building. 6v,*" Roof construction details complete enough to construct buildinE. ' fireplace construction details and talcs if necessary. ;5�_Garage Rafter ties or bearing ridge beam. door or porch header sizes. 10!!9'tud heights. kl� d e soils - special foundation design. Retaining walls requiring design. 13. ecial Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR airway details: landings, rise and run, head clearance, handrails (Sec. 3306).` rdrail details (Sec. 1711 & 3306(j). -3—B—FiE -or stone veneer (Chapter 30). -x error plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). 3,- FQam insulation - protection. r86ialls and stairways. ving area over garage - complete 1 -hour separation required on garage side inclu ing supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1. Attic access and ventilation (Sec. 3205). �ndeerfloor access and ventilation (Sec. 2516). I t..-'Cobustion air for fuel burning appliances - L.P.G. requirements. se requirements on duplexes. design. shing at all exterior openings. lA'�'CDF responsible area requiremer►ts.' D d o -'12 C4�✓ Uel h741011 �Cd�r� lam 4- l d�(olve�' Ar l D `l A,^ V-0 /b �'?C� O' 1L v �?-)-4?) 89-4T DESCRIPTION 0 0 8 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL Z A PORTION OF LOT 151, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 5", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, OF MAPS, AT PAGE (S) 37A AND 38A 1928, IN BOOK 8 FOLLOWS , MORE PARTICULARLY DESCRIBED AS COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 151, BEING ALSO A POINT IN THE CENTERLINE OF MT. IDA ROAD; THENCE SOUTHWE ALONG THE CENTERLINE STERLY OF SAID ROAD, O2? A r� Tp Im ,,,0 HAVING A RADIUS OF 1200 FEET, THROUGH A C Tii.. L" �' 22' 36", AN -ARC DISTANCE OF 301.10 CENTRAL ANGLE OF 14 DEG. EAST, A DISTANCE OF 71.36 FEET TO THE;NO NCE SOUTH 00 DEG. 11' CERTAIN PARCEL OF LAl.'D DES�C.",1BED 11; iac DEED FROM THEAST CORNER OF THAT A SINGLE MAN TO ARTHUR G. FRANK BECKSEL, GUST 17, 1962 AND RECORDED AUGUST 20, 1962, IN BOOK 1196, PAGEDATED D 87, OFFICIAL RECORDS; THENCE WEST ALONG THE NORTH LINE OF SAID ELLZFF PARCEL, A DISTANCE OF 300.0 FEET TO A POINT, SAID POINT BEING THE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 00 DEG. I1' EAST, 252.46 FEET, MORE OR LESS, TO THE NORTHWEST CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED FROM ARTHUR G. EL.I.IFF, ET UX, TO JAMES M. FORBES, ET UX, DATED AUGUST 17, 1962 AND RECORDED AUGUST 20, 1962, IN BOOK 1196, PAGE 290, OFFICIAL RECORDS; THENCE SOUTH 00 DEG. 11' EAST, AND PARALLEL WITH THE EAST LINE OF SAID LOT 151, A DISTANCE OF 120 FEET TO THE SOUTH LINE OF SAID LOT 151; THENCE WEST ALONG THE SOUTH LINE OF SAID LOT 151, A DISTANCE OF 235 FEET TO A POINT AT THE SOUTHEAST CORNER OF PARCEL ONE DESCRIBED IN THE DEED TO ALFRED G.'ELLIFF, ET UX, DATED JULY 17, 1968 AND RECORDED JULY 24, 1968, IN BOOK 1526, PAGE 543, OFFICIAL RECORDS; THENCE NORTH 00 DEG. 11' WEST, A DISTANCE OF 372.46 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF THE LAND DESCRIBED IN SAID DEED RECORDED IN BOOK 1196, PAGE 287, OFFICIAL RECORDS; THENCE EAST, 235 FEET TO THE POINT OF BEGINNING. PARCEL ZI• A RIGHT OF WAY FOR ROAD PURPOSES 60 FEET IN WIDTH OVER THE FOLLOWING DESCRIBED STRIP OF LAND: A PORTION OF IAT 151, "OFFICIAL MAP AS SHOW" ON TH.;: CERTAIN MAP ENTITLED, OF' OROVILLE-WYANDOTTE FR ;IT LANDS, UNIT NO. 5", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE CONTINUED 77, �.,.�:..Y,.,,,,�,•_ , . _ —mss.. 89-47808 PARCEL II- CONTINUED COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1928, IN BOOR 8 OF MAPS, AT PAGE(S) 37A AND 38A, BEING A 60 FOOT -STRIP OF LAND, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID IAT 151, BEING AISO A POINT IN THE CENTERLINE OF MT. IDA ROAD; THENCE SOUTHWESTERLY' ALONG THE CENTERLINE OF SAID ROAD ON A CURVE TO THE LEFT HAVING A RADIUS OF 1200 FEET THROUGH A CENTRAL ANGLE OF 14 DEG. 22' 36" AN ARC DISTANCE OF 301.10 FEET; THENCE SOUTH 00 DEG. 11' EAST, A DISTANCE OF 71.36 FEET TO THE TRUE POINT -OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING WEST A DISTANCE OF 535 FEET TO '.0.0: NORT: 1E.S. COF.NEi< OF THE LAND DESCRIBED IN PARCEL ONE ABOVE, AND THE END OF SAID CENTERLINE. EXCEPTING THi.REFROM ALL THAT PORTION LYING WITHIN THE BOUNDS -OF PARCEL I, DESCRIBED HEREIN. F_ND OF DOCUMENT ■I eount1V 4 JJu a OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Stanley Hayden ADDRESS: - 1310 Maryann Dr. CITY & STATE: Santa Clara. CA 95050 IMPORTANT: DATE OF CLAIM: April 30, 1991 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV1rFq O --1--25--�' S' ru DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #723-91P,E AP#72-06-k05, Receipt #83761, dated 3/14/91. Total Permit Fees Paid ------------------------ —w---$50.00 Retain PlumbinR Permit Filing FPP --- Retain Electrical Permit Filing Fee----------- 10.00 Retain Pre -Inspection Fee--------------------- 15.00 Total Permit Fees Retained--------------------------- 35.00 TOTAL REFUND DUE ------------ --------------------- ,-_- 15.00 TOTAL 15 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have en performed or delivered, and that this claim is true and correct as stated. �, _^ Dated this...... ... day of 2 19� et Calif. cG� ..... ............. ».... Signature C eiment �» I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified ab a have been performed or de- livered and that there is a Budget Appropriation❑ or Specific BoardnnApprovel❑ (Checkone) fo a sem Dated this ........ 30th ................ day of ..April ............ 19..-91 at ...1J) Q.X���� ... Calif./gl»»—.-...».......... _. epartment Head or Authorized Deputy Code 440-002 Code 4210500 PAYABLE Const. ermits .......................................................................................»..»»................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSSAMT. COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: COMPLAINT FORM VIOLATION TYPE - BUILDING AP # DATE Supervisorial District Complaint Location OWNER: ADDRESS: TENANT NAME COMPLAINT: Description of Violation Occupant Contracted: ACTION RECOMMENDED: HEALTH - PLANNING TAKEN BY Judicial District FIELD INFORMATION None Information only, file 10 Day letter BY: DATE: ,/r- i'� 30 - 30 day letter Hold for Days Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center•Drlve--Oroyl1%, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSO PARCE NU R 0 ZONI BUILDING PERMIT OWNER•TELEPHONE 5 n�L ; A4 J vv 914�a SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 131Q 1,pip4Vaiw) A t m -V C4 GA C NTRAC OR'S/ NAAMfE� a LEPHOC�,,jL��] CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 90.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN ;I;JEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ca Permit fee 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 5,OO Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSTG W 10.00ea TYPE OF WORK New [r Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _T E; 44 POI V�� (� UJ Le _ LTJLL_ S,L1/f C -a Permit Fee $ D V P Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS . 1000 cood Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' 1� I declare under penalty of perjury (check ones: 1� F -1I am licensed under provisions of CIhapt. 9, Div. 3 of the Business and Professions node 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. t DWELLING OCCUP.ad OR ACDNS. % ACC. SLOGS. , /z(tsq ft NEW CONSTR. ULT LOUT LET NON•RESID BRANCH CIRC ITS 2.50 ea (ROWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURE 20@50c BAL030 Ex. OCCUp. OUTLETS ( FIXED PRESID )REA.1 2.00 Temporary service 10.001,10P Mobile Home Facilities 15.00 Misc. �yirin 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. ❑ 1 have placed on file with the County of Butte Building Department �Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. d'J shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor '1400 MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi ities, judgments, costs, and expenses which may in any way accrue againsy,gaid County, in conse uence of th granting of this permit. %� Date l/ f( Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is r wired for excavations over 5'0" deep and demolition or construct- ion of structure�syovea3 sto�r'i�es in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ - HAz. I CUA] PARK SCHL I FLE cOF PAR PO ) HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIR, F PU I WORKS By Date �S PERMIT EXPIRES Date Receipt No. �f 37Ccsf � w 0. ® 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4" MIT COUNTY OF, BUTTE - DEPA11 F PU_BLLC WORKS - BUILDING DIVISION 7 COUNTY CEVI ,IER DRIVE OROVALLE, CALIFORNIA 95965 TELEPHONE: 916/538-7541 OWNER S Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. =7 i4h �1'i% A P. No. (Q O Z1C—_ ► �/��ry2 Building Inspector. Date - _V o/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i 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. Hazardous Material.'Aorm.......................................... 6. Energy DesigrtlCompliance and supporting documentation ......... 7. Statement,of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ .- 11: Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............ . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ' 18. Improvements may be "required. Contact Land Development Section DPW x� 9. -Driveway permit (construction approv�l require, prior to occupancy) . Pre -Inspection for—fL34'1`� DGII� required Pre-Inspec.requo —IS -91 Building Inspecte r �,g 3 (Date) 21. Contractor's license information (No., Name Style, Classifications ... Zr,2'2.\Certificate of Work mans'Compensation Insurance ..........: ...... Owner -Builder Verification (Given to owner ❑, Mail to owner . . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wheryyou issue the a t, pro es as follows: Mail to wner. Mail to contractor. Telephone and hold for pickup at iI�office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ____Health Dept. Fire Dept. Other _ Date ---=--- By w ; The following data must be submitted prior to permit issuance: (Circle rl w�itemrno_Hdhec`k"ed-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—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works r 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this ve-nification 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 Number Date 3,/4VIM 4 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. -P,�,E-INSPECTION OWNER: s�74%U,L.�=� �I�l``� DATE LOCATION: tin P. # CONTRACTOR: Q w l/o4 n ZONING �� ------------------------------------------------------------------------------------- PRE-INSPECTION. FOR: L , _ J�� (_u CL �-- 1 C sa-LL �--F'-�/-c ► z---,4� ice° i-f°V -5i��e � � o •� � DATE TO INSPECTOR '4 3 15 ^ �� PERMIT HISTORY: NONE F-1 AS FOLLOWS: t TYPE OF OCCUPANCY , 4 FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED HAS ELECTRIC HAS GAS Q HEATED -COOLED / �� PERSON CONTACTED OTHER COMMENTS: a i ACTION RECOMMENDED: TISSUE HOLD FOR OTHER: BY 0 HAS SANITATION FACILITIES, DATE I COUNTY OF BUTTE -,.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 RE: With reference to the above subject: / / Attached is: PHONE: 916-538-7341 DATE A. P. # )�, -�2 `0 J� a (�aS Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies retur_-ped. 'Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing .Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, of this office. JFG/aj please contact Z. ( rw< _1/ Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 959.65 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property.improvement (yes or no) / 2. I (have/have not) el U 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 4. I plan to provide portions, of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 2-. q41 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- te24 ,to issue the permit. qt -7 -7 2 -06 z -mss �S-f- lei ftuyQev(, 1661 go A dw 'ung I p �1�00030 PARCEL CHECK LIST AND REQUIREMENTS Owner Permit No. " I - A.. P. No. 72- Telephone No. a 7 q Date �� 3 1. Parcel creation Map Book Page 737,4 ✓Legal Parcel Creation date 0 P 60' R/W Certificate of Compliance Other eci 2.Parcel created by subdivision map prior to JulyTI—M,9 Parcel size is less than 5 acres Parcel exempt from items 3 & 4 below 3. Legal Access Parcel fronts on publicly maintained road ,,-�Parcel.does not front on public maintained road ocumentation on legal access submitted must be by Title Co. or licensed engineer or surveyor) 4. Road Improvement Standards A. Parcel fronts a publicly maintained road Frontage Improvements not required Frontage Improvements are required r Frontage Improvement plans approved and improvementsmust be installed prior to building occupied B. Parcel not fronting publicly maintained road 1. Parcel Frontage Frontage improvements not required Frontage improvements are required Frontage improvement plans approved and improvements must be installed prior to building occupied 2. Parcel access to publicly maintained road Access improvements not required Access improvements are required Access plans approved 'and access improvements required prior to building occupied �s Copy of form sent to Land Development i '3� ` 1c� by Date Copy of form sent to Building Department approved for permit issuance subject to = items marked in 4 above 1=0ther Specify Date I By COUNTY OF RUTTE -.DEPARTMENT Or PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Stanley Hayden 1310 Maryann Drive Santa Clara, CA 95050 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER PHONE: 916-538-7541 DATE May 3, 1991 'building permit application #1280-91 A.P. # 72-062-005 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. XX Fees of $ payable to Butte County Treasurer. Certificate o orcmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Tete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. S eal.—from tp Countyupa14h--Dep-aTtment at: 196 Memorial Way, Chico _ XX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completede ification form. Recorded copy of deed showing XX Recorded copy of agricultural acknowledgement statement. 3 iv a XX School tees /XX/ OTHER Your hermit application came un for plan check. However, we do not have sufficient plans. We need a complete dimensioned roof framing. Dlan elevations, floor elan including sleeping area. I reed plans of the loft, framing between 1st floor and loft, ladder to loft. In other words, complete structural plans are reauired. Please include R values for insulation. We also need documentation showing legal access to your lot. or architect. Should you have any questions concerning the above, please contact Ti„d, of this office. AFTER 3 P.M. Yours very truly, JFG/aj William Cheff Director of Public Works .J.F. Glander Chief Building Inspector 92 It*tu,cn'-"oto DPW ACRICliLTiRAL S' _ `iL`� OF ACKNOWLEDGEMENT -:004a 6 FOR RESIDENTIAL DEVELOPMENT v y Section 26-8.1 of the Butte County Code requires. this acknowledgement be tecorded prior to issuance of a building permit. I 92-000429 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 2:56pm 6 -Jan -92 I Rec Fee I STF I Cash I I I i I I 9.00 2.00 11.00 XX 3 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 established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All fh-dt real :property,- -situate in the County of Butte, State of California, described as follows: Date: l ` �� 'CJ� PROPERTY OWNERS: State of n ) On this the (� day of 192,- before me, the �),SS. undersigned Notary Public, personally appeared County of �) OFFICIAL SEAL Personally known to me. [ Proved to me on the basis DOROTHY AWISE of satisfactory evidence. m NOTARY pU3LIC-CALIFORNIA to be the personas) .'nose name(h) BUTTE COUNTY MY COMMISSION EXP COUNT 1,1992 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No D w Z-- o DaS� I No ary Public DESCRIPTION ALL THAT CERTAIN CALIFORNIA, COUNTY 89-47808 REAL PROPERTY SITUATE IN THE STATE OF OF BUTTE, DESCRIBED AS FOLLOWS: A PORTION OF LOT 151, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL WHICHMAP WAS RECORDED IN THED OFFICTTE ERUIT OF THE DS UNIT RECORDER NOF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1928, IN BOOK 8 FOLLOWS OF MAPS, AT PAGES) 37A AND 38A, MORE PARTICULARLY DESCRIBED AS COMMENCING AT THE NORTH.ZAST CORNER OF SAID LOT 151, BEING ALSO A POINT IN THE CENTERLINE OF MT. IDA ROAD; THENCE SOUTHWESTERLY ALONG THE CENTERLINE OF SAID ROAD, ON 'a CURVE TO HAVING A RADIUS OF 1200 FEET I'E"� ANG 22' 36^, AN -ARC DISTANCE OF 301-10 0 FEET THENCE SOUTH 00 DEG. OF 14 lit EAST, A DISTANCE OF 71.36 i" -T TO THE NORTHEAST CORNER OF THAT CERTAIN PARCEL OF 1 -VM- .^,XS_—=ED IN lac ZEZD FROM FRANK BECKSEL, A SINGLE MAN TO ARTHUR G. ELLIFF, ET UX, DATED AUGUST 17, 1962 AND RECORDED AUGUST 20, 1962, IN BOOK 1196, PAGE 287, OFFICIAL RECORDS; THENCE WEST ALONG THE NORTH LINE OF SAID ELLIFF PARCEL, A DISTANCE OF 300.0 FEET TO A POINT, SAID POINT BEING THE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 00 DEC. 11' EAST, 252.46 FEET, MORE OR LESS, TO THE NORTHWEST CORNER OF THAT C-PTAIN PARCEL, OF 1XID DESCRIBED IN DEED FROM ARTHUR G. ET.7.TFF, ET UX, TO JAMES M. FORBES, ET UX, DATED AUGUST 17, 1962 AND RECORDED AUGUST 20, 1962, IN BOOK 1196, PAGE 290, OFFICIAL RECORDS; THENCE SOUTH 00 DEG. 11' EAST, AND PARALLEL WITH THE EAST LINE OF SAID IAT 151, A DISTANCE OF 120 FEET TO THE SOUTH LINE OF -SAID IAT 151; THENCE WEST ALONG THE SOUTH LINE OF SAID LOT 151, A DISTANCE OF 235 FEET TO A POINT AT THE SOUTHEAST CORNER OF PARCEL ONE DESCRIBED IN THE DEED TO ALFRED G.'ELLIFF, ET UX, DATED JULY 17, 1968 AND RECORDED JULY 24, 1968, IN BOOK 1526, PAGE 543, OFFICIAL RECORDS; THENCE NORTH 00 DEG. 11' WEST, A DISTANCE OF 372.46 FEET, MORE OR LESS, TO A POINT ON THE NORTH LINE OF THE LAND DESCRIBED IN SAID DEED RECORDED IN BOOK 1196, PAGE 287, OFFICIAL RECORDS; THENCE EAST, 235 FEET TO THE POINT OF BEGINNING. PARCEL II• A RIGHT OF WAY FOR ROAD PURPOSES 60 FEET IN WIDTH OVER THE FOLLOWING DESCRIBED STRIP OF LAND: A PORTION OF LOT 151, AS SHOWN ON MM-1-1,CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVZi.LE-WYANDOTTE FRUIT LANDS, UNIT NO. 5^, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE CONTINUED ,t• .rMsawi; COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1928, IN BOOR 8 OF MAPS, AT PAGE(S) 37A AND 38A, BEING A 60 FOOT 'STRIP OF LAND, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID IAT 151, BEING ALSO A POINT IN THE CENTERLINE OF MT. IDA ROAD; THENCE SOUTHWESTERLY ALONG THE CENTERLINE OF SAID ROAD ON A CURVE TO THE LEFT HAVING A RADIUS OF 1200 FEET THROUGH A CENTRAL ANGLE OF 14 DEG. 22' 36" AN ARC DISTANCE -OF 301.10 FEET; THENCE SOUTH 00 DEG. 11' EAST, A DISTANCE OF 71.36 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING WEST A DISTANCE OF 535 FEET TO T= ::^^""''� '" 'ER OF Vl�i.�..VJ� \.VN\ THE LAND DESCRIBED IN PARCEL ONE ABOVE, AND THE END OF SAID CENTERLINE. EXCEPTING T"EREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS GF PARCEL I, DESCRIBED HEREIN. EN® OF ®®CUMEP1i -- OF DOCUMEN 011111 11111 ®. 1 1111111111110111111 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :., 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-06-2-005 ZONING BUILDING PERMIT OWNER STANIEY HAYDEN TELEPHONE SO, Fr, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 205 METROSR DRIVE OROITTITR 9596 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee z ORIGINAL $ 128.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUIL.D"%DMT LANE OROVILLE CA Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ff Duplex ❑ Mobilehome ❑ Other sPECIPv Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑j( Describe Work: 8TH: RENEWAL/91-1280 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 7Tr�) RENEWALS 9 0210 ELECTRICAL PERMIT Fling Fee 20.00 Main Service CoA OR mss 23.00 LICENSED, CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason TO Main Service TO 46,00 NEW CONST. DWELL EE OCCUCUP. SO OR ADONS. ( & ACC. BLDS. 3.50Fr. NEWMULTI- SID. OUTLET CIRCUITS @7,50 . POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTUREs 20 @''00 SAL 0 .50 Ex. Occup. Ops R=.c� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner -so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth th c ply wit ose pro sions. X f e' Dat' Signatur of Applicant - ❑ ner ❑ Contractor ❑ Agent An OS A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES "IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 112 / v, t'�Date PERMIT EXPIRES ON 1/7/2001 Date Receipt NO. WS= WHITE-D.D.S.-B.D. CA ARY-A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your * earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will . . be issued until this verification is received. ' 1. I personally plan to provide the major labor and materials •for -,construction of the proposed property improvement - YESW NO[ J. 2. I HAVE[[ HAVE NOT[ J signed an application for a building permit' for the proposed work. 3. I have contracted with the following person (firm) to •provide - the. proposed construction: NAME: - ADDRESS: CITY: { ; PHONE: CONTRACTOR'S LICENSE NO. 4. I play, to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: t NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:� - DATE: / —'/. 7 '-KZ=1/0 U C.) - NOTE: This owner -Builder Verification is required by Section 19831 and .19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 V, O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by ,law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for youi benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for'you if you do not carry -out these obligations, `and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor.or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 NOTE An Pis ri�is'.& ;�Nork h { A marrshfp,Sh�U i�.e Ga k. lx �� `C , ' i. Y., • ?r` i I, •�: �� ..:`i,i!.i.':�:', t(4're_!l f '! ;1 `r �.:.• 'C,� (` ' ,}• t of a gwflil: rlG:s;,� l y �s, ` + , . , °• Urrlform Ou;l 1!4";t'f 3hlUni►? ^ , i:) 1 3 it, t Y ,• r , ` - .• ; .83fd t National 'n� •�t •nrfLC�lG ic.�l tortes. Electrical Code. ut • a � , > • �httfl;�l�•�4�.�,�n, bAt�ra9nae � �- � � r . - � � • ' eawl,oronttlaz per AxL 210.8 NEC# f v, .l i. , •!.7�.1<�•V iT4 � ry I ' ,• r a ;�s ' / � ,`�"ty , rf1 '• ,,, ,y. "`lll+�w�rf _�� J' a frr �' tte•k � ''�'%`t�.fi "tom .i � �r - . 1 ,' , aleR��,,Q } •i i i 'r .6 CK3Q + ' ., '� 'c� y �j �apd1 \y�✓ ' Qn G� ^ '1 � rr , iii •. " c. „ , /��0 ` ' '� ` ` ' '' �i' •' � � � �� 74 � • y k � OVED VENT Y•, ` PROVIDE APPF EN ' +�3USTIOii " ,'k: !�} : ` r .;�, •�• AND ADEQUATE. 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'% i �, .. .... � e , M1 ,i'r f Y ( •� S f 9 tt. .µ-� �,,'wc� a n , .rw•rrt •'., R: .BUILDINGTD�.D < Mrklfr � •:a l s �-1y 5 �)a 'i .t, � �S.L � a • x r s t � a.'..��; � �'�}aii14j f ti. i � `���.%'VVV«< + :.L- _ _ • �-...._ p q�ov �i"i��i�Ct y t jr SC•do� 1 /w%•. }:�ry„�,���X�••��y, t-.`}': i� t-r _i t + tr r;k c .r. •-s• .1 .^ {!qj. x+��a ..ar„ f r. ,`,t iy.., A `g;t�, + ,' �/� .•.. y at ,..ri' is F t` 9,tr sfr;+,,...,p, 4. *;.' :f. •i ti `�f';� i "sc P •.�. rrr 'i _�' ••.�� ..<,'t. .r, ' "•. f s Ax+ h� -+ ��K}.`��.a+'l. j3,.?., t. �Y�'}'•�,5t.y'iii�<�,i�sl.•�,.,;�., +•i••�:.., ''r�i:'�',`�"+.u'y'�,��y�tlk�' �.bri�F Vit:• ` ,�-Y.`CS.sd. =;.r�+7:i±�,`j�'.��,.,.,7_ -x:.. - .'a F 4.'�i.,t i'!C:'.,+a"*J)N.st �,o x �F . �.� ��'����fl��^•r�'41�?. 'F.+r.'•�iC�j:�-� ..... ='� �;•f.SwV�fJi43b..r� .- - kyr` sy,�+.y_.....:.1-�..�/�•_..: _ .hr,_- r .,., .. ., ., _ .,. - - 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories R -value - .--One R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 .102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 . O.C6 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - R -value - .--One -•- Two . ---Three- Family Family Multi - 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 5 _ ` -2 -- 0.60. 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 S. Infiltration (Air Leakage) Specification Points $tarderd 0 6. Glass Heat Loss Total Insulation in Floor Slab Floor R -value - .--One -•- Two . ---Three- Number of stories -7 _ R -value . - One Two _Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value R-5- 8 5 _ ` -2 -- 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 S. Infiltration (Air Leakage) Specification Points $tarderd 0 6. Glass Heat Loss Total Number of stories Slab Floor R -value - .--One -•- Two . ---Three- R-0 -11 -7 -5 R-5... _ .. - -4 .4 3 R-11 _ -2 .31 to 0.30 or Glass R-19 _ .-1 a .2 -2 1. Slab Edge Insulation .40 - -= - Number of Stories _ __ R -value _ One ., Two Three R-0 0 _.4- 0 0 _. R-5- 8 5 _ ` -2 R-7 8 6 3 . F2 factor i - _.7 _ 0.90 _ _ 41- -9 1 0.80 -1 -1 0 0.70 .2 2 1 0.60 6 _ . 4 . 2 _ 0.50 9 6 3 . .: 040 - 12 . _. 8 -_ -4 - S. Infiltration (Air Leakage) Specification Points $tarderd 0 6. Glass Heat Loss Total Single- Slab Floor ENedive Perentt GI asci Mass U -value (percent Qlaas x SLS Percent Mass Stories .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 -01 -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 -6 "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.•Shading (Shade Open) ---Ilafective Percent Glass (percent Maas x SC) Effective %Glass North 18 5 16 4 14 4 12 3 11 3 10 2 9 2 8 2 7 1 6 1 5 1 4 . 0 3 -.G- 2 0 1 -1 0 -1 na = not allowed East 1 2 2 3 3 3 3 3 3 3 2 2 1 0 -1 -2 South 4 5 5 5 5 5 5 5 4 4 4 3 2 1 --:1 West Skylight 1 na 1 na 1 na _ 2 na - 2 : na 2 1 2 2 2 2 2 2 2 3 2 3 1 3 -U_ 3 -1 2 -2 0 IB. Shading (Shade Closed) Single- Slab Floor ENedive Perentt GI asci Mass _ (percent Qlaas x SLS Multi Mass Stories Attached ICFA _Effective %Glee NaMi-_ Etat- Souttt - Welt SkyGphl ^18 -. -14 -48 -69 -64 na 16 -12_, _. --55 na - -14 -10 =35 -50 ' .46 na -- 12 -8 -29 _ -40 -07 na 11 7 -26 -36 _-33 na - -•10 " -6 .- --.2 _ -01 - -29 -74 - - 9 -5 -- - -20 -27- - • -25 65 - - 8 •--5 ---47_ .. _.23 -- -21..- -5 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 _ _ M-4- _-1 -16 __9 -' -�3 . __0--45 2 1 �1 -2 3 1 1 1 f'1 1 -4 0 2 3 4 3 0 na . not allowed 2.0 -1 9. interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached 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 2.5 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 1 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 Walt Thermal Mass Exterior Single- Single - _ Wall Family Family Multi Mass Detached Attached Family 0.00 0.20 0 3 0 2 0 1 0.40 0.60 5 8 4 6 3 4 0.80 1.00 10 13 8 10 5 7 1.20 1.40 13 12 12 13 __ 8 _ _. 9 1.60 1.80 10 10 13 -12 11.. . 12 i 200 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) 12. Cooling Syst•:m SEER (assumei ducts In attic) Stm of 7.10 Sum of 1.6 -4 b _ 16 or -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 *:7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 2 EfTective SE or HSPF 10.5 7 (SE or HSPF x duct efficiency) 4 Effective -25 or -24 to -1410 :4 to +61D 16 or SE HSPF less •15 -5 +5 +15 more _ 0.30 _235 --73 -.x-64 __r56___-47_.738_.-_-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 - -: 7--•- +6 b 25 22 16 T3 10 _0.80 0.90 _7.33 _ 8.25 32 ' 28 _-19 24 - 20 -17 13 1.00 9.17 37 32 28 24 ' 19 15 -12 Zonal Control Adjustment -7 System Type 4 6.6 -5 Resistance 10 9 7 6 4 3 Other .-- 6 . _ 5. 4 3 2 _. 2 _. 12. Cooling Syst•:m SEER (assumei ducts In attic) Stm of 7.10 Zonal Control Adjustment 10 8 7 6 4 3 .25 or -24 to 04 to -4 b +6 to 16 or SEER less -15 I -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 Effedive SEER (SEER x4ud efficiency) Stan of 7-10 Effective -25 or -24 to -1417 -410 +6 b 16 or SEER less •15 .5 .+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 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 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 Zonal Control Adjustment 10 8 7 6 4 3 Point System Summary: Climate Zone 11 . SCORE CARD Measures 1. Ceiling Insulation 5u or R -value 1381 U -value [0.030] 2. Wall Insulation � or R -value [ 11 ] U -value [0.098] Point Scores ._Z_ 0 No Coolin; System Installed 3. Raised Floor Insulation or i U -value [0.037] --Stories - 4. Slab Edge Insulation or _ One .3 4 4 S 3 2 2 Two + 3 R -value (0) F2 factor [0.77] 3 22 ' 2 2 - 1 - - -5. Infiltration - Standard - - Single -Family lletached and Attached 6. Glass Heat Loss 4 . _ Unit Size (sq Type [double] U -value [0.65] % Total Glass [ 16] Sum 1-0 Water i199 : 12M' 1700 2200 2700 7. Shading (Shade Open) Heater Credit or • isto to : or Type Type, less .1699 2199 2699 more % Glass SC Eff. % Glass SG None 0' r 0 0.. 0 0 a. North 31 X -77 = Z, 7 U or Solar 12 ') .5 8 6 5 4 b• East Z. '�(+y X = Z • o �- HP WSB 5 3 3 2 2 c. South / p X 14 I: POU 8 5 4 3 _ 3 d• WgSt2 X = 2' SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 e. Skylight 0 x = O HWR -18 -12 -9 -7 -6 WSB . -25 -16 -12 -10' -8 POU. _ -18 -12 -9 _77 -6 8. Shading (Shade Closed) IG None 1 -3 -2 -2 -2 % Glass SC Eff. % Glass Solar 7 5 .4 3 2 a. North - 3 X = POU .3 2 -1 1 1 .. _ '-IE- None --28 x•-19 _ 14 - 11 _9 --.-b: -East-- Solar 8 5 4. 3 3Z_ - fi POU -10 6-5..�-4..__3 -- -. c. South - /r x_._ l --�- Multi -Family (Individual units) r d. - West - 3•2- X V Unit size (sf) f {•err -t e-; .Skylight x _ D . ___ Water 699. 700 1200 9700 2200 '• 1 i (-p = -=�- Heater Cred-it- or- -- to -to--' to- -0r r # y - -- _ TYPE -1 MASS -AREA ----- Type --Type less 1199 1699 2199 more 9.t7in_terior.Thermal Mass - GOND. FLOOR AREA �$ SG None 00 0 0 0 i `' l•'T,t' r," interiorMass/CFA or Solar 14 - 7 -.5 4 3 1TYPE 2 MASS AREA --g. 10. Exterior Wall Mass ._ ? g HP HWR 9 5 � 3 2' 2 '� ND. FLOOR AREA - WSB 9 _- 4 3 2' 2 j 1 j. i ;- Exto ' r Wall ss =- Sum 7-10 1F'f� POU 9 s 3 2 2 11. Heatingm Syste,- - d� LL X 1 ti� = t -7 _ �V SE -None . 45 -23 •15 11 _ -9 Solar 2. = 1 1 .0 0 Zonal Control? ( Y / N) S or HSPF Duo Efficiency 10.781 Effective SE or -HWR-.23--t2- -8 --6 =-5 --------- -- --[0.72/6.6] : - ___-HSPFI056/5.151 WSB -25 -13 -8 -6 -5 _ 12. Cooling System o �� x- E4U _23 12 8 6 5 $p_ IG -None -8 -4 -3 -2 1 -2 - - Zonal Control? (Y / N) SEER [9.5) Duo Efficiency [0.74] Effective SEER -[7.03] Solar 6 :..3 _ 2 - 1 POU -.1_0�-0__:_0_0- -13.-Water Heating IE None -00 -15 -10 -8 -6 Solar 18 9 6 4 4 Type ISG] Credit [none] I POU -8 -4 -3 -2 -2 Point Total: Interior MasslCFA TYPE 2 PASS . •. (1.7.111»[•..21 t TYPE 1 NASS WINC • 4.2, Se: exposed Slab) �-- Ie.rpet.d .1_b) - 0`Ye 5% 1095 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 64'r. 70% 75% 80% 85% 90% 95% 100% 105% 1101/. 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 .4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 51 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 509'. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 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 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 12 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 S.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 14 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 701Y. 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 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 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.1 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 BOY. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 6 6 65% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 6S 67 90%" 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 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 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 All 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 . SCORE CARD Measures 1. Ceiling Insulation 5u or R -value 1381 U -value [0.030] 2. Wall Insulation � or R -value [ 11 ] U -value [0.098] Point Scores ._Z_ 0 No Coolin; System Installed 3. Raised Floor Insulation or i U -value [0.037] --Stories - 4. Slab Edge Insulation or _ One .3 4 4 S 3 2 2 Two + 3 R -value (0) F2 factor [0.77] 3 22 ' 2 2 - 1 - - -5. Infiltration - Standard - - Single -Family lletached and Attached 6. Glass Heat Loss 4 . _ Unit Size (sq Type [double] U -value [0.65] % Total Glass [ 16] Sum 1-0 Water i199 : 12M' 1700 2200 2700 7. Shading (Shade Open) Heater Credit or • isto to : or Type Type, less .1699 2199 2699 more % Glass SC Eff. % Glass SG None 0' r 0 0.. 0 0 a. North 31 X -77 = Z, 7 U or Solar 12 ') .5 8 6 5 4 b• East Z. '�(+y X = Z • o �- HP WSB 5 3 3 2 2 c. South / p X 14 I: POU 8 5 4 3 _ 3 d• WgSt2 X = 2' SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 e. Skylight 0 x = O HWR -18 -12 -9 -7 -6 WSB . -25 -16 -12 -10' -8 POU. _ -18 -12 -9 _77 -6 8. Shading (Shade Closed) IG None 1 -3 -2 -2 -2 % Glass SC Eff. % Glass Solar 7 5 .4 3 2 a. North - 3 X = POU .3 2 -1 1 1 .. _ '-IE- None --28 x•-19 _ 14 - 11 _9 --.-b: -East-- Solar 8 5 4. 3 3Z_ - fi POU -10 6-5..�-4..__3 -- -. c. South - /r x_._ l --�- Multi -Family (Individual units) r d. - West - 3•2- X V Unit size (sf) f {•err -t e-; .Skylight x _ D . ___ Water 699. 700 1200 9700 2200 '• 1 i (-p = -=�- Heater Cred-it- or- -- to -to--' to- -0r r # y - -- _ TYPE -1 MASS -AREA ----- Type --Type less 1199 1699 2199 more 9.t7in_terior.Thermal Mass - GOND. FLOOR AREA �$ SG None 00 0 0 0 i `' l•'T,t' r," interiorMass/CFA or Solar 14 - 7 -.5 4 3 1TYPE 2 MASS AREA --g. 10. Exterior Wall Mass ._ ? g HP HWR 9 5 � 3 2' 2 '� ND. FLOOR AREA - WSB 9 _- 4 3 2' 2 j 1 j. i ;- Exto ' r Wall ss =- Sum 7-10 1F'f� POU 9 s 3 2 2 11. Heatingm Syste,- - d� LL X 1 ti� = t -7 _ �V SE -None . 45 -23 •15 11 _ -9 Solar 2. = 1 1 .0 0 Zonal Control? ( Y / N) S or HSPF Duo Efficiency 10.781 Effective SE or -HWR-.23--t2- -8 --6 =-5 --------- -- --[0.72/6.6] : - ___-HSPFI056/5.151 WSB -25 -13 -8 -6 -5 _ 12. Cooling System o �� x- E4U _23 12 8 6 5 $p_ IG -None -8 -4 -3 -2 1 -2 - - Zonal Control? (Y / N) SEER [9.5) Duo Efficiency [0.74] Effective SEER -[7.03] Solar 6 :..3 _ 2 - 1 POU -.1_0�-0__:_0_0- -13.-Water Heating IE None -00 -15 -10 -8 -6 Solar 18 9 6 4 4 Type ISG] Credit [none] I POU -8 -4 -3 -2 -2 Point Total: .ertificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF -1R STAN AANDEW mroject Title /�$Q —171 NOTE: Lowapproae used. Itemsesidential withsubanasterisk to the Standards must contain superseded by measures stringent regardless ntcomof the requirements i approx (*)maybe sat more stein cram corn luttce listed - Z% e�sr Llt}1J� Bund.n Permit h oJect Address N on the Cenifucate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measurer pyo y-. /- . 92 whether they arc shown elsewhere in the documents or on this checklist only. �y 1 LLE Checked By / Date Telephone plt[otcanent p DEscur 7oN DESIGNER ENFORCEMENT )ocumentatlon Authorgency Use Only Building Envelope Measures 3 UII,DING DATA Glass Area % G1� • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. North 42.5352(b): Loose fill insulation manufacturer's labeled R -Value. conditioned Floor Area 2.5352(c): Minimum wall insulation in framed walls R•1 I weighted average oleo not a to X0$4- Number of Stories �_ East �_ Z � 4 g g ( apply Number of Units South 1 Z / r $' a mass walls). Mb/Raised Floor �-Units 12-5352(5352( k): Slab edge insulation - watt absorption rate no greater than 0356, watts vapor ; Single Family Detached (SFD) [ ] Addition Alone West ZZ 3m L transmission rate no greater than 2.0 perm/inch. i ] [ ]Existing Building Skylight C) 0 §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality Single Family Attached (SFA) standards. Indicate type and form. J Multi -Family (M) [ ] Existing -Plus -Addition Total 710 -0 /1. 1 §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. l §2-5317: Inflltration/ExGltration Controls UII.DING SHELL INSULATIDI�I a. Doors and windows between conditioned and unconditioned spaces designed to limit air $ leakage. b. Doors and windows certified. 2omponent Insulation Location/Comments c. Doors and windows watherstripped: all joints and penetrations caulked and sealed rype R -Value (attic, toora e, t'�iII01. etc.) §2-5352(e): Special infdtration barrier installed tocomply with 12-5351 meets CEC quality + standards. R 19 §2-5352(d): Installation of Fireplaces Wall .............. - 1. Masonry and factory -built fireplaces have: Wall .............. a. Tight fitting. closeable metal or glass door �OOf . b. Outside air intake with damper and control c. Flue damper and control hoof ............. 2 No continuous burning gas pilots allowed. 1 Floor ............. —� HVAC and Plumbing System Measures Floor ............. } §2-5352(8) and 2-5303: Space conditioning equipment sizing: -troch calculations. Slab a ..... 02-5352(h) and 2-5315: Setback therrnoatat on all applicable heating systems. g • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. S. GLAZING Shading Device$ � 12-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space hating equipment has intermittent ignition devices. Glazin Area Glass Interior Exterior Overhang Framing I — - - - g � $ $ Ty�' tI §2-5314: HVAC equipment, weer heaters, showerheads and faucets certified by the CEC. Orientation (SO (single, double) (Toiler blind, etc.) (Shadescl'een, etc.) (yesfio) (metal/Wood) ) 12.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiortucrior - - - Ainsulation (R-16 or greater): fust 5 feet of pipesclosest to tank insulated (R-3 or grater). North -- /( p & LMTL r §2.5312(Exception 1): Pipe insulation on steam and steam condensate retum tit recirculating \ ) - ! - piping. North tC j §2-5318(d): Swimming Pool Heating East ( ) ) 1. System has: East ! ) a. On/off switch on hater. b. Weatherproof instruction plate on hater. l SOULh ( ) / Z e. Plumbed to allow for solar. - j 2. 75 percent thermal efficiency. SOU til ( ) t 3. Pool cover. West ( ) Z2 4. Time clock. West ( ) I 5. Directional water inlet Lighting and Appliance Measures Skylight ....... p §2-5352(1): Lighting - 25 lunxjWwatt or greater for general lighting in kitchens and bathrooms. THERMAL MASS t 62-5314(c): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area Thickness ` 12-5314(a): Refrigerators, refrigeator-freezers, freezers and fluorescent lamp ballasts certified (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchey% bath, etc.) I by the CEC. Indicate make and model number. I J COMPLIANCE STATEMENT Ibis certificate of oompliance lists the building feats= and performan ee specifications needed to comply with -------- -- — ; Title 24. Chapter 2-53 and Title 20, C�apkar2. Subchapter4. Article 1 of the CaWornlla Administrative code. This _ ------ — . . _ — _.— __ _ �_— —_ _ — . __ 1 txrtif cote has been signed by the individual with overall design responsibility and the building owner, who ihall - ----"- H VAC SYSTEMS Minimum . - -___ . Duct _ _ retain a copy of it and transmit the certificate to any subsequent purchaser of the building. _ Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # - Designer - Building O . conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tuh ora roved equal) _ gwner I_ _ - Name: Name - — — - -- _ 0lV , Address. Address. _.... _ O I Telephone: Telephone Maximum Furnace Heating Output: Btuh A p Lie. 0: _ HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) - Special Features) - - -- - - -(signature) (date) (signature) (date) Mk Documentation Author Enforcement Agency z _ - — -- — Name: - . — — _ . — — - Name SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) ; r Atm Ate: Telephone: 1